Medical Surgical Nursing Practice Questions

Medical Surgical Nursing Practice Questions Related

Review Medical Surgical Nursing Practice Questions related questions and content

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.

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For each of the following body systems, identify three physical manifestations that the nurse would expect to see in a patient approaching death.

  • A. Respiratory: Cheyne-Stokes respirations
  • B. Skin: Mottling
  • C. Gastrointestinal: Loss of appetite
  • D. Musculoskeletal: Weakness
Correct Answer:

Rationale:

What nursing action is most appropriate if Mr. Puff is lying flat in bed with shallow respirations and cyanosis?

  • A. Change his nasal cannula to a Venturi mask
  • B. Offer him water to increase his fluid intake
  • C. Offer to walk him in the hall to increase his mobility
  • D. Sit him up in bed with arms resting on pillows on the overbed table
Correct Answer: D

Rationale: Upright positioning enhances diaphragmatic movement and oxygenation.

Tom reports abdominal pain that started over the periumbilical area and moved to the right lower quadrant area. Tom probably has

  • A. Crohn's disease.
  • B. Cholecystitis.
  • C. Appendicitis.
  • D. Diverticulitis.
Correct Answer: C

Rationale: Appendicitis typically presents with migrating pain from the periumbilical area to the right lower quadrant.

Describe nursing management of clients with impending or actual shock.

  • A. Decreased blood pressure
  • B. Increased heart rate
  • C. Fluid retention
  • D. Muscle cramps
Correct Answer: A

Rationale: Decreased blood pressure is a primary symptom in fluid imbalance as a result of inadequate circulating volume, leading to hypotension and possible shock.

Which value shows the normal range of plasma pH?

  • A. 7.35 to 7.45
  • B. 6.35 to 6.45
  • C. 7 to 8
  • D. 8.35 to 8.45
Correct Answer: A

Rationale: The normal range of plasma pH is 7.35 to 7.45, which indicates a slightly alkaline environment essential for proper cellular function.

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