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Nursing Care and Management for Various Health Conditions, Exams of Nursing

Murdoch University (MU)Nursing

A series of scenarios and questions related to nursing care and management for various health conditions, including chronic kidney disease, diabetes mellitus, tuberculosis, and post-surgery recovery. It covers topics such as patient positioning, medication administration, delegation of tasks, and interdisciplinary teamwork.

Typology: Exams

2023/2024

Available from 05/28/2024

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samuel-kinuthia-7 🇬🇧

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Med Surg practice test B
1. A Nurse is contributing to the plan care of a care to promote a restful night’s sleep for a client who
has Alzheimer’s disease. Which of the following interventions should the nurse include in the plan?
Encourage stimulating activities after dinner
Encourage a late afternoon nap
Offer a small snack at bedtime
Offer hot chocolate at bedtime
2. A nurse if reinforcing teaching with a client who has chronic kidney disease about disease management.
Which of the following statements by the client indicates an understanding of the teaching?
I will add a banana to my morning cereal
I will decrease my intake of
carbohydrates I will limit my daily intake
of protein
I will season my food with a salt substitute
3. A nurse is caring for a client who has just returned to the unit following a bronchoscopy. Which of the
following findings should the nurse report to the provider?
Absent gag reflex
Blood tinged mucus
Diminished breath sounds
Oxygen saturation 95%
4. A nurse is caring for a client who begins to have a seizure while ambulating in the hall. Identify the sequence of
actions the nurse should follow. (Move the steps the nurse should take into the box on the right placing them
in order of performance. Use all the steps.
Lower the client to the floor
Place a pad beneath the client’s head
Loose the clothing around the client’s neck
Time the length of the client’s seizure
Reorient and reassure the client
5. A nurse is reinforcing teaching with a client who has a new diagnosis of genital herpers. Which of the
following information should the nurse include in the teaching?
Use condoms when lesions are present
Look for lesions that have a wart-like appearance
The virus can be transmitted without lesions
present
The lesion resolves in 2 weeks and usually do not recur
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Med Surg practice test B

  1. A Nurse is contributing to the plan care of a care to promote a restful night’s sleep for a client who has Alzheimer’s disease. Which of the following interventions should the nurse include in the plan? Encourage stimulating activities after dinner Encourage a late afternoon nap Offer a small snack at bedtime Offer hot chocolate at bedtime
  2. A nurse if reinforcing teaching with a client who has chronic kidney disease about disease management. Which of the following statements by the client indicates an understanding of the teaching? I will add a banana to my morning cereal I will decrease my intake of carbohydrates I will limit my daily intake of protein I will season my food with a salt substitute
  3. A nurse is caring for a client who has just returned to the unit following a bronchoscopy. Which of the following findings should the nurse report to the provider? Absent gag reflex Blood tinged mucus Diminished breath sounds Oxygen saturation 95%
  4. A nurse is caring for a client who begins to have a seizure while ambulating in the hall. Identify the sequence of actions the nurse should follow. (Move the steps the nurse should take into the box on the right placing them in order of performance. Use all the steps. Lower the client to the floor Place a pad beneath the client’s head Loose the clothing around the client’s neck Time the length of the client’s seizure Reorient and reassure the client
  5. A nurse is reinforcing teaching with a client who has a new diagnosis of genital herpers. Which of the following information should the nurse include in the teaching? Use condoms when lesions are present Look for lesions that have a wart-like appearance The virus can be transmitted without lesions present The lesion resolves in 2 weeks and usually do not recur
  1. A nurse is planning care for a group of clients after receiving change-of-shift report. Which of the following clients should the nurse plan to see first? A client who had a colectomy 2 days ago and has a nasogastric tube Jackson-Pratt drain and indwelling urinary catheter. A client who is dehydrated has mental confusion and was found getting out of bed several times during the night. A client who had a right lower lobe lobectomy 4 days ago and has a chest tube set to continuous suction. A client who has pneumonia and an oral temperature of 38.7°C (101.7°F)
  2. A nurse is caring for a client who is receiving a continuous tube feeding of 60 mL/hr at 1.2 cal/mL. How many calories will the client receive in 12 hrs? (Round the answer to the nearest whole number) Step 1: What is the unit of measurement the nurse should calculate? Calories Step 2: What is the volume the nurse should infuse? 60 mL/hr x 12 hr = 720 mL Step 3: What is the total infusion time? 12 hrs Step 4: Should the nurse convert the units of measurement? No Step 5: Set up an equation and solve for x. 720 mL x 1.2 cal/mL = calories x = 864 cal
  3. A nurse is caring for a client who is in Buck's traction for a fractured hip. The client reports increased pain at the site of the fracture. Which of the following actions should the nurse take? Massage the area Remove the weights Loosen the ropes Reposition the client
  4. A nurse is reinforcing teaching with a client who is taking levothyroxine. Which of the following statements by the client indicates an understanding of the teaching? I will need to take the medication until my thyroid function returns to normal The medication should be taken before I eat breakfast every morning The medication might lower my blood sugar I will take the medication with an antacid if it gives me heartburn
  5. A nurse is delegating the task of repositioning a client who is in skeletal traction to an assistive personnel (AP). Which of the following instructions should the nurse give the AP? Allow the weights to hang freely Release the tension of the ropes Remove the weights when rewrapping bandages Manually lift the weights when moving the client up in bed
  1. A nurse is preparing to insert a double-lumen gastric (Salem) sump tube for a client who has peptic ulcer disease and has developed gastrointestinal bleeding. Which of the following images indicates the tube that the nurse should select?
  2. A nurse is contributing to the plan of care for a client who has pericarditis. In which of the following positions should the nurse plan to place the client to decrease pain? Semi Fowler’s Supine with lower extremities elevated Upright leaning forward Side-lying with knees bent
  3. A nurse is reviewing the medication record of a client who is taking digoxin. Which of the following medications should the nurse identify as increasing the risk for the client to develop digoxin toxicity? Potassium Chloride Famotidine Levothyroxine Furosemide
  4. A nurse is reinforcing a teaching to a client about preventing osteoporosis. Which of the following client statements indicates an understanding of the teaching? I will eat more bananas I will walk for 20 minutes 3 days a week I will limit my coffee intake I will take a calcium supplement at bed time
  5. A nurse is reinforcing discharge teaching with a client who has Crohn’s disease. Which of he following sttements should the nurse include in the teaching? Increase your intake of dietary fat Maintain a low residue diet Avoid taking antidiarrheal medication Plan to weight yourself weekly
  1. A nurse is collecting data from an older adult client who has several concerns. Which of the following concerns should the nurse recognize as a normal change associated with aging? I sweat more than I used to Sometimes I can’t remember my kids names I seem to have more loose stools than I used to My food tastes bland even after I add seasoning
  2. A nurse is caring for a client who is suspected of having a myocardial infarction. Which of the following actions should the nurse take to prepare the client for an ECG? Position the client in Sims’ position before electrode placement Ensure that each electrode is dry before application Cleanse the client’s skin prior to electrode placement Place the electrodes on the client’s abdomen and back
  3. A nurse is reviewing the medication administration record of a client who has osteoarthritis. Which of the following analgesic prescriptions should the nurse expect to administer when the client reports pain? Methotrexate Acetaminophen Gabapentin Etanercept
  4. A nurse is caring for a client who has dementia due to Alzheimer’s disease. Which of the following actions should the nurse take to reduce the client’s confusion? Restrict visitors to three at a time Avoid touching the client during care Encourage reminiscence of past experiences Give the client multiple options for daily events.
  5. A nurse is contributing to the plan of care for a client who had a cerebrovascular accident (CVA). For which of the following interdisciplinary team member should the nurse recommend a referral prior to initiating oral intake for the client? Occupational therapist Speech-language pathologist Physical therapist Case manager
  6. A nurse is reviewing the laboratory reports of a client who reports chest pain. Which of the following laboratory results indicates the client is experiencing a myocardial infarction? Decreased lipase Decreased erythrocyte sedimentation rate (ESR) Elevated creatinine Elevated troponin
  1. A nurse is caring for a client following a thyroidectomy. Which of the following findings should alert the nurse to the possibility of parathyroid gland injury? Anorexia Hoarseness Muscle twitching Blurred vision
  2. A nurse is caring for a client who has a new cast on her left forearm and reports severe pain in the affected arm with numbness in the fingers. The nurse finds the skin is pale and cold with sluggish capillary refill. Which of the following fracture complications should the nurse suspect? Compartment syndrome Fat embolism Deep vein thrombosis Osteomyelitis
  3. A nurse is caring for a client who has restricted movements of the chest due to a burn injury. The nurse should anticipate preparing the client for which of the following procedure? Fasciotomy Escharotomy Skin grafting Hyperbaric oxygen therapy
  4. A nurse is caring for a client who is postoperative following a transurethral resection of the prostate (TURP) and is receiving continuous bladder irrigation. The nurse notes decreased output from the urethral catheter. Which of the following provider prescriptions should the nurse expect? Clamp the urethral catheter for 30 min. Place the urethral catheter drainage bag at the client’s heart level Slow the bladder irrigation flow rate Irrigate the urethral catheter with 0.9% sodium chloride
  1. A nurse is reviewing the medical record for an older adult client who is experiencing nausea and vomiting. Based on the client data. Which of the following actions should the nurse take? (click on the exhibit button for additional client information. There are three tabs that contain separate categories of data?) Exhibit 1 Exhibit 2 Exhibit 3 Diagnostic results Nurses notes Graphic record Sodium 142 mEq/L 1200 alert and oriented x3 temperature

Potassium 4.2 mEq/L Lungs clear to auscultation 0800: 37.7° C (99.9° F)

BUN 36 mg/dL Creatinine 1.4 mg/dL Decreased skin turgor Dry mucous membranes

1200: 37.2° C (99.0° F)

Pulse 0800: 96/min 1200 20/min Respiration rate 0800: 18/min 1200: 20/min Blood pressure 0800: 118/62 mm Hg 1200: 104/65 mm Hg Encourage the client to ambulate Administer an antipyretic medication Notify the charge nurse of the client’s BUN level Keep the temperature in the client’s room warm

  1. A nurse in a health clinic is reinforcing teaching with a client who has tuberculosis (TB) about transmission of the disease. Which of the following clients statements indicates an understanding of the teaching? I inhaled the infected droplets that were in the air I must have touched someone who had TB I probably caught this disease from a mosquito bite I developed TB from having unprotected sex
  2. A nurse is reinforcing teaching with the parent of a toddler who has type I diabetes mellitus and whose prescription has been changed from regular insulin to lispro insulin. Which of the following information should the nurse include in the teaching? Lispro is given once a day Lispro should be given before eating Lispro cannot be given with other insulin Lispro does not cause hypoglycemia
  3. A nurse is preparing to administer an influenza vaccine to a client. Which of the following statements by the client should cause the nurse to postpone administration of the vaccine? I am allergic to shrimp I am allergic to latex balloons I had a tuberculosis skin test 2 days ago I had a low fever this morning
  1. A nurse is reinforcing teaching with an older adult client who has osteoporosis. Which of the following instructions should the nurse include in the teaching? Place throw rugs on wooden floors at home Supplement your diet with vitamin E Swim laps for 20 minutes twice per week Take calcium supplements with meal
  2. A nurse is providing information regarding transmission-based precautions for a client who has clostridium difficile to an assistive personnel (AP). Which of the following instructions should the nurse include? (select all that apply) Provide the client with disposable utensils and dishes for meals Leave blood pressure equipment in the client’s room Clean contaminated surfaces with a bleach solution Use an alcohol-based hand sanitizer after client care Wear a face ask when in the client’s room
  3. A nurse is caring for a client following a gastrectomy. Which of the following actions should the nurse take to decrease episodes of dumping syndrome? Place the client in the supine position after meals Administer pancreatic enzymes before meals Encourage the client to drink 240 mL (8oz) of fluids with meals Offer the client three meals daily
  4. A nurse is contributing to the plan of care for a client who has a head injury and is at risk for increased intracranial pressure (ICP). Which of the following actions should the nurse include in the plan? Measure rectal temperature every 4hr Remind the client to cough as needed Use a turn sheet to reposition the client Apply wrist restraints
  5. A nurse is assisting with the development of a plan of care to manage pain for a client who has Herpes zoster with lesions on the lower extremities. Which of the following interventions should the nurse include in the plan of care? Keep bed linens off the affected areas Position a heat lamp over the lower extremities Apply warm, moist compresses to the affected areas Initiate droplet isolation precautions
  1. A nurse is assisting in the care of a client who has AIDS-related pneumonia. The client is receiving antibiotic therapy and albuterol nebulizer treatments daily. Which of the following findings should indicate to the nurse that the client’s therapeutic regimen is effective? Adventitious lung sounds Decrease in exertional dyspnea Respiratory rate of 26/min while sitting in a chair Elevation of the head of the bed is required to sleep
  2. A nurse is caring for a client who is 24 hr postoperative following an abdominal surgery. Which of the following findings requires immediate attention form the nurse? Reported pain level of 6 on a scale of 0 to 10 Urinary output of 110 mL in the past 4 hr Temperature of 38 degrees C (100.4 degrees F) Oxygen saturation of 88%
  3. A nurse is caring for a client who has neutropenia. Which of the following nursing interventions should the nurs implement? Offer the client fresh fruits and vegetables Monitor the client’s platelet count daily Limit visitors to healthy adults Apply firm pressure to injection sites
  4. A nurse reviewing the medical record of a client who is postoperative. Which of the following findings should the nurse identify as a complication of surgery? Serous drainage from the incision WBC count of 15.000/mm Temperature of 37.2 degrees C (99 degrees F) Urine output of 400 mL over the past 8 hr
  5. A nurse is caring for a client who has post cancer. The client asks the nurse why he is having a difficulty with urination. Which of the following responses should the nurse make? The kidney’ ability to filter urine is decreased The tumor causes obstruction of urine form the urethra The cancer results in hormonal changes. Which affect urination The protein-specific antigen in your blood is decreased
  6. A nurse is reinforcing teaching with a client who has osteoporosis and a new prescription for calcitonin. Which of the following statements should the nurse make to describe the effect of calcitonin in treating osteoporosis? Calcitonin will slow the breakdown of bone in your body Calcitonin will increase the level of cortisol in your blood Calcitonin will decrease the amount of calcium you are losing in your urine Calcitonin will increase the blood flow to your skeletal muscles
  1. a nurse is reinforcing teaching with a client who has asthma and a new prescription for a corticosteroid. which of the following findings should the nurse include as an adverse effect of the medication Frequent colds Vitamin deficiency Increased urination Orthostatic hypotension
  2. A nurse is collecting data from a client who has 30% body surface area partial-thickness and full-thickness burns. Which of the following findings indicates that fluid resuscitation is adequate? Granulation tissue is present Urine output is 50mL/hr Lung sounds are clear Oxygen saturation level is 95%
  3. A nurse is caring for a client undergoing testing for multiple sclerosis. Which of the following findings should the nurse expect? Muscle spasticity Tremors at rest Ptosis Ascending paralysis
  4. A nurse is caring for a client who has cushing’s syndrome and expresses concern regarding body image changes. Which of the following should the nurse recognize as physical change caused by disease? Bronze skin Truncal obesity Lordosis Exophthalmos
  5. a nurse in a clinic is assisting with the development of a pamphlet about STIs. which of the following information should the nurse recommend to include in the pamphlet? The number of sexual partners does not affect the risk for STIs. Oral contraceptive use decreases the risk for STIs Men seek treatment for STIs later than women women have a higher risk of contracting STIs than men
  6. a nurse is reinforcing teaching with a client who has microcytic anemia and is prescribed a daily iron supplement. the nurse tells the client to consume foods containing vitamin C when taking the supplement to enhance iron absorption. which of the following client food choices indicates an understanding of the teaching? 1 cup cooked brown rice 1 cup boiled broccoli 1 cup cottage cheese 1 cup cooked kidney beans
  1. a nurse is caring for an adult client who has age-related macular degeneration. which of the following findings should the nurse expect? Seeing halos around artificial lights Distorted central vision Colored spots before the visual fields Spontaneous tearing of the eyes
  2. A nurse is an orthopedic clinic is reinforcing teaching with a client who has osteoarthritis. Which of the following instructions should the nurse include to promote comfort? Sleep on a firm mattress Try jogging in place when joints feel stiff Use a soft chair or recliner for sitting Apply ice packs to painful joints
  3. A nurse is reviewing the medical record of a client who has acute pancreatitis. Which of the following findings should the nurse anticipate? Elevated serum amylase level Hypertension Bradycardia Decreased leukocyte count
  4. A nurse is reinforcing teaching with a client who has circulatory compromise in the lower extremities due to peripheral vascular disease. Which of the following actions should the nurse take? Educate the client about choosing low-fat, low-cholesterol foods. Have the client flex hips and knees when lying in bed Encourage the client to wear elastic support hose during they time Instruct the client to use an electric hearting pad
  5. A nurse is collecting data from a client who has an obstructive pulmonary disorder. The nurse should document the sounds as which of the following? Pleural friction rub Wheezes Vesicular Crackles
  6. A home health is caring for a client who has COPD. The client tells the nurse that he becomes short of breath while eating despite the use o home oxygen. Which of the following instructions should the nurse include? Limit protein in daily meal plan Use a bronchodilator 1 hr before meals Drink beverages at the end of meals Lie down for 1 hr after meals
  1. A nurse is preparing to assist a client out of bed 4 hr following a laparoscopic cholecystectomy. Which of the following actions should the nurse take first? Obtain the client’s blood pressure
  2. A nurse is caring for a client who is postoperative and has a Jackson-practice drain. Which of the following actions should the nurse take? Compress the bulb reservoir and then close the drainage valve
  3. A nurse is caring for a client who has been taking enalapril. The nurse should monitor the client for which of the following adverse effect? Cough
  4. A nurse is reinforcing teaching with a client who has coronary artery disease and is taking statin medication to lower cholesterol levels. Which of the following instructions should the nurse include in the teaching? Add oily fish to your diet twice weekly
  5. A nurse is caring for a client who has an intestinal obstruction and reports a new onset of nausea. The client has an NG tube set at low intermittent suction and is receiving continuous IV infusion od 0.9% sodium chloride. Which of the following actions should the nurse take first? Check for kinks in the NG tube
  6. A nurse is reinforcing teaching regarding the use of a continuous passive motion (CPM) machine with a client who is scheduled for a total knee arthroplasty. Which of the following information should the nurse include in the teaching? (Select all that apply) Your knee is flexed and extended as prescribed by your provider The machine is padded with sheep skin