Download MED SURG CAPSTONE PREASSESSMENT questions with correct answers 2023 and more Exams Nursing in PDF only on Docsity!
questions with correct answers 2023
Angina - correct answer is characterized as chest discomfort that last no more than 15 minutes; exerted by stress and relieved by rest. MI - correct answer is characterized by chest discomfort or epigastric distress without any impeding cause and relieved by opioids, such as morphine sulfate. Heart Failure (HF) - correct answer evidence of pulmonary congestion and orthopnea. Screws are placed into the skull. - correct answer Halo The pulling force is applied by weights that are attached to straps, boots or cuffs. - correct answer Skin Pulling force is applied by attaching weights to a rods and/or screws in the bone. - correct answer Skeletal A pulling force is applied by the hands of the provider for temporary immobilization - correct answer Manual The nurse is caring for a client in end-stage renal failure client with an arterial blood gas (ABG) reading of metabolic acidosis. Which of the following ABG readings demonstrates this acid-base imbalance?
questions with correct answers 2023
a. pH - 7.55, PaC02 - 37, HC03 - 29 b. pH - 7.25, PaC02 - 56, HC03 - 26 c. pH - 7.28, PaC02 - 36, HC03 - 20 d. pH - 7.35, PaC02 - 36, HC03 - 26 - correct answer C A client in acute renal failure is discussing with the nurse dietary considerations. Which statement by the client would be a dietary contraindication for this condition and require further teaching? Select one: a. "I will decrease my fruit intake, such as cherries." b. "I will increase my vegetable intake." c. "I will decrease my bread intake." d. "I will increase my intake of nuts." - correct answer D A nurse is caring for a client with Alzheimer 's disease. Which of the following is most important to include when providing care?
questions with correct answers 2023
The nurse is reinforcing the discharge teaching for the client who has undergone total knee arthroplasty. Which statement by the client indicates understanding of the teaching? Select one: a. "My ability to kneel will be limited, indefinitely." b. "I will need to be careful not to externally rotate my toes. " c. "I should not cross my legs to avoid dislocation." d. "My new joint will last for up to 35 years." - correct answer A A nurse is caring for a client with asthma who uses a bronchodilator. Which of the following client statements indicates the client understands the instructions of the medication? Select one: a. "I will use my bronchodilator before I exercise. " b. "This medication has a slow onset." c. "This medication can cause weight gain."
questions with correct answers 2023
d. "I will take this medication with food." - correct answer A The nurse is preparing to administer packed red blood cells (RBCs) for an anemic client. Which of the following solutions is used to safely administer blood products? Select one: a. 0.33% sodium chloride b. 0.45% sodium chloride c. 0.9% sodium chloride d. 3% sodium chloride - correct answer C Which of the following clients has evidence of an acute myocardial infarction? Select one: a. A client with an ECG reading of sinus rhythm. b. A client with a triglyceride level of 108 mg/dL. c. A client with a serum potassium level of 3.5 meq/L.
questions with correct answers 2023
c. Administration of a H2 receptor. d. Lactulose - correct answer B A nurse is caring for a client with chronic obstructive pulmonary disease (COPD). Which of the following client statements indicates a need for further education? Select one: a. "I should eat soft, high-calorie foods." b. "I should limit my intake of fluids." c. "I will take my vitamins to help prevent infections." d. "My disease increases my caloric needs - correct answer B The nurse has an order for nail care on a client who has diabetes and extremely thick toenails. Which would be most appropriate action by the nurse? Select one:
questions with correct answers 2023
a. Cleanse the nails with antiseptic wash prior to clipping to decrease chance of infection. b. Clip the toenails straight across and round the edges toward the nail bed. c. Remove the dead skin from the nail using a scrub brush. d. File nails straight across according to hospital protocol. - correct answer D After a transurethral resection of the prostate (TURP), the nurse is to monitor the continuous bladder irrigation (CBI). The client begins to complain of painful bladder spasms. What is the best action by the nurse? Select one: a. Record the amount of irrigation solution instilled and the amount of return. b. Increase the rate of the CBI to facilitate a better flow of fluid from the bladder. c. Turn off the bladder irrigation and manually irrigate the catheter. d. Provide reassurance to the client, since this sensation of urgency and spasms is a part of the irrigation process. - correct answer C
questions with correct answers 2023
c. "You should compress the graft extremity to help decrease risk of venous stasis." d. "There are no activity restrictions for the graft extremity." - correct answer A The nurse is caring for a client hospitalized with pneumonia, who presents with high blood pressure. The nurse suspects the high blood pressure as a secondary cause. The nurse knows that this form of hypertension could be caused by _________________. Select one: a. Steroids b. Family history c. Obesity d. Hyperlipidemia - correct answer A The client is admitted with a urinary tract infection (UTI). The RN delegates medication administration for this client to the LPN. Prior to administration of phenazopyridine which question by the nurse would be appropriate? Select one: a. "When have you last eaten?" b. "This medication will help get rid of your urinary tract infection?"
questions with correct answers 2023
c. "Are you allergic to sulfa?" d. "You may notice that your urine will turn blue." - correct answer A The client diagnosed with pancreatitis complains to the nurse of being extremely hot. The nurse notes the client has sweet smelling breath. Based on the diagnosis, the best first action by the nurse is: Select one: a. check for last administration of pain medication. b. check for Turner's sign. c. check the blood glucose level with a finger-stick. d. check Chvostek's sign. - correct answer C A nurse is caring for a client with Parkinson 's disease. Which of the following should the nurse encourage the client to do to prevent accidents related to bradykinesia and muscle rigidity? Select one: a. Avoid the use of assistive ambulatory devices.
questions with correct answers 2023
Select one: a. Administer clopidogrel to address circulation impedances. b. Administer potassium chloride to address electrolyte imbalances. c. Place extremities in an elevated position. d. Place extremities in a dependent position. - correct answer D The nurse is caring for a client who is 1-hour status post total abdominal hysterectomy and remains drowsy. During this time, what action by the nurse would be priority? Select one: a. Encourage the client to cough and deep breathe. b. Provide the client with water to wet the oral mucosa. c. Place pillow under the knees for comfort. d. Monitor the incision site for signs of infection. - correct answer A
questions with correct answers 2023
A client has been admitted to the medical-surgical unit with renal calculi. The client's urinary output has become greatly diminished over a 3 hour period. What should be the next action(s) by the nurse? Select one: a. Encourage rotation of positioning of the client and increase the flow of intravenous fluids. b. Perform the Crede's maneuver. c. Provide furosemide 20mg by mouth to increase urinary output followed by increasing oral intake. d. Notify the provider immediately and begin to prepare the client for stone removal. - correct answer D A nurse is caring for a client who is receiving long-term mechanical ventilation through a tracheostomy tube. The high pressure alarm sounds. What action should the nurse take? Select one: a. Remove the client from the ventilator and manually ventilate. b. Check the cuff on the tracheostomy tube for a leak.
questions with correct answers 2023
b. Feed the client in the dining room during peak time to encourage socialization. c. Place food in the front of the mouth on the affected side. d. Avoid adding commercial thickening agents to liquids. - correct answer A The nurse on the medical-surgical unit is caring for a post-total thyroidectomy client. Which priority intervention should the nurse implement? Select one: a. Lay the client's head flat. b. Encourage the client to keep coughing to a minimum to decrease strain on the incision site. c. Ask the client to speak. d. Keep the client in a semi-Fowler's position - correct answer C A client presents to the clinic with a productive cough, fatigue and purulent blood-tinged sputum. The health care provider suspects tuberculosis. The nurse identifies _____________ as the diagnostic test to evaluate for tuberculosis?
questions with correct answers 2023
Select one: a. the Mantoux test b. the Alpha Fetoprotein test c. the Tensilon test d. a thoracentesis - correct answer A
