Medical SurgicalNursing Practice TestPart 11. Mrs.

Chua a 78 year old client is admitted withthe diagnosis of mild chronic heart failure. Thenurse expects to he ar when listening to clientslungs indicative of chronic heart failure would be:a. Stridorb. Cracklesc. Wheezesd. Friction rubs2. Patrick who is hospitalized foll owing amyocardial infarction asks the nurse why he istaking morphine. The nurse explains thatmorphine:a. Decrease anxiety and restlessnessb. Prevents shock and relieves painc. Dilates coronary blood vesselsd. Helps prevent fibrillation of t he heart3. Which of the following should the nurse teachthe client about the sig ns of digitalis toxicity?a. Increased appetiteb. Elevated blood pressurec. Skin rash over the chest and backd. Visual disturbances such as seeingyellow spots4. Nurse Trisha teaches a client with heart failureto take oral Furosemide in the m orning. Thereason for this is to helpa. Retard rapid drug absorptionb. Excrete ex cessive fluids accumulated atnightc. Prevents sleep disturbances duringnightd. P revention of electrolyte imbalance5. What would be the primary goal of therapy f ora client with pulmonary edema and heartfailure?a. Enhance comfortb. Increase c ardiac outputc. Improve respiratory statusd. Peripheral edema decreased6. Nurse Linda is caring for a client with headinjury and monitoring the client withdecer ebrate posturing. Which of the followingis a characteristic of this type of post uring?a. Upper extremity flexion with lowerextremity flexionb. Upper extremity f lexion with lowerextremity extensionc. Extension of the extremities after astimu lusd. Flexion of the extremities after stimulus7. A female client is taking Casc ara Sagrada.Nurse Betty informs the client that thefollowing maybe experienced a s side effectsof this medication:a. GI bleedingb. Peptic ulcer diseasec. Abdomin al crampsd. Partial bowel obstruction8. Dr. Marquez orders a continuous intraven ousnitroglycerin infusion for the client sufferingfrom myocardial infarction. Wh ich of thefollowing is the most essential nursing action?a. Monitoring urine out put frequentlyb. Monitoring blood pressure every 4hoursc. Obtaining serum potass ium levels dailyd. Obtaining infusion pump for themedication9. During the second day of hospitalization of theclient after a Myocardial Infarction. Which of the following is an expected outcome?a. Able to perform self-care activitieswithout painb. Severe chest painc. Can recognize the risk factors of Myocardial Infarct iond. Can Participate in cardiac rehabilitationwalking program10. A 68 year old client is diagnosed with a right-sided brain attack and is admitted to thehospit al. In caring for this client, the nurseshould plan to:a. Application of elastic stockings toprevent flaccid by muscle b. Use hand roll and extend the left upperextremity on a pillow to preventcont ractionsc. Use a bed cradle to prevent dorsiflexionof feetd. Do passive range of motion exercise11. Nurse Liza is assigned to care for a client whohas returned to the nursing unit after leftnephrectomy. Nurse Lizas highest prioritywould bea. Hourly urine outputb. Temperaturec. Able to turn side to sided. Able to sips cle ar liquid12. A 64 year old male client with a long historyof cardiovascular prob lem includinghypertension and angina is to be scheduledfor cardiac catheterizati on. During pre cardiaccatheterization teaching, Nurse Cherry shouldinform the cl ient that the primary purpose of the procedure is..a. To determine the existence of CHDb. To visualize the disease process in thecoronary arteriesc. To obtain th e heart chambers pressured. To measure oxygen content of differentheart chambers 13. During the first several hours after a cardiaccatheterization, it would be m ost essential fornurse Cherry toa. Elevate clients bed at 45b. Instruct the client to cough and deepbreathe every 2 hoursc. Frequently monitor clients apical pulse and blood pressured. Monitor clients temperature every hour14. Kate who has unde rgone mitral valvereplacement suddenly experiencescontinuous bleeding from the s urgical incisionduring postoperative period. Which of thefollowing pharmaceutica l agents should NurseAiza prepare to administer to Kate?a. Protamine Sulfateb. Q uinidine Sulfatec. Vitamin Cd. Coumadin15. In reducing the risk of endocarditis, gooddental care is an important measure. Topromote good dental care in client w ith mitralstenosis in teaching plan should includeproper use ofa. Dental flossb. Electric toothbrushc. Manual toothbrushd. Irrigation device16. Among the followi ng signs and symptoms,which would most likely be present in a clientwith mitral gurgitation?a. Altered level of consciousnessb. Exceptional Dyspneac. Increase c reatine phospholinaseconcentrationd. Chest pain17. Kris with a history of chroni

c infection of theurinary system complains of urinaryfrequency and burning sensa tion. To figureout whether the current problem is in renalorigin, the nurse shou ld assess whether theclient has discomfort or pain in thea. Urinary meatusb. Pain in the Labiumc. Suprapubic aread. Right or left costovertebral angle18. Nurse P erry is evaluating the renal function of a male client. After documenting urine volumeand characteristics, Nurse Perry assesseswhich signs as the best indicator of renalfunction.a. Blood pressureb. Consciousnessc. Distension of the bladderd . Pulse rate19. John suddenly experiences a seizure, andNurse Gina notice that J ohn exhibitsuncontrollable jerking movements. Nurse Ginadocuments that John expe rienced which typeof seizure?a. Tonic seizureb. Absence seizurec. Myoclonic seiz ured. Clonic seizure 20. Smoking cessation is critical strategy for theclient with Burghers disease, Nurse Jasminanticipates that the male client will go homewith a prescription fo r which medication?a. Paracetamolb. Ibuprofenc. Nitroglycerind. Nicotine (Nicotr ol)21. Nurse Lilly has been assigned to a client withRaynauds disease. Nurse Lill y realizes thatthe etiology of the disease is unknown but it ischaracterized by: a. Episodic vasospastic disorder of capillariesb. Episodic vasospastic disorder of smallveinsc. Episodic vasospastic disorder of theaortad. Episodic vasospastic disorder of thesmall arteries22. Nurse Jamie should explain to male client with diabetes that self-monitoring of blood glucoseis preferred to urine glucose test ingbecausea. More accurateb. Can be done by the clientc. It is easy to performd. It is not influenced by drugs23. Jessie weighed 210 pounds on admission tothe ho spital. After 2 days of diuretic therapy, Jessie weighs 205.5 pounds. The nurse couldestimate the amount of fluid Jessie has losta. 0.3 Lb. 1.5 Lc. 2.0 Ld. 3.5 L 24. Nurse Donna is aware that the shift of bodyfluids associated with Intravenou sadministration of albumin occurs in theprocess of:a. Osmosisb. Diffusionc. Acti ve transportd. Filtration25. Myrna a 52 year old client with a fracturedleft tib ia has a long leg cast and she is usingcrutches to ambulate. Nurse Joy assesses forwhich sign and symptom that indicatescomplication associated with crutch walk ing?a. Left leg discomfortb. Weak biceps brachiic. Triceps muscle spasmd. Forear m weakness26. Which of the following statements should thenurse teach the neutro penic client and hisfamily to avoid?a. Performing oral hygiene after everymealb. Using suppositories or enemasc. Performing perineal hygiene after eachbowel mov ementd. Using a filter mask27. A female client is experiencing painful andrigid abdomen and is diagnosed withperforated peptic ulcer. A surgery has beenschedule d and a nasogastric tube is inserted. The nurse should place the client beforesu rgery ina. Sims positionb. Supine positionc. Semi-fowlers positiond. Dorsal recu mbent position28. Which nursing intervention ensures adequateventilating exchang e after surgery?a. Remove the airway only when client isfully consciousb. Assess for hypoventilation byauscultating the lungsc. Position client laterally with t he neckextendedd. Maintain humidified oxygen via nasalcanula29. George who has u ndergone thoracic surgeryhas chest tube connected to a water-sealdrainage system attached to suction.Presence of excessive bubbling is identified inwater-seal c hamber, the nurse shoulda. Strip the chest tube catheterb. Check the system for air leaks c. Recognize the system is functioningcorrectlyd. Decrease the amount of sucti onpressure30. A client who has been diagnosed of hypertension is being taught to restrict intakeof sodium. The nurse would know that theteachings are effective if the client statesthata. I can eat celery sticks and carrotsb. I can eat broile d scallopsc. I can eat shredded wheat cereald. I can eat spaghetti on rye bread3 1. A male client with a history of cirrhosis andalcoholism is admitted with seve re dyspnearesulted to ascites. The nurse should beaware that the ascites is most likely the resultof increaseda. Pressure in the portal veinb. Production of seru m albuminc. Secretion of bile saltsd. Interstitial osmotic pressure32. A newly a dmitted client is diagnosed withHodgkins disease undergoes an excisionalcervical lymph node biopsy under localanesthesia. What does the nurse assess firstafter t he procedure?a. Vital signsb. Incision sitec. Airwayd. Level of consciousness33. A client has 15% blood loss. Which of thefollowing nursing assessment findingsi ndicates hypovolemic shock?a. Systolic blood pressure less than 90mmHgb. Pupils unequally dilatedc. Respiratory rate of 4 breath/mind. Pulse rate less than 60bp

m34. Nurse Lucy is planning to give pre operativeteaching to a client who will b e undergoingrhinoplasty. Which of the following should beincluded?a. Results of the surgery will beimmediately noticeablepostoperativelyb. Normal saline nose dr ops will need tobe administered preoperativelyc. After surgery, nasal packing wi ll be inplace 8 to 10 daysd. Aspirin containing medications shouldnot be taken 1 4 days before surgery35. Paul is admitted to the hospital due tometabolic acidos is caused by Diabeticketoacidosis (DKA). The nurse prepares whichof the followin g medications as an initialtreatment for this problem?a. Regular insulinb. Potas siumc. Sodium bicarbonated. Calcium gluconate36. Dr. Marquez tells a client that an increaseintake of foods that are rich in Vitamin E andbeta-carotene are impo rtant for healthier skin. The nurse teaches the client that excellentfood source s of both of these substances are:a. Fish and fruit jamb. Oranges and grapefruit c. Carrots and potatoesd. Spinach and mangoes37. A client has Gastroesophageal R eflux Disease(GERD). The nurse should teach the clientthat after every meals, th e client shoulda. Rest in sitting positionb. Take a short walkc. Drink plenty of waterd. Lie down at least 30 minutes38. After gastroscopy, an adaptation thatind icates major complication would be:a. Nausea and vomitingb. Abdominal distention c. Increased GI motilityd. Difficulty in swallowing39. A client who has undergon e acholecystectomy asks the nurse whetherthere are any dietary restrictions that must befollowed. Nurse Hilary would recognize thatthe dietary teaching was well understoodwhen the client tells a family member that:a. Most people need to eat a high proteindiet for 12 months after surgery b. I should not eat those foods that upsetme before the surgeryc. I should avoid fa tty foods as long as Ilived. Most people can tolerate regular dietafter this type of surgery40. Nurse Rachel teaches a client who has beenrecently diagnosed with h epatitis A aboutuntoward signs and symptoms related toHepatitis that may develop . The one thatshould be reported immediately to thephysician is:a. Restlessnessb . Yellow urinec. Nausead. Clay- colored stools41. Which of the following antitub erculosis drugscan damage the 8th cranial nerve?a. Isoniazid (INH)b. Paraoaminos alicylic acid (PAS)c. Ethambutol hydrochloride (myambutol)d. Streptomycin42. The client asks Nurse Annie the causes of peptic ulcer. Nurse Annie responds thatre cent research indicates that peptic ulcersare the result of which of the followi ng:a. Genetic defect in gastric mucosab. Stressc. Diet high in fatd. Helicobacte r pylori infection43. Ryan has undergone subtotal gastrectomy. The nurse should expect that nasogastric tubedrainage will be what color for about 12 to 24hours after surgery?a. Bile greenb. Bright redc. Cloudy whited. Dark brown44. Nurse Jo an is assigned to come for client whohas just undergone eye surgery. Nurse Joanp lans to teach the client activities that arepermitted during the post operative period.Which of the following is best recommendedfor the client?a. Watching circ usb. Bending overc. Watching TVd. Lifting objects45. A client suffered from a lo wer leg injury andseeks treatment in the emergency room. There is a prominent de formity to the loweraspect of the leg, and the injured leg appearsshorter that t he other leg. The affected leg ispainful, swollen and beginning to becomeecchymo tic. The nurse interprets that theclient is experiencing:a. Fractureb. Strainc. Spraind. Contusion46. Nurse Jenny is instilling an otic solution intoan adult ma le client left ear. Nurse Jennyavoids doing which of the following as part of th e procedurea. Pulling the auricle backward andupwardb. Warming the solution to r oomtemperaturec. Pacing the tip of the dropper on theedge of ear canald. Placing client in side lying position47. Nurse Bea should instruct the male client with an ileostomy to report immediately which of the following symptom?a. Absence of drainage from the ileostomyfor 6 or more hoursb. Passage of liquid stool in the stomac. Occasional presence of undigested foodd. A temperature of 37.6 C48. Jerry has diagnosed with appendicitis. Hedevelops a fever, hypotension andtachycardia . The nurse suspects which of thefollowing complications?a. Intestinal obstructi onb. Peritonitisc. Bowel ischemiad. Deficient fluid volume49. Which of the follo wing compilations shouldthe nurse carefully monitors a client withacute pancreat itis. a. Myocardial Infarctionb. Cirrhosisc. Peptic ulcerd. Pneumonia50. Which of the following symptoms during theicteric phase of viral hepatitis should thenurse ex

pect the client to inhibit?a. Watery stoolb. Yellow sclerac. Tarry stoold. Short ness of breathAnswers and RationaleMedical SurgicalNursing Practice TestPart 11. B. Left sided heart failure causes fluidaccumulation in the capillary network of the lung. Fluid eventually enters alveolarspaces and causes crackling sounds at theend of inspiration.2.B. Morphine is a central nervous systemdepressant used to relieve the painassociated with myocardial infarction, italso decreases appre hension and preventscardiogenic shock.3.D. Seeing yellow spots and colored visio nare common symptoms of digitalis toxicity4.C. When diuretics are taken in themo rning, client will void frequently duringdaytime and will not need to voidfreque ntly at night.5.B. The primary goal of therapy for theclient with pulmonary edem a or heartfailure is increasing cardiac output.Pulmonary edema is an acute medic alemergency requiring immediateintervention.6.C. Decerebrate posturing is the ex tensionof the extremities after a stimulus whichmay occur with upper brain stem injury.7.C. The most frequent side effects of Cascara Sagrada (Laxative) is abdo minalcramps and nausea.8.D. Administration of IntravenousNitroglycerin infusion requires pump foraccurate control of medication.9.A. By the 2ndday of hospitaliz ation aftersuffering a Myocardial Infarction, Clientsare able to perform care wi thout chestpain10.B. The left side of the body will be affectedin a right-sided brain attack.11.A. After nephrectomy, it is necessary tomeasure urine output hou rly. This is doneto assess the effectiveness of theremaining kidney also to dete ct renalfailure early.12.B. The lumen of the arteries can beassessed by cardiac catheterization.Angina is usually caused by narrowing of the coronary arteries.1 3.C. Blood pressure is monitored to detecthypotension which may indicate shock o rhemorrhage. Apical pulse is taken todetect dysrhythmias related to cardiacirrit ability.14.A. Protamine Sulfate is used to preventcontinuous bleeding in client who hasundergone open heart surgery.15.C. The use of electronic toothbrush,irrig ation device or dental floss may causebleeding of gums, allowing bacteria to enter and increasing the risk of endocarditis.16.B. Weight gain due to retention of fluidsand worsening heart failure causesexertional dyspnea in clients with m itralregurgitation.17.D. Discomfort or pain is a problem thatoriginates in the k idney. It is felt at thecostovertebral angle on the affected side.18.A. Perfusio n can be best estimated byblood pressure, which is an indirectreflection of the adequacy of cardiacoutput.19.C. Myoclonic seizure is characterized bysudden unco ntrollable jerking movementsof a single or multiple muscle group.20.D. Nicotine (Nicotrol) is given in controlledand decreasing doses for the managementof nicot ine withdrawal syndrome.21.D. Raynauds disease is characterized byvasospasms of t he small cutaneousarteries that involves fingers and toes.22.A. Urine testing pr ovides an indirectmeasure that maybe influenced by kidneyfunction while blood gl ucose testing is amore direct and accurate measure.23.C. One liter of fluid appr oximately weighs2.2 pounds. A 4.5 pound weight lossequals to approximately 2L.24 .A. Osmosis is the movement of fluid froman area of lesser solute concentration toan area of greater solute concentration.25.D. Forearm muscle weakness is a pro bablesign of radial nerve injury caused bycrutch pressure on the axillae.26.B. N eutropenic client is at risk for infectionespecially bacterial infection of theg astrointestinal and respiratory tract.27.C. Semi-fowlers position will localize thespilled stomach contents in the lower partof the abdominal cavity.28.C. Posit ioning the client laterally with theneck extended does not obstruct theairway so that drainage of secretions andoxygen and carbon dioxide exchange canoccur.29.B . Excessive bubbling indicates an air leakwhich must be eliminated to permit lun gexpansion.30.C. Wheat cereal has a low sodium content.31.A. Enlarged cirrhotic liver impinges theportal system causing increasedhydrostatic pressure resulting to ascites.32.C. Assessing for an open airway is thepriority. The procedure invo lves the neck,the anesthesia may have affected theswallowing reflex or the infla mmation mayhave closed in on the airway leading toineffective air exchange.33.A. Typical signs and symptoms of hypovolemic shock includes systolic bloodpressure of less than 90 mm Hg.34.D. Aspirin containing medications shouldnot be taken 1 4 days before surgery todecrease the risk of bleeding.35.A. Metabolic acidosis i s anaerobicmetabolism caused by lack of ability of thebody to use circulating gl ucose.Administration of insulin corrects thisproblem.36.D. Beta-carotene and Vit amin E areantioxidants which help to inhibitoxidation. Vitamin E is found in the

following foods: wheat germ, corn, nuts,seeds, olives,spinach, asparagus andothe r green leafy vegetables. Foodsources of beta-carotene include darkgreen vegetab les, carrots,mangoesandtomatoes.37.A. Gravity speeds up digestion andprevents re flux of stomach contents intothe esophagus.38.B. Abdominal distension may beasso ciated with pain, may indicateperforation, a complication that could leadto peri tonitis.39.D. It may take 4 to 6 months to eatanything, but most people can eata nything they want.40.D. Clay colored stools are indicative of hepatic obstructio n41.D. Streptomycin is an aminoglycoside anddamage on the 8thcranial nerve(ototo xicity) is a common side effect of aminoglycosides.42.D. Most peptic ulcer is ca used byHelicopter pylori which is a gram negativebacterium.43.D. 12 to 24 hours after subtotalgastrectomy gastric drainage is normallybrown, which indicates dig ested food.44.C. Watching TV is permissible because theeye does not need to move rapidly withthis activity, and it does not increaseintraocular pressure.45.A. C ommon signs and symptoms of fracture include pain, deformity,shortening of the e xtremity, crepitus andswelling.46.C. The dropper should not touch anyobject or a ny part of the clients ear.47.A. Sudden decrease in drainage or onsetof severe ab dominal pain should bereported immediately to the physicianbecause it could mean that obstructionhas been developed.48.B. Complications of acute appendicitis ar eperitonitis, perforation and abscessdevelopment.49.D. A client with acute pancr eatitis is proneto complications associated withrespiratory system.50.B. Liver i nflammation and obstructionblock the normal flow of bile. Excessbilirubin turns the skin and sclera yellowand the urine dark and frothy. Medical SurgicalNursing Practice TestPart 21. Marco who was diagnosed with brain tumorwas scheduled for craniotomy. In preventingthe development of cerebral ede ma aftersurgery, the nurse should expect the use of:a. Diureticsb. Antihypertens ivec. Steroidsd. Anticonvulsants2. Halfway through the administration of blood,t he female client complains of lumbar pain.After stopping the infusion Nurse Haze lshould:a. Increase the flow of normal salineb. Assess the pain furtherc. Notify the blood bankd. Obtain vital signs.3. Nurse Maureen knows that the positivedia gnosis for HIV infection is made based onwhich of the following:a. A history of high risk sexual behaviors.b. Positive ELISA and western blot testsc. Identifica tion of an associatedopportunistic infectiond. Evidence of extreme weight loss a ndhigh fever4. Nurse Maureen is aware that a client who hasbeen diagnosed with c hronic renal failurerecognizes an adequate amount of high-biologic-value protein when the food the clientselected from the menu was:a. Raw carrotsb. Apple juice c. Whole wheat breadd. Cottage cheese5. Kenneth who has diagnosed with uremicsyn drome has the potential to developcomplications. Which among the followingcompli cations should the nurse anticipates:a. Flapping hand tremorsb. An elevated hema tocrit levelc. Hypotensiond. Hypokalemia6. A client is admitted to the hospital with benignprostatic hyperplasia, the nurse most relevantassessment would be:a. Flank pain radiating in the groinb. Distention of the lower abdomenc. Perineal e demad. Urethral discharge7. A client has undergone with penile implant.After 24 hrs of surgery, the clients scrotumwas edematous and painful. The nurseshould:a. Assist the client with sitz bathb. Apply war soaks in the scrotumc. Elevate the scrotum using a soft support d. Prepare for a possible incision anddrainage.8. Nurse hazel receives emergency laboratoryresults for a client with chest pain andimmediately informs the physi cian. Anincreased myoglobin level suggests which of the following?a. Liver disea seb. Myocardial damagec. Hypertensiond. Cancer9. Nurse Maureen would expect the a client withmitral stenosis would demonstrate symptomsassociated with congestio n in the:a. Right atriumb. Superior vena cavac. Aortad. Pulmonary10. A client ha s been diagnosed withhypertension. The nurse priority nursingdiagnosis would be: a. Ineffective health maintenanceb. Impaired skin integrityc. Deficient fluid vo lumed. Pain11. Nurse Hazel teaches the client with anginaabout common expected s ide effects of nitroglycerin including:a. high blood pressureb. stomach crampsc. headached. shortness of breath12. The following are lipid abnormalities. Which of the following is a risk factor for thedevelopment of atherosclerosis and PVD? a. High levels of low density lipid (LDL)cholesterolb. High levels of high densi ty lipid (HDL)cholesterolc. Low concentration triglyceridesd. Low levels of LDL cholesterol.13. Which of the following represents a significantrisk immediately

after surgery for repair of aortic aneurysm?a. Potential wound infectionb. Poten tial ineffective copingc. Potential electrolyte balanced. Potential alteration i n renal perfusion14. Nurse Josie should instruct the client to eatwhich of the f ollowing foods to obtain the bestsupply of Vitamin B12?a. dairy productsb. veget ablesc. Grainsd. Broccoli15. Karen has been diagnosed with aplasticanemia. The n urse monitors for changes inwhich of the following physiologic functions?a. Bowe l functionb. Peripheral sensationc. Bleeding tendenciesd. Intake and out put16. Lydia is scheduled for elective splenectomy.Before the clients goes to surgery, the nursein charge final assessment would be:a. signed consentb. vital signsc. n ame bandd. empty bladder17. What is the peak age range in acquiring acutelymphoc ytic leukemia (ALL)?a. 4 to 12 years.b. 20 to 30 yearsc. 40 to 50 yearsd. 60 60 70 years18. Marie with acute lymphocytic leukemiasuffers from nausea and headach e. Theseclinical manifestations may indicate all of thefollowing excepta. effect s of radiationb. chemotherapy side effects c. meningeal irritationd. gastric distension19. A client has been diagnosed with Disseminated Intravascular Coagulation (DIC).Which of the following is contraind icated withthe client?a. Administering Heparinb. Administering Coumadinc. Treati ng the underlying caused. Replacing depleted blood products20. Which of the foll owing findings is the bestindication that fluid replacement for the clientwith h ypovolemic shock is adequate?a. Urine output greater than 30ml/hrb. Respiratory rate of 21 breaths/minutec. Diastolic blood pressure greater than 90mmhgd. Systo lic blood pressure greater than110 mmhg21. Which of the following signs and symp tomswould Nurse Maureen include in teaching planas an early manifestation of lar yngeal cancer?a. Stomatitisb. Airway obstructionc. Hoarsenessd. Dysphagia22. Kar ina a client with myasthenia gravis is toreceive immunosuppressive therapy. Then urse understands that this therapy iseffective because it:a. Promotes the remova l of antibodies thatimpair the transmission of impulsesb. Stimulates the product ion of acetylcholine at the neuromuscular junction.c. Decreases the production o f autoantibodies that attack theacetylcholine receptors.d. Inhibits the breakdow n of acetylcholineat the neuromuscular junction.23. A female client is receiving IV Mannitol. Anassessment specific to safe administration of the said drug is:a . Vital signs q4hb. Weighing dailyc. Urine output hourlyd. Level of consciousnes s q4h24. Patricia a 20 year old college student withdiabetes mellitus requests a dditionalinformation about the advantages of using apen like insulin delivery de vices. The nurseexplains that the advantages of these devicesover syringes inclu des:a. Accurate dose deliveryb. Shorter injection timec. Lower cost with reusabl e insulincartridgesd. Use of smaller gauge needle.25. A male clients left tibia w as fractured in anautomobile accident, and a cast is applied. Toassess for damag e to major blood vesselsfrom the fracture tibia, the nurse in chargeshould monit or the client for:a. Swelling of the left thighb. Increased skin temperature of the footc. Prolonged reperfusion of the toes afterblanchingd. Increased blood pr essure26. After a long leg cast is removed, the maleclient should:a. Cleanse the leg by scrubbing with abrisk motionb. Put leg through full range of motiontwice dailyc. Report any discomfort or stiffness to thephysiciand. Elevate the leg wh en sitting for longperiods of time.27. While performing a physical assessment of amale client with gout of the great toe, NurseVivian should assess for addition al tophi(urate deposits) on the:a. Buttocksb. Earsc. Faced. Abdomen28. Nurse Kat rina would recognize that thedemonstration of crutch walking with tripodgait was understood when the client placesweight on the:a. Palms of the hands and axilla ry regions b. Palms of the handc. Axillary regionsd. Feet, which are set apart2 9. Mang Jose with rheumatoid arthritis states,the only time I am without pain is when I liein bed perfectly still. During the convalescentstage, the nurse in char ge with Mang Joseshould encourage:a. Active joint flexion and extensionb. Contin ued immobility until painsubsidesc. Range of motion exercises twice dailyd. Flex ion exercises three times daily30. A male client has undergone spinal surgery,th e nurse should:a. Observe the clients bowel movementand voiding patternsb. Log-ro ll the client to prone positionc. Assess the clients feet for sensationand circul ationd. Encourage client to drink plenty of fluids31. Marina with acute renal fa ilure moves into thediuretic phase after one week of therapy.During this phase t he client must be assessedfor signs of developing:a. Hypovolemiab. renal failure

c. metabolic acidosisd. hyperkalemia32. Nurse Judith obtains a specimen of clear nasaldrainage from a client with a head injury.Which of the following tests dif ferentiatesmucus from cerebrospinal fluid (CSF)?a. Proteinb. Specific gravityc. Glucosed. Microorganism33. A 22 year old client suffered from his firsttonic-clo nic seizure. Upon awakening theclient asks the nurse, What caused me tohave a sei zure? Which of the following wouldthe nurse include in the primary cause of toni c clonic seizures in adults more the 20years?a. Electrolyte imbalanceb. Head tra umac. Epilepsyd. Congenital defect34. What is the priority nursing assessment in thefirst 24 hours after admission of the clientwith thrombotic CVA?a. Pupil siz e and papillary responseb. cholesterol levelc. Echocardiogramd. Bowel sounds35. Nurse Linda is preparing a client with multiplesclerosis for discharge from the hospital tohome. Which of the following instruction ismost appropriate?a. Practic e using the mechanical aids thatyou will need when future disabilitiesarise.b. Fol low good health habits to changethe course of the disease.c. Keep active, use stre ss reductionstrategies, and avoid fatigue.d. You will need to accept the necessit yfor a quiet and inactive lifestyle.36. The nurse is aware the early indicator of hypoxia in the unconscious client is:a. Cyanosisb. Increased respirationsc. Hyp ertensiond. Restlessness37. A client is experiencing spinal shock. NurseMyrna sh ould expect the function of thebladder to be which of the following?a. Normalb. Atonicc. Spasticd. Uncontrolled38. Which of the following stage the carcinogen i sirreversible?a. Progression stageb. Initiation stage c. Regression staged. Promotion stage39. Among the following components thorou ghpain assessment, which is the mostsignificant?a. Effectb. Causec. Causing fact orsd. Intensity40. A 65 year old female is experiencing flare upof pruritus. Whi ch of the clients action couldaggravate the cause of flare ups?a. Sleeping in coo l and humidifiedenvironmentb. Daily baths with fragrant soapc. Using clothes mad e from 100% cottond. Increasing fluid intake41. Atropine sulfate (Atropine) is c ontraindicatedin all but one of the following client?a. A client with high blood b. A client with bowel obstructionc. A client with glaucomad. A client with U.T. I42. Among the following clients, which amongthem is high risk for potential haz ards fromthe surgical experience?a. 67-year-old clientb. 49-year-old clientc. 33 -year-old clientd. 15-year-old client43. Nurse Jon assesses vital signs on a cli entundergone epidural anesthesia. Which of thefollowing would the nurse assess n ext?a. Headacheb. Bladder distensionc. Dizzinessd. Ability to move legs44. Nurse Katrina should anticipate that all of thefollowing drugs may be used in the att empt tocontrol the symptoms of Menieres diseaseexcept:a. Antiemeticsb. Diureticsc . Antihistaminesd. Glucocorticoids45. Which of the following complicationsassoci ated with tracheostomy tube?a. Increased cardiac outputb. Acute respiratory dist ress syndrome(ARDS)c. Increased blood pressured. Damage to laryngeal nerves46. N urse Faith should recognize that fluid shift inan client with burn injury result s fromincrease in the:a. Total volume of circulating whole bloodb. Total volume of intravascular plasmac. Permeability of capillary wallsd. Permeability of kidn ey tubules47. An 83-year-old woman has severalecchymotic areas on her right arm. Thebruises are probably caused by:a. increased capillary fragility andpermeabil ityb. increased blood supply to the skinc. self inflicted injuryd. elder abuse48 . Nurse Anna is aware that early adaptation of client with renal carcinoma is:a. Nausea and vomitingb. flank painc. weight gaind. intermittent hematuria49. A ma le client with tuberculosis asks NurseBrian how long the chemotherapy must becon tinued. Nurse Brians accurate reply wouldbe:a. 1 to 3 weeksb. 6 to 12 monthsc. 3 to 5 monthsd. 3 years and more 50. A client has undergone laryngectomy. Theimmediate nursing priority would b e:a. Keep trachea free of secretionsb. Monitor for signs of infectionc. Provide emotional supportd. Promote means of communicationAnswers and RationaleMedical S urgicalNursing Practice TestPart21.C. Glucocorticoids (steroids) are used forthe ir anti-inflammatory action, which decreasesthe development of edema.2.A. The bl ood must be stopped at once, andthen normal saline should be infused to keepthe line patent and maintain blood volume.3.B. These tests confirm the presence of H IVantibodies that occur in response to thepresence of the human immunodeficiency virus (HIV).4.D. One cup of cottage cheese containsapproximately 225 calories, 2 7 g of protein, 9g of fat, 30 mg cholesterol, and 6 g of carbohydrate. Proteins

of high biologic value(HBV) contain optimal levels of amino acidsessential for l ife.5.A. Elevation of uremic waste productscauses irritation of the nerves, resu lting inflapping hand tremors.6.B. This indicates that the bladder isdistended w ith urine, therefore palpable.7.C. Elevation increases lymphatic drainage,reduci ng edema and pain.8.B. Detection of myoglobin is a diagnostictool to determine w hether myocardialdamage has occurred.9.D. When mitral stenosis is present, the l eftatrium has difficulty emptying its contentsinto the left ventricle because th ere is novalve to prevent back ward flow into thepulmonary vein, the pulmonary c irculation isunder pressure.10.A. Managing hypertension is the priority forthe c lient with hypertension. Clients withhypertension frequently do not experiencepa in, deficient volume, or impaired skinintegrity. It is the asymptomatic nature o f hypertension that makes it so difficult totreat.11.C. Because of its widesprea d vasodilatingeffects, nitroglycerin often produces sideeffects such as headache , hypotension anddizziness. 12.A. An increased in LDL cholesterolconcentration has been documented at risk factor for the development of atherosclerosis.LDL cholesterol is not broken down into theliver but is deposited into the wall of the bloodvessels.13.D. There is a potential alteration in renalperfusion manifested by decreased urineoutput. T he altered renal perfusion may berelated to renal artery embolism, prolongedhypo tension, or prolonged aortic cross-clamping during the surgery.14.A. Good source of vitamin B12 are dairyproducts and meats.15.C. Aplastic anemia decreases the bonemarrow production of RBCs, white bloodcells, and platelets. The client is at risk forbruising and bleeding tendencies.16.B.An elective procedure is scheduled inadvance so that all preparations can becompleted ahead of time. The vital sig ns arethe final check that must be completed beforethe client leaves the room so that continuityof care and assessment is provided for.17.A. The peak incidence of Acute LymphocyticLeukemia (ALL) is 4 years of age. It isuncommon after 15 yea rs of age.18.D. Acute Lymphocytic Leukemia (ALL) doesnot cause gastric distentio n. It does invadethe central nervous system, and clientsexperience headaches and vomiting frommeningeal irritation.19.B. Disseminated Intravascular Coagulation( DIC) has not been found to respond to oralanticoagulants such as Coumadin.20.A. Urine output provides the most sensitiveindication of the clients response to the rapyfor hypovolemic shock. Urine output should beconsistently greater than 30 to 35 mL/hr.21.C. Early warning signs of laryngeal cancercan vary depending on tum or location.Hoarseness lasting 2 weeks should beevaluated because it is one of t he mostcommon warning signs.22.C. Steroids decrease the bodys immuneresponse thus decreasing the production of antibodies that attack the acetylcholinereceptors at the neuromuscular junction23.C. The osmotic diuretic mannitol iscontraindicat ed in the presence of inadequaterenal function or heart failure because itincrea ses the intravascular volume that mustbe filtered and excreted by the kidney.24. A. These devices are more accurate becausethey are easily to used and have impro vedadherence in insulin regimens by youngpeople because the medication can beadm inistered discreetly.25.C. Damage to blood vessels may decreasethe circulatory p erfusion of the toes, thiswould indicate the lack of blood supply to theextremit y.26.D.Elevation will help control the edema thatusually occurs.27.B.Uric acid h as a low solubility, it tends toprecipitate and form deposits at various siteswh ere blood flow is least active, includingcartilaginous tissue such as the ears.2 8.B. The palms should bear the clients weightto avoid damage to the nerves in the axilla.29.A. Active exercises, alternating extension,flexion, abduction, and ad duction, mobilizeexudates in the joints relieves stiffness andpain.30.C.Alterati on in sensation and circulationindicates damage to the spinal cord, if theseoccu rs notify physician immediately.31.A. In the diuretic phase fluid retained durin gthe oliguric phase is excreted and may reach3 to 5 liters daily, hypovolemia ma y occur andfluids should be replaced.32.C. The constituents of CSF are similar t othose of blood plasma. An examination forglucose content is done to determine w hethera body fluid is a mucus or a CSF. A CSFnormally contains glucose.33.B. Tra uma is one of the primary cause of brain damage and seizure activity in adults.O ther common causes of seizure activity inadults include neoplasms, withdrawal fr omdrugs and alcohol, and vascular disease.34.A. It is crucial to monitor the pup il size andpapillary response to indicate changes aroundthe cranial nerves.35.C.

The nurse most positive approach is toencourage the client with multiple sclero sis tostay active, use stress reduction techniquesand avoid fatigue because it i s important tosupport the immune system while remainingactive.36.D. Restlessness is an early indicator of hypoxia. The nurse should suspect hypoxia inunconsciou s client who suddenly becomesrestless.37.B. In spinal shock, the bladder becomes completely atonic and will continue to fillunless the client is catheterized.38. A. Progression stage is the change of tumorfrom the preneoplastic state or low d egree of malignancy to a fast growing tumor thatcannot be reversed.39.D. Intensi ty is the major indicative of severityof pain and it is important for the evalua tionof the treatment. 40.B.The use of fragrant soap is very drying toskin hence causing the pruritus .41.C.Atropine sulfate is contraindicated withglaucoma patients because it incre asesintraocular pressure.42.A. A 67 year old client is greater risk becausethe o lder adult client is more likely to have aless-effective immune system.43.B. The last area to return sensation is in theperineal area, and the nurse in charge s houldmonitor the client for distended bladder.44.D. Glucocorticoids play no sign ificant role indisease treatment.45.D. Tracheostomy tube has several potentialco mplications including bleeding, infectionand laryngeal nerve damage.46.C. In bur n, the capillaries and small vesselsdilate, and cell damage cause the release of ahistamine-like substance. The substancecauses the capillary walls to become mo repermeable and significant quantities of fluidare lost.47.A. Aging process invo lves increased capillaryfragility and permeability. Older adults have adecreased amount of subcutaneous fat andcause an increased incidence of bruise likelesion s caused by collection of extravascularblood in loosely structured dermis.48.D. Intermittent pain is the classic sign of renal carcinoma. It is primarily due to capillary erosion by the cancerous growth.49.B.Tubercle bacillus is a drug resis tantorganism and takes a long time to beeradicated. Usually a combination of thr eedrugs is used for minimum of 6 months and atleast six months beyond culture co nversion.50.A.Patent airway is the most priority;therefore removal of secretions is necessary.Medical SurgicalNursing Practice TestPart 31. A client is schedule d for insertion of an inferiorvena cava (IVC) filter. Nurse Patricia consultsthe physician about withholding whichregularly scheduled medication on the daybefor e the surgery?a. Potassium Chlorideb. Warfarin Sodiumc. Furosemided. Docusate2. A nurse is planning to assess the corneal reflexon unconscious client. Which of the followingis the safest stimulus to touch the clientscornea?a. Cotton budsb. S terile glovec. Sterile tongue depressor d. Wisp of cotton3. A female client develops an infection at thecatheter inser tion site. The nurse in chargeuses the term iatrogenic when describingthe infectio n because it resulted from:a. Clients developmental levelb. Therapeutic procedure c. Poor hygiened. Inadequate dietary patterns4. Nurse Carol is assessing a clien t withParkinsons disease. The nurse recognizebradykinesia when the client exhibit s:a. Intentional tremorb. Paralysis of limbsc. Muscle spasmd. Lack of spontaneou s movement5. A client who suffered from automobile accidentcomplains of seeing f requent flashes of light. The nurse should expect:a. Myopiab. Detached retinac. Glaucomad. Scleroderma6. Kate with severe head injury is beingmonitored by the n urse for increasingintracranial pressure (ICP). Which findingshould be most indi cative sign of increasingintracranial pressure?a. Intermittent tachycardiab. Pol ydipsiac. Tachypnead. Increased restlessness7. A hospitalized client had a tonic -clonic seizurewhile walking in the hall. During the seizurethe nurse priority s hould be:a. Hold the clients arms and leg firmlyb. Place the client immediately to softsurfacec. Protects the clients head from injuryd. Attempt to insert a tong ue depressorbetween the clients teeth8. A client has undergone right pneumonectom y.When turning the client, the nurse should planto position the client either:a. Right side-lying position or supineb. High fowlersc. Right or left side lying p ositiond. Low fowlers position9. Nurse Jenny should caution a female client whois sexually active in taking Isoniazid (INH)because the drug has which of the foll owingside effects?a. Prevents ovulationb. Has a mutagenic effect on ovac. Decrea ses the effectiveness of oralcontraceptivesd. Increases the risk of vaginal infe ction10. A client has undergone gastrectomy. Nurse Jovy is aware that the best p osition for theclient is:a. Left side lyingb. Low fowlersc. Proned. Supine11. Dur

ing the initial postoperative period of theclients stoma. The nurse evaluates whi ch of the following observations should be reportedimmediately to the physician? a. Stoma is dark red to purpleb. Stoma is oozes a small amount of bloodc. Stoma is lightly edematousd. Stoma does not expel stool12. Kate which has diagnosed wi th ulcerativecolitis is following physicians order for bedrest with bathroom priv ileges. What is therationale for this activity restriction?a. Prevent injuryb. P romote rest and comfortc. Reduce intestinal peristalsisd. Conserve energy13. Nur se KC should regularly assess the clientsability to metabolize the total parenter alnutrition (TPN) solution adequately bymonitoring the client for which of thefo llowing signs: a. Hyperglycemiab. Hypoglycemiac. Hypertensiond. Elevate blood urea nitrogenco ncentration14. A female client has an acute pancreatitis.Which of the following signs and symptomsthe nurse would expect to see?a. Constipationb. Hypertensionc. Ascitesd. Jaundice15. A client is suspected to develop tetany after asubtotal t hyroidectomy. Which of thefollowing symptoms might indicate tetany?a. Tingling i n the fingersb. Pain in hands and feetc. Tension on the suture linesd. Bleeding on the back of the dressing16. A 58 year old woman has newly diagnosedwith hypot hyroidism. The nurse is aware thatthe signs and symptoms of hypothyroidisminclud e:a. Diarrheab. Vomitingc. Tachycardiad. Weight gain17. A client has undergone f or an ileal conduit,the nurse in charge should closely monitor theclient for occ urrence of which of the followingcomplications related to pelvic surgery?a. Asci tesb. Thrombophlebitisc. Inguinal herniad. Peritonitis18. Dr. Marquez is about t o defibrillate a client inventricular fibrillation and says in a loud voiceclear. What should be the action of thenurse?a. Places conductive gel pads fordefibrill ation on the clients chestb. Turn off the mechanical ventilatorc. Shuts off the c lients IV infusiond. Steps away from the bed and makesure all others have done th e same19. A client has been diagnosed withglomerulonephritis complains of thirst . Thenurse should offer:a. Juiceb. Ginger alec. Milk shaked. Hard candy20. A cli ent with acute renal failure is aware thatthe most serious complication of thisc ondition is:a. Constipationb. Anemiac. Infectiond. Platelet dysfunction21. Nurse Karen is caring for clients in the OR. The nurse is aware that the last physiol ogicfunction that the client loss during theinduction of anesthesiais:a. Conscio usnessb. Gag reflexc. Respiratory movementd. Corneal reflex22. The nurse is asse ssing a client with pleuraleffusion. The nurse expect to find:a. Deviation of th e trachea towards theinvolved sideb. Reduced or absent of breath sounds atthe ba se of the lungc. Moist crackles at the posterior of thelungsd. Increased resonan ce with percussion of the involved area23. A client admitted with newly diagnose d withHodgkins disease. Which of the followingwould the nurse expect the client t o report?a. Lymph node painb. Weight gainc. Night sweats d. Headache24. A client has suffered from fall and sustained aleg injury. Whic h appropriate question wouldthe nurse ask the client to help determine if the in jury caused fracture?a. Is the pain sharp and continuous?b. Is the pain dull ache?c. Does the discomfort feel like a cramp?d. Does the pain feel like the muscle wasstr etched?25. The Nurse is assessing the clients castedextremity for signs of infecti on. Which of thefollowing findings is indicative of infection?a. Edemab. Weak di stal pulsec. Coolness of the skind. Presence of hot spot on the cast26. Nurse Rhia is performing an otoscopicexamination on a female client with asuspected diagno sis of mastoiditis. Nurse Rhiawould expect to note which of the following if thi s disorder is present?a. Transparent tympanic membraneb. Thick and immobile tymp anicmembranec. Pearly colored tympanic membraned. Mobile tympanic membrane27. Nu rse Jocelyn is caring for a client withnasogastric tube that is attached to lows uction. Nurse Jocelyn assesses the client forsymptoms of which acid-base disorde r?a. Respiratory alkalosisb. Respiratory acidosisc. Metabolic acidosisd. Metabol ic alkalosis28. A male adult client has undergone a lumbarpuncture to obtain cer ebrospinal fluid (CSF)for analysis. Which of the following valuesshould be negat ive if the CSF is normal?a. Red blood cellsb. White blood cellsc. Insulind. Prot ein29. A client is suspected of developing diabetesinsipidus. Which of the follo wing is the mosteffective assessment?a. Taking vital signs every 4 hoursb. Monit oring blood glucosec. Assessing ABG values every other dayd. Measuring urine out put hourly30. A 58 year old client is suffering from acutephase of rheumatoid ar

thritis. Which of thefollowing would the nurse in charge identifyas the lowest p riority of the plan of care?a. Prevent joint deformityb. Maintaining usual ways of accomplishing taskc. Relieving paind. Preserving joint function31. Among the following, which client isautotransfusion possible?a. Client with AIDSb. Client with ruptured bowelc. Client who is in danger of cardiac arrestd. Client with wo und infection32. Which of the following is not a sign of thromboembolism?a. Edem ab. Swellingc. Rednessd. Coolness33. Nurse Becky is caring for client who begins toexperience seizure while in bed. Which actionshould the nurse implement to pr eventaspiration?a. Position the client on the side with headflexed forwardb. Ele vate the headc. Use tongue depressor between teethd. Loosen restrictive clothing 34. A client has undergone bone biopsy. Whichnursing action should the nurse pro vide afterthe procedure?a. Administer analgesics via IM b. Monitor vital signsc. Monitor the site for bleeding, swellingand hematoma f ormationd. Keep area in neutral position35. A client is suffering from low back pain. Whichof the following exercises will strengthen thelower back muscle of th e client?a. Tennisb. Basketballc. Divingd. Swimming36. A client with peptic ulce r is being assessed bythe nurse for gastrointestinal perforation. Thenurse shoul d monitor for:a. (+) guaiac stool testb. Slow, strong pulsec. Sudden, severe abd ominal paind. Increased bowel sounds37. A client has undergone surgery for retin aldetachment. Which of the following goalshould be prioritized?a. Prevent an inc rease intraocularpressureb. Alleviate painc. Maintain darkened roomd. Promote lo w-sodium diet38. A Client with glaucoma has been prescribedwith miotics. The nur se is aware that mioticsis for:a. Constricting pupilb. Relaxing ciliary musclec. Constricting intraocular vesseld. Paralyzing ciliary muscle39. When suctioning an unconscious client, whichnursing intervention should the nurseprioritize in m aintaining cerebral perfusion?a. Administer diureticsb. Administer analgesicsc. Provide hygiened. Hyperoxygenate before and aftersuctioning40. When discussing b reathing exercises with apostoperative client, Nurse Hazel shouldinclude which o f the following teaching?a. Short frequent breathsb. Exhale with mouth openc. Ex ercise twice a dayd. Place hand on the abdomen and feel itrise41. Louie, with bu rns over 35% of the body,complains of chilling. In promoting the clientscomfort, the nurse should:a. Maintain room humidity below 40%b. Place top sheet on the cl ientc. Limit the occurrence of draftsd. Keep room temperature at 80 degrees42. N urse Trish is aware that temporaryheterograft (pig skin) is used to treat burnsb ecause this graft will:a. Relieve pain and promote rapidepithelializationb. Be s utured in place for betteradherencec. Debride necrotic epitheliumd. Concurrently used with topicalantimicrobials43. Mark has multiple abrasions and a laceration to the trunk and all four extremities says, Icant eat all this food. The food that thenurse should suggest to be eaten first shouldbe:a. Meat loaf and coffeeb. Mea t loaf and strawberriesc. Tomato soup and apple pied. Tomato soup and buttered b read44. Tony returns form surgery with permanentcolostomy. During the first 24 h ours thecolostomy does not drain. The nurse shouldbe aware that:a. Proper functi oning of nasogastricsuctionb. Presurgical decrease in fluid intakec. Absence of gastrointestinal motilityd. Intestinal edema following surgery 45. When teaching a client about the signs of colorectal cancer, Nurse Trish s tresses thatthe most common complaint of persons withcolorectal cancer is:a. Abd ominal painb. Hemorrhoidsc. Change in caliber of stoolsd. Change in bowel habits 46. Louis develops peritonitis and sepsis aftersurgical repair of ruptures diver ticulum. Thenurse in charge should expect an assessmentof the client to reveal:a . Tachycardiab. Abdominal rigidityc. Bradycardiad. Increased bowel sounds47. Imm ediately after liver biopsy, the client isplaced on the right side, the nurse is awarethat that this position should be maintainedbecause it will:a. Help stop b leeding if any occursb. Reduce the fluid trapped in the biliaryductsc. Position with greatest comfortd. Promote circulating blood volume48. Tony has diagnosed w ith hepatitis A. Theinformation from the health history that ismost likely linke d to hepatitis A is:a. Exposed with arsenic compounds atworkb. Working as local plumberc. Working at hemodialysis clinicd. Dish washer in restaurants49. Nurse T rish is aware that the laboratory testresult that most likely would indicate acu tepancreatitis is an elevated:a. Serum bilirubin levelb. Serum amylase levelc. P otassium leveld. Sodium level50. Dr. Marquez orders serum electrolytes. Todeterm

ine the effect of persistent vomiting,Nurse Trish should be most concerned withm onitoring the:a. Chloride and sodium levelsb. Phosphate and calcium levelsc. Pro tein and magnesium levelsd. Sulfate and bicarbonate levels Answers and RationaleMedical SurgicalNursing Practice TestPart 31.B. In preope rative period, the nurse shouldconsult with the physician about withholdingWarfa rin Sodium to avoid occurrence of hemorrhage.2.D. A client who is unconscious is at greater riskfor corneal abrasion. For this reason, thesafest way to test the cornel reflex is bytouching the cornea lightly with a wisp of cotton.3.B. Iatro genic infection is caused by the heathcare provider or is induced inadvertently bymedical treatment or procedures.4.D. Bradykinesia is slowing down from theinit iation and execution of movement.5.B. This symptom is caused by stimulation of r etinal cells by ocular movement.6.D. Restlessness indicates a lack of oxygen tot he brain stem which impairs the reticularactivating system.7.C. Rhythmic contrac tion and relaxationassociated with tonic-clonic seizure can causerepeated bangin g of head.8.A. Right side lying position or supine positionpermits ventilation o f the remaining lung andprevent fluid from draining into suturedbronchial stump. 9.C. Isoniazid (INH) interferes in theeffectiveness of oral contraceptives andcl ients of childbearing age should becounseled to use an alternative form of birth control while taking this drug.10.B. A client who has had abdominal surgery isbe st placed in a low fowlers position. Thisrelaxes abdominal muscles and providesma ximum respiratory and cardiovascularfunction.11.A. Dark red to purple stoma indi catesinadequate blood supply.12.C. The rationale for activity restriction is toh elp reduce the hypermotility of the colon.13.A. During Total Parenteral Nutritio n (TPN)administration, the client should be monitoredregularly for hyperglycemia .14.D. Jaundice may be present in acutepancreatitis owing to obstruction of the biliaryduct.15.A. Tetany may occur after thyroidectomy if the parathyroid glands are accidentallyinjured or removed.16.D. Typical signs of hypothyroidism includ esweight gain, fatigue, decreased energy,apathy, brittle nails, dry skin, cold i ntolerance,constipation and numbness.17.B. After a pelvic surgery, there is anin creased chance of thrombophlebitits owingto the pelvic manipulation that can int erferewith circulation and promote venous stasis.18.D. For the safety of all per sonnel, if thedefibrillator paddles are being discharged, allpersonnel must stan d back and be clear of allthe contact with the client or the clients bed.19.D. Ha rd candy will relieve thirst and increasecarbohydrates but does not supply extra fluid.20.C. Infection is responsible for one third of thetraumatic or surgicall y induced death of clients with renal failure as well as medicalinduced acute re nal failure (ARF)21.C. There is no respiratory movement in stage4 of anesthesia, prior to this stage, respirationis depressed but present.22.B. Compression of t he lung by fluid thataccumulates at the base of the lungs reducesexpansion and a ir exchange.23.C. Assessment of a client with Hodgkinsdisease most often reveals enlarged, painlesslymph node, fever, malaise and night sweats.24.A. Fractured pa in is generally described assharp, continuous, and increasing infrequency.25.D. Signs and symptoms of infection under acasted area include odor or purulent drai nageand the presence of hot spot which areareas on the cast that are warmer than t heothers.26.B. Otoscopic examnation in a client withmastoiditis reveals a dull, red, thick andimmobile tymphanic membrane with orwithout perforation.27.D. Loss of gastric fluid via nasogastric suctionor vomiting causes metabolic alkalosisbe cause of the loss of hydrochloric acid whichis a potent acid in the body.28.A. T he adult with normal cerebrospinal fluidhas no red blood cells.29.D. Measuring t he urine output to detectexcess amount and checking the specificgravity of urine samples to determine urineconcentration are appropriate measures todetermine th e onset of diabetes insipidus.30.B. The nurse should focus more ondeveloping les s stressful ways of accomplishing routine task. 31.C. Autotransfusion is acceptable for the clientwho is in danger of cardiac arrest.32.D. The client with thromboembolism does nothave coolness.33.A. Positio ning the client on one side with headflexed forward allows the tongue to fallfor ward and facilitates drainage secretionstherefore prevents aspiration.34.C. Nurs ing care after bone biopsy includesclose monitoring of the punctured site forble eding, swelling and hematoma formation.35.D. Walking and swimming are very helpf ul instrengthening back muscles for the clientsuffering from lower back pain.36.

C. Sudden, severe abdominal pain is the mostindicative sign of perforation. When perforation of an ulcer occurs, the nursemaybe unable to hear bowel sounds at al l.37.A. After surgery to correct a detached retina,prevention of increased intra ocular pressureis the priority goal.38.A. Miotic agent constricts the pupil andc ontracts ciliary muscle. These effects widenthe filtration angle and permit incr eased outflow of aqueous humor.39.D. It is a priority to hyperoxygenate the clie ntbefore and after suctioning to preventhypoxia and to maintain cerebral perfusi on.40.D. Abdominal breathing improves lungsexpansion41.C. A Client with burns is very sensitive totemperature changes because heat is loss inthe burn areas.42.A . The graft covers the nerve endings, whichreduces pain and provides framework f orgranulation43.B. Meat provides proteins and the fruitproteins vitamin C that b oth promote woundhealing.44.C. This is primarily caused by the trauma of intesti nal manipulation and the depressiveeffects anesthetics and analgesics.45.D. Cons tipation, diarrhea, and/or constipationalternating with diarrhea are the mostcom mon symptoms of colorectal cancer.46.B. With increased intraabdominal pressure,t he abdominal wall will become tender andrigid.47.A. Pressure applied in the punc ture siteindicates that a biliary vessel was puncturewhich is a common complicat ion after liverbiopsy.48.B. Hepatitis A is primarily spread via fecal-oral route . Sewage polluted water may harborthe virus.49.B. Amylase concentration is high in thepancreas and is elevated in the serum whenthe pancreas becomes acutely inf lamed andalso it distinguishes pancreatitis from otheracute abdominal problems.5 0.A. Sodium, which is concerned with theregulation of extracellular fluid volume , it islost with vomiting. Chloride, which balancescations in the extracellular compartments, isalso lost with vomiting, because sodium andchloride are parallel electrolytes,hyponatremia will accompany. of 22 Leave a Comment Comment must not be empty. SubmitCharacters: 400. Poonam Shah really nice review reply05 / 06 / 2012. .Nadia Ramzan Great practice test and review of previous knowledge reply04 / 20 / 2012. .Linda Vincent Thanks again you save me:) reply04 / 12 / 2012. .adah_ibra thaks 4 this. reply07 / 11 / 2011. .Ross Galapon can i ask a question about no. 40 in test 1 why restlessness in not the priority isnt it indicates hypoxia??? reply06 / 30 / 2011. .Kareen Anne Quizon thank u.. reply03 / 25 / 2011. .Sinyorita Nana ...

reply10 / 24 / 2010. .Norilyn Madarcos pa copy po nito. Thank u po. reply05 / 14 / 2010. .Show More Comment must not be empty.SubmitCharacters: ....Practice Test Medical Surgical N ursing 150 Items Download or Print65,924 ReadsInfo and Rating Category: School Work > Study Guides, Notes, & Quizzes Rating: (4 Ratings) Upload Date: 04/13/2009 Copyright: Attribution Non-commercial Tags: nursing licensure examinationboard exam reviewprofessional regulatory comm issionnursing licensure examinationboard exam reviewprofessional regulatory comm ission(fewer). Flag document for inapproriate content This is a private document. Uploaded by Paul Christian P. Sant... FollowFollowing .DownloadEmbed Doc Copy Link Add To Collection Comments Readcast Share .Share on Scribd: ReadcastSearchTIP Press Ctrl-F F to quickly search anywhere in th e document. SearchSearch History: Searching...Result 00 of 0000 results for result for p. More From This UserRelated DocumentsRelated Docuements31 p.. a Client is Schedul ed for InsertionFrom jenelle_0509.31 p.Medical-Surgical Nursing Questions with R ationalesFrom MIlanSagittarius.16 p.MS-6 From Filipino Nurses Central.Next7 p.MS2From roxanne_amogawin.13 p.Medical Surgi cal Nursing QuestionsFrom smithapc.52 p.28. Nurse Katrina would recognize that t heYou can really enjoy the questions i made.... From Liezle Joy T. Mejares.Prev Next52 p.50. A client has undergone laryngectomy. TheYou can really enjoy the questions i made.... From Liezle Joy T. Mejares.52 p.Medical Surgical Nursing Review Questions Slides howYou can really enjoy the questions i made.... From Liezle Joy T. Mejares.9 p.Fundamentals of Nursing 09From Faiza.Prev Next32 p .g.i QuestionsFrom Nico Jumao-as.602 p.COMPREHENSIVE NURSING REVIEW MORE QUESTIO NS 600+PAGESTo download this document visit http://nursingstudentreviewers.blogs pot.com/ From Mark Llego.10 p.Funda_50Q From Filipino Nurses Central .Prev Next546 p.MATERNITY NURSING Part 1ito po yung lahat ng nakita ko sa net na mga practice test. hope it could hel... From oxidalaj.546 p.NURSING PRACTICE Vito po yung lahat ng nakita ko sa net na m ga practice test. hope it could hel... From oxidalaj.546 p.Nursing Practice Compilationito po yung lahat ng nakita ko s a net na mga practice test. hope it could hel... From oxidalaj.Prev Next17 p.100 Items Comprehensive Exam2(2)From miranda3163.16 p .100 Items Comprehensive ExamFrom Aijem Ryan.16 p.Fundamentals of NursingFundame ntals of nursing notes f you have questions please email me> freenurs... From FreeNursingNotes.Prev Next11 p.NP1 set A 2007From Jomari Velasco.4 p.Diagnos tic Exam 3From nielallison.1 p.Hilton St. Peters Burg Carillon ParkFrom menvil.P rev Next2 p.Alfa Romeo Body PanelsWe specialize in retail & wholesale in body kit s & ground effects kits, spoil...

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