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IEPN 150 Medical-Surgical Practice Test

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 Which of the following families would the nurse determine as most in need of follow up? a. A single mother with a 7-month old child whose immunizations are delayed b. A 2-parent family whose 3-year old has a fractured leg from a automobile Accident c. A single parent with a toddler who has third degree burns over 20% of the body d. A two-parent family with a foster child who has a history of caustic liquid ingestion Answer: C—a toddler has burns usually as the result of not being closely supervised. Toddlers are very inquisitive and need constant supervision. Therefore, close follow up is necessary.  Larry, 5 years old is admitted with chickenpox. His vital signs are T 102.3°F; HR 110 bpm; RR 24/min. To appropriately control the spread of infection, the nurse would implement which of the following precautions? a. Respiratory isolation. b. Airborne precaution.

IEPN 150 Medical-Surgical Practice Test Questions

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IEPN 150 Medical-Surgical Practice Test

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c. Contact precaution. d. Reverse isolation. Answer: C  Sandra is admitted with diagnosis of Angina Pectoris. The physician ordered NTG 1 tablet sublingually PRN for chest pain. Potency of NTG should be questioned when: a. Pain relief is delayed. b. Tingling sensation was not experienced by the patient. c. The patient was complaining of headache. d. The blood pressure drops to 80/60. Answer: A  Jennifer has now fully recovered from Anorexia Nervosa and is now ready to be discharged to home. Her self-esteem is much improved and the nutritionist is willing to work with her food choices. The nurse who is aware that the client has become a lacto-vegetarian will suggest which of the following food menus? a. Baked chicken, rice, yogurt, fruit. b. Yogurt, fresh fruit, vegetable.

IEPN 150 Medical-Surgical Practice Test Questions

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IEPN 150 Medical-Surgical Practice Test

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client’s leg, the range-of-motion setting, and the client’s response to the therapy.  When administering an IM injection to a neonate, which of the following muscles would the nurse consider as the best injection site? b. Deltoid c. Dorsogluteal d. Ventrogluteal e. Vastus lateralis Answer: D—the vastus lateralis has less danger of injuring nerves, blood vessels, or bony structures at this site.  A client is scheduled to undergo an abdominal perineal resection with a permanent colostomy. Which of the following measures would be an anticipated part of the client’s preoperative care? a. Keep the client NPO for 24 hours before surgery. b. Administer neomycin sulfate the evening before surgery. c. Inform the client that TPN will likely be implemented after surgery. d. Advise the client to limit physical activity. Answer: B—to decrease the colon’s bacterial count.

IEPN 150 Medical-Surgical Practice Test Questions

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IEPN 150 Medical-Surgical Practice Test

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 Which of the following physical findings would the nurse consider suggestive of physical abuse? a. Lacerations to the knees. b. Laceration to the chin. c. Bruises on the forearms and elbows. d. Bruises on the abdomen. Answer: D  When an RN is suspicious of child abuse the responsibility of the nurse is to: a. Tell the doctors. b. Ask the parents what is the problem. c. Contact the state authorities. d. Tell the nursing supervisor. Answer: C—legal  Which of the following children would be most at risk for abuse? a. The child of a teenager who lives with her family and boyfriend. b. The child of new immigrant who is living with a large group of immigrants in the community. c. The child of a newly divorced parent who has been having

IEPN 150 Medical-Surgical Practice Test Questions

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IEPN 150 Medical-Surgical Practice Test

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 A 5-year-old who is hospitalized wakes up in the middle of the night crying that he is seeing monsters. What should the nurse do? a. Call the MD and ask for an order for a sedative. b. Close the door to reduce noise. c. Tell him you will remove the monster from the room so he will be safe. d. Tell him that monsters are not real and comfort him. Answer: D  An example of a child displaying the task of autonomy would be: a. Negativism of toddlers. b. Stranger anxiety. c. Competitive sports. d. Peer dressing alike. Answer: A—allows the child gaining control over his environment.  What is the most appropriate way to take the temperature of an 18- month-old with severe diarrhea? a. Rectal b. Oral c. Axillary d. Do not take the

IEPN 150 Medical-Surgical Practice Test Questions

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IEPN 150 Medical-Surgical Practice Test

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temperature. Answer: C

IEPN 150 Medical-Surgical Practice Test Questions

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IEPN 150 Medical-Surgical Practice Test Questions

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⅔ & ⅓ NS 100 cc to

IEPN 150 Medical-Surgical Practice Test Questions

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IEPN 150 Medical-Surgical Practice Test Questions

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run for 12 hours. The IV tubing delivers 20 to 21 gtts./minute. What would be a significant finding if the IV is infiltrated? Skin is warm to touch with slight bleeding and swelling. Skin is warm to touch, swelling, slight bleeding at the insertion site. Skin is cold to touch, slight bleeding at the site and swelling. Skin cold to touch, swelling, decreased flow rate, pain at the site. Answer: D As the community health nurse follows up on a case, one her assigned clients in the community, a 16 year-old girl asks, “What will be my next dose of immunization?” The nurse’s most appropriate response is: Booster on DPT and chickenpox vaccine. DPT, HIB, Hepatitis B vaccine. Second dose of DPT, Polio, and HIB. Measles, Mumps, Rubella Vaccine. Answer: B A community health who is giving health teaching on disease prevention has appropriately shared information about chickenpox vaccine when she says Children under 12 years of age should receive one dose. Infants and children should receive 2 doses. The vaccine is 70% to 90% effective in preventing the disease. It is recommended to all children younger than 18 years of age. Answer: C Which of the following goals would be appropriate for the client with hepatitis B? Measures to prevent the spread of infection. Low Na+, low protein diet. Use of sedatives for sleep problem. Avoid social activities with friends. Answer: A—to prevent the spread of infection.  Which of the following expected outcomes would be appropriate for the client who has ulcerative colitis? a. The client maintains a daily record of intake and output. b. The client verbalizes the importance of small, frequent feedings. c. The client uses a heating pad to decrease abdominal cramping. d. The client accepts that a colostomy is inevitable at some time in his life. Answer: B—to decrease GI stimulation.

IEPN 150 Medical-Surgical Practice Test Questions

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IEPN 150 Medical-Surgical Practice Test Questions

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lead the nurse to judge that the parents understand the teaching about penicillin as part of the treatment plan for rheumatic fever.

IEPN 150 Medical-Surgical Practice Test Questions

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IEPN 150 Medical-Surgical Practice Test Questions

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a. “Our child should take the medication until the physician discontinues it b. “How long will it take for the penicillin to help relieve the joint discomfort” c. “We need to also give these pills to our other children to prevent them from getting rheumatic fever” d. “We should give our child the medication on a full stomach” Answer: A  Which of the following would the nurse interpret as indicating that a child is receiving too much intravenous fluid too rapidly? a. Marked increase in abdominal girth b. Evidence of protein in the urine c. Dark amber colored urine d. Moist crackles in the lung fields Answer: D  The nurse is assessing the breath sounds of a client with emphysema. The nurse understands that the client’s respiratory status is affected by what primary pathophysiologic changes? a. Constricted airspaces in the lungs b. Destruction of alveolar walls

IEPN 150 Medical-Surgical Practice Test Questions

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IEPN 150 Medical-Surgical Practice Test Questions

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says, “Let me try to explain why I stay with my husband .” Which of the following reasons would the client be least likely to mention? a. “I’m responsible for keeping my family together” b. “When it’s not too bad, the abuse adds spice to our relationship”

IEPN 150 Medical-Surgical Practice Test Questions

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IEPN 150 Medical-Surgical Practice Test Questions

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c. “I love my husband” d. “I’m not sure I could get a job that pays a minimum wage” Answer: B  The nurse checks the client’s gag reflex. The recommended technique for testing the gag reflex is to : a. touch the back of the client’s throat with a tongue depressor b. observe the client for evidence of spontaneous swallowing when the neck is stroked. c. Place a few milliliters of water on the client’s tongue and note whether or not he swallows d. Observe the client’s response to the introduction of a catheter for endotracheal suctioning Answer: A  A client is intrusive and disruptive to other clients. He constantly walks about the unit interrupting others. Which plan should the nurse institute first in this situation? a. Escort the client to his room and explain that he cannot come out until he gets permission b. Set limits on the client’s behavior. Explain what is expected and what the consequences will be if limits are violated c. Ask another staff member to take the client to watch television

IEPN 150 Medical-Surgical Practice Test Questions

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IEPN 150 Medical-Surgical Practice Test Questions

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 A 34-year-old Russian female client who speaks very little English comes for check up and counseling. The nurse communicates with the client through an interpreter. On the 3rd^ visit, the nurse realizes that a nurse-client relationship has not been established yet. Which of the following nursing intervention taken by the nurse is most appropriate? a. Revalidate with the interpreter the client’s first impressions and expectations. b. Provide informative materials in the patient’s own language. c. Transfer the care to the client’s own culture in the community. d. Use gestures and non-verbal communication techniques in communicating with her. Answer: A  Nursing goal set for a client who only speaks Chinese is, “To establish a therapeutic nurse-client relationship.” The nurse who does not speak Chinese will do which of the following? a. Call for an interpreter. b. Transfer the client to the medical unit in which one of the nurses’ speaks the client’s language. c. Communicate with the client through sign language. d. Maintain eye contact when communicating with the client. Answer: A

IEPN 150 Medical-Surgical Practice Test Questions

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IEPN 150 Medical-Surgical Practice Test Questions

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 Mrs. Brooks is an elderly female client who is actively participating in the rehab program at a certain facility. She expresses her desire to live by herself and thus would like to re-learn some of her skills. Important nursing action taken by the nurse would include: a. The nurse develops goals and objectives for the client. b. The client was referred to the community support group. c. The nurse and the client together makes inventory of the client’s skills which needed to be developed. d. The client was asked to make a list of the skills she would like to develop. Answer: C  The daughter of a diabetic client expresses her interest in learning how to give insulin to her mother. Which action taken by the nurse is appropriate? a. Determine what the daughter would like to know about diabetes. b. Teach the daughter the proper way of administering insulin. c. Supply the daughter with written learning materials. d. Provide the daughter brochure about diabetes. Answer: B  The daughter of the client with diabetes would like to know the proper way of doing the dressing on her mother’s leg ulcer. The nurse who taught the client’s daughter about dressing changes validates the

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