Medical Surgical Quiz 1 : Midcourse Study Plan

Which muscle helps in moving the eye diagonally downward toward the middle of the head? Select all that apply. One, some, or all responses may be correct. A. Lateral rectus muscle B. Medial rectus muscle C. Inferior rectus muscle D. Inferior oblique muscle E. Superior oblique muscle

B. Medial rectus muscle C. Inferior rectus muscle

The nurse instructs a client with a history of frequent urinary tract infections to drink cranberry juice. Which goal is the nurse trying to achieve with this suggestion? A. Exert a bactericidal effect against the bacteria B. Prevent bacterial attachment to the bladder wall C. Improve glomerular filtration rate D. Relieve the symptoms of dysuria

B. Prevent bacterial attachment to the bladder wall

Which statement by a client who has myasthenia gravis indicates understanding for managing self-care? A. 'Plan my activities for later in the day.' B. 'Eat meals in a semirecumbent position.' C. 'Avoid people with respiratory infections.' D. 'Take muscle relaxants when under stress.'

C. 'Avoid people with respiratory infections.'

A family member who visits an 80-year-old client in a nursing home remarks how thin and wrinkled the client looks. Which response by the nurse will help the family member understand the normal aging process? A. 'Most people at that age should be careful about weight gain.' B. 'This is typical of older adults; they really don't eat well.' C. 'It looks as though sun exposure has taken its toll.' D. 'Older adults have lost the tissue that helps puff out the skin.'

D. 'Older adults have lost the tissue that helps puff out the skin.'

The nurse is teaching a client with a diagnosis of pulmonary tuberculosis about recovery after discharge. Which is the most important intervention for the nurse to include in this plan? A. Ensuring sufficient rest B. Changing lifestyle routines C. Breathing clean outdoor air D. Taking medications as prescribed

D. Taking medications as prescribed

The nurse provides moist heat for a client with cartilage degeneration. Which rational explains the use of this nursing intervention? A. To slow bone loss B. To prevent skin breakdown C. To increase muscle strength D. To increase blood flow to the area

D. To increase blood flow to the area

Which response by the nurse is correct to a postmenopausal woman who is reporting vaginal bleeding? A. 'Your menstruation must have resumed.' B. 'Track your bleeding for 3 months and report your findings.' C. 'It is important to follow up on this with your health care provider.' D. 'It is unlikely that you are bleeding but just experiencing some discharge.'

C. 'It is important to follow up on this with your health care provider.'

Which instruction would the nurse give to the client having a residual urine test? A. Void right after a urinary catheter is removed. B. Collect a specimen of urine during midstream. C. Attempt to void when a urinary catheter is in place. D. Empty the bladder before a urinary catheter is inserted.

D. Empty the bladder before a urinary catheter is inserted.

The nurse provides care for four clients with hypersensitivity reactions. Which client would the nurse suspect as having a type IV hypersensitive reaction (delayed hypersensitive reactions are cell-mediated immune responses that involve T lymphocytes, not antibodies)? A. IgE - wheal and flare B. IgM - none C. IgG - erythema and edema after 4 hrs D. No Ig - erythema and edema after 24 hrs

D. No Ig - erythema and edema after 24 hrs

During administration of an enema, a client experiences intestinal cramps. Which action would the nurse take? A. Discontinue the procedure. B. Instill the fluid at a slower rate. C. Lower the height of the container. D. Stop the fluid until the cramps subside.

D. Stop the fluid until the cramps subside.

The nurse is assessing a client with a suspected thyroid disorder. Which diagnostic studies will be used to confirm that the thyroid disorder is autoimmune in origin? Select all that apply. One, some, or all responses may be correct. A. Free thyroxine B. Thyroglobulin antibody C. Thyroid peroxidase antibody D. Thyroid-stimulating antibody E. Thyroid-stimulating hormone

B. Thyroglobulin antibody C. Thyroid peroxidase antibody D. Thyroid-stimulating antibody

A client who just returned from a cardiac catheterization reports to the nurse that the pressure bandage on the right groin is tight. Which action would the nurse take? A. Loosen the dressing slightly. B. Notify the primary health care provider. C. Assess the circulatory status of the extremity. D. Have the client flex the joints of the right leg.

C. Assess the circulatory status of the extremity.

Which represents appropriate nursing management of a client's nasogastric (NG) tube in the immediate postoperative period after gastroduodenostomy? A. Advancing the tube to the original insertion depth if the tube becomes dislodged B. Obtaining a prescription to vigorously irrigate the nasogastric tube if clogging is noted C. Carefully monitoring the nasogastric tube to ensure that the tube is patent and the suction is working D. Reporting the presence of bright red gastric aspirant in the suction canister during the immediate postoperative period

C. Carefully monitoring the nasogastric tube to ensure that the tube is patent and the suction is working

Which key factor assists the nurse in assessing how a client will cope with the body image change after an above-the-knee amputation? A. Extent of the change B. Suddenness of the change C. Obviousness of the change D. Personal perception of the change

D. Personal perception of the change

Which age-related changes are associated with the female genitalia? Select all that apply. One, some, or all responses may be correct. A. Dry vagina B. Firm breasts C. Erect nipples D. Graying pubic hair E. Shrinking of the labia majora

A. Dry vagina D. Graying pubic hair E. Shrinking of the labia majora

Which condition would the nurse expect to see in the laboratory reports of a client who has Cushing syndrome? A. Hypokalemia B. Hypovolemia C. Hypocalcemia D. Hyponatremia

A. Hypokalemia

A back brace is prescribed for a client who had a laminectomy. Which information would the nurse include in the client's teaching plan? A. Use the brace when your back feels tired. B. Apply the brace before getting out of bed. C. Obtain a soft mattress for resting when the brace is off. D. Wear the brace when performing twisting exercises.

B. Apply the brace before getting out of bed.

Which assessment findings are consistent with a client diagnosis of right-sided heart failure? Select all that apply. One, some, or all responses may be correct. A. Collapsed neck veins B. Distended abdomen C. Dependent edema D. Decreased appetite E. Cool extremities

B. Distended abdomen C. Dependent edema D. Decreased appetite

When a client is experiencing acute coronary syndrome, which factor would the nurse identify as the cause of the pain experienced by a client? A. Arterial aneurysm B. Heart muscle ischemia C. Blocking of the coronary veins D. Irritation of nerve endings in the cardiac plexus

B. Heart muscle ischemia

During the oliguric phase of acute kidney injury, for which abnormal finding would the nurse monitor in the client? A. Hypothermia B. Hyperphosphatemia C. Hypocalcemia D. Hypernatremia

B. Hyperphosphatemia

A client with esophageal varices experiences severe hematemesis, and a Sengstaken-Blakemore tube is inserted. Which design and purpose does the tube have? A. Single-lumen; for gastric lavage B. Double-lumen; for intestinal decompression C. Triple-lumen; for esophageal compression D. Multi-lumen; for gastric and intestinal decompression

C. Triple-lumen; for esophageal compression

Which is an abnormal finding of the urinary system? A. When palpating, the left kidney is unable to be felt. B. When auscultating, bowel sounds are present in the client. C. When palpating, the urinary bladder is unable to be felt. D. When striking the area, pain in the flank region is felt by the client.

D. When striking the area, pain in the flank region is felt by the client.

Which teaching point would the nurse provide to help an aging client prevent skin complications related to decreased sebum gland production? A. 'Use soap with a high fat content.' B. 'Do not squeeze your nasal pores.' C. 'Lower the water heater temperature.' D. 'Avoid frequent bathing with hot water.'

B. 'Do not squeeze your nasal pores.'

Which factor increases the risk of respiratory complications in clients with myasthenia gravis? A. Narrowed airways B. Impaired immunity C. Ineffective coughing D. Viscosity of secretions

C. Ineffective coughing

Which information would the nurse include when answering a client's question about peritoneal dialysis? A. The clinic performs hemodialysis and peritoneal dialysis at the same time. B. The ambulatory care clinic performs the peritoneal dialysis on a weekly basis. C. The peritoneal cavity retains about 1/4 L of dialysate between exchanges to filter the urea and creatinine. D. The dialysate maintains constant contact with the peritoneal membrane during the dwell time.

D. The dialysate maintains constant contact with the peritoneal membrane during the dwell time.