Adult Medical Surgical Assessment 2 Practice Exam with Answers (50 Solved Questions)

Preview (5 of 15 Pages)

100%

Purchase to unlock

Loading page image...

Adult Medical Surgical Assessment 2Question: 1 of 50A nurse is caring for a client who is hyperventilating and has the following results: pH 7.50, PaCo2 29mm Hg,and HCO2 25mEq/L. The nurse should recognize that the client has which of the follow- ing acid-baseimbalance?a.Respiratory acidosisb.Respiratory alkalosisc.Metabolic acidosisd.MetabolicalkalosisAnswer: bQuestion 2 of 50A nurse is providing discharge teaching for a client who has COPD about nutrition. Which of the followinginstructions should the nurse include?a.Eat three large meals daily.b.Consume high calorie foods.c.Limit caffeinated drinks to two per day.d.Drink fluids during mealtimeAnswer: bQuestion 3 of 50A nurse is caring for a client who has a right sided pneumothorax. Following chest tube insertion, which ofthe following findings indicates that the chest drainage system is functioning correctly?a.Circle bubbling in the suction chamberb.Crepitus around the insertion sitec.Constant bubbling in the water seal chamberd.Absence of breath sounds on the right sideAnswer: aQuestion 4 of 50A nurse is caring for a client who has a traumatic brain injury. Which of the following findings shouldindicate to the nurse the need for immediate intervention?a.Auxiliary temperature 37.3 degrees Celsius (99 f)b.Apical pulse 100mm

Loading page image...

c.Respiratory rate 30/mind.Blood pressure 140/34 mm HgAnswer: cQuestion 5 of 50A nurse is developing a plan of care for a client who will be placed in halo traction following surgical repair ofthe cervical spine. Which of the following intervention should he nurse include in the plan?a.Inspect the pin site every 48 hrb.Monitor the client’s skin under the halo vestc.Ensure two personnel hold the halo device when repositioning the chestd.Apply powder frequently to the cline’s skin under the vest to decrease aching.Answer: b Question6 of 50A nurse is providing discharge teaching to a client who has heart failure and a prescription for furosemide 20mg PO two times daily. Which of the following instructions should the nurse include in the teaching?a.Monitor for increased blood pressure.b.Increase intake of high potassium foods.c.Expect an increase in swelling in the heads and feet.d.Take off the second dose at bedtime.Answer: b Question7 of 50A nurse is teaching a client about feral occult blood testing (FOBT) for the screening of colorectal cancer.Which of the following statements should the nurse include in the teaching?a.“Your provider will use stool from your digital rectal examination to perform the test.”b.“Your provider will prescribe a stimulant laxative prior to the procedure to evacuate the bowel.”

Loading page image...

c.“You should begin annual decal occult blood testing for colorectal cancer screening at 40 yearsold.”d.“You should avoid taking corticosteroids prior totesting.”Answer:dQuestion 8 of 50Question 9 of 50A nurse is assessing a client who has meningitis. The nurse should identify which of the following findings asa positive Kerning’s sign?a.After striking the literal area of the foot, the client’s toes contract and draw together.b.After hip flexion, the cline tis unable to extend their leg completely without painc.The client’s voluntary movement is not coordinated.d.The Clint reports pain and stiffness when flexing their neck.Answer: b Question10 of 50A nurse is assessing a client who reports a possible exposure to HIV. Which of the following find- ings shouldthe nurse identify as an early manifestation of HIV infection?a.Stomatitisb.Fatiguec.Wasting syndromed.LipodystrophyAnswer: b Question11 of 50A nurse is caring for a client who has rheumatoid arthritis and has been taking prednisone. Which of thefollowing findings should the nurse identify as an adverse effect of this medication?a.Weight lossb.Hypoglycaemiac.Hypertensiond.HyperkalemiaAnswer: c

Loading page image...

Question 12 of 50A nurse in an emergency department is caring for a client who has sustained multiple injuries. The nurseobserves the client’s thorax moving inward during inspiration and outward during expiration. The nurse shouldsuspect which of the following injuries?a.Flat chestb.Hemothoraxc.Pulmonary convulsiond.PneumothoraxAnswer: a Question13 of 50A nurse is planning care for a client who has Meniere’s disease and is experiencing episodes of ver- tigo.Which of the following interventions should the nurse include in the plan?a.Maintain strict bed restb.Restrict fluid intake to the morning hours.c.Administer aspirind.Provide a low sodium diet.Answer: d Question14 of 50A nurse at a providers office is interviewing a client who has multiple sclerosis and has been taking dantrolenefor several months. Which of the following client statement should the nurse identify as an indication that themedication is effective?a.“I don’t have muscle spasms as frequently.”b.“I haven’t gotten any colds, even though it is a flu season.”c.“I feel like my nerve pain has improved’”d.“It is easier to urinate now.”Answer: a

Preview Mode

This document has 15 pages. Sign in to access the full document!

Report

Study Now!

Document Details

Related Documents

Laboratory 8 Muscle Soreness Lab Manual

Case Diana

Identifying a Local Healthcare Economic Issue

Dashboard Metrics Evaluation 1 Dashboard Metrics E

NRP 563 DQ 2

NRP 563 DQ 7

Clinical Supervision Report Week 2

NU 185 Exam 5 Final

NURS FPX 4010 Assessment 3

Strategies for Difficult Venipuncture

Company

Explore

Study Tools