NSG 330

KAPLAN MEDICAL SURGICAL INTEGRATED TEST

1. Client has vomiting and diarrhea. ABG analysis results are ph 7.48 paco2 40mmhg, hcos 35, pa02 95,

sao2 98%. Which IV solution does nurse anticipate for client?

Normal saline 3%

Normal saline 0.9%

Dextrose 5% in water

Ringer solution

2. Client comes with difficulty breathing, runny nose, pulse of 100, sneezing and coughin. Diagnosis of

asthma is made. Which information is most important for nurse to obtain? Select all that apply

Any previous attackslike this

Exposure to known allergens

Family history of allergies

Any symptoms while exercising

Past history of psychological problems

Current list of medications

3. Client reports difficultly moving right arm. Numbness and tingling in arm. Clitn has difficulty

speakingand diagnosis of stroke is made. The nurse understands this is what type of stroke?

Double hemisphere stroke

Hemmorhagic stroke

Lef t brain stroke

right brain stroke

4. Nurse teaches client who had stapedectomy. Teaching is understood when which client request is made.

Physicaltherapy for vertigo

Neck brace with padding

Diet sheet that lists high protein foods

Prescription for stoolsoftener

5. Client diagnoses with pulmonary embolism. Which priority does nurse apply?

Give supportive care during healin

Cardiac monitoring

Prevent further embolism

Administerthrombolytic agents

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6. Client diagnoses with meniere disease. Client hassudden attack of vertigo, nausea, vomiting, and

sweating. Nurse provides which interventions? Select all that apply

GLYCEROL TEST

D diet high in dosium and caffeine

Warm, moist environment

Dark quiet environment

Lorazepam and meclizine

IV lfuids and medications

7. Client hasrespiratory failure. Client becomes agitate, restless, and disoriented. Client has nasal flaring

and RR of 26. Most important client goal for nurse to activate?

Will have clear breath sounds in all lyng areas

Will have pao2 of 90mmHg

Will have heart rate of at least 110 bpm

Will cough and deep breath 10 tims an hour

8. Client in middle stage of Parkinson. Client no long able to work at job held for years and gave up

hand crafts. Client cries and says” this is to hard I cant do the things I want to do. I never thought I

would belike this.” Which is the most important goal for this client?

Will indicate reduced feeling of depression

Will oibtain new job in preferred field of work

Will join Parkinson support group

Will maintain independence in activities of daily living

9. Client diagnoses with bell palsy. Client is concerned because facial appearance has changed. Feelings of

fear and qanxiety are expressed to the nurse. Which is the best goal for this client?

Client will take meds as ordered

Client willstate understanding of disease process

Client will share prognosis with spouse

Client will express decrease in fear and anxiety

10. Client has hypertension. Client says “I think I can stop taking my medication now. I don’t have those

headcahces anymore, so I am over this.” Which is the nurses best response?

Remember, you can have hyptertension and not have any symptoms

Don’t you remember, I told you the medication would needc to be taken for life

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