Question 31
Medical Surgical Unit Quiz. A client has been prescribed the non-steroidal anti-inflammatory (NSAID) ibuprofen. Which side effect should the nurse instruct the client to report to the provider immediately?
- Difficulty swallowing
- Black, tarry stools
- Urinary retention
- Bilateral tinnitus
Question 40
A nurse is preparing discharge teaching for a client following a cast application on their right arm. Which information should the nurse include in the teaching? (Select all that apply.)
- Avoid getting the plaster cast wet.
- Elevate the extremity to reduce swelling after application of cast.
- Perform isometric exercises for the extremity regularly.
- Report a foul-smelling odor and drainage to the healthcare provider.
- Keep follow-up appointments to have the cast checked.
- All of the above are correct.
Question 41
A community health nurse is teaching a class about osteoarthritis. Which of the following information should the nurse include? (Select all that apply.)
- Physical therapy can help with management of symptoms.
- Plan to exercise when pain is least severe.
- Strength training can help prevent osteoarthritis.
- Weight loss can decrease workload on the weight-bearing joints.
- Encourage use of analgesics prior to exercising.
- Osteoarthritis is an autoimmune disease.
- Use of assistive devices like a cane will decrease mobility.
Question 42
The nurse is caring for a client following a bowel resection. Which of the following activities must be completed by the Registered Nurse?
- Develop a plan for discharge teaching based on discharge medications and Jackson-Pratt (JP) drain care instructions.
- Administer oral medications to the client.
- Perform a simple dressing change for the client.
- Reinforce the teaching provided by the nurse to the client.
Question 43
Piperacillin and Tazobactam 3.375 g in 100 mL 0.9% sodium chloride to be infused over 4 hours. At what rate will the nurse set the IV pump? ____ mL/hr
- 25
Question 45
A client has recently been started on insulin. Which of the following assessment findings is the priority for the nurse to follow up?
- The client states they are hungry and thirsty.
- The client states they have tingling in their fingers and toes.
- Cold, clammy skin is noted while taking vital signs.
- The client states they have not had a bowel movement in two days.
Question 46
Match the following as open reduction or closed reduction:
- Surgically opening the skin to realign the fracture: Open Reduction
- Manipulating the fracture without opening the skin: Closed Reduction
- Moderate sedation is used: Closed Reduction
- Higher risk for infection: Open Reduction
- Internal hardware stabilizes the fracture: Open Reduction
- Performed in a sterile operating room: Open Reduction
Question 48
The nurse is caring for a client with neutropenia. Which of the following tasks can the nurse delegate to the LPN? (Select all that apply.)
- Participate in the development of the client’s plan of care.
- Administer subcutaneous and oral medications.
- Reinforce teaching provided to the client.
- Provide the initial education to the client regarding neutropenic precautions.
- Perform the admission assessment on a newly admitted client. Medical Surgical Unit Quiz
Question 49
A client is admitted to the medical-surgical unit following an open reduction internal fixation of the right femur. The nurse suspects the client is experiencing Fat Embolism Syndrome (FES). What is the priority nursing intervention?
- Improve gas exchange.
- Provide pain medication.
- Assess the surgical site.
- Obtain a set of vital signs.
Question 50
A client who recently had an external fixator placed on their broken arm expresses concern about the appearance of the device. What would be a therapeutic response by the nurse?
- “Remember the fixator is temporary and you could have been injured much worse.”
- “I understand it may be difficult to see, this will allow for your arm to heal correctly.”
- “You’ll get used to it over time, just try to ignore it. I’ll cover it with a pillow.”
- “Don’t worry about how it looks, focus on following the provider’s instructions for your recovery.”
Question 51
A nurse is providing teaching to a female client who has type 2 diabetes and a new prescription for semaglutide (Ozempic) a GLP-1 Agonist. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)
- This medication should not be used by pregnant or lactating women.
- This medication can cause UTI’s and genital infections.
- This medication is for diabetics who cannot produce insulin.
- This medication acts by delaying glucose absorption.
- This medication can cause hypoglycemia, pancreatitis, and thyroid tumors.
Question 52
A client with type 2 diabetes is taking canagliflozin (Invokana), an SGLT2 inhibitor. Which adverse effect is most likely related to this medication?
- Hepatomegaly.
- Urinary tract infections.
- Allergic reactions.
- Acute pancreatitis.
Question 53
The nurse preceptor is educating a new graduate nurse about pin site care. Which statement made by the new graduate nurse indicates the need for further clarification?
- “Clean the pin sites using the solution ordered by the provider.”
- “Use one cotton-tip swab to clean all of the pin site locations.”
- “Report any drainage or redness around the pin sites to the provider.”
- “Assess the pin sites for signs of infection, such as warmth or drainage.”
Question 54
A client is receiving a heparin IV infusion. The provider has ordered heparin to infuse at 15 units/kg/hr. The client’s weight is 198 lbs. The drip is provided by pharmacy as 25,000 units/250 mL NS. At what rate will the nurse set the IV pump? ____ mL/hr Round to the tenths place.
- 13.5
Question 55
A client with type 1 diabetes calls the clinic and states that they have been nauseated and unable to keep food down for the past 6 hours. According to the sick-day rule, what should the nurse advise the client?
- “Stop taking insulin until the nausea subsides, continue to monitor blood glucose.”
- “Drink frequent small amounts of fluids and continue to take your insulin.”
- “Decrease insulin dosage by half until you are able to eat again.”
- “Try to increase fluid intake and take insulin if your blood glucose is above 200.”
Question 56
The nurse teaches a client with type 1 diabetes about the Somogyi effect and Dawn Phenomenon, emphasizing that:
- Somogyi effect can be prevented by reducing bedtime food intake.
- check glucose 0200 to 0400 AM to assess either condition.
- the Dawn phenomenon occurs more often in elderly clients.
- the treatment for both conditions is more insulin at bedtime.
Question 57
A client with type 1 diabetes is made NPO for a procedure and have the following insulin orders:
- insulin glargine (Lantus): 15 units, subcutaneously at bedtime
- insulin lispro (Humalog): 5 units, subcutaneously three times a day with meals
- insulin lispro (Humalog) per corrective dosing/sliding scale: 0-6 units, subcutaneously three times a day with meals and at bedtime
Which insulin(s) should the nurse hold? Medical Surgical Unit Quiz
- lispro (Humalog) three times a day with meals doses
- lispro (Humalog) three times a day with meals doses and the corrective dose/sliding scale
- lispro (Humalog) corrective dosing
- glargine (Lantus) dose at bedtime (BG > 70) Medical Surgical Unit Quiz
Question 58
The nurse admits a client newly diagnosed with osteoarthritis. The nurse will teach the client this diagnosis causes changes in which musculoskeletal structure?
- Ligaments
- Tendons
- Cartilage
- Bones
Question 59
What information should the nurse include in teaching a client with diabetes about foot care?
- Examine feet weekly for cuts, blisters, or red tender areas.
- Walk barefoot only in mild, safe weather conditions.
- Use a callus shaver and pumice stone daily to remove calluses.
- Wear socks instead of using heating pads to warm feet.
Question 60
A client with type 2 diabetes on metformin (Glucophage) a Biguanide is hospitalized for an elective surgical procedure. The blood glucose level is 244 mg/dL and a corrective insulin dose is ordered. What should the nurse teach this client about their corrective insulin dose?
- The insulin is needed because the stress of surgery has elevated your blood sugar.
- This is long-acting insulin which will provide a consistent level of insulin between meals and overnight.
- We will teach you how to give yourself insulin so you will be able to manage it when you go home.
- You need to be sure to eat after I give you this injection or you will develop hypoglycemia.
Question 61
A client is admitted to the emergency department following a motor vehicle crash. The client is experiencing pain and deformity of the left lower extremity. Which intervention should the nurse perform first?
- Assess neurovascular status distal to the injury
- Start an IV and administer pain medication
- Draw an erythrocyte sedimentation rate (ESR).
- Obtain medical history including current medications
Question 61
A client is admitted to the emergency department following a motor vehicle crash. The client is experiencing pain and deformity of the left lower extremity. Which intervention should the nurse perform first?
- Assess neurovascular status distal to the injury
- Start an IV and administer pain medication
- Draw an erythrocyte sedimentation rate (ESR)
- Obtain medical history including current medications
Question 62
Following an orthopedic joint surgery, what assessment data would best assist the nurse in assessing neurovascular status of the affected extremity?
- Deformity
- Edema
- Numbness
- Crepitus
Question 63
A client is admitted to the emergency department with possible fractures to the bones of the lower extremity. Which action will be the nurse’s priority?
- Obtain information about the tetanus immunization status
- Splint the lower extremity that is affected
- Elevate the leg above the level of the heart
- Assess the popliteal, dorsalis pedis, and posterior tibial pulses Medical Surgical Unit Quiz
Question 64
A client with type 2 diabetes has been scheduled for a CT scan of the abdomen with contrast dye. Which of the following medication below should be held or stopped prior to the test?
- Metformin (Glucophage) a Biguanide
- Repaglinide (Prandin) a non-sulfonylurea
- Acarbose (Precose) an Alpha-Glucoside Inhibitor
- Glipizide (Glucotrol) a Sulfonylurea
Question 65
What is the most common cause of hypoglycemic unawareness?
- Reduced epinephrine secretion due to autonomic neuropathy
- Decreased symptoms of hypoglycemia due to sensory neuropathy
- Lack of education on the causes, signs and symptoms of hypoglycemia
- Failing to monitor fingerstick blood glucose regularly
Question 66
The nurse cares for a client reporting joint stiffness in the morning. Which of these distinguishing characteristic below will the nurse expect if the client has rheumatoid arthritis?
- Occurs in only a few joints and is relieved by movement
- Infrequent and randomly occurs with inactivity
- May occur on the right side and not the left side
- Can last from one hour to several hours
Question 67
A client has an IV piggyback of ceftriaxone (Rocephin) 500 mg in 50 mL D5W to run over 20 minutes. The tubing has a drip factor of 10 gtt/mL. How many drops per minute should be administered? Round to a whole number.
- Answer: 25
Question 68
A client who recently had a below-the-knee amputation says to the nurse, “I feel like I’ve lost a part of myself, and I don’t know how I’m going to cope with this.” What is the most therapeutic response by the nurse?
- “It sounds like you’re overwhelmed. Can you share more about what you’re feeling?”
- “You should try to stay positive. Focusing on what you can still do is what is best.”
- “I know this is difficult, but over time you’ll adjust to using a prosthesis eventually.”
- “Many people with amputations go on to live full, independent lives, and you will too!”
Question 69
The nurse is developing a standardized care plan for the postoperative care of clients undergoing cardiac surgery. The unit is staffed with registered nurses (RN), licensed practical nurses (LPN), and unlicensed assistive personnel (UAP). Which nursing activity will need to be performed by the LPN?
- Developing a plan for discharge teaching based on new medications and needed lifestyle changes
- Perform the initial dressing change, cleanse the site and document findings on post-op day 2
- Reinforcing client and family teaching about deep breathing and cough at least every 2 hours
- Assisting the client to the shower providing protective covering over any lines or dressings
Question 70
D5W 1L is order for the client to infuse over 8 hours. At what rate should the nurse set the IV pump? ___mL/hr Round to a whole number.
- Answer: 125
