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WorksheetsNCM 1188 Medical Surgical Quiz #1
Total questions: 25
Worksheet time: 13mins
Which of the following signs and symptoms would the nurse expect to see in a client with acute pancreatitis?
Diarrhea
Jaundice
Hypertension
Ascites
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?
Hepatitis A
Hepatitis B
Hepatitis C
Hepatitis D
The nurse evaluates the client’s most recent laboratory data. Which laboratory findings would be consistent with diagnosis of acute pancreatitis?
Hyperglycemia
Leukopenia
Thrombocytopenia
Hyperkalemia
Which of the following positions would be appropriate for a client with severe ascites?
Fowler’s position
Side-lying position
Reverse Trendelenburg
Sim’s position
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?
Impaired Physical Mobility related to malaise.
Self-Care Deficit related to fatigue.
Ineffective Coping related to long-term illness
Activity Intolerance related to fatigue
Which of the following urinary symptoms is the most common initial manifestation of acute renal failure?
Dysuria
Anuria
Hematuria
Oliguria
The patient’s blood urea nitrogen (BUN) concentration is elevated in acute renal failure. What likely cause of this finding?
Fluid retention
Hemolysis of RBC
Below-normal metabolic rate
Reduced renal blood flow
Which of the following respiratory patterns indicate increasing ICP in the brain stem?
Slow, irregular respirations
Rapid, shallow respirations
Asymmetric chest excursion
Nasal flaring
The nurse administers Mannitol to the client with increased ICP and closely monitors the?
muscle relaxation
intake and output
widening of the pulse pressure
pupil dilation
In the oliguric phase of acute renal failure, the nurse should anticipate the development of which of the following complications?
Pulmonary edema
Metabolic alkalosis
Hypertension
Hypokalemia
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?
Carbohydrates
Fats
Fluids
Protein
The complication that the nurse will evaluate for following a transurethral resection (TUR) is?
Hemorrhage
Infection
Urinary retention
Adhesions of the neck of the bladder
Which of the following clinical manifestations would indicate that a client has developed a complication following a cystoscopy?
Difficulty of voiding
Pink-tinged urine
Burning on urination
Development of a chill
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?
Understanding the treatment and its implications
Independence in the care of the AV shunt
Self-monitoring during dialysis
Recording dialysate composition and temperature.
The nurse is caring for a client who is on hemodialysis and has an arteriovenous fistula. Which finding is expected when assessing the fistula?
Ecchymotic area
Enlarged veins
Pulselessness
Redness
What should be assessed immediately post kidney transplant?
Fluid and electrolyte imbalances
Infection
Hepatotoxicity
Cardiomegaly
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
Record intake and output.
Provide appropriate diet therapy.
Limit fluid intake initially.
Encourage fluids to 3000mL per day.
The initial diagnosis of pancreatitis is confirmed if the client’s blood work shows a significant elevation in which of the following serum values?
Amylase
Glucose
Potassium
Trypsin
Which of the following test results would the nurse use to assess the liver function of the patient with viral hepatitis?
Glucose tolerance
Creatinine clearance
Serum transaminase
Serum electrolytes
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?
There is strong link between alcohol use and acute pancreatitis.
Alcohol intake can interfere with tests used to diagnose pancreatitis.
Alcoholism is a major health problem, and all patients are questioned about alcohol intake.
The physician must obtain the pertinent facts regardless of religious beliefs.
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?
Decreased mental status
Elevated blood pressure
Decreased urinary output
Labored respirations
When developing a plan of care for a client with viral hepatitis, the nurse should incorporate nursing orders that reflect the primary treatment primarily?
adequate rest
generous fluid intake
regulate antibiotic therapy
daily intravenous electrolyte therapy
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?
Wash all wounds with alcohol.
Keep all cuts clean and covered.
Why don’t you have your children do the cooking?
You really should be fine as long as you take your daily medication.
A client with type 1 DM is admitted to the ER department. Which of the following respiratory patterns requires immediate action?
deep, rapid respirations with long expirations
shallow respirations alternating with long expirations
regular depth of respirations with frequent pauses
short respirations and inspirations
Which of the following conditions is the most significant risk factor for the development of type 2 DM?
Cigarette smoking
High-cholesterol diet
Obesity
Hypertension
