Medical Surgical Nursing Review Questions Part 5
by Daisy Jane Antipuesto RN MN · November 25, 2010
December 2010 Nursing Board Exam Review Questions on Medical Surgical Nursing.
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Medical Surgical Nursing Quiz 5
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Question 1 |
A | Diffuse expiratory wheezing |
B | Loose, productive cough |
C | No relief from inhalant |
D | Fever and chills |
Question 2 |
A | Decrease administration time of the medication |
B | Increase client compliance |
C | Improve aerosol delivery in clients who are not able to coordinate the MDI |
D | Prevent exacerbation of COPD |
Question 3 |
A | Avoid smoking near the client |
B | Turn off oxygen during meals |
C | Adjust the liter flow to 10 as needed |
D | Remind the client to keep mouth closed |
Question 4 |
A | After pursed-lip breathing, cough into a container |
B | Upon awakening, cough deeply and expectorate into a container |
C | Save all the sputum for three days in a covered container |
D | After respiratory treatment, expectorate into a container |
Question 5 |
A | Impaired verbal communication related to absence of speaking ability |
B | Ineffective airway clearance related to increased tracheobronchial secretions |
C | Risk for impaired skin integrity related to tracheostomy incision |
D | Alteration in comfort: pain related to tracheostomy |
Question 6 |
A | Bradycardia |
B | Tachypnea |
C | General pallor |
D | Irritability |
Question 7 |
A | Insert the suction catheter four inches into the tube. Apply suction for 30 seconds, using a twirling motion as the catheter is withdrawn. |
B | Hyperoxygenate the client and then insert the suction catheter into the tube. Suction while you remove the catheter using a back and forth motion. |
C | Explain the procedure to the patient. Insert the catheter while gently applying suction, and withdraw using a twisting motion. |
D | Insert the suction catheter until resistance is met, then withdraw it slightly, apply suction intermittently as the catheter is withdrawn. |
Question 8 |
A | “The inhaler can be used whenever I feel short of breath” |
B | “I should rinse my mouth after using the inhaler” |
C | “If I forget a dose, I can double up on the next dose” |
D | I should not use the spacer with my Azmacort |
Question 9 |
A | Offer ice cream every 2 hours |
B | Place the child in a supine position |
C | Allow the child to drink through a straw |
D | Observe swallowing patterns |
Question 10 |
A | The venturi mask |
B | Nasal cannula |
C | Partial non-re breather mask |
D | Simple face mask |
Question 11 |
A | Heart rate |
B | Respiratory rate |
C | Blood pressure |
D | Temperature |
Question 12 |
A | “Use this medication at bedtime to promote rest ” |
B | “Discontinue the inhalation if you are dizzy ” |
C | “Inhale this medication after other asthma sprays” |
D | “Notify the health care provider if you need the drug more often ” |
Question 13 |
A | A patient in sickle-cell crisis with an infiltrated IV |
B | A patient with leukemia who has received one-half unit of packed cells |
C | A patient schedule for a bronchoscopy |
D | A patient complaining of a leaky colostomy bag |
Question 14 |
A | Lethargy and fatigue |
B | Edema is the lower extremities |
C | Apical Pulse of 112 |
D | Temperature of 101 degrees Farenheit |
Question 15 |
A | Check the carotid pulse |
B | Deliver 5 abdominal thrusts |
C | Give 2 rescue breaths |
D | Open the client’s airway |
Question 16 |
A | Schedule the therapy thirty minutes after meals |
B | Teach the child not to cough during the treatment |
C | Confine the percussion to the rib cage area |
D | Place the child in a prone position for therapy |
Question 17 |
A | Assess the client’s airway |
B | Call for help |
C | Establish that the client is unresponsive |
D | See if anyone saw the client fall |
Question 18 |
A | Viral pneumonia with atelectasis |
B | Spontaneous pneumothorax with a respiratory rate of 38 |
C | Tension pneumothorax with slight tracheal deviation to the right |
D | Acute asthma with episodes of bronchospasm |
Question 19 |
A | A heart rate of 88 beats per minute |
B | Expectorating bright red secretions |
C | 30 ml of dark brown secretions |
D | Infrequent swallowing |
Question 20 |
A | Check for subcutaneous emphysema in the upper torso |
B | Reposition the client to a position of comfort |
C | Call the health care provider as soon as possible |
D | Check for any increase in the amount of thoracic drainage |
Question 21 |
A | A new mother is breastfeeding her two day old infant who was born five days early. |
B | A man discharged yesterday following treatment with IV heparin for a deep vein thrombosis. |
C | An elderly woman discharged from the hospital three days ago with pneumonia. |
D | An elderly man who used all his diuretic medication and is expectorating pink tinged mucus. |
Question 22 |
A | Eat foods high in sodium increases sputum liquefaction |
B | Use oxygen during meals improves gas exchange |
C | Perform exercise after respiratory therapy enhances appetite |
D | Cleanse the mouth of dried secretions reduces the risk of infection |
Question 23 |
A | Stabilize thermoregulation |
B | Maintain alveolar surface tension |
C | Begin normal pulmonary blood flow |
D | Regulate intracardiac pressure |
Question 24 |
A | Presence of breath sounds bilaterally |
B | Position of the trachea in the sternal notch |
C | Amount and consistency of sputum |
D | Increase in the pulse pressure |
Question 25 |
A | Bronchial breath sounds in outer lung fields |
B | Decreased tactile fremitus |
C | Hacking, non productive cough |
D | Hyper resonance of areas of consolidation |
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Daisy Jane Antipuesto RN MN
Currently a Nursing Local Board Examination Reviewer. Subjects handled are Pediatric, Obstetric and Psychiatric Nursing. Previous work experiences include: Clinical instructor/lecturer, clinical coordinator (Level II), caregiver instructor/lecturer, NC2 examination reviewer and staff/clinic nurse. Areas of specialization: Emergency room, Orthopedic Ward and Delivery Room. Also an IELTS passer.