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NCM 1188 Medical Surgical Quiz #1

Total questions: 25

Worksheet time: 13mins

Name
Class
Date
1.

Which of the following signs and symptoms would the nurse expect to see in a client with acute pancreatitis?

a)

Diarrhea

b)

Jaundice

c)

Hypertension

d)

Ascites

2.

The nurse planning a community education program on how to prevent the transmission of viral hepatitis. Which of the following types of hepatitis is transmitted through intercourse?

a)

Hepatitis A

b)

Hepatitis B

c)

Hepatitis C

d)

Hepatitis D

3.

The nurse evaluates the client’s most recent laboratory data. Which laboratory findings would be consistent with diagnosis of acute pancreatitis?

a)

Hyperglycemia

b)

Leukopenia

c)

Thrombocytopenia

d)

Hyperkalemia

4.

Which of the following positions would be appropriate for a client with severe ascites?

a)

Fowler’s position

b)

Side-lying position

c)

Reverse Trendelenburg

d)

Sim’s position

5.

The nurse assesses that the client with hepatitis is experiencing fatigue, weaknesses, and general feeling of malaise. Which of the following would be the appropriate nursing interventions?

a)

Impaired Physical Mobility related to malaise.

b)

Self-Care Deficit related to fatigue.

c)

Ineffective Coping related to long-term illness

d)

Activity Intolerance related to fatigue

6.

Which of the following urinary symptoms is the most common initial manifestation of acute renal failure?

a)

Dysuria

b)

Anuria

c)

Hematuria

d)

Oliguria

7.

The patient’s blood urea nitrogen (BUN) concentration is elevated in acute renal failure. What likely cause of this finding?

a)

Fluid retention

b)

Hemolysis of RBC

c)

Below-normal metabolic rate

d)

Reduced renal blood flow

8.

Which of the following respiratory patterns indicate increasing ICP in the brain stem?

a)

Slow, irregular respirations

b)

Rapid, shallow respirations

c)

Asymmetric chest excursion

d)

Nasal flaring

9.

The nurse administers Mannitol to the client with increased ICP and closely monitors the?

a)

muscle relaxation

b)

intake and output

c)

widening of the pulse pressure

d)

pupil dilation

10.

In the oliguric phase of acute renal failure, the nurse should anticipate the development of which of the following complications?

a)

Pulmonary edema

b)

Metabolic alkalosis

c)

Hypertension

d)

Hypokalemia

11.

Clients with hepatitis may have a regular diet ordered, unless they become increasingly symptomatic. The diet will then be modified to decrease the amount of?

a)

Carbohydrates

b)

Fats

c)

Fluids

d)

Protein

12.

The complication that the nurse will evaluate for following a transurethral resection (TUR) is?

a)

Hemorrhage

b)

Infection

c)

Urinary retention

d)

Adhesions of the neck of the bladder

13.

Which of the following clinical manifestations would indicate that a client has developed a complication following a cystoscopy?

a)

Difficulty of voiding

b)

Pink-tinged urine

c)

Burning on urination

d)

Development of a chill

14.

A young man is admitted in chronic renal failure and placed in hemodialysis three times a week. Which is an attainable short-term goal for this person when he is placed on hemodialysis?

a)

Understanding the treatment and its implications

b)

Independence in the care of the AV shunt

c)

Self-monitoring during dialysis

d)

Recording dialysate composition and temperature.

15.

The nurse is caring for a client who is on hemodialysis and has an arteriovenous fistula. Which finding is expected when assessing the fistula?

a)

Ecchymotic area

b)

Enlarged veins

c)

Pulselessness

d)

Redness

16.

What should be assessed immediately post kidney transplant?

a)

Fluid and electrolyte imbalances

b)

Infection

c)

Hepatotoxicity

d)

Cardiomegaly

17.

A client was hospitalized briefly with an episode of urolithiasis until a stone was passed. She has now been readmitted with complaints of low back pain, nausea and diarrhea. Formulating a care plan for this client, the nurse knows that a priority goal is to

a)

Record intake and output.

b)

Provide appropriate diet therapy.

c)

Limit fluid intake initially.

d)

Encourage fluids to 3000mL per day.

18.

The initial diagnosis of pancreatitis is confirmed if the client’s blood work shows a significant elevation in which of the following serum values?

a)

Amylase

b)

Glucose

c)

Potassium

d)

Trypsin

19.

Which of the following test results would the nurse use to assess the liver function of the patient with viral hepatitis?

a)

Glucose tolerance

b)

Creatinine clearance

c)

Serum transaminase

d)

Serum electrolytes

20.

The patient who has been hospitalized with pancreatitis does not drink alcohol because of her religious convictions. She becomes upset when the physician persists in asking her about alcohol intake. The nurse should explain that the reason for these inquiries is that?

a)

There is strong link between alcohol use and acute pancreatitis.

b)

Alcohol intake can interfere with tests used to diagnose pancreatitis.

c)

Alcoholism is a major health problem, and all patients are questioned about alcohol intake.

d)

The physician must obtain the pertinent facts regardless of religious beliefs.

21.

The nurse monitors a patient with liver cirrhosis for the development of hepatic encephalopathy. Which of the following would be an indication that hepatic encephalopathy is developing?

a)

Decreased mental status

b)

Elevated blood pressure

c)

Decreased urinary output

d)

Labored respirations

22.

When developing a plan of care for a client with viral hepatitis, the nurse should incorporate nursing orders that reflect the primary treatment primarily?

a)

adequate rest

b)

generous fluid intake

c)

regulate antibiotic therapy

d)

daily intravenous electrolyte therapy

23.

A client with DM had a check-up. The nurse notes several small bandages covering the cuts on the client’s hands. The client says, “I’m so clumsy. I’m always cutting my finger while cooking.” Which of the following responses by the nurse would be most appropriate?

a)

Wash all wounds with alcohol.

b)

Keep all cuts clean and covered.

c)

Why don’t you have your children do the cooking?

d)

You really should be fine as long as you take your daily medication.

24.

A client with type 1 DM is admitted to the ER department. Which of the following respiratory patterns requires immediate action?

a)

deep, rapid respirations with long expirations

b)

shallow respirations alternating with long expirations

c)

regular depth of respirations with frequent pauses

d)

short respirations and inspirations

25.

Which of the following conditions is the most significant risk factor for the development of type 2 DM?

a)

Cigarette smoking

b)

High-cholesterol diet

c)

Obesity

d)

Hypertension