Medical Surgical Nursing Practice Questions

Medical Surgical Nursing Practice Questions Related

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A healthcare provider suspects anaphylaxis when caring for a client following the initial administration of an oral antibiotic. Which of the following should be the healthcare provider's priority intervention?

  • A. Insert an IV line
  • B. Count the respiratory rate
  • C. Administer oxygen
  • D. Prepare equipment for intubation
Correct Answer: B

Rationale: The correct answer is B: Count the respiratory rate. This is the priority intervention because anaphylaxis can lead to severe respiratory distress due to airway swelling or bronchoconstriction. Counting the respiratory rate helps to quickly assess the client's breathing status and detect any signs of respiratory distress. Inserting an IV line (choice A) may be necessary for administering medications, but assessing the respiratory rate takes precedence. Administering oxygen (choice C) is important but should follow assessing the respiratory rate. Preparing equipment for intubation (choice D) is a later intervention if respiratory distress worsens.

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Which of the following would be the best strategy for the nurse to use when teaching insulin injection techniques to a newly diagnosed client with diabetes?

  • A. Give written pre and post-tests.
  • B. Ask questions during practice.
  • C. Allow another diabetic to assist.
  • D. Observe a return demonstration.
Correct Answer: D

Rationale: Return demonstration ensures the client can correctly perform the technique under supervision.

What should be included in Mr. Dean’s teaching plan for respiratory isolation?

  • A. Using disposable tissues for his respiratory secretions
  • B. Reporting any allergies to the staff
  • C. Asking family and friends not to visit
  • D. Getting the patient out of bed frequently
Correct Answer: A

Rationale: Disposable tissues prevent the spread of pathogens.

Describe assessment data for the suicidal client.

  • A. Increased alertness
  • B. Lower immune response
  • C. Faster metabolism
  • D. Enhanced digestion
Correct Answer: D

Rationale: The correct answer is D because it is the most appropriate response based on physiological and medical principles.

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.

Until doctor's orders are received, the most appropriate position for Mr. Jones, admitted with retinal detachment, is lying

  • A. flat on his back
  • B. on his left side
  • C. on his right side
  • D. on his abdomen
Correct Answer: B

Rationale: Lying on the affected side (left side) helps reduce movement of the detached retina, minimizing further damage until definitive treatment can be administered.

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