Medical Surgical Nursing Practice Questions

Medical Surgical Nursing Practice Questions Related

Review Medical Surgical Nursing Practice Questions related questions and content

A healthcare professional is monitoring a client following a thoracentesis. The healthcare professional should identify which of the following manifestations as a complication and contact the provider immediately?

  • A. Serosanguineous drainage from the puncture site
  • B. Discomfort at the puncture site
  • C. Increased heart rate
  • D. Decreased temperature
Correct Answer: C

Rationale: The correct answer is C, increased heart rate, as it indicates a potential complication such as hemorrhage or pneumothorax post-thoracentesis. An increased heart rate can signify hypovolemia or respiratory distress, requiring immediate provider notification. Serosanguineous drainage (A) is expected initially, discomfort (B) is common, and decreased temperature (D) is not typically a complication post-thoracentesis.

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What is the disorder called when flashbacks are a symptom?

  • A. Post-traumatic stress disorder
  • B. Phobic disorder
  • C. Anxiety disorder
  • D. Obsessive-compulsive disorder
Correct Answer: A

Rationale: PTSD is characterized by intrusive memories, flashbacks, and nightmares related to a traumatic event.

What findings indicate tension pneumothorax causing mediastinal shift?

  • A. Diminished breath sounds on left side; trachea deviated to right; decreasing blood pressure, increasing pulse rate
  • B. Rapid, shallow respirations; trachea deviated to left; slow pulse; collapsed neck veins
  • C. Dyspnea; hyperresonance on right; widened pulse pressure; rapid, bounding pulse
  • D. Chest pain; cyanosis; collapsed neck veins; decreasing pulse rate
Correct Answer: A

Rationale: Tension pneumothorax causes unilateral lung collapse, mediastinal shift, hypotension, and tachycardia.

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.

What general appearance and obvious physical characteristic components should the nurse evaluate when completing a biocultural assessment?

  • A. Skin color,bone structure and eye shape.
  • B. Mobility and gait.
  • C. Behavioral patterns.
  • D. All of the above.
Correct Answer: D

Rationale: Evaluating multiple aspects of physical appearance provides a comprehensive understanding of the client's biocultural context.

The nurse recognizes what as the most likely major determinant of this patient’s health?

  • A. He is African American.
  • B. He chose to smoke all of his adult life.
  • C. His father died of lung cancer at about the same age.
  • D. He has a limited ability to understand and act on health information.
Correct Answer: B

Rationale: Smoking is one of the leading causes of lung cancer. While genetics (C) and race (A) may play a role, smoking remains the primary risk factor for developing lung cancer.

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