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Medical SurgicalNursing Practice TestPart 1 1. Mrs.

Chua a 78 year old client is admitted with the diagnosis of mild chronic heart failure. The nurse expects to hear when listening to clients lungs indicative of chronic heart failure would be: a. Stridorb. B.Crackles c. Wheezesd. Friction rubs 2. Patrick who is hospitalized following a myocardial infarction asks the nurse why he is taking morphine. The nurse explains that morphine: a. Decrease anxiety and restlessness b. Prevents shock and relieves pain c. Dilates coronary blood vesselsd. d. Helps prevent fibrillation of the heart 3. Which of the following should the nurse teach the client about the signs of digitalis toxicity? a. Increased appetite b. Elevated blood pressure c. Skin rash over the chest and back d. Visual disturbances such as seeingyellow spots 4. Nurse Trisha teaches a client with heart failure to take oral Furosemide in the morning. The reason for this is to help a. Retard rapid drug absorptionb. Excrete excessive fluids accumulated atnightc. Prevents sleep disturbances duringnightd. Prevention of electrolyte imbalance5. What would be the primary goal of therapy fora client with pulmonary edema and heartfailure?a. Enhance comfortb. Increase cardiac outputc. Improve respiratory statusd. Peripheral edema decreased6. Nurse Linda is caring for a client with headinjury and monitoring the client withdecerebrate posturing. Which of the followingis a characteristic of this type of posturing?a. Upper extremity flexion with lowerextremity flexionb. Upper extremity flexion with lowerextremity extensionc. Extension of the extremities after astimulusd. Flexion of the extremities after stimulus7. A female client is taking Cascara Sagrada.Nurse Betty informs the client that thefollowing maybe experienced as side effectsof this medication:a. GI bleedingb. Peptic ulcer diseasec. Abdominal crampsd. Partial bowel obstruction8. Dr. Marquez orders a continuous intravenousnitroglycerin infusion for the client sufferingfrom myocardial infarction. Which of thefollowing is the most essential nursing action?a. Monitoring urine output frequentlyb. Monitoring blood pressure

every 4hoursc. Obtaining serum potassium levels dailyd. Obtaining infusion pump for themedication9. During the second day of hospitalization of theclient after a Myocardial Infarction. Which of the following is an expected outcome?a. Able to perform self-care activitieswithout painb. Severe chest painc. Can recognize the risk factors of Myocardial Infarctiond. Can Participate in cardiac rehabilitationwalking program10. A 68 year old client is diagnosed with a right-sided brain attack and is admitted to thehospital. In caring for this client, the nurseshould plan to:a. Application of elastic stockings toprevent flaccid by muscle b. Use hand roll and extend the left upperextremity on a pillow to preventcontractionsc. Use a bed cradle to prevent dorsiflexionof feetd. Do passive range of motion exercise11. Nurse Liza is assigned to care for a client whohas returned to the nursing unit after leftnephrectomy. Nurse Lizas highest prioritywould bea. Hourly urine outputb. Temperaturec. Able to turn side to sided. Able to sips clear liquid12. A 64 year old male client with a long historyof cardiovascular problem includinghypertension and angina is to be scheduledfor cardiac catheterization. During pre cardiaccatheterization teaching, Nurse Cherry shouldinform the client that the primary purpose of the procedure is..a. To determine the existence of CHDb. To visualize the disease process in thecoronary arteriesc. To obtain the heart chambers pressured. To measure oxygen content of differentheart chambers13. During the first several hours after a cardiaccatheterization, it would be most essential fornurse Cherry toa. Elevate clients bed at 45b. Instruct the client to cough and deepbreathe every 2 hoursc. Frequently monitor clients apical pulseand blood pressured. Monitor clients temperature every hour14. Kate who has undergone mitral valvereplacement suddenly experiencescontinuous bleeding from the surgical incisionduring postoperative period. Which of thefollowing pharmaceutical agents should NurseAiza prepare to administer to Kate?a. Protamine Sulfateb. Quinidine Sulfatec. Vitamin Cd. Coumadin15. In reducing the risk of endocarditis, gooddental care is an important measure. Topromote good dental care in client with mitralstenosis in teaching plan should includeproper use ofa. Dental flossb. Electric toothbrushc. Manual toothbrushd. Irrigation device16. Among the following signs and symptoms,which would most likely be present in a clientwith mitral gurgitation?a. Altered level of consciousnessb. Exceptional Dyspneac. Increase creatine phospholinaseconcentrationd. Chest pain17. Kris with a history of chronic infection of theurinary system complains of urinaryfrequency and burning sensation. To figureout whether the current problem is in renalorigin, the nurse should assess whether theclient has discomfort or pain in thea. Urinary meatusb. Pain in the Labiumc. Suprapubic aread. Right or left costovertebral angle18. Nurse Perry is evaluating the renal function of a male client. After documenting

urine volumeand characteristics, Nurse Perry assesseswhich signs as the best indicator of renalfunction.a. Blood pressureb. Consciousnessc. Distension of the bladderd. Pulse rate19. John suddenly experiences a seizure, andNurse Gina notice that John exhibitsuncontrollable jerking movements. Nurse Ginadocuments that John experienced which typeof seizure?a. Tonic seizureb. Absence seizurec. Myoclonic seizured. Clonic seizure 20. Smoking cessation is critical strategy for theclient with Burghers disease, Nurse Jasminanticipates that the male client will go homewith a prescription for which medication?a. Paracetamolb. Ibuprofenc. Nitroglycerind. Nicotine (Nicotrol)21. Nurse Lilly has been assigned to a client withRaynauds disease. Nurse Lilly realizes thatthe etiology of the disease is unknown but it ischaracterized by:a. Episodic vasospastic disorder of capillariesb. Episodic vasospastic disorder of smallveinsc. Episodic vasospastic disorder of theaortad. Episodic vasospastic disorder of thesmall arteries22. Nurse Jamie should explain to male client withdiabetes that selfmonitoring of blood glucoseis preferred to urine glucose testingbecausea. More accurateb. Can be done by the clientc. It is easy to performd. It is not influenced by drugs23. Jessie weighed 210 pounds on admission tothe hospital. After 2 days of diuretic therapy, Jessie weighs 205.5 pounds. The nurse couldestimate the amount of fluid Jessie has losta. 0.3 Lb. 1.5 Lc. 2.0 Ld. 3.5 L24. Nurse Donna is aware that the shift of bodyfluids associated with Intravenousadministration of albumin occurs in theprocess of:a. Osmosisb. Diffusionc. Active transportd. Filtration25. Myrna a 52 year old client with a fracturedleft tibia has a long leg cast and she is usingcrutches to ambulate. Nurse Joy assesses forwhich sign and symptom that indicatescomplication associated with crutch walking?a. Left leg discomfortb. Weak biceps brachiic. Triceps muscle spasmd. Forearm weakness26. Which of the following statements should thenurse teach the neutropenic client and hisfamily to avoid?a. Performing oral hygiene after everymealb. Using suppositories or enemasc. Performing perineal hygiene after eachbowel movementd. Using a filter mask27. A female client is experiencing painful andrigid abdomen and is diagnosed withperforated peptic ulcer. A surgery has beenscheduled and a nasogastric tube is inserted. The nurse should place the client beforesurgery ina. Sims positionb. Supine positionc. Semi-fowlers positiond. Dorsal recumbent position28. Which nursing intervention ensures adequateventilating exchange after surgery?a. Remove the airway only when client isfully consciousb. Assess for hypoventilation byauscultating the lungsc. Position client laterally with the neckextendedd. Maintain humidified oxygen via nasalcanula29. George who has undergone thoracic surgeryhas chest tube connected to a water-sealdrainage system attached to suction.Presence of excessive bubbling is identified inwater-seal chamber, the nurse shoulda. Strip the chest tube catheterb. Check the system for air leaks