KAPLAN MEDICAL SURGICAL INTEGRATED TEST<\/p>\n\n\n\n
A client just had an upper GI X-ray procedure. Which information is
most important for the nurse to give the client?
a. Save stool specimen after 48 hours
b. Take a laxative after 72 hours if no stool
c. Clear liquid diet only for 24 hours then a regular diet
d. Drink large amounts of fluid for 72 hours – ANSWER- d. Drink large
amounts of fluid for 72 hours
A client experiences anaphylactic shock caused by a reaction to a
medication. IV diphenhydramine is administered, and the client appears
to be recovering. Which VS is the most important for the nurse to
monitor for the next several hours?
a. Respirations
b. Blood pressure
c. Pulse
d. Temperature – ANSWER- a. Respirations<\/p>\n\n\n\n
A client with heart failure is to be weighed daily. The client asks why
this is necessary. Which is the best information for the nurse to give the
client?
a. Helps determine if the medication is working
b. Shows how activity affects activity intolerance
c. Is an indication of the fluid status in the body
d. Determines the number of calories for the diet – ANSWER- c. Is an
indication of the fluid status in the body
A client is diagnosed with glaucoma. The client asks the nurse why eye
drops are necessary. Which response by the nurse is best?
a. “The drops keep your eye pressure low and help maintain your
vision.”
b. “How can we help you use the drops better? You need to follow the
directions.”
c. “Does using the drops bother you? Did you ask your eye care
provider?”
d. “Unfortunately, you are not a candidate for the surgery and need the
drops.” – ANSWER- a. “The drops keep your eye pressure low and help
maintain your vision.”
A client is to receive high-flow oxygen with a concentration of 35%.
Which oxygen delivery system does the nurse anticipate for this client?<\/p>\n\n\n\n
a. Venturi mask
b. Non-rebreather mask
c. Tracheostomy T bar
d. Tracheostomy collar – ANSWER- a. Venturi mask
A client reports recurrent headaches with the following symptoms:
headache located in “hat band” area with squeezing, tight sensation last
2 hours and causing stiff neck muscles. Which medication prescription
does the nurse anticipate?
a. Verapamil
b. Sumatriptan
c. Acetaminophen\/butalbital\/caffeine
d. Dihydroergotamine mesylate – ANSWER- c.
Acetaminophen\/butalbital\/caffeine
A client is unresponsive after a closed-head injury. The Glasgow Coma
Scale score is 7. The nurse identifies the client’s state as which best
description?
a. Shows signs of visual and hearing impairment
b. Is alert with impaired motor function
c. Has a subdural hematoma
d. Is identified as comatose – ANSWER- d. Is identified as comatose<\/p>\n\n\n\n
The nurse obtains a specimen for arterial blood gases from a client.
Which principle guides the nurse?
a. Clotted blood will preserve the blood gas values
b. Air in the syringe will alter the blood values
c. Continuous intra-arterial monitoring is required
d. May use peripheral IV site if no IV fluids present – ANSWER- b. Air
in the syringe will alter the blood values
A client has a vaso-occlusive crisis. The nurse teaches the client ways to
avoid another crisis. Which intervention is most important for this
client?
a. Refer to a support group
b. Adequate hydration
c. Infection prevention
d. Avoid high altitude situations – ANSWER- b. Adequate hydration
A client is diagnosed with hepatitis B. The nurse identifies a nursing
diagnosis based on which priority concern?
a. Potential for changes in skin integrity because of the jaundice
b. Changes in urinary output because oft he darkened urine
c. Possible changes in liver function because of a viral infection<\/p>\n\n\n\n