Med Surg 2, 2019 →PRIORITY TWO. 110 Helpful

Questions and Answers.

1. A nurse is assessing a client who is 12hr postoperative following a colon

resection. Which of the following findings should the nurse report to the surgeon?

a. Heart rate 90/min

b. Absent bowel sounds

c. Hgb 8.2 g/dl

d. Gastric pH of 3.0

2. A nurse is caring for a client who has diabetes insipidus. Which of the

following medications should the nurse plan to administer?

a. Desmopressin

b. Regular insulin

c. Furosemide

d. Lithium carbonate

3. A nurse is admitting a client who has arthritic pain and reports taking

ibuprofen several times daily for 3 years. Which of the following test should the

nurse monitor?

a. Fasting blood glucose

b. Stool for occult blood

c. Urine for white blood cells

d. Serum calcium

4. A nurse in the emergency department is assessing a client. Which of the

following actions should the nurse take first (Click on the “Exhibit” button for

additional information about the client. There are three tabs that contain

separate categories of data.)

a. Obtain a sputum sample for culture

b. Prepare the client for a chest x-ray

c. Initiate airborne precautions

d. Administer ondansetron.

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Med Surg 2, 2019 →PRIORITY TWO. 110 Helpful

Questions and Answers.

5. A nurse is contacting the provider for a client who has cancer and is

experiencing breakthrough pain. Which of the following prescriptions should the

nurse anticipate?

a. Transmucosal fentanyl

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Med Surg 2, 2019 →PRIORITY TWO. 110 Helpful

Questions and Answers.

b. Intramuscular meperidine

c. Oral acetaminophen

d. Intravenous dexamethasone

6. A nurse is admitting a client who reports chest pain and has been placed

on a telemetry monitor. Which of the following should the nurse analyze to

determine whether the client is experiencing a myocardial infarction?

a. PR interval

b. QRS duration

c. T wave

d. ST segment

7. A nurse is teaching a client who has ovarian cancer about skin care

following radiation treatment. Which of the following instructions should the

nurse include?

a. Pat the skin on the radiation site to dry it

b. Apply OTC moisturizer to the radiation site

c. Cover the radiation site loosely with a gauze wrap before dressing

d. Use a soft washcloth to clean the area around the radiation site

8. A nurse is caring for a client who is receiving a blood transfusion. The nurse

observes that the client has bounding peripheral pulses, hypertension, and

distended jugular veins. The nurse should anticipate administering which of the

following prescribed medications?

a. Diphenhydramine

b. Acetaminophen

c. Pantoprazole

d. Furosemide

9. A nurse is assessing a client who is receiving magnesium sulfate IV for the

treatment of hypomagnesemia. Which of the following findings indicates

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Med Surg 2, 2019 →PRIORITY TWO. 110 Helpful

Questions and Answers.

effectiveness of the medication?

a. Lungs clear

b. Apical pulse 82/min

c. Hyperactive bowel sounds

d. Blood pressure 90/50 mm Hg

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