Med Surg #7
What should be used to clean needles and syringes between intravenous drug users (IDUs)? 1 Bleach 2 Hot water 3 Ammonia 4 Rubbing alcohol
1
A registered nurse (RN) is giving home care instructions to a client who was treated for injuries due to a fall. Which statement made by the client indicates a need for correction? 1 "I should walk on scatter rugs at home." 2 "I should drink 3000 mL of water every day." 3 "I should eat fruits and vegetables six times a day." 4 "I should exercise the joints above and below the cast daily."
1
The nurse teaches a client who developed degenerative joint disease of the vertebral column positioning techniques, including turning from back to side, keeping the spine straight. The nurse explains that the least effort will be exerted if the client crosses the arm over the chest and does what? 1 Uses the overbed table to pull the upper body up to assist with turning 2 Bends the top knee to the side to which the client is turning 3 Crosses the ankles while turning and keeps both legs straight 4 Flexes the bottom knee to the side to which the client wishes to turn
2
What is the most commonly reported sexually transmitted infection (STI)? 1 Syphilis 2 Chlamydia 3 Gonorrhea 4 Herpes simplex
2
A client has a discectomy and fusion for a herniated nucleus pulposus (HNP). When getting out of bed for the first time, the client reports feeling faint and lightheaded. Which instruction should the nurse provide to the client? 1 "Sit upright on edge of the bed." 2 "Slide to the floor to prevent a fall and injury." 3 "Bend forward to increase the blood flow to the brain." 4 "Lie down immediately so a blood pressure can be obtained."
1
A nurse is preparing a teaching plan for a client with syphilis. In which stage is syphilis not considered contagious? 1 Tertiary stage 2 Primary stage 3 Secondary stage 4 Incubation stage
1
Which symptoms are observed in a client with Sjögren's syndrome? Select all that apply. 1 Angioedema 2 Tooth decay 3 Corneal ulcers 4 Vaginal dryness 5 Pulmonary hemorrhage
2,3,4
A nurse is caring for a client with a fracture of the femoral neck. Which clinical indicator should the nurse expect to identify when assessing this client? 1 Adduction with internal rotation 2 Abduction with external rotation 3 Shortening of the affected extremity with external rotation 4 Lengthening of the affected extremity with internal rotation
3
The nurse suspects that a client is in the chronic persistent stage of Lyme disease. Which symptoms support the nurse's suspicion? Select all that apply. 1 Arthritis 2 Dyspnea 3 Dizziness 4 Chronic fatigue 5 Erythema migrans
1,4
A client reports severe itching, especially at night. On assessment, the nurse finds the presence of burrows in the flexor surfaces of the wrists and in the anterior axillary folds. Which treatment is most appropriate for this client? 1 Antipruriticlotion 2 Υ-Benzene hexachloride 3 5% Permethrin topical lotion 4 0.9%Spinosad topical suspension
3
The nurse is caring for a client with a respiratory tract infection that started with a common cold but has progressed to whooping cough. The client also has coughing fits that last for several minutes. Which organism is responsible for the client's condition? 1 Bacillus anthracis 2 Bordetella pertussis 3 Streptococcus pneumoniae 4 Mycobacterium tuberculosis
2
Three days after a cast is applied to a client's fractured tibia, the client reports that there is a burning pain over the ankle. The cast over the ankle feels warm to the touch, and the pain is not relieved when the client changes position. What is the nurse's priority action? 1 Obtain a prescription for an antibiotic. 2 Report the client's concern to the primary healthcare provider. 3 Administer the prescribed medication for pain. 4 Explain that this is typical after a cast is applied.
2
The echoviruses can cause which diseases in clients? Select all that apply. 1 Parotitis 2 Gastroenteritis 3 Mononucleosis 4 Aseptic meningitis 5 Burkitt's lymphoma
2,4
Which radiographic test is used to view the entire skeleton? 1 Bone scan 2 Gallium and thallium scan 3 Computed tomography (CT) 4 Magnetic resonance imaging (MRI) scan
1
A nurse is teaching a health class about human immunodeficiency virus (HIV). Which basic methods are used to reduce the incidence of HIV transmission? Select all that apply. 1 Using condoms 2 Using separate toilets 3 Practicing sexual abstinence 4 Preventing direct casual contacts 5 Sterilizing the household utensils
1,3
A client is admitted with full-blown anaphylactic shock that developed due to a type 1 latex allergic reaction. Which findings will the nurse observe upon assessment? Select all that apply. 1 Stridor 2 Fissuring 3 Hypotension 4 Dyspnea 5 Cracking of the skin
1,3,4
Which client statement indicates effective teaching about an automatic epinephrine injector to self-treat for insect stings? Select all that apply. 1 "I will inject the medication into my thigh." 2 "I will call 911 before I inject the medication." 3 "I will store the medication in the refrigerator." 4 "I will keep the medication with me at all times." 5 "I will replace the medication when the expiration date is approaching."
1,4,5
A hospitalized client is on contact precautions for methicillin-resistant Staphylococcus aureus (MRSA). Which statement by an unlicensed assistive personnel (UAP) (Canada: continuing care assistant, CCA) indicates a need for further teaching? 1 "I will put on gloves and a gown before entering the room." 2 "I will wash my hands before entering and leaving the room." 3 "I will remove the gown, then the gloves, before washing my hands." 4 "I will leave a thermometer, blood pressure cuff, and stethoscope in the room for use for this client only."3
3
The nurse is caring for a client on antiretroviral therapy who has Pneumocystis jiroveci pneumonia. Which action is priority? 1 Assisting the client in eating and drinking 2 Maintaining fluid balance in the client 3 Providing adequate oxygenation for the client 4 Encouraging the client to perform breathing exercise
3
Which statement is true regarding Sjögren's syndrome? 1 Sjögren's syndrome increases lacrimation. 2 Sjögren's syndrome increases body secretions. 3 Sjögren's syndrome decreases the risk for infection. 4 Sjögren's syndrome decreases the digestion of carbohydrates.
4
Which viral infection will cause the nurse to observe for warts? 1 Pox virus 2 Rhabdovirus 3 Epstein-Barr virus 4 Papillomavirus
4
Which conditions in clients are examples of cell-mediated immunity? Select all that apply. 1 Tuberculosis 2 Graft rejection 3 Allergic rhinitis 4 Contact dermatitis 5 Anaphylactic shock
1,2,4
Which autoimmune disease is directly related to the client's central nervous system? 1 Rheumatic fever 2 Multiple sclerosis 3 Myasthenia gravis 4 Goodpasture syndrome
2
Which disease is caused by Escherichia coli? 1 Tetanus 2 Peritonitis 3 Diphtheria 4 Food poisoning
2
Which joint in the human body is an example of a condyloid joint? 1 Wrist joint 2 Elbow joint 3 Shoulder joint 4 Sacroiliac joint
2
A client is concerned about contracting malaria while visiting relatives in Southeast Asia. What should the nurse teach the client to avoid to prevent malaria? 1 Mosquito bites 2 Untreated water 3 Undercooked food 4 Overpopulated areas
1
What is the most important intervention to prevent hospital-acquired catheter-associated urinary tract infections (CAUTIs)? 1 Removing the catheter 2 Keeping the drainage bag off of the floor 3 Washing hands before and after assessing the catheter 4 Cleansing the urinary meatus with soap and water daily
1
A nurse is caring for a client who will have a below-the-knee amputation with an immediate postoperative prosthesis. The client asks the nurse the advantage of having an immediate prosthesis. What should the nurse explain is the advantage? 1 Decreases phantom limb sensations 2 Encourages a normal walking pattern 3 Reduces the incidence of wound infection 4 Allows for fitting of the prosthesis before discharge
2
A registered nurse is evaluating the statements of a nursing student providing instructions to the partner of a client with Ebola. Which instruction given by the nursing student needs correction? 1 "You should avoid direct contact with your partner's saliva." 2 "You should be careful because the Ebola virus spreads through the air." 3 "You should avoid having sex with your partner for 3 months even after the recovery of your partner." 4 "You should immediately report symptoms of fever, headache, and vomiting."
2
Which type of immunoglobulin is present in tears, saliva, and breast milk? 1 IgE 2 IgA 3 IgG 4 IgM
2
What did the nurse observe during a home visit that indicates effective teaching about avoidance therapy provided to a client with type I rapid hypersensitivity reaction? Select all that apply. 1 Pet dog sitting on the floor 2 Pillows covered with ultra-mesh fabric 3 Cloth drapes removed from all windows 4 Air-conditioning unit running in the home 5 Carpeting replaced with hard wood floors
2,3,4,5
A client admitted to the hospital with an acute episode of rheumatoid arthritis (RA) asks why physical therapy has not been prescribed. What is the most appropriate nursing response? 1 "Your primary healthcare provider must have forgotten to prescribe it." 2 "Your condition is not severe enough to have physical therapy approved." 3 "Your joints are still inflamed, and physical therapy can be harmful." 4 "Physical therapy is not helpful for persons who suffer from RA."
3
A client is admitted to the hospital with lower back pain and a tentative diagnosis of a herniated nucleus pulposus. When assessing the client's back pain, which question should the nurse ask? 1 "Is there any tenderness in the calf of your leg?" 2 "Have you had any burning sensation on urination?" 3 "Do you have any increase in pain during bowel movements?" 4 "Does the pain progress from your flank around to your groin?"
3
A client is ready to walk with crutches after knee surgery. Which crutch-walking technique will the nurse most likely need to reinforce after the client returns from physical therapy? 1 Two-point 2 Four-point 3 Three-point 4 Swing-through
3
Which reason should the nurse request that the healthcare provider increase the intravenous fluid infusion for an older client with an infection? 1 Pruritus 2 Erythema 3 Acute confusion 4 General malaise
3
Which sexually transmitted disease is treated with antiviral drugs? 1 Syphilis 2 Gonorrhea 3 Genital herpes 4 Chlamydial infection
3
Which type of immunity is acquired through the transfer of colostrum from the mother to the child? 1 Natural active immunity 2 Artificial active immunity 3 Natural passive immunity 4 Artificial passive immunity
3
Why is a Neisseria gonorrhoeae infection particularly troublesome for a female client? 1 The medication is expensive. 2 It is difficult to treat with antibiotics. 3 Symptoms are often overlooked. 4 Treatment has many adverse effects.
3
A client visits a primary healthcare provider with a report of burning and a sharp pain in the sole of the foot that intensifies in the morning. Which abnormal condition does the nurse anticipate in the client? 1 Torticollis 2 Pes planus 3 Tenosynovitis 4 Plantar fasciitis
4
A client who has an above-the-knee amputation (AKA) reports phantom limb sensations. What should the nurse do? 1 Reassure the client that these sensations will pass. 2 Explain the psychological component involved to the client. 3 Encourage the client to get involved in diversional activities. 4 Describe the neurologic mechanisms in language that the client understands.
4
The nurse is teaching a client undergoing intravenous gentamicin therapy for the treatment of acute osteomyelitis. Which statement by the client indicates effective learning? 1 "I should drink lots of water if I retain urine." 2 "I should use eyeglasses if I have vision problems." 3 "I should stop the medication when the symptoms have subsided." 4 "I should report any hearing loss to the primary healthcare provider."
4