Medical Surgical Nursing Practice Questions

Medical Surgical Nursing Practice Questions Related

Review Medical Surgical Nursing Practice Questions related questions and content

A 72-year-old female client is lifted to the surgery table in preparation for a total knee replacement. The client is in stage III of inhalation anesthesia. An appropriate nursing action for this client is:

  • A. to prevent injury by assisting the anesthesiologist to restrain the client, if necessary.
  • B. to prepare the operative site.
  • C. to promote restoration of ventilation and vasomotor tone.
  • D. to reduce external stimuli.
Correct Answer: B

Rationale: Preventing injury by restraining the client, if necessary, is a nursing action of stage II, which extends from loss of consciousness to relaxation. Stage III extends from the loss of lid reflex to cessation of voluntary respirations. Operative procedures are performed during stage III of inhalation anesthesia. Promoting restoration of ventilation and vasomotor tone is a nursing action for stage IV in which an overdose has occurred. Respiratory arrest and vasomotor collapse result from medullary paralysis. Reduction of external stimuli is a nursing action for stage I, which extends from induction to loss of consciousness.

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A confirmatory laboratory test for HIV includes

  • A. Western blot.
  • B. Low WBC.
  • C. Comprehensive metabolic panel.
  • D. Enzyme-linked immunosorbent assay (ELISA).
Correct Answer: A

Rationale: Western blot is used to confirm HIV infection.

A client has a disposable three-chamber chest tube in place. Which of the following findings should indicate to the nurse that the client is experiencing a complication?

  • A. Continuous bubbling in the water-seal chamber
  • B. Occasional bubbling in the water-seal chamber
  • C. Constant bubbling in the suction-control chamber
  • D. Fluctuations in the fluid level in the water-seal chamber
Correct Answer: A

Rationale: Correct Answer: A

Rationale:
1. Continuous bubbling in the water-seal chamber indicates air leaks, which can lead to pneumothorax.
2. Occasional bubbling in the water-seal chamber is normal as air exits the pleural space.
3. Constant bubbling in the suction-control chamber indicates high suction pressure, not a complication.
4. Fluctuations in the fluid level in the water-seal chamber are expected during normal respiration.

7. According to Traditional Chinese Medicine, when does disease occur?

  • A. Yin and yang become imbalanced, altering the flow of Qi.
  • B. Acupoints in Qi channels become obstructed, preventing the release of Qi.
  • C. The body’s natural healing abilities are impaired by obstruction of fluid channels.
  • D. The individual is out of harmony with nature and requires spiritualism and mysticism to reestablish balance.
Correct Answer: A

Rationale: In Traditional Chinese Medicine, disease occurs when Yin and Yang become imbalanced, disrupting the flow of Qi, as described in option A.

Which symptom should the nurse closely monitor for and report immediately in a client who has just undergone cataract surgery?

  • A. Hypotension
  • B. Nausea and vomiting
  • C. Intense pain in the eye or near the brow
  • D. Increased urine output
Correct Answer: C

Rationale: Intense pain could indicate complications such as infection or increased intraocular pressure.

Which nutritional instruction is important for stress-prone clients?

  • A. Provide individual and group counseling
  • B. Provide books on psychobiologic illness
  • C. Provide entertainment regularly
  • D. Provide family counseling
Correct Answer: A

Rationale: Individual and group counseling can help clients develop healthy coping mechanisms and emotional support systems.

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