Med/Surg II Review Questions

Stephanie is caring for a client who has just been admitted with a chronic connective tissue disorder. As she prepares her assessment checklist, which findings should she expect to see? (Select all that apply)

• Photosensitivity

• Joint pain

• Alopecia

• Hypotension

• Butterfly rash

Grace is about to start methotrexate therapy and the nurse is getting ready to teach her about it. Which statements by Grace show she really understands what to do? (Select all that apply)

• I’ll avoid large crowds.

• I should stop the medication once I feel better.

• I’ll take folic acid daily.

• I should report any sign of infection.

• It’s safe to take during pregnancy.

Liz and Chayse are studying together for their nursing exam. They come across a case where a client is diagnosed with acute kidney injury. As they review the lab results, which findings should they expect to see? (Select all that apply)

• Increased BUN

• Hyperkalemia

• Elevated serum creatinine

• Decreased urine specific gravity

• Hypernatremia

Tags

NGSS.HS-LS1-3

Lauren, Stephanie, and Hampton are helping their friend who has chronic kidney disease make a grocery list. Which foods should they remind their friend to avoid putting in the shopping cart? (Select all that apply)

• Oranges

• Canned soup

• Bananas

• Baked potato with skin

• White rice

Nurse Stephanie is on her rounds and checking on a postpartum client. She wants your help! Which findings should make her suspect postpartum hemorrhage? (Select all that apply to help Stephanie out!)

• Fundus displaced to the right

• Fundus above the umbilicus and boggy

• Firm uterine fundus

• Saturated perineal pad in 10 minutes

• Hypotension

Nurse Becky is about to give Rho(D) immune globulin to her postpartum client, Sarah. Which of the following statements show that Sarah truly understands why she’s getting this important shot? (Select all that apply)

• It prevents Rh incompatibility complications.

• It destroys Rh-positive fetal cells in maternal circulation.

• It should be given to all postpartum women.

• It is given to Rh-positive mothers.

• It protects future pregnancies.

Nurse Becky is caring for Mary, who has been diagnosed with schizophrenia. As part of her assessment, which of the following findings would be considered positive symptoms? (Select all that apply)

• Flat affect

• Disorganized speech

• Social withdrawal

• Delusions

• Hallucinations

Sarah, a young student with ADHD, has just started taking methylphenidate. As her nurse, what effects should you keep an eye out for? (Select all that apply)

• Insomnia

• Decreased appetite

• Delayed growth

• Hypertension

• Weight gain

Shanna, Liz, and Lauren are studying for their pharmacology exam. They come across a scenario: A client taking fluoxetine for depression starts experiencing some side effects. Which of the following should be reported to the provider? (Select all that apply)

• Suicidal ideation

• Sexual dysfunction

• Nausea

• Weight gain

• Serotonin syndrome symptoms

Lauren and Marcedric are learning about lithium therapy in their nursing class. What important tips should they remember to share with their future patients? (Select all that apply)

• Drink plenty of fluids.

• Avoid caffeine.

• Report diarrhea or vomiting.

• Take a diuretic with lithium.

• Monitor for tremors.