Medical Surgical Nursing Practice Questions

Medical Surgical Nursing Practice Questions Related

Review Medical Surgical Nursing Practice Questions related questions and content

A client with acute respiratory distress syndrome (ARDS) requires care planning. Which of the following interventions should be included in the plan?

  • A. Administer low-flow oxygen continuously via nasal cannula.
  • B. Encourage oral intake of at least 3,000 mL of fluids per day.
  • C. Offer high-protein and high-carbohydrate foods frequently.
  • D. Place in a prone position
Correct Answer: D

Rationale: The correct answer is D, placing the client in a prone position. This intervention optimizes oxygenation by improving ventilation-perfusion matching in ARDS. When the client is in a prone position, there is better distribution of ventilation to the dorsal lung regions, reducing the risk of ventilator-induced lung injury.

Choice A is incorrect because low-flow oxygen may not be sufficient to meet the oxygen demands of a client with ARDS. Choice B is incorrect because excessive oral intake can lead to fluid overload in ARDS. Choice C is incorrect because high-protein and high-carbohydrate foods may be difficult for the client to tolerate and can contribute to increased carbon dioxide production.

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Signs of clotting and bleeding concurrently indicate

  • A. Hemophilia.
  • B. Multiple myeloma.
  • C. Disseminated intravascular coagulation.
  • D. Polycythemia vera.
Correct Answer: C

Rationale: DIC involves both clotting and bleeding due to widespread activation of the coagulation system.

What term reflects the principles used in teaching adult learners?

  • A. Pedagogy
  • B. Gerogogy
  • C. Cybertexting
  • D. Androgogy
Correct Answer: D

Rationale: Androgogy emphasizes learner-centered approaches, aligning with adult learning principles such as relevance and experience.

What should the nurse teach a client who is recommended antianxiety drugs?

  • A. Use the drug on a long-term basis
  • B. Avoid lifting heavy weights
  • C. Use caution when driving
  • D. Be aware that the drug causes excessive sleeplessness
Correct Answer: C

Rationale: Antianxiety drugs can impair motor skills, so clients should avoid driving or operating machinery until they know how the medication affects them.

When teaching a 69-year-old patient about self-care, what will promote health (select all that apply)?

  • A. Proper diet
  • B. Immunizations
  • C. Teaching chair yoga
  • D. Demonstrating balancing techniques
Correct Answer: D

Rationale: Healthy eating, vaccinations, physical activity (including chair yoga), and balance training enhance overall well-being and independence in older adults.

During an ophthalmic assessment, which of the following is the nurse expected to observe carefully?

  • A. Level of central vision
  • B. Internal eye condition
  • C. Pupil responses
  • D. Rate of blinking
Correct Answer: C

Rationale: Pupil responses are critical in assessing neurological and ocular health. They provide important clues about potential disorders.

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