Medical-Surgical Nursing Exam 1 SUMMER 2026/2027 (19pages)

The nurse is caring for a client who has as a son with a streptococcus throat infection. Which nurse recommendation would be best to advise the client to do in order to prevent acquiring the infection? ANS-Frequently wash her hands and surfaces of the home. The nurse is caring for a client infected with Rocky Mountain spotted fever. The nurse should ask if the client has experienced which of the following? ANS-Was bitten by a tick The nurse is caring for a client with a protozoa infection. Which is the most likely mode of transmission? ANS-Ingestion of contaminated food or water The nurse is caring for a client who is recovering from an allergic reaction. Which leukocyte level would the nurse expect to be the most elevated? ANS-Eosinophils The nurse is caring for a client who has an infected wound on the great toe that is red with a purulent exudate. The nurse expects that this client has which type of infection? ANS-Localized The client experienced a fall. Nursing assessment reveals that the client is experiencing tachycardia, hypotension, confusion, tachypnea, and flat jugular veins. What should be the nurse's first response? ANS-Administer oxygen. The family wants to know why the nurse is putting a urinary catheter in a client experiencing shock. What is the nurse's best response? ANS-"It will help monitor how much urine the kidneys are able to produce." A client experiencing shock has had a urinary output of 250 mL in the last 10 hours. What is the nurse's most appropriate response? ANS-Notify the physician. Which client is most likely to be experiencing hypovolemic shock? ANS-A client who had surgery 24 hours ago and who also has a nasogastric tube The physician has ordered arterial blood gases for a client experiencing shock. The nurse knows that which value indicates shock? ANS-pH 7.32 A 63-year-old Arab American male states his left leg is "hot." What is the nurse's best first response? ANS-Assess for pain The client is complaining of excruciating pain in a foot that has been amputated. The family tells the nurse that the client is just addicted to pain medications. What is the nurse's best response? ANS-"He is experiencing phantom limb pain." A client has had abdominal surgery and has orders to be ambulated three times a day. Oral pain medication has been ordered for the client. What should the nurse do to facilitate ambulation? ANS-Mediate 1 hour prior to ambulating the client. The client reports frequent use of acetaminophen. How should the nurse best respond? ANS-"Do you drink alcohol?" A client with chronic pain has been admitted with a fever. The nursing assessment reveals that the client has a decreased level of consciousness. What should the nurse ask the family about? ANS-What medications the client has taken The practical nurse is reviewing the social history from a client diagnosed with small cell carcinoma of the lung. Which information is significant for this disease? ANS-The client has smoked two (2) packs of cigarettes a day for 20 years