{"id":117415,"date":"2023-08-28T20:44:14","date_gmt":"2023-08-28T20:44:14","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=117415"},"modified":"2023-08-28T20:44:17","modified_gmt":"2023-08-28T20:44:17","slug":"brunner-and-suddarths-test-and-exam-questions-2023","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/28\/brunner-and-suddarths-test-and-exam-questions-2023\/","title":{"rendered":"Brunner and Suddarths test and Exam Questions 2023"},"content":{"rendered":"\n

Medsurg 1- Brunner and Suddarth Final Exam Questions
and Answers (Latest Update 2023)
The nurse cares for clients with obesity and understands that causes are
multifactorial. What factors contribute to the development of obesity?
Select all that apply.
A. Behavior
B. Environment
C. Physiology
D. Genetics – Correct Answer \u2705ABCD
Which of the following situations would require the nurse to use critical
thinking and decision making skills in providing genetics related nursing
care?
A. Providing a blended family with children of different ages education
related to growth and development
B. Providing fertility counseling to a young family with a two-year-old child
with cystic fibrosis
C. Providing family counseling to a same-sex couple that just adopted a fiveyear-old with attention deficit hyper activity disorder ADHD
D. Providing a single parent of a four-year-old child education related to lead
poisoning – Correct Answer \u2705B<\/p>\n\n\n\n

Medsurg 1- Brunner and Suddarth Final Exam Questions
and Answers (Latest Update 2023)
The case manager is working with an 84-year-old patient newly admitted to
a rehabilitation facility. When developing a care plan for this older adult,
which factors should the nurse identify as positive attributes that benefit
coping in this age group? Select all that apply.
A. Decreased risk taking
B. Effective adaptation skills
C. Avoiding participation in untested roles
D. Increased life experience
E. Resiliency during change – Correct Answer \u2705BDE
Falls, which are a major health problem in the elderly population, occur from
multifactorial causes. When implementing a comprehensive plan to reduce
the incidence of falls on a geriatric unit, what risk factors should nurses
identify? Select all that apply.
A. Medication effects
B. Overdependence on assistive devices
C. Poor lighting
D. Sensory impairment
E. Ineffective use of coping strategies – Correct Answer \u2705ACD<\/p>\n\n\n\n

Medsurg 1- Brunner and Suddarth Final Exam Questions
and Answers (Latest Update 2023)
A diabetic patient calls the clinic complaining of having a “flu bug.” The nurse
tells him to take his regular dose of insulin. What else should the nurse tell
the patient?
A. “Make sure to stick to your normal diet.”
B. “Try to eat small amounts of carbs, if possible.”
C. “Ensure that you check your blood glucose every hour.”
D. “For now, check your urine for ketones every 8 hours.” – Correct Answer
\u2705B
A patient is brought to the emergency department by the paramedics. The
patient is a type 2 diabetic and is experiencing HHS. The nurse should
identify what components of HHS? Select all that apply.
A. Leukocytosis
B. Glycosuria
C. Dehydration
D. Hypernatremia
E. Hyperglycemia – Correct Answer \u2705BCDE<\/p>\n\n\n\n

Neuro – Test Banks – Brunner & Suddarth’s Textbook of
Medical-Surgical Nursing 14e Chapter 65 \u2013 70 Questions and
Answers (2023) 240 Questions<\/p>\n\n\n\n

    \n
  1. A patient is brought to the ER following a motor vehicle accident in which
    he sustained head trauma. Preliminary assessment reveals a vision deficit in
    the patients left eye. The nurse should associate this
    abnormal finding with trauma to which of the following cerebral lobes?
    A) Temporal
    B) Occipital
    C) Parietal
    D) Frontal – Correct Answer \u2705B
    Feedback:
    The posterior lobe of the cerebral hemisphere is responsible for visual
    interpretation. The temporal lobe
    contains the auditory receptive areas. The parietal lobe contains the primary
    sensory cortex, and is
    essential to an individuals awareness of the body in space, as well as
    orientation in space and spatial
    relations. The frontal lobe functions in concentration, abstract thought,
    information storage or memory, and motor function.<\/li>\n\n\n\n
  2. A patient scheduled for magnetic resonance imaging (MRI) has arrived at
    the radiology department. The
    nurse who prepares the patient for the MRI should prioritize which of the
    following actions?
    A) Withholding stimulants 24 to 48 hours prior to exam
    B) Removing all metal-containing objects<\/li>\n<\/ol>\n\n\n\n

    Neuro – Test Banks – Brunner & Suddarth’s Textbook of
    Medical-Surgical Nursing 14e Chapter 65 \u2013 70 Questions and
    Answers (2023) 240 Questions
    C) Instructing the patient to void prior to the MRI
    D) Initiating an IV line for administration of contrast – Correct Answer \u2705B
    Feedback:
    Patient preparation for an MRI consists of removing all metal-containing
    objects prior to the
    examination. Withholding stimulants would not affect an MRI; this relates to
    an electroencephalography
    (EEG). Instructing the patient to void is patient preparation for a lumbar
    puncture. Initiating an IV line
    for administration of contrast would be done if the patient was having a CT
    scan with contrast.<\/p>\n\n\n\n

      \n
    1. A gerontologic nurse planning the neurologic assessment of an older adult
      is considering normal, age related changes. Of what phenomenon should the
      nurse be aware?
      A) Hyperactive deep tendon reflexes
      B) Reduction in cerebral blood flow
      C) Increased cerebral metabolism
      D) Hypersensitivity to painful stimuli – Correct Answer \u2705B
      Feedback:
      Reduction in cerebral blood flow (CBF) is a change that occurs in the normal
      aging process. Deep
      tendon reflexes can be decreased or, in some cases, absent. Cerebral
      metabolism decreases as the patient<\/li>\n<\/ol>\n\n\n\n

      Neuro – Test Banks – Brunner & Suddarth’s Textbook of
      Medical-Surgical Nursing 14e Chapter 65 \u2013 70 Questions and
      Answers (2023) 240 Questions
      advances in age. Reaction to painful stimuli may be decreased with age.
      Because pain is an important
      warning signal, caution must be used when hot or cold packs are used.<\/p>\n\n\n\n

        \n
      1. The nurse has admitted a new patient to the unit. One of the patients
        admitting orders is for an
        adrenergic medication. The nurse knows that this medication will have what
        effect on the circulatory
        system?
        A) Thin, watery saliva
        B) Increased heart rate
        C) Decreased BP
        D) Constricted bronchioles – Correct Answer \u2705B
        Feedback:
        The term adrenergic refers to the sympathetic nervous system. Sympathetic
        effects include an increased
        rate and force of the heartbeat. Cholinergic effects, which correspond to the
        parasympathetic division of
        the autonomic nervous system, include thin, watery saliva, decreased rate
        and force of heartbeat, and
        decreased BP.<\/li>\n\n\n\n
      2. A nurse is assessing reflexes in a patient with hyperactive reflexes. When
        the patients foot is abruptly<\/li>\n<\/ol>\n\n\n\n

        Neuro – Test Banks – Brunner & Suddarth’s Textbook of
        Medical-Surgical Nursing 14e Chapter 65 \u2013 70 Questions and
        Answers (2023) 240 Questions
        dorsiflexed, it continues to beat two to three times before settling into a
        resting position. How would the
        nurse document this finding?
        A) Rigidity
        B) Flaccidity
        C) Clonus
        D) Ataxia – Correct Answer \u2705C
        Feedback:
        When reflexes are very hyperactive, a phenomenon called clonus may be
        elicited. If the foot is abruptly
        dorsiflexed, it may continue to beat two to three times before it settles into a
        position of rest. Rigidity is
        an increase in muscle tone at rest characterized by increased resistance to
        passive stretch. Flaccidity is
        lack of muscle tone. Ataxia is the inability to coordinate muscle movements,
        resulting in difficulty
        walking, talking, and performing self-care activities.<\/p>\n\n\n\n

          \n
        1. The nurse is doing an initial assessment on a patient newly admitted to
          the unit with a diagnosis of
          cerebrovascular accident (CVA). The patient has difficulty copying a figure
          that the nurse has drawn and
          is diagnosed with visual-receptive aphasia. What brain region is primarily
          involved in this deficit?<\/li>\n\n\n\n
        2. <\/li>\n<\/ol>\n\n\n\n

          Brunner and Suddarths Textbook of Medical Surgical NursingChapter 26: Management of Patients with Dysrhythmias and
          Conduction Problems
          The nurse is caring for a patient who has had an ECG. The nurse notes that
          leads I, II, and III differ from one another on the cardiac rhythm strip. How
          should the nurse best respond?
          Recognize that the view of the electrical current changes in relation to the
          lead placement.
          Recognize that the electrophysiological conduction of the heart differs with
          lead placement.
          Inform the technician that the ECG equipment has malfunctioned.
          Inform the physician that the patient is experiencing a new onset of
          dysrhythmia. – Correct Answer \u2705Recognize that the view of the electrical
          current changes in relation to the lead placement.****
          Recognize that the electrophysiological conduction of the heart differs with
          lead placement.<\/p>\n\n\n\n

          Brunner and Suddarths Textbook of Medical Surgical NursingChapter 26: Management of Patients with Dysrhythmias and
          Conduction Problems
          Inform the technician that the ECG equipment has malfunctioned.
          Inform the physician that the patient is experiencing a new onset of
          dysrhythmia.
          Feedback: Each lead offers a different reference point to view the electrical
          activity of the heart. The lead displays the configuration of electrical activity
          of the heart. Differences between leads are not necessarily attributable to
          equipment malfunction or dysrhythmias.
          The nurse is analyzing a rhythm strip. What component of the ECG
          corresponds to the resting state of the patient’s heart?
          P wave
          T wave
          U wave
          QRS complex – Correct Answer \u2705P wave
          T wave****
          U wave<\/p>\n\n\n\n

          Brunner and Suddarths Textbook of Medical Surgical NursingChapter 26: Management of Patients with Dysrhythmias and
          Conduction Problems
          QRS complex
          Feedback: The T wave specifically represents ventricular muscle
          depolarization, also referred to as the resting state. Ventricular muscle
          depolarization does not result in the P wave, U wave, or QRS complex.
          The nursing educator is presenting a case study of an adult patient who has
          abnormal ventricular depolarization. This pathologic change would be most
          evident in what component of the ECG?
          P wave
          T wave
          QRS complex
          U wave – Correct Answer \u2705P wave
          T wave
          QRS complex****
          U wave<\/p>\n\n\n\n

          Brunner and Suddarths Textbook of Medical Surgical NursingChapter 26: Management of Patients with Dysrhythmias and
          Conduction Problems
          Feedback: The QRS complex represents the depolarization of the ventricles
          and, as such, the electrical activity of that ventricle.
          An adult patient with thirddegree AV block is admitted to the cardiac care
          unit and placed on continuous cardiac monitoring. What rhythm
          characteristic will the ECG most likely show?
          PP interval and RR interval are irregular.
          PP interval is equal to RR interval.
          Fewer QRS complexes than P waves
          PR interval is constant. – Correct Answer \u2705PP interval and RR interval are
          irregular.
          PP interval is equal to RR interval.<\/p>\n\n\n\n

          Brunner & Suddarths Chap 72-73 Exam Questions and
          Answers (Latest Update 2023) (80 Questions)
          Which patient should the nurse prioritize as needing emergent treatment,
          assuming no other injuries are present except the ones outlined below?
          A) A patient with a blunt chest trauma with some difficulty breathing
          B) A patient with a sore neck who was immobilized in the field on a
          backboard with a cervical collar
          C) A patient with a possible fractured tibia with adequate pedal pulses
          D) A patient with an acute onset of confusion – Correct Answer \u2705Ans: A
          Feedback:
          The patient with blunt chest trauma possibly has a compromised airway.
          Establishment and maintenance of a patent airway and adequate ventilation
          is prioritized over other health problems, including skeletal injuries and
          changes in cognition.
          The nurse observes that the family members of a patient who was injured in
          an accident are blaming each other for the circumstances leading up to the
          accident. The nurse appropriately lets the family members express their
          feelings of responsibility, while explaining that there was probably little they
          could do to prevent the injury. In what stage of crisis is this family?
          A) Anxiety and denial
          B) Remorse and guilt
          C) Anger
          D) Grief – Correct Answer \u2705Ans: B
          Feedback:
          Remorse and guilt are natural processes of the stages of a crisis and should
          be facilitated for the family members to process the crisis. The familys sense<\/p>\n\n\n\n

          Brunner & Suddarths Chap 72-73 Exam Questions and
          Answers (Latest Update 2023) (80 Questions)
          of blame and responsibility are more suggestive of guilt than anger, grief, or
          anxiety.
          A patient is brought to the ED by ambulance with a gunshot wound to the
          abdomen. The nurse knows that the most common hollow organ injured in
          this type of injury is what?
          Test Bank – Brunner & Suddarth’s Textbook of Medical-Surgical Nursing 14e
          (Hinkle 2017) 1351
          A) Liver
          B) Small bowel
          C) Stomach
          D) Large bowel – Correct Answer \u2705Ans: B
          Feedback:
          Penetrating abdominal wounds have a high incidence of injury to hollow
          organs, especially the small bowel. The liver is also injured frequently, but it
          is a solid organ.
          A patient has been brought to the ED with multiple trauma after a motor
          vehicle accident. After immediate threats to life have been addressed, the
          nurse and trauma team should take what action?
          A) Perform a rapid physical assessment.
          B) Initiate health education.
          C) Perform diagnostic imaging.
          D) Establish the circumstances of the accident. – Correct Answer \u2705Ans: A
          Feedback:<\/p>\n\n\n\n

          Brunner & Suddarths Chap 72-73 Exam Questions and
          Answers (Latest Update 2023) (80 Questions)
          Once immediate threats to life have been corrected, a rapid physical
          examination is done to identify injuries and priorities of treatment. Health
          education is initiated later in the care process and diagnostic imaging would
          take place after a rapid physical assessment. It is not the care teams
          responsibility to determine the circumstances of the accident.
          The nursing educator is reviewing the signs and symptoms of heat stroke
          with a group of nurses who provide care in a desert region. The educator
          should describe what sign or symptom?
          A) Hypertension with a wide pulse pressure
          B) Anhidrosis
          C) Copious diuresis
          D) Cheyne-Stokes respirations – Correct Answer \u2705Ans: B
          Feedback:
          Heat stroke is manifested by anhidrosis confusion, bizarre behavior, coma,
          elevated body temperature, hot dry skin, tachypnea, hypotension, and
          tachycardia. This health problem is not associated with anhidrosis or
          Cheyne-Stokes respirations.
          A patient is brought to the ED by ambulance after swallowing highly acidic
          toilet bowl cleaner 2 hours earlier. The patient is alert and oriented. What is
          the care teams most appropriate treatment?
          A) Administering syrup of ipecac
          B) Performing a gastric lavage
          C) Giving milk to drink
          D) Referring to psychiatry – Correct Answer \u2705Ans: C<\/p>\n\n\n\n

          Brunner & Suddarths Chap 72-73 Exam Questions and
          Answers (Latest Update 2023) (80 Questions)
          Feedback:
          A patient who has swallowed an acidic substance, such as toilet bowl
          cleaner, may be given milk or water to drink for dilution. Gastric lavage must
          be performed within 1 hour of ingestion. A psychiatric consult may be
          considered once the patient is physically stable and it is deemed appropriate
          by the physician. Syrup of ipecac is no longer used in clinical settings.
          A patient is admitted to the ED with suspected alcohol intoxication. The ED
          nurse is aware of the need to assess for conditions that can mimic acute
          alcohol intoxication. In light of this need, the nurse should perform what
          action?
          A) Check the patients blood glucose level.
          B) Assess for a documented history of major depression.
          C) Determine whether the patient has ingested a corrosive substance.
          D) Arrange for assessment of serum potassium levels. – Correct Answer
          \u2705Ans: A
          Feedback:
          Hypoglycemia can mimic alcohol intoxication and should be assessed in a
          patient suspected of alcohol intoxication. Potassium imbalances, depression,
          and poison ingestion are not noted to mimic the characteristic signs and
          symptoms of alcohol intoxication.
          The paramedics bring a patient who has suffered a sexual assault to the ED.
          What is important for the sexual assault nurse examiner to do when
          assessing a sexual assault victim?
          A) Respect the patients privacy during assessment.<\/p>\n","protected":false},"excerpt":{"rendered":"

          Medsurg 1- Brunner and Suddarth Final Exam Questionsand Answers (Latest Update 2023)The nurse cares for clients with obesity and understands that causes aremultifactorial. What factors contribute to the development of obesity?Select all that apply.A. BehaviorB. EnvironmentC. PhysiologyD. Genetics – Correct Answer \u2705ABCDWhich of the following situations would require the nurse to use criticalthinking and decision […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-117415","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/117415","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=117415"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/117415\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=117415"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=117415"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=117415"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}