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WorksheetsMed-Surg #1 FINAL (Davis Edge)
Total questions: 56
Worksheet time: 3hrs 48mins
A client started having chest pain 2 hours ago. After the health-care provider explains that her cardiac troponin level is normal," the client states, "I'm so happy that I didn't have a heart attack." Which response by the nurse is the priority?
Lets discuss the heart benefits of stopping smoking
You may need to follow up with a cardiologist after discharge
A healthy balanced diet reduces your risk for coronary artery disease
The troponin level may be normal right now even if you have had a heart attack
The nurse is caring for a client who is at risk for orthostatic hypotension. Which action should the nurse take?
Assist the client to quickly change positions
Use a walking belt when ambulating the client
Administer opioid analgesic prior to ambulation
Restrict fluids between the hours of 14:00 and 08:00
A client returns to the unit immediately after a cardiac catheterization in which the femoral artery was used. Which action should the nurse take first
Palpate peripheral pulses
encourage PO fluids
assist the client with ambulation
encourage the client to lie still and not bend knees
A client scheduled for the next dose of atenolol has a BP of 94/60 mm Hg. Which action should the nurse take next?
Administer the meds as prescribed
notify the HCP
obtain an ECG
Administer O2 at 2L per minute
The nurse is reviewing a client's laboratory results. Because the client is taking digoxin, which electrolyte imbalance most concerns the nurse?
Hypermagnesemia
Hypocalcemia
Hypokalemia
Hypernatremia
The nurse is caring for a client with pulmonary edema. In which position should the nurse place the client?
Fowler's
Left side-lying
Prone
Supine
Which of the following are the earliest symptoms of chronic heart failure? Select all that apply
Fatigue
clammy, cold skin
weakness
crackles
pink, frothy sputum
The nurse is caring for a client with heart failure. Which intervention should the nurse implement?
encourage ambulation
weight the client daily at the same time
instruct the client to increase sodium in their diet
teach the client to sleep without a pillow
The nurse is teaching a client with heart failure about nutrition. Which statement made by the client indicates an understanding of the teaching?
I should increase the amount of sodium in my diet
I need to reduce the amount of fluids I drink like the HCP said
I ate a bag of chips and a deli sandwich for lunch today
I need to eat 3 large meals each day
The nurse is administering furosemide (Lasix) to a client with heart failure. Which laboratory value would concern the nurse?
Sodium 135 mEq/dL
Potassium 2.8 mEq/dL
Calcium 9.0 mg/dL
Magnesium 2.0 mEq/L
The nurse is teaching a client about monitoring fluid status at home. How often should the nurse encourage the client to weigh?
daily
weekly
biweekly
monthly
How many liters of blood are contained in the human body?
1-3
4-6
7-9
10-12
Which disease process causes an accelerated destruction of red blood cells?
renal failure
sickle cell anemia
Lung cancer
Crohn disease
The nurse is caring for a client with a white blood cell count of 21,000/mm3. In which client will the nurse expect this finding?
A client with anemia
A client with thrombocytopenia
A client with neutropenia
A client with an infection
The nurse is caring for a client who underwent a splenectomy. This procedure places the client at risk for which of these illnesses
Cancer
meningitis
asthma
anemia
The nurse is caring for a client with a hematologic disorder. Which clinical manifestations can the nurse expect to find? Select all that apply
petechiae
increase in energy
weakness
dyspnea
weight gain
The nurse is caring for a client who underwent a bone marrow biopsy. Which intervention will the nurse implement following the procedure?
Take the client's vital signs every 8 hours
Monitor the site for bleeding and infections
position the client in supine position
prepare the client for a chest x-ray
The nurse is caring for a client receiving a blood transfusion who suddenly develops a fever, chills headache, and back pain. The nurse recognizes this as which type of reaction?
Febrile nonhemolytic
Urticarial
Hemolytic
Anaphylactic
The nurse is caring for a client with suspected lymphoma. For which diagnostic tool will the nurse prepare the client next?
Computed tomography
Magnetic resonance imaging
Lymphangiography
Electroencephalogram
The nurse is assessing a client with cold. Which lymph nodes will the nurse expect to find enlarged?
femoral
mediastinal
popliteal
cervical
The nurse is caring for a client with severe anemia and a hemoglobin level of 4 g/dL. Which clinical manifestation will the nurse expect the client to exhibit?
Glossitis
Palpitations
Exertional dyspnea
Petechiae
The nurse is caring for a client with pernicious anemia. Which classic clinical manifestation can the nurse expect to find?
bradycardia
sore, beefy red tongue
bradypnea
fissure at the corners of the mouth
A client asks the nurse to explain sickle cell anemia. Which response by the nurse is accurate?
This is a type of anemia in which the bone marrow becomes fatty and cannot produce blood cells
Sickle cell anemia is a result of not including foods high in iron in your diet
This is an inherited anemia in which hemoglobin is not synthesized normally
It is an inherited anemia that causes blood cells to take on a crescent shape and clump
The nurse is caring for a client with polycythemia vera (PV). Which clinical
sore, beefy red tongue
hypotension
tinnitus
abdominal pain
The nurse is caring for a group of clients. Which client is at highest risk for developing leukemia?
An individual with Down syndrome
A client with iron deficiency anemia
An individual who drinks alcohol
A client with hemophilia
The nurse is caring for a client with multiple myeloma who reports loss of bladder function. Which action will the nurse take?
Insert an indwelling catheter
position the client on the left side while in bed
instruct the client to perform Kegel exercises
Notify the HCP
The nurse is reinforcing teaching for a client who underwent a splenectomy. Which statement made by the client indicates a need for further teaching?
I am at a higher risk for bleeding
I will be able to live a normal life
I should have yearly vaccinations
I am at high risk for bleeding now
The nurse Is caring for a group of clients. Which client will the nurse see first?
A client with non-Hodgkin lymphoma (NHL) reporting malaise
A client with hemophilia having a nosebleed
A client with anemia on the third hour of a blood transfusion
A client with leukemia waiting for discharge
The nurse is caring for a client with pancytopenia who reports dyspnea upon exertion. Which condition will the nurse assess further?
pain
anemia
neutropenia
thrombocytopenia
The nurse is caring for a client with leukemia who is undergoing chemotherapy and is neutropenic. Which intervention will the nurse implement?
Encourage the family to bring flowers for the client
Instruct the client to eat fresh fruits and vegetables
Administer aspirin when the client complains of fever
Ensure all staff and visitors wash hands before visiting
The nurse is caring for a client with thrombocytopenia. Which bleeding precautions will the nurse implement? Select all that apply
Avoid intramuscular injections
Encourage use of slippers when out of the bed
keep the area free of clutter
instruct the client to blow nose only when necessary
Encourage the client to floss teeth frequently
Which internal factor may contribute to hypertension?
Decreased blood viscosity
decreased fluid volume
decreased peripheral vascular resistance
decreased elasticity of blood vessels
The nurse is providing teaching regarding the DASH diet for a client diagnosed with hypertension. Which statement made by the client indicates a need for further education?
I should eat five servings of fresh fruit each day
Four times per week I can eat 1/3 cup of nuts or 1/2 cup of cooked beans
I should eat 1/2 cup of oatmeal in the morning
I can eat foods high in sodium as long as I drink plenty of water
The nurse is caring for a client receiving furosemide. The nurse should provide the following education to the client:
Avoid all sources of potassium
Take the medication in the morning
If edema occurs, double the dose
This medication must be taken on an empty stomach
The nurse is preparing a client for a cardiac cauterization. Which of the following is the most important piece of data to know prior to procedure?
Current height and weight
Allergies to iodine, shellfish, or contrast dye
Baseline pulse assessment
The client's last oral intake
The nurse is assessing a client who reports chest pain along with pain in the shoulder. Which term describes this pain?
radiate
severity
type
onset
The nurse is discussing immunity with a client. The client asks what type of immunity her child will receive if she breastfeeds. The nurse will reply with which type of following?
Naturally acquired passive immunity
Artificially acquired active immunity
Naturally acquired active immunity
Artificially acquire passive immunity
After an infection, a client develops antibodies and memory cells specific to the pathogen that caused the infections. What type of immunity will the client receive?
Artificially acquired passive immunity
naturally acquired active immunity
naturally acquired passive immunity
artificially acquired active immunity
The nurse is caring for a client with systemic lupus erythematous (SLE). What clinical manifestations will the nurse expect to find during assessment?
Expiratory wheezing
Pericardial friction rub
Enlarged lymph nodes
Watery diarrhea
The nurse is reviewing orders for a group of clients. Which client might the nurse see a prescription for CD4 count?
a client with renal failure
a client with HIV
a client with anemia
a client with arthritis
The nurse is caring for a client with allergic rhinitis. Which interventions will the nurse anticipate implementing? Select all that apply
administration of a prescribed antihistamine
teach client to avoid environmental stimuli
administration of corticosteroids as ordered
administration of antibiotics as ordered
routinely check vital signs every 2 hours
A client presents to the emergency department with stridor, wheezing dyspnea, and facial edema. The nurse concludes this client is experiencing an anaphylactic reaction. Which interventions will the nurse implement? Select all that apply
Administer oxygen as prescribed
Place an endotracheal (ET) intubation kit at the bedside
administer the prescribed antibiotic
place the client on a cardiac monitor
obtain the prescribed intravenous (IV) access
The nurse is caring for a client admitted with urticaria. Which clinical manifestations will the nurse expect to see during assessment?
raised, pruritic, contender, erythematous wheals on the skin
Pruritus, edema, and extremely dry skin
sneezing, itching, rhinorrhea, and itchy eyes
fever, malaise, muscle soreness, arthralgia, and splenomegaly
The nurse is providing teaching to a client receiving methylprednisolone (Solu-Medrol). Which statement indicates a need for further teaching?
I need to take this medication w/ food
I should monitor my weight while taking this medicine
I can stop taking this medication as soon as I feel better
This medicine might make my blood sugar high
The nurse is caring for a client with pernicious anemia. The nurse can expect to implement which intervention?
Administer vitamin B12 as prescribed
Strict 1500 mL/day fluid restriction
Place the client in protective isolation
Teach the client to use brown soap
The nurse is caring for a client hypothyroidism. Which clinical manifestations can the nurse expect the client to exhibit? Select all that apply
hypertension
dyspnea
diarrhea
slow mental process
sensitivity to heat
Which of the following antibodies is produced first during an infection?
IgG
IgA
IgM
IgD
The nurse is discussing vaccinations with an older adult. Which of the following statements made by the client indicates an understanding regarding the teaching?
I should get the flu shot every other year so I don't get the flu
I should get a shingles vaccine because I am over 60
I had a tetanus shot 15 years ago, so I don't need another one
I should get a shot for pneumonia every 5 years
The nurse is caring for a client who presents with sever shortness of breath, wheezing and hives. Which of the following medications would the nurse expect to administer as ordered?
Proton-pump inhibitor (PPI)
Antibiotic
Epinephrine
Opioid Analgesic
The nurse is caring for a client with a localized infection caused by an insect bite to the hand. Which of the following are clinical manifestations the nurse can expect to see?
redness at the site
elevated temperature
warmth at the site
pain
swelling at the site
The nurse is teaching an elementary school class about preventing the spread of infection. Which is most important for the nurse to include in the teaching?
avoiding other people
wearing a mask
hand washing
taking antibiotics
The nurse is reinforcing teaching for a client who is being discharged home on antibiotics. Which of the following statements indicates an understanding of the teaching?
my wife has the same antibiotics left over from when she was sick. I can take those
I will take the antibiotics until they are gone, even if I feel better
I can take these every other day so they will last me longer
I can save some of these to take when I get the flu
The nurse has a cough. What should the nurse do to prevent the spread of infection among his or her assigned group of clients?
wear a mask when entering rooms
cover mouth with hand when coughing
wash hands for 10 seconds
only care for clients who have a cough
The nurse is reviewing infection rates on a medical unit. Which of the following indicates a need for staff education?
The nurse wears a mask, glove, and gown when entering a room of a client with chickenpox
The nurse does not wear gloves when feeding a client who has a recent stroke
The nurse sends a client with active tuberculosis for a computed tomography (CT) scan with no mask
The nurse obtains a new urinary catheritization kit when the tubing of the first one touches the bed before insertion
The nurse is inserting an indwelling catheter on a client with difficulty voiding. Which of the following warrants correction by the charge nurse?
The nurse positions the drainage bag below the level of the bladder
The nurse inserts the catheter using clean technique
The nurse does not open the closed urinary drainage system seal
The nurse anchors the catheter tubing to the client's leg
Which type of immunity is acquired through breastfeeding?
Natural
Innate
Active
Passive
