Question 1
Medical Surgical Nursing QUIZ. The nurse is educating a client admitted with chronic venous insufficiency about the cause of swelling and draining, foul smelling ulcers on his lower legs. Which statement by the client indicates understanding of the education?
- “I have a low level of potassium.”
- “It’s poor blood return to my heart.”
- “This is because I am anemic.”
- “I have swollen leg muscles.”
Question 2
The nurse is providing instructions for a client scheduled to undergo a stress electrocardiogram. Which statement by the client indicates the nurse’s teaching about preparation for the test was effective?
- “I should avoid drinking caffeine on the day of the test.”
- “I should wear comfortable house shoes during the test.”
- “I will eat a full meal to give me energy during the test.”
- “I will try to be as still as possible during the exam.”
Question 3
The nurse is preparing to administer the beta blocker metoprolol tartrate to a client diagnosed with coronary artery disease. Which assessment data would cause the nurse to question administering the medication?
- Blood pressure of 90/48
- Troponin T 0.9 (<0.1)
- Apical pulse rate of 69
- Potassium 4.5 (3.5-5)
Question 4
The nurse is caring for a client and observes this EKG rhythm on the monitor. Which assessment findings would the nurse expect to see. For each finding select “Expected” or “Not Expected”
- Irregular pulse: Expected
- Excess energy: Not Expected
- Bounding pulses: Not Expected
- Hypotension: Expected
- Dyspnea: Expected
Question 5
The nurse is assessing a client diagnosed with congestive heart failure and the client states, “I’m really sad and I don’t feel like getting out of bed to do anything.” How should the nurse appropriately respond to the client? Select all that apply.
- “Don’t cry. Everything will be okay.”
- “How long have you been feeling this way?”
- “Tell me more about how you are feeling.”
- “Rest for a while, and you can get up later.”
- “Things will get better once you go home.”
- “How do you normally cope with these feelings?”
Question 11
The nurse recognizes which post-operative order is most important to reduce of complications? Click on the order to make a selection
- NS at 50 mL/hr IV
- Heparin sodium 5,000 unit bolus
- Heparin 1,250 units/hr IV
- ampicillin-sulbactam 3 Gm 4 hrs after surgery
- Hydromorphone 0.2 mg IV q 4 hrs for pain 5-10 Medical Surgical Nursing QUIZ.
Question 12
The nurse is providing discharge teaching for the client following mitral valve replacement with mechanical prosthetic valve. Which information should the nurse include in the teaching? For each item listed select “Include” or “Do Not Include”
- Will take warfarin for life: Include
- Routine lab draws to check INR: Include
- Broccoli and cauliflower are okay: Include
- Avoid MRI: Include
- Avoid exercise: Do Not Include
- Oral antibiotics before teeth cleaning: Include
- Regular follow-up appointments: Include
- Eat green leafy vegetables: Do Not Include
Question 13
The nurse is providing discharge teaching for a client diagnosed with congestive heart failure (CHF). Which instructions should the nurse include in the teaching?
- Weigh on the same scale once weekly.
- Eat three large meals per day.
- Drink at least 3 liters of fluid each day.
- Schedule rest periods between activities.
Question 14
A nurse is caring for several clients on a cardiovascular unit. The nurse would question administering captopril to which client?
- Client with a creatinine level of 0.8 (0.5-1.1)
- Client with brain natriuretic peptide 250 (<100)
- Client with potassium level of 5.8 (3.5-5)
- Client with blood pressure of 166/98
Question 15
The nurse is completing a focused assessment for a client diagnosed with endocarditis. Which action by the nurse is the highest priority?
- Ask the client about complaints of nausea
- Auscultate heart sounds with bell of stethoscope
- Palpate the sacral area for pitting edema
- Inspect lower extremities for rubor and petechiae
Question 16
The nurse is teaching a client diagnosed with heart failure about a 2 gram sodium diet. Which foods should the nurse instruct the client to limit on this diet? Medical Surgical Nursing QUIZ.
- Roast turkey
- Whole wheat bread
- Fresh apples
- Canned green beans
Question 17
The nurse is assessing a client who presents with an increase in psoriatic lesions. Which question should the nurse ask to identify a possible trigger for worsening lesions? Medical Surgical Nursing QUIZ.
- “Have you used a public shower recently?”
- “Have you been out of the country recently?”
- “Have you eaten a lot of chocolate lately?”
- “Have you been under a lot of stress lately?”
Question 18
The nurse is caring for a client who was diagnosed with herpes zoster. What should the nurse include in the plan of care?
- Teach client to rinse mouth out with warm saline.
- Administer the varicella vaccination to the client.
- Teach client to use condoms during sexual contact.
- Administer analgesics and evaluate efficacy.
Question 19
The nurse is educating a client recently diagnosed with psoriasis. Which statement by the client indicates understanding of the teaching?
- “I will probably have joint pain in my hands with this disease.”
- “I will ask my family and relatives if they have psoriasis.”
- “I understand the patches will get worse if I lay out in the sun.”
- “I have to keep the lesions covered so I don’t spread it to others.”
Question 20
The clinic nurse is giving discharge instructions to the parents of a young teen who has been diagnosed with acne vulgaris. What information should the nurse include for the parents? (Select all that apply)
- Acne can be transmitted to siblings.
- Acne outbreaks can cause emotional stress.
- Wash towels in cold, soapy water.
- Use antibacterial soap to wash affected areas.
- Use a ultraviolet therapy to reduce outbreaks.
- Topical benzoyl peroxide can be helpful.
