Answers and Rationale Medical Surgical Nursing Practice Test Part

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1. B. In preoperative period, the nurse should consult with the physician about withholding Warfarin Sodium to avoid occurrence of hemorrhage.
2. D. A client who is unconscious is at greater risk for corneal abrasion. For this reason, the safest way to test the cornel reflex is by touching the cornea lightly with a wisp [...]

Medical Surgical Nursing Practice Test Part 3

1. A client is scheduled for insertion of an inferior vena cava (IVC) filter. Nurse Patricia consults the physician about withholding which regularly scheduled medication on the day before the surgery?
a. Potassium Chloride
b. Warfarin Sodium
c. Furosemide
d. Docusate
2. A nurse is planning to assess the corneal reflex on unconscious client. Which of the following is the [...]

Answers and Rationale Medical Surgical Nursing Practice Test Part2

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1.      C. Glucocorticoids (steroids) are used for their anti-inflammatory action, which decreases the development of edema.
2.      A. The blood must be stopped at once, and then normal saline should be infused to keep the line patent and maintain blood volume.
3.      B. These tests confirm the presence of HIV antibodies that occur in response to [...]

Medical Surgical Nursing Practice Test Part 2

1. Marco who was diagnosed with brain tumor was scheduled for craniotomy. In preventing the development of cerebral edema after surgery, the nurse should expect the use of:
a. Diuretics
b. Antihypertensive
c. Steroids
d. Anticonvulsants
2. Halfway through the administration of blood, the female client complains of lumbar pain. After stopping the infusion Nurse Hazel should:
a. Increase the flow [...]

Answers and Rationale Medical Surgical Nursing Practice Test Part 1

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B. Left sided heart failure causes fluid accumulation in the capillary network of the lung. Fluid eventually enters alveolar spaces and causes crackling sounds at the end of inspiration.
B. Morphine is a central nervous system depressant used to relieve the pain associated with myocardial infarction, it also decreases apprehension and prevents cardiogenic shock.
D. Seeing [...]

Medical Surgical Nursing Practice Test Part 1

1. Mrs. Chua a 78 year old client is admitted with the diagnosis of mild chronic heart failure. The nurse expects to hear when listening to client’s lungs indicative of chronic heart failure would be:
a. Stridor
b. Crackles
c. Wheezes
d. Friction rubs
2. Patrick who is hospitalized following a myocardial infarction asks the nurse why he is taking [...]

Answers and Rationale Maternal and Child Health Practice Test Part 3

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1. D. The anterior fontanelle typically closes anywhere between 12 to 18 months of age. Thus, assessing the anterior fontanelle as still being slightly open is a normal finding requiring no further action. Because it is normal finding for this age, notifying he physician or performing additional examinations are inappropriate.
2. D. Solid foods are [...]

Maternal and Child Health Practice Test Part 3

While performing physical assessment of a 12 month-old, the nurse notes that the infant’s anterior fontanelle is still slightly open. Which of the following is the nurse’s most appropriate action?

Notify the physician immediately because there is a problem.
Perform an intensive neurologic examination.
Perform an intensive developmental examination.
Do nothing because this is a normal finding for the [...]

Answers and Rationale Maternal and Child Health Practice Test Part 2

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B. Regular timely ingestion of oral contraceptives is necessary to maintain hormonal levels of the drugs to suppress the action of the hypothalamus and anterior pituitary leading to inappropriate secretion of FSH and LH. Therefore, follicles do not mature, ovulation is inhibited, and pregnancy is prevented. The estrogen content of the oral site [...]

Maternal and Child Health Practice Test Part 2

For the client who is using oral contraceptives, the nurse informs the client about the need to take the pill at the same time each day to accomplish which of the following?

Decrease the incidence of nausea
Maintain hormonal levels
Reduce side effects
Prevent drug interactions

When teaching a client about contraception. Which of the following would the nurse include [...]