Medical Surgical Nursing Practice Questions

Medical Surgical Nursing Practice Questions Related

Review Medical Surgical Nursing Practice Questions related questions and content

When prioritizing client care after receiving change-of-shift report, which of the following clients should the nurse plan to see first?

  • A. A client who is scheduled for an abdominal x-ray and is awaiting transport
  • B. A client who has a prescription for discharge
  • C. A client who received oral pain medication 30 minutes ago
  • D. A client who told an assistive personnel he is short of breath
Correct Answer: D

Rationale: The correct answer is D because a client who is experiencing shortness of breath may be in a critical condition requiring immediate intervention to prevent respiratory distress or failure. This is a high-priority issue that needs prompt assessment and intervention to ensure the client's safety.

A: A client awaiting transport for an abdominal x-ray is not in an immediate life-threatening situation.
B: A client with a prescription for discharge can typically wait as the discharge process can be coordinated by other healthcare team members.
C: A client who received oral pain medication 30 minutes ago is not experiencing an urgent or life-threatening situation, as the medication may take time to alleviate pain.

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Following a cocaine high, the user commonly experiences an extremely unpleasant feeling called:

  • A. Craving.
  • B. Crashing.
  • C. Outward bound.
  • D. Nodding out.
Correct Answer: B

Rationale: Crashing refers to the intense fatigue and depression following cocaine use.

Which term describes a nurse’s inability to differentiate between the beliefs of clients in the same culture?

  • A. Generalization
  • B. Stereotyping
  • C. Ethnocentrism
  • D. Cultural imposition
Correct Answer: B

Rationale: Stereotyping involves oversimplifying and applying generalized beliefs to individuals within a culture, hindering effective care.

A nurse is caring for a client who is postoperative following surgical repair of a mandibular fracture with fixed
occlusion of the jaws in a closed position. Which of the following statements is the priority for the nurse to make?

  • A. "We can teach you some relaxation techniques to minimize your pain."
  • B. "Keep wire cutters with you at all times."
  • C. "Use a water pick device to keep your teeth clean."
  • D. "Consume a high-protein, liquid diet."
Correct Answer: B

Rationale: The correct answer is B: "Keep wire cutters with you at all times." This is the priority statement because in the event of an emergency, such as airway obstruction or trauma, quick access to wire cutters is crucial to ensure timely removal of the jaw fixation wires. Without immediate access to wire cutters, the client may suffer serious complications.

Incorrect choices:
A: "We can teach you some relaxation techniques to minimize your pain." - While pain management is important, it is not the priority in this situation where the immediate risk is airway compromise.
C: "Use a water pick device to keep your teeth clean." - Oral hygiene is important but not as critical as ensuring access to wire cutters for emergency situations.
D: "Consume a high-protein, liquid diet." - Nutrition is important for healing but is not as time-sensitive as having wire cutters readily available in case of an emergency.

The healthcare provider is caring for a client who has heart failure and a history of asthma. The provider reviews the orders and recognizes that clarification is needed for which of the following medications?

  • A. Carvedilol
  • B. Fluticasone
  • C. Captopril
  • D. Isosorbide dinitrate
Correct Answer: B

Rationale: The correct answer is B: Fluticasone. Fluticasone is an inhaled corticosteroid used to treat asthma, which can worsen heart failure symptoms. The healthcare provider needs to clarify this medication due to the client's history of asthma and heart failure. Carvedilol (A) is a beta-blocker used to treat heart failure. Captopril (C) is an ACE inhibitor also used in heart failure. Isosorbide dinitrate (D) is a vasodilator used for heart failure and angina, not contraindicated in asthma.

Symptoms indicative of cervical cancer include:

  • A. Irregular vaginal bleeding
  • B. Bloating
  • C. Weight gain and nausea
  • D. Dyspareunia
Correct Answer: A

Rationale: Irregular vaginal bleeding is a hallmark symptom of cervical cancer, often occurring between periods or after intercourse.

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