WorksheetsMedsurg 2 final review
Total questions: 21
Worksheet time: 11mins
While working with a patient who takes warfarin, the nurse would caution the patient to avoid foods that are highest in which of the following vitamins?
Vitamin A
Vitamin K
Vitamin E
Vitamin C
A client is diagnosed with type 1 diabetes. Which accurately describes this disorder?
It usually occurs in clients older than 30 years.
Classic symptoms are nearly always present.
Hereditary factors are always present.
The client is usually overweight.
The nurse is caring for a client who is diagnosed with sinus bradycardia. What is the criterion for this diagnosis?
Heartbeat is >100 beats per minute
An irregularity in the heart’s ventricular rhythm
Heartbeat is <60 beats per minute
Heartbeat fluctuates between 60 and 100 beats per minute
What is the major problem associated with heart transplantation?
Dehydration
Rejection
Hypothyroidism
Lower extremity pain
The nurse is preparing a client for a cardiac catheterization to check for congenital heart defects. Which statement accurately describes a nursing consideration for this procedure?
State that the procedure will be painful, but pain medication will be given, as needed.
Warn the client that a “fluttering” may be felt in the heart as the catheter passes.
Tell the client that a general anesthetic will be given during the procedure.
Check the client’s peripheral pulses every 30 minutes for an hour after the test.
What is the acronym used when someone is suspected of having a stroke?
FAST
RACE
MONA
HELP
The femoral site was used to perform an angiocardiogram on a client with atherosclerosis. Which nursing consideration is recommended following the surgery?
Wake the client and ambulate 1 hour following the procedure.
Instruct the client to flex the legs every 20 minutes to prevent clots.
Check peripheral pulses distal to the site and the color and warmth of the extremity.
Have the client sit up in bed for up to 8 hours following surgery.
Which client would be most susceptible to experiencing ketoacidosis?
A client diagnosed with type 2 diabetes
A client diagnosed with adrenal insufficiency
A client diagnosed with type 1 diabetes
A client diagnosed with hypothyroidism
A client is being treated for anemia and has a hemoglobin level of 9.6 g/dL. What does the nurse understand is the basic nutritional component in hemoglobin that the client may be deficient in?
Protein
Folic acid
Copper
Iron
A nurse is assisting with administration of packed RBCs to a client who has a Hgb of 8 g/dL. Which of the following actions should the nurse plan to take during the first 15 min of the transfusion?
Verify that the client has given informed consent for the transfusion.
Monitor for acute hemolytic reaction
Review the transfusion procedure with the client.
Ensure blood culture specimens are obtained and sent to the lab.
Which nursing care measure should be employed when caring for a client who is HIV-positive and hospitalized?
Take precautions to protect the client from nosocomial infections.
Discuss the client’s health condition with the client’s relatives.
Put the client's infectious wastes in a closed bag and dispose of in a sanitary landfill.
Break the needles off the syringes manually before disposing of them.
A nurse is reinforcing teaching with a client who has Systemic Lupus Erythematosus (SLE). Which of the following instructions should then nurse plan to include in the teaching?
Avoid the use of NSAIDS.
Stop their corticosteroids when the when your symptoms resolve.
Exposure to ultraviolent light will help control skin rashes.
Monitor your temperature and report any elevations promptly.
The nurse is teaching a class on HIV/AIDS in a local community setting. What statement accurately describes these conditions and could be included as a teaching point?
The terms HIV and AIDS are synonymous.
AIDS is the virus responsible for causing HIV
HIV is a retrovirus overtaking living cells to duplicate itself.
The only known cure for AIDS is HAART.
The nurse is reading a client’s fasting plasma glucose (FPG) test results. Which result indicates diabetes?
75 mg/dL
100 mg/dL
115 mg/dL
130 mg/dL
The nurse is caring for a client diagnosed with Cushing syndrome. Which intervention by the nurse would be appropriate?
Check electrolyte and glucose levels for changes.
Replace fluids and add sodium to the diet.
Teach the client to count and limit carbohydrates.
Administer anticonvulsants to prevent seizures.
A nurse is caring for a client who asks why the provider bases the medication regimen on HbA1c results instead of the log of morning fasting blood glucose results. Which of the following responses should the nurse make?
“HbA1c measures how well insulin is regulating your blood glucose between meals.”
“HbA1c indicates how well you have regulated your blood glucose over the past 120 days.”
“HbA1c is the first test your doctor prescribed to determine that you have diabetes.”
“HbA1c determines if the your doctor should adjust your insulin dosage.”
A nurse is collecting data from a client who has been taking prednisone following an exacerbation of inflammatory bowel disease. The nurse should recognize which of the following findings as the priority?
Client reports difficulty sleeping.
The client’s urine is positive for glucose.
Client reports having an elevated body temperature.
Client reports gaining 4 lb in the last 6 months
A 10-year-old boy is diagnosed with a disturbance of the anterior pituitary lobe causing overproduction of the growth hormone STH. Which disorder will occur with this condition?
Acromegaly
Gigantism
Syndrome of inappropriate antidiuretic hormone (SIADH)
Diabetes insipidus
The nurse is assisting with the care of a client with systemic lupus erythematosus (SLE). The client asks " What should I do for the care of my dry skin?' Which of the following responses should the nurse make?
"Keep the lesions cover with a dry sterile dressing."
"Rub the lesions with a wash cloth until dry after washing."
"Apply lotion twice per day to dry skin"
"Apply antibiotic cream twice per day to dry skin."
A nurse is reinforcing instructions to a client who has Graves’ disease and has a new prescription for propranolol. Which of the following information should the nurse include?
“An adverse effect of this medication is jaundice.”
“Take your pulse before each dose.”
“The purpose of this medication is to decrease production of thyroid hormone.”
“You should stop taking this medication if you have a sore throat.”
What is the acronym used when someone is suspected of having a stroke?
FAST
RACE
MONA
HELP
