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[DOWNLOAD] Medical Surgical Nursing Questions And Answers With Rationale | updated!
A Not the correct component. B Not the correct component. C The nurse is empathizing with the father. D Not the correct component. Jurisprudence Competency: 5. A nurse gives a double dose of acetaminophen Tylenol to a client who only requires a...[FREE] Medical Surgical Nursing Questions And Answers With Rationale | new!
Report the error as soon as possible D. Nothing, because this is an over-the-counter medication Answer: C. A Nurses should be accountable for all errors made. B All errors should be reported so that appropriate action can be taken. C This is...
- What action may the College take in this situation? Report the nurse to the employer B. Investigate the allegation C. Request that the nurse's employment be terminated D. Refer the complaint to local law enforcement Answer: B Rationales: A The employer may investigate but the legislation requires the allegation be investigated by the College. C This might be an outcome of the complaint but not at this point. D Not the obligation of the College.
- Whole milk Question 8 Explanation: Canned foods are generally rich in sodium content as salt is used as the main preservative. Question 9 Mary received AtropineSO4 as a pre-medication 30 minutes ago and is now complaining of dry mouth and her PR is higher, than before the medication was administered. B The patient is anxious about upcoming surgery C This is normal side-effect of AtSO4 D The patient needs a higher dose of this drug Question 9 Explanation: Atropine sulfate is a vagolytic drug that decreases oropharyngeal secretions and increases the heart rate. Question 10 The husband of a client asks the nurse about the protein-restricted diet ordered because of advanced liver disease. What statement by the nurse would best explain the purpose of the diet? The amount of this diet is better for liver healing. A protein-restricted diet will therefore decrease ammonia production. Question 11 Which of the following would be inappropriate to include in a diabetic teaching plan? A Keep the insulin not in use in the refrigerator B Inspect feet and legs daily for any changes C Change position hourly to increase circulation D Keep legs elevated on 2 pillows while sleeping Question 11 Explanation: The client with DM has decreased peripheral circulation caused by microangiopathy.
- Keeping the legs elevated during sleep will further cause circulatory impairment. Question 12 A Sengstaken-Blakemore tube is inserted in the effort to stop the bleeding esophageal varices in a patient with complicated liver cirrhosis. Upon insertion of the tube, the client complains of difficulty of breathing. The first action of the nurse is to: A.
Medical And Surgical Nursing Questions & Answers With Rationale
Pre and post chapter tests with complete rationales Practice exercises NCLEX alerts Test-taking strategies This book is a good buy for nursing graduates who want to gain detailed insights into the medical-surgical field. Get it here 2. Reading through this book will be a little bit difficult if English is not your primary language. The book comprises: Clinically relevant activities and exercises, including multiple-choice questions, case studies, critical thinking activities, physiology and anatomy review, fill-in-the-blanks, etc.NCLEX Practice Questions Quiz For Nursing Fundamentals Perioperative
Answers to all questions and exercises in the back of the book to make your studies easier Alternate item format questions to prepare candidates for the most recent NCLEX examination Buy this book here 3. It also highlights patient teaching content that throws light on the care of multiple conditions. Treatments and Procedure section discusses common medical-surgical procedures and treatments Disorders section provides information about frequently encountered medical-surgical conditions and focuses on diagnostic studies, complications, clinical manifestations, pathophysiology, nursing management, collaborative care, etc. Reference Appendix covers reference information, including Spanish translations of key phrases, standard formulae, and laboratory values Place your order here 4. Medical-Surgical Nursing: Assessment and Management of Clinical Problems, 9th Edition The book covers clinical developments, hot topics, and the latest trends in the field of med-surgical nursing.- The easy-to-read content helps students understand the subject in a simple manner. Among various vital topics include critical thinking, prioritization, patient safety and care in different clinical settings. The book features: Current, comprehensive and clinically accurate content written and reviewed by leading experts NCLEX Exam review questions at the end of each chapter Over full-color photographs and illustrations Case studies Expanded coverage of evidence-based practice Buy your book here 5. Detailed chapters on common problems and solutions encountered in critical care and emergency nursing A complete support package including a tear-out NursingNotes, eText online, and access to additional questions Purchase the book here 6.
- This book focuses on applying critical thinking to test taking and comes with: More than 2, questions, including alternate formats questions; these questions are based on the latest NCLEX-RN test plan and advances in med-surgical nursing Practice questions with answers Test-taking tips Rationales for correct and incorrect answers A comprehensive test at the end of each chapter in order to evaluate your weakness and strength Buy your book here 7. The clinical indications and mechanisms of the most common ailments have been demonstrated through colorful diagrams, charts, and drawings. Students also learn about evidence-based treatments, assessments, and interventions. The book comprises: Insights and expert tips for med-surgical nursing situations Detailed chapters on musculoskeletal, reproductive, urologic and renal, endocrine, respiratory, cardiovascular, etc.
- Best practices and current data on evaluating and treating common ailments Real-life patient scenarios and expert guidance on crucial skills Online supplementary materials including 1, NCLEX-style questions in the current format, clinical simulation case studies, NCLEX preparation tutorials, Study techniques, and test-taking strategies Purchase the book here 8. In addition to practice test questions, it provides a detailed explanation of each answer. The book features: Vocabulary, principles, procedures, and concepts that students are expected to master before appearing for the exam A comprehensive insight into the professional role Detailed information about various sections including the health teaching and health promotion, assessment and diagnosis, etc.
- Morphine Question 4 Explanation: Answer: B. Question 5 Gout has been a problem with May. Her doctor prescribed Allopurinol in order to reduce uric acid deposits. These are health teachings for her except? A Teach her to comply with medications as prescribed. What is the best nursing action? A Hold the medication and refer to the physician B Continue the medication and refer to the physician C Hold the medication and reassure that the yellowish discoloration of skin is only a side effect D Reassure the patient that the medication is on process Question 6 Explanation: Answer: A. Yellowish discoloration of skin signals a problem on liver function. Question 7 David wanted to know how he could give eardrops to his father. What is the correct way of administering eardrops to adults? Hold the earlobe up and back — Make the adult patient lie on his back and hold the earlobe up and back. Question 8 When a patient is diagnosed to have a kidney failure, as a nurse the main goal is to prevent accumulation of fluids in the body.
100 Item MEDICAL SURGICAL Nursing Examination Correct Answers And Rationales
These are the following health teaching appropriate, except: A Teach the patient to eat low salt diet B Teach the patient to measure his intake and output daily C Teach the patient to have a high carbohydrate diet with low protein content D Teach the patient to have a high carbohydrate diet with high protein content Question 8 Explanation: Answer: D. The goal is to reduce the workload of the kidneys in order to prevent further damage. Eating a low salt diet, high carbohydrate and low in protein meals as well as fluid restriction are the steps in maintaining the kidney function.- Question 9 A wife of your patient approached you one day telling you that her husband has sudden mood swings. He was diagnosed to have acute renal failure. How can you make the wife cope with this situation? A Tell her that this is a normal process of having kidney failure and listen to her more B Tell her that this will just soon pass away C Tell her that she is the one who is having some adjustment and not her husband D Tell her that this is not your business, it is a problem that she and her husband will fix it Question 9 Explanation: Answer: A. Be the source of the information and listen to them rather than blocking them. Empathy is also essential in order to see the needs of the patient as well as his wife.
- Other items were not correct since it pose judgemental comments rather than understanding. Question 10 In caring for the patient with elevated BUN and serum creatinine, he will most likely be dehydrated; loss of weight and the skin turgor is poor. What nursing diagnosis describes this best: A.
- Periwound maceration occurs when: The skin around the wound softens and is damaged. Selecting a dressing individualized to the type of wound. The skin around the wound dries out and hardens. Dressing selection can help prevent this complication, and negative pressure may reduce it by reducing edema. Which patient is at greatest risk for cholelithiasis and choledocholithiasis? Other risk factors include obesity, oral contraceptive use, diseases and disorders of the ileum, hypercholesterolemia and races like the Hispanic, Native American and Caucasian races. Select the method of special precautions that is accurately paired with the personal protective equipment that is minimally required in order to prevent the spread of infection. Contact precautions minimally require the use of gloves and gowns; and airborne transmission precautions minimally require the use of a negative pressure room, a HEPA mask, gowns and gloves.
NCLEX Answers & Rationales (Medical-Surgical Nursing) – EASY
Which of these patients is affected with a healthcare acquired infection? These infections include all infections that occur while the patient is receiving healthcare services. The patient who was admitted with a urinary tract infection and the pediatric patient who develops the measles rash 3 days after admission acquired these infections prior to receiving healthcare services so they are not considered healthcare related, or nosocomial, infections. Inflammation, infection and immunity are commonly used terms in infection control but they are not stages of the infection process. Primary, secondary and tertiary are levels of prevention and not stages of the infection process. What is the single most important thing that nurses do in order to prevent the spread of infection? Applying standard precautions, using personal protective equipment, as indicated, and adhering to the principles of asepsis also prevent the spread of infections; however, handwashing is the single most important thing to prevent the spread of infection.- Rh negative maternal blood indicates: An incompatibility in the blood between the mother and fetus. The mother will require a blood transfusion at the time of delivery. The mother does not have a specific marker on her red blood cells. However, incompatibility only occurs if the baby is Rh positive and the mother is Rh negative. A blood transfusion would have no effect on this problem. Normal weight for a full term neonate is grams. You are caring for a neonate who has a cleft palate. You should inform the mother that surgical correction will be done when the infant is: 8 to 12 months of age. While repairs can still be performed after one year of age but this increases the likelihood of needing longer-termed treatments and increased risks for poor language development and facial appearance.
- What percentage of term newborns has a congenital heart disease due to environmental risk factors such as maternal alcoholism or drug ingestion?
NCLEX Practice Questions (Medical-Surgical Nursing) - EASY - NurseBuff
Correct Answer: D Rationale: Rapid administration, incorrect positioning, and inadequate solution temperature are common causes of intolerance to tube feedings. Although choices A and C may be done eventually, the feeding technique should be assessed first. Correct Answer: B Rationale: Disaster triage is based on the principle of the greatest good for the greatest number; those who have a likelihood of survival are treated first.- People who are gasping for breath and are conscious have priority over those who are cyanotic and not breathing. Correct Answer: A Rationale: Inactivity causes venous stasis, hypercoagulability, and external pressure against the veins, all of which lead to thrombus formation; early ambulation or exercise of the lower extremities reduces the occurrence of this phenomenon. Correct Answer: C Rationale: Tingling indicates decreased arterial circulation to the extremity; it may be caused by an embolus distal to the arterial insertion site; checking all pulses would help locate an embolus. The first option A is incorrect because tingling sensations of an extremity are not related to bleeding, but rather to lack of circulation. Inflammation B is associated with thrombophlebitis, not arterial obstruction. Assessment of vital signs D is only done if there were systemic responses to compromised heart function; tingling in an extremity is a localized response.
Medical-Surgical Nursing: Review Questions With Answers And Rationales
Correct Answer: A Rationale: Blockage of the myocardial blood supply causes accumulation of unoxidized metabolites that affect nerve endings that generally cause pain characterized as severe, crushing, or prolonged duration, and is unrelieved by nitroglycerin. Correct Answer: D Rationale: A complete assessment must be performed to determine the location, characteristics, intensity, and duration of the pain; the pain could be incisional, result from a pulmonary embolus, or be caused by neurovascular trauma to the affected leg, and the intervention for each would be different. Correct Answer: B Rationale: Shellfish contains more than mg of purine per grams. Eggs, cottage cheese, and fried poultry are all low in purine. Correct Answer: D Rationale: Damage to the blood vessels may decrease the circulatory perfusion of the toes; this indicates a lack of blood supply to the extremity.- The second option B is incorrect because damage to the blood vessels will more likely cause a decrease in blood pressure from shock. Correct Answer: B Rationale: In the diuretic phase, fluid retained during the oliguric phase is excreted and may reach to 3 to 5 L daily; hypovolemia may occur, and fluids should be replaced. Both Hyperkalemia C and metabolic acidosis D occur in the oliguric phase when glomerulofiltration is inadequate.
- Measure the ph of the fluid Question 12 Explanation: The CSF contains a large amount of glucose which can be detected by using glucostix. A positive result with the drainage indicate CSF leakage. Question 13 Maria refuses to acknowledge that her breast was removed. She believes that her breast is intact under the dressing. The nurse should A remind Kathy that she needs to accept her diagnosis so that she can begin rehabilitation exercises. Question 13 Explanation: A person grieves to a loss of a significant object. The initial stage in the grieving process is denial, then anger, followed by bargaining, depression and last acceptance. Question 14 John, 16 years old, is brought to the ER after a vehicular accident. He is pronounced dead on arrival. They go into a stage of denial and anger in their grieving.
Item Comprehensive Exam With Answers And Rationale - Wattpad
Assisting them with information they need to know, answering their questions and listening to them will provide the needed support for them to move on and be of support to one another. Question 15 Which statement by the client indicates to the nurse that the patient understands precautions necessary during internal radiation therapy for cancer of the cervix? Radiation acts not only against the abnormally actively dividing cells of cancer but also on the normally dividing cells thus affecting the growth and development of the child and even causing cancer itself. Question 16 A client had a laminectomy and spinal fusion yesterday.- Which statement is to be excluded from your plan of care? Question 16 Explanation: Following a laminectomy and spinal fusion, it is important that the back of the patient be maintained in straight alignment and to support the entire vertebral column to promote complete healing. Question 17 If a client has severe bums on the upper torso, which item would be a primary concern?
- Diabetes insipidus Rationale: D is the correct answer. Diabetes insipidus is an abrupt onset of extreme polyuria that commonly occurs in clients after brain surgery. Diabetes mellitus is a hyperglycemic state marked by polyuria, polydipsia, and polyphagia. Adrenal crisis is under secretion of glucocorticoids resulting in profound hypoglycemia, hypovolemia, and hypotension. The nurse is providing post-procedure care for a client who underwent percutaneous lithotripsy. In this procedure, an ultrasonic probe inserted through a nephrostomy tube into the renal pelvis generates ultra-high-frequency sound waves to shatter renal calculi.
46 Best Medical Surgical Nursing Questions And Answers (Q&A) - ProProfs Discuss | Page 1
The nurse should instruct the client to a. Notify the physician about cloudy or foul-smelling urine d. Report bright pink urine within 24 hours after the procedure Rationale: C is the correct answer. The client should report the presence of foul-smelling or cloudy urine. Unless contraindicated, the client should be instructed to drink large quantities of fluid each day to flush the kidneys. Sand-like debris is normal because of residual stone products.- Hematuria is common after lithotripsy. Based on these assessment findings, which nursing diagnosis takes the highest priority a. In this client, tachycardia is more likely to result from deficient fluid volume than from decreased cardiac output because his blood pressure is normal. A temperature of Capillary glucose monitoring is being performed every 4 hours for a client diagnosed with diabetic ketoacidosis. Insulin is administered using a scale of regular insulin according to glucose results. Regular insulin, which is short-acting insulin, has an onset of 15 to 30 minutes and a peak of 2 to 4 hours. Because the nurse gave the insulin at 2 p. A client with a head injury is being monitored for increased intracranial pressure ICP.
- The nurse enters the room as a 3 year-old is having a generalized seizure. Which intervention should the nurse do first? A Clear the area of any hazards B Place the child on the side C Restrain the child D Give the prescribed anticonvulsant The correct answer is B: Place the child on the side Protecting the airway is the top priority in a seizure. If a child is actively convulsing, a patent airway and oxygenation must be assured.
- A client has just returned to the medical-surgical unit following a segmental lung resection. After assessing the client, the first nursing action would be to A Administer pain medication B Suction excessive tracheobronchial secretions C Assist client to turn, deep breathe and cought D Monitor oxygen saturation The correct answer is B: Suction excessive tracheobronchial secretions Suctioning the copious tracheobronchial secretions present in post-thoracic surgery clients maintains an open airway which is always the priority nursing intervention. A nurse from the surgical department is reassigned to the pediatric unit. The charge nurse should recognize that the child at highest risk for cardiac arrest and is the least likely to be assiged to this nurse is which child?
Medical Surgical Nursing Test Questions, Expert Answers And Rationale (Completed A}
A Congenital cardiac defects B An acute febrile illness C Prolonged hypoxemia D Severe multiple trauma The correct answer is C: Prolonged hypoxemia Most often, the cause of cardiac arrest in the pediatric population is prolonged hypoxemia. Children usually have both cardiac and respiratory arrest. Which of the following would be the best strategy for the nurse to use when teaching insulin injection techniques to a newly diagnosed client with diabetes? A Give written pre and post tests B Ask questions during practice Medical surgical nursing questions and answers with rationale Allow another diabetic to assist D Observe a return demonstration The correct answer is D: Observe a return demonstration Since this is a psychomotor skill, this is the best way to know if the client has learned the proper technique.- The nurse is assessing a 2 year-old client with a possible diagnosis of congenital heart disease. Which of these is most likely to be seen with this diagnosis? A Several otitis media episodes in the last year B Weight and height in 10th percentile since birth C Takes frequent rest periods while playing D Changing food preferences and dislikes The correct answer is C: Takes frequent rest periods while playing Children with heart disease tend to have exercise intolerance.
- The child self-limits activity, which is consistent with manifestations of congenital heart disease in children. Story continues below.
- In mastoidectomy, Incision is made at the back of the ears to clear the mastoid air cells of the mastoid bone that is infected. Observation during the post qnswers after mastoidectomy should revolve around assessing the client's CN VII integrity. The physician orders the following for the client with Menieres disease. Which of the following should the nurse question? Dipenhydramine [Benadryl] C. Out of bed activities and ambulation D. During periods of incapacitating vertigo, patient's eyes will have rotary nystagmus because of the perception that the environment is moving. Patients are also observed to hold the side rails so hard because they thought they are going to fall. Benadryl is used in menieres due to its anti histamine effects. B and D are used to allay clients anxiety and apprehension. Nurse Budek is giving dietary instruction to a client with Menieres disease. Which statement if made by the client indicates that the teaching has been successful? I will try to mmedical foods that are low in sodium and limit my fluid intake B.
- I must drink atleast 3, ml of fluids per day C. C is the diabetic diet. D medocal the foods not eaten when clients are about to have a guaiac test. Peachy was rushed by his father, Steven into the hospital admission. Peachy is complaining of something buzzing into her ears. Nurse Budek assessed peachy qkestions found out It was an insect.
- Instill an antibiotic ear drops C. Irrigate the ear D. This is the first measure employed in removing a live insect from the childs ear. Antibiotics has no effects since the child do not have any infection. If the insect did not come out after coaxing it with light, 2nd measure employs instillation of diluted alcohol or a mineral oil to kill the insect which is then answer using letter D.
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