Medical Surgical MIDTERM EXAM with correct answers to booste your grades

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Medical Surgical MIDTERM EXAM Question 1. Question : The nursing assistant reports to the nurse that an African-American client’s pulse oximetry reading is 93%. The client has no complaints. Whi... ch action by the nurse is most appropriate? Student Answer: Question 2. Question : Which of the following has the highest priority when assessing a client’s respiratory status? Student Answer: Question 3. Question : Which of the following assessments obtained while auscultating breath sounds is matched with the appropriate nursing action the nurse should take secondary to the assessment finding? Student Answer: Question 4. Question : What nursing action is appropriate to implement when a client reports waking up feeling very tired even after 8 hours of good sleep? Student Answer: Question 5. Question : What should the nurse suggest to help a client’s self-esteem if he is being discharged home after having a tracheostomy placed? (Select all that apply.) Student Answer: . Question 6. Question : Which of the following procedures is an incorrect method of suctioning a tracheostomy and should be adjusted? Student Answer: CORRECT Question 7. Question : What should be included in client teaching when providing information to the client who uses oxygen in the home? (Select all that apply.) Student Answer: Question 8. Question : What should be the priority nursing action for a client who is experiencing epistaxis? Student Answer: Question 9. Question : A client, with a new tracheostomy. is being seen in the oncology clinic. What finding by the nurse best indicates that goals for the nursing diagnosis Impaired Self-Esteem are being met? Student Answer: Question 10. Question : What would be the first action the nurse should take after finding stridor in a client who has facial trauma is restless and anxious? Student Answer: Question 11. Question : Which intervention should be added to a client’s plan of care for a client who is experiencing dyspnea and must stop multiple times when climbing a flight of stairs? Student Answer: Question 12. Question : The nurse is caring for several clients on a respiratory unit. Which client does the nurse see first? Student Answer: Question 13. Question : Which of the following nursing action should be done first before a client has a total laryngectomy? Student Answer: Question 14. Question : The nurse is caring for an older adult client with a pulmonary infection. Which nursing action is a priority with this client? Student Answer: Question 15. Question : How should the nurse respond if a client who had a partial laryngectomy 10 days ago states that all food tastes bland? Student Answer: Question 16. Question : A nurse is caring for a client who is scheduled for a thoracentesis. Which intervention should the nurse complete prior to the procedure? Student Answer: Question 17. Question : A nurse cares for a client who had a bronchoscopy 2 hours ago. The client asks for a drink of water. Which action should the nurse take next? Student Answer: Question 18. Question : A student nurse is providing tracheostomy care. What action by the student nurse requires intervention by the instructor? Student Answer: CORRECT Question 19. Question : A nurse assesses a client that has a nasal fracture. The client reports constant nasal drainage, a headache, and difficulty with vision. Which action should the nurse take next? Student Answer: Question 20. Question : A nurse on a assesses clients on a medical surgical unit. Which client is at greatest risk for development of obstructive sleep apnea? Student Answer: Question 21. Question : After teaching a client who is being treated for dehydration, a nurse assesses the client's understanding. Which statement indicates the client correctly understood the teaching? Student Answer: Question 22. Question : A nurse is assessing a client who is being treated for dehydration. Which assessment finding should the nurse correlate with a therapeutic response to the treatment plan? Student Answer: Question 23. Question : After teaching a client who is prescribed a restricted sodium diet, a nurse assesses the client's understanding. Which food choice for lunch indicates the client correctly understood the teaching? Student Answer: CORRECT Question 24. Question : A nurse teaches a client who is at risk for mild hypernatremia. Which statement should the nurse include in the client's teaching? Student Answer: Question 25. Question : A nurse cares for a client who has a serum potassium of 7.5 and is exhibiting cardiovascular changes. Which order should the nurse implement first? Student Answer: Question 26. Question : A nurse is assessing a client with hypokalemia, and notes that the client's handgrip strength has diminished since the last assessment 1 hour ago. Which action should the nurse take first? Student Answer: CORRECT Question 27. Question : After teaching a client to increase dietary intake of potassium, a nurse assesses the client's understanding. Which meal selection indicates the client correctly understands the teaching? Student Question 28. Question : A nurse is caring for a client who has a serum calcium level of 14. Which order should the nurse implement first? Student Answer: Question 29. Question : A nurse is caring for an older adult client who is admitted with moderate dehydration. Which intervention should the nurse implement to prevent injury while in the hospital? Student Answer: Question 30. Question : A nurse assesses a client who is admitted for treatment of fluid overload. Which manifestations should the nurse expect to find? (Select all that apply.) Student Answer: Question 31. Question : After administering 40 mEq of potassium chloride, a nurse evaluates the client’s response. Which manifestations indicate that treatment is improving the client’s hypokalemia? (Select all that apply.) Student Answer: Question 32. Question : A nurse is caring for a client who has just had a central venous access line inserted. Which action should the nurse take next? Student Answer: Question 33. Question : A nurse teaches a client who is being discharged home with a peripherally inserted central catheter (PICC). Which statement should the nurse include in this client’s teaching? Student Answer: Question 34. Question : A nurse is assessing clients who have intravenous therapy prescribed. Which assessment finding for a client with a peripherally inserted central catheter (PICC) requires immediate attention? Student Answer: Question 35. Question : While assessing a client’s peripheral IV site, the nurse observes a streak of red along the vein path and palpates a 4-cm venous cord. How should the nurse document this finding? Student Answer: CORRECT “ Question 36. Question : A nurse responds to an IV pump alarm related to increased pressure. Which action should the nurse take first? Student Answer: CORRECT Question 37. Question : A nurse teaches a client who is prescribed a central vascular access device. Which statement should the nurse include in this client’s teaching? Student Answer: Question 38. Question : A nurse is caring for a client with a peripheral vascular access device who is experiencing pain, redness, and swelling at the site. After removing the device, which action should the nurse take to relieve pain? Student Answer: Question 39. Question : A student nurse is assessing the peripheral vascular system of an older adult. What action by the student would cause the faculty member to intervene? Student Answer: Question 40. Question : The nurse is reviewing the lipid panel of a male client who has atherosclerosis. Which finding is most concerning? Student Answer: Question 41. Question : The nurse is evaluating a 3-day diet history with a client who has an elevated lipid panel. What meal selection indicates the client is managing this condition well with diet? Student Answer: Question 42. Question : A student nurse asks what “essential hypertension” is. What response by the registered nurse is best? Student Answer: Question 43. Question : A client has hypertension and high risk factors for cardiovascular disease. The client is overwhelmed with the recommended lifestyle changes. What action by the nurse is best? Student Answer: Question 44. Question : The nurse is caring for four hypertensive clients. Which drug–laboratory value combination should the nurse report immediately to the health care provider? ............................................................CONTINUED.............................................. [Show More]

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