Medsurg 2 Exam 1 - exam practice questions

Venturas Exam #1 1. A nurse is assessing a client with rheumatoid arthritis (RA). Which of the following findings should the nurse expect? a. Weight loss b. morning stiffness less than 30 minutes c. grating se ...

Venturas Exam #1 1. A nurse is assessing a client with rheumatoid arthritis (RA). Which of the following findings should the nurse expect? a. Weight loss b. morning stiffness less than 30 minutes c. grating sensation to knee joint- its not A, the answer is C, bone pain not weight loss d. red big toe 2. a client in an HIV Clinic comes in with complaints of recurring diarrhea and body weakness. The client's most recent CD4 count is 375 cells.ul. At which stage of HIV would you suspect the client has? a. Asymptomatic stage b. AIDS stage c. acute infection d. Symptomatic stage 3. A nurse is caring for a young female client with moderate systemic lupus erythematosus (SLE) currently managed on high-dose prednisone, ibuprofen PRN and azathioprine as a immunosuppressant. which of the following is a priority in planning care for the client? a. Screening for heart conditions b. screening for signs of cancer c. teaching ways to prevent skin damage d. minimizing adverse drug reactions 4. a nurse is caring for a client experiencing hair loss weeks after receiving chemotherapy. Which of the following is an appropriate nursing intervention? a. Apply warm packs on the scalp at night time for several days b. refer the client to support groups that had the same experience c. advise the client to use electric hair dryers after the shower d. inform the client that hair loss is a permanent effect of the drugs 5. a nurse is caring for a client with stage 4 lung cancer undergoing inpatient chemotherapy. While assisting the client out of bed the nurse notes the client has developed leg muscle weakness and bone pain. Further assessment reveals of decreased deep tendon reflexes polyuria and back pain. Which of the following conditions might the client have? a. Spinal cord compression- incontinence and paralysis b. cardiac tamponade c. tumor lysis syndrome d. malignant hypercalcemia Downloaded by Morris Muthii ([email protected]) 6. a nurse is planning care for a client who has multiple myeloma. Which of the following should the nurse identify as the priority a. fluid and electrolyte imbalance b. pain management c. reduction of bone fractures d. End of life care 7. A nurse is teaching a group of a newly licensed nurses about needle stick injury. Which of the following factors for HIV transmission and an occupational health care setting poses the highest risk? a. Injecting intramuscular medications b. participating in complex surgical procedures in the OR c. accidentally leaving used and capped needles in bed linen d. recapping or bending needles 8. a nurse is caring for a client with moderate neutropenia. Which of the following is a contradiction for a client with neutropenia? a. Visitors inside the room b. undercooked eggs c. h e p a filtered room d. chlorhexidine bath 9. Group of newly licensed nurses attend a class on HIV testing. Which of the following statements about HIV diagnostic testing by one of the nurses indicates an understanding of information? a. Initial positive test result from HIV requires confirmatory testing- all initial tests need to be followed up by western blot. b. a viral culture test is always needed and available to detect HIV in blood c. rapid HIV antigen test things are the only available diagnostic test d. Elisa test is always necessary to confirm the presence of HIV in stool 10. A nurse is caring for a client with suspected spinal cord compression at L1-3 secondary to spinal metastases from breast cancer. Which of the following findings should the nurse report immediately to the provider? a. Numbness in sacral area- sign of paralysis- more important that incontinence b. Bowel incontinence c. in increase back pain d. uncoordinated balance Downloaded by Morris Muthii ([email protected]) 11. a nurse in HIV / AIDS unit is caring for a group of clients. The nurse should recommend that which of the following clients be attended to First? a. A 45 year old client who is lethargic and having difficulty talking- this person finna die b. a 29 year-old client with sudden onset of yellowish urethral discharge - but this is sign of infection c. a 33 year old client with three episodes of diarrhea for the last 16 hours d. if 52 year old client with painful rash around his left upper arm 12. a nurse is admitting a client suspected of systemic lupus erythematosus. Which of the following laboratory and assessment findings would help confirm the diagnosis of SLE? a. Elevated CRP and seizure b. positive RF and psychosis c. elevated ESR a nodule d. positive a n a and arthritis - ANA is the test for SLE and youd get arthritis 13. Student nurse asks one of the nurses and the cancer unit about malignant tumors. Which of the following statements should the nurse make? a. Malignant tumors are always slow growing in nature b. malignant tumors or do not grow large c. malignant tumors metastasize d. malignant tumors contain well differentiated cells 14. A nurse is conducting an informational session about HIV infection to a local community center. The nurse is aware to reinforce that the highest incidence of new cases of HIV occurs among what population group? a. White heterosexual woman b. black / African American lesbian c. black African-American MSM correct- two risk factors in one d. White bisexual men 15. a nurse in a community health center is obtaining a health history from one of the clients. Which of the following data from the health history would put the client at greatest risk for developing cancer? a. History of diabetes b. history of smoking- smoking always c. history of hypertension d. history of obesity