RN Learning System Medical-Surgical: Final Quiz
q/RN-surgical-final
q/RN-surgical-final
By u/Mia | May-14-2022
A nurse is planning dietary teaching for a client who has diabetes mellitus. Which of the following actions should the nurse plan to take first?
Ask the client to identify the types of foods she prefers.
Discuss long-term complications that can result from nonadherence to the dietary plan.
Identify the recommended range for the client's blood glucose level.
Obtain sample menus from the dietitian to give to the client.
q/RN-surgical-final
By u/Mia | May-14-2022
A nurse is caring for a client who has type 1 diabetes mellitus and a capillary blood glucose reading of 48 mg/dL. Which of the following findings should the nurse expect?
Diaphoresis
Decreased skin turgor
Kussmaul respirations
Ketonuria
q/RN-surgical-final
By u/Mia | May-14-2022
A nurse is caring for a client who is 72 hr postoperative following an above-the-knee amputation. Which of the following actions should the nurse take?
Assist the client to a prone position every 4 hr.
Reapply a bandage to the residual limb every 12 hr.
Elevate the residual limb on a soft pillow.
Apply dressings to the site in a proximal-to-distal direction.
q/RN-surgical-final
By u/Mia | May-14-2022
A nurse is providing teaching to a client who has gout and urolithiasis. The client asks how to prevent future uric acid stones. Which of the following suggestions should the nurse make?
Decrease daily fluid intake.
Take allopurinol as prescribed.
Exercise several times a week.
Limit intake of foods high in purine.
q/RN-surgical-final
By u/Mia | May-14-2022
A nurse in an emergency department is assessing a client who sustained a fall off of a roof. Which of the following findings should the nurse identify as an indication of a basilar skull fracture?
Motor loss on one side of the body
Clear fluid coming from the nares
Bleeding from the top of the scalp
A depressed fracture of the forehead
q/RN-surgical-final
By u/Mia | May-14-2022
A nurse is teaching a client how to perform a breast self exam (BSE). The nurse should identify which of the following findings as an indication of breast cancer?
Multiple round masses that are tender and found in both breasts
Lumps that are mobile and tender upon palpation prior to a menstrual period
Bilaterally darkened areolas
A nontender, hard lump that is palpated in one breast
q/RN-surgical-final
By u/Mia | May-14-2022
A nurse is providing discharge teaching about improving gas exchange to a client who has emphysema. Which of the following instructions should the nurse include in the teaching? (select what is most correct)
Practice chest breathing each day.Limit intake of foods high in purine.
Exercise several times a week. Limit intake of foods high in purine.
Take allopurinol as prescribed.Exercise several times a week.Limit intake of foods high in purine.
Exercise several times a week. Wear home oxygen to maintain an SaO2 of at least 94%.
q/RN-surgical-final
By u/Mia | May-14-2022
A nurse is caring for a client who has an upper gastrointestinal bleed and a hematocrit of 24%. Prior to initiating a transfusion of packed red blood cells (RBCs), which of the following actions should the nurse take? (select what is most correct)
Assess and document the client's vital signs.Restart the IV with a 22-guage needle.Verify with another nurse the blood type and Rh of the packed RBCs.Hang a bag of lactated Ringer's IV solution.Change IV tubing to a set that has a filter.
Hang a bag of lactated Ringer's IV solution.Change IV tubing to a set that has a filter. Verify with another nurse the blood type and Rh of the packed RBCs.
Assess and document the client's vital signs. Verify with another nurse the blood type and Rh of the packed RBCs.Change IV tubing to a set that has a filter.
Restart the IV with a 22-guage needle. Verify with another nurse the blood type and Rh of the packed RBCs.
q/RN-surgical-final
By u/Mia | May-14-2022
A nurse is preparing to change the bed linens of a client who has AIDS and is incontinent of stool. Which of the following personal protective equipment (PPE) should the nurse don prior to providing client care? (select what is most correct)
Gown Gloves
Gloves Hair coverGoggles
Gloves
GownGlovesMask
q/RN-surgical-final
By u/Mia | May-14-2022
A nurse is caring for a client who begins having a tonic-clonic seizure while sitting in a chair at the bedside. Which of the following actions should the nurse take first?
Place the client in a side-lying position.Provide privacy.
Provide privacy.
Lower the client to the floor.
Provide oxygen.
q/RN-surgical-final
By u/Mia | May-14-2022
A nurse is caring for a client following a hip arthroplasty. The nurse places an abduction pillow on the client for which of the following purposes?
Positioning the client off of the operative site while in bed
Raising the bed linens off the client's feet to prevent plantar flexion
Keeping the client's heels off the bed to prevent pressure ulcers
Preventing dislocation of the hip during position changes or movement
q/RN-surgical-final
By u/Mia | May-14-2022
A nurse in the emergency department is caring for a client who has fruity breath odor, dry mouth, and extreme thirst. Which of the following assessments should the nurse make?
Pupillary reaction to light
Deep tendon reflexes
Blood glucose level
Liver function tests
q/RN-surgical-final
By u/Mia | May-14-2022
A nurse is caring for a client who has a stage III pressure ulcer on the heel. When preparing to irrigate the wound, which of the following actions should the nurse take first?
Check the client's pain level.
Place a waterproof pad under the client's extremity.
Obtain the prescribed irrigation solution.
Don personal protective equipment.
q/RN-surgical-final
By u/Mia | May-14-2022
A nurse is providing postoperative care for a client who has two chest tubes in place following a lobectomy. The client asks the nurse the reason for having two chest tubes. The nurse should inform the client that the lower chest tube is placed for which of the following reasons?
Creating access for irrigating the chest cavity
Evacuating secretions from the bronchioles and alveoli
Removing air from the pleural space
Draining blood and fluid from the pleural space
q/RN-surgical-final
By u/Mia | May-14-2022
A nurse is providing teaching to a client who has stomatitis due to chemotherapy and radiation therapy. Which of the following statements by the client indicates a need for further teaching?
"I will use lemon and glycerine swabs after meals."
"I will remove my dentures except while eating."
"I will use a soft toothbrush or foam swab for oral care."
"I will rinse my mouth frequently with hydrogen peroxide solution."
q/RN-surgical-final
By u/Mia | May-14-2022
A nurse is providing discharge teaching to a client who has a new permanent pacemaker. Which of the following statements by the client indicates an understanding of the teaching?
"I cannot stand in front of our new microwave oven when it is on."
"I should check my heart rate at the same time each day."
"I should keep a pressure dressing over the generator until the incision is healed."
"I don't have to take my antihypertensive medications now that I have a pacemaker."
q/RN-surgical-final
By u/Mia | May-14-2022
A nurse is reviewing a client's laboratory report. The client's ABG levels are pH 7.5, PaCO2 32 mm HG, and HCO3- 24 mEq/L. The nurse should determine that the client has which of the following acid-base imbalances?
Metabolic alkalosis
Respiratory alkalosis
Respiratory acidosis
Metabolic acidosis
q/RN-surgical-final
By u/Mia | May-14-2022
A nurse is preparing to care for a group of clients after receiving change-of-shift report. Which of the following clients should the nurse assess first?
A client who has emphysema and reports dyspnea
A client who has esophageal cancer and reports painful swallowing
A client who has benign prostatic hyperplasia (BPH) and reports dysuria
A client who has ulcerative colitis and reports diarrhea
q/RN-surgical-final
By u/Mia | May-14-2022
A nurse is obtaining a weekly weight for a client who has obesity and osteoarthritis and is on a weight management program. The nurse determines that the client gained 1.36 kg (3 lb) in the past week. Which of the following statements should the nurse make?
"You should put this week behind you and adhere to your diet from this point forward."
"Why do you think you've gained 3 pounds this week?"
"You should try a little harder to stick to your diet."
"Were there any issues last week that kept you from focusing on your diet?"
q/RN-surgical-final
By u/Mia | May-14-2022
A nurse is caring for a client who is receiving intermittent peritoneal dialysis. The nurse observes that the peritoneal fluid is not adequately draining. Which of the following actions should the nurse take?
Turn the client from side to side.
Lower the head of the client's bed.
Elevate the height of the dialysate bag.
Advance the catheter approximately 2.5 cm (1 in) further.
q/RN-surgical-final
By u/Mia | May-14-2022
A nurse is providing teaching to a client who has tuberculosis (TB) and a prescription for isoniazid. Which of the following instructions should the nurse include?
"You should take this medication on an empty stomach."
"It is recommended to take this medication with an antacid."
"Your provider will monitor your thyroid function while you are taking this medication."
"It is necessary to take this medication for the rest of your life to prevent recurrence."
q/RN-surgical-final
By u/Mia | May-14-2022
A nurse is caring for a client who has continuous bladder irrigation following a transurethral resection of the prostate (TURP). Which of the following findings should the nurse report to the provider?
Viscous urinary output with clots
Report of a strong urge to urinate
Output equal to the instilled irrigant
Report of bladder spasms
q/RN-surgical-final
By u/Mia | May-14-2022
A nurse is providing discharge teaching to an adult female client who has infective endocarditis about how to prevent recurrence. Which of the following statements by the client indicates understanding of the teaching?
"I will ask my provider to change my contraception to an intrauterine device."
"I will notify my doctor before I have dental procedures."
"I will avoid using antiseptic mouthwash during my oral care."
"I will wear a mask when I go out in public."
q/RN-surgical-final
By u/Mia | May-14-2022
A nurse is providing teaching about antiretroviral medication therapy to a client who has a new diagnosis of AIDS. Which of the following statements should the nurse include in the teaching?
"You should increase your intake of raw fruits and vegetables while taking antiretroviral medications."
"Your provider will prescribe one single antiretroviral medication at a time."
"Your provider will prescribe antiretroviral therapy to kill the HIV virus."
"You should take antiretroviral medications on a routine schedule."
q/RN-surgical-final
By u/Mia | May-14-2022
A nurse is planning care for a client during a sickle cell crisis. Which of the following interventions should the nurse include in the client's plan of care?
Apply cold compresses to painful joints.
Maintain the client's knees and hips in a flexed position.
Withhold opioids until the crisis is resolved.
Encourage increased fluid intake.
q/RN-surgical-final
By u/Mia | May-14-2022
A nurse is providing teaching to a client who has cervical cancer and is scheduled to receive brachytherapy in an ambulatory care clinic. Which of the following statements by the client indicates an understanding of the teaching?
"I will have an implant placed once a month during my brachytherapy treatment."
"I must stay at least 3 feet away from others between brachytherapy treatments."
"I need to lie still in bed during my brachytherapy treatment."
"I should expect some blood in my urine after each brachytherapy treatment."
q/RN-surgical-final
By u/Mia | May-14-2022
A nurse is providing teaching to a client who has a history of tonic-clonic seizures and is scheduled for a standard electroencephalogram (EEG). Which of the following instructions should the nurse include in the teaching?
Thoroughly shampoo hair prior to the EEG.
Take a sedative the night prior to the EEG.
Remain NPO 6 to 8 hr prior to the EEG.
Sleep for at least 8 hr the night prior to the test.
q/RN-surgical-final
By u/Mia | May-14-2022
A nurse is assessing a client who has a fractured left femur and is in skeletal traction. Which of the following findings should the nurse report to the provider?
Muscle spasms in the left leg
Chest petechiae
Ecchymosis of the thigh
Serous drainage at the pin site
q/RN-surgical-final
By u/Mia | May-14-2022
A nurse is caring for a client who is to have his chest tube removed. Which of the following actions should the nurse take?
Instruct the client to perform the Valsalva maneuver during removal.
Cover the insertion site with a hydrocolloid dressing after removal.
Provide pain medication immediately after removal.
Delegate removal of the chest tube to a licensed practical nurse (LPN).
q/RN-surgical-final
By u/Mia | May-14-2022
A nurse in an emergency department is caring for a client who reports developing severe right eye pain with a gritty sensation while sawing wood. Which of the following actions should the nurse take first?
Perform ocular irrigation of the right eye.
Instill proparacaine hydrochloride eyedrops.
Place the client in a supine position with the head turned toward the affected side.
Ask the client about first aid performed at the scene.
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