7/27/2019 Advanced Med Surgmidterm Review 290

1/5

1. A nurse is attempting to communicate with a hearing impaired client. Which of thefollowing strategies by the nurse would be least helpful when talking to this client?

a. Smiling continuously during the conversation2. A transfusion of PRBC has been infusing for 5 mins when the pt becomes flushed and

tachypnea and says Im having child. Which action

a. Stop the transfusioni. Febrile or hemolytic reaction

3. A pt with a fx fibula is receiving skeletal traction and has pins in place. What would youinstruct the STNA to report immediately?

a. The weights are resting on the floor (ok to have small clear fluid around pins)4. Which assessment finding of pt is compensatory stage of shock requires immediately

action? Select all

a. Low BPb. Left lung crackles

5. You a giving a client in shock fluid resuscitation, which action is most important inevaluating for an adverse reaction to the rapid fluid infusion?

a. Jugular venous distentionmeans fluid overload6. A 64 y/o client who is ready for d/c from the ED has a new RX for nitro SL PRN for

angina. Which client information has the most immediate implications for teaching?

a. The client uses Viagra several times a week when he see his 21 y/o girlfriend7. Miss piggy has sprained her ankle. Which intervention by student nurse would you

questions

a. Assisting the pt to ambulate on the sprain ankle

7/27/2019 Advanced Med Surgmidterm Review 290

2/5

b. KNOW RICE8. The clients kidneys, resp, and GI system have shut down. The pt is now on advanced

cardio life support. What stage is pt in?

a. MODSmultiple organ dysfunction syndrome9. Before giving blood which action should the nurse not perform?

a. Explain the client why blood is being given and have pt sign consent form10.What is the most common type of transfusion reaction?

a. Febrile11.

I do not produce enough RBC what type of anemia am i?

a. Hypopolerativeiron, folic, vit b1212.Lab studies are done on a child that has suspected iron def anemia., the nurse reviews the

lab results that which of the following results would indicate this type of anemia

a. RBC that a microcytic and hypochromic13.A 12 to child is seen at a clinic and a dx of Hodkins is suspected. Several test is

determine which test is used to confirm the disease

a. The presence of Reed Sternberg cells in lymph nodes14. What are some neurologic signs and symptoms of thrombosis (blood clot)

a. visual changes and numbness15.A pt just received radiation therapy for oral cancer. What is priority nursing dx

a. impaired nutritional status16. a pt with hypercalcemia should confuse a lot of fluids17.A nurse is monitoring a client for s/s rt superior vena cava syndrome. Which is the

following is an early sign of oncological emergency

7/27/2019 Advanced Med Surgmidterm Review 290

3/5

a. Periorbital edema18.A nurse is reviewing the health record of 14 y/o who is suspected of Hodkins disease.

Which of following is a characterizes of the disease

a. Painless, firm and moveable adenopathy in the cervical area19.The nurse administering immunizations to child. It will provide

a. Acquired immunity from disease20. A client is admitted in sickle cell crisis. What order should nurse question

a. Restrict fluid intakeb.

Administer 4mg morphine IV every hour

21.Following chemo a pt is being closely monitored for tumor lysis syndrome what lab valuerequires particular attention

a. Electrolyte levels22.The client is dx with HPV

a. Cellular23.The nursing instructor is discussing benign vs malignant cells in patho class. What

distinguishes malignant cells from benign cells of the same tissue type

a. Proteins in the cell membrane24.In the proliferative phase the t lymphocytes differeinate into what

a. Cytotoxic or killer t cells25.What the curable cancer in men

a. Testicular cancer26.Pt states I should limit fluids after my turp. Nurse best response is what

a. You should increase your fluids

7/27/2019 Advanced Med Surgmidterm Review 290

4/5

27.A nurse is checking the casted extremity of client. The nurse would check for which odfthe following s/s indicative of infections

a. Presence of a hot spot on case28.A pt has sustain a closed fx and has just jas a cast applied to the affected arm. The pt is

complaining if intense pain. The nurse has elevatd the limb, applied, ice and give neds.

a. Impaired tissue perfusion29.What are s/s of DVT In hip fx pt

a. Swelling30.

Which finding should be immediately reported to dr

a. A curtain like shadow across the visual field31.In discharge teaching after cataract surgery. Pt should be instructed to report what

immediately

a. Pain not relived by prescribed med32.What is legal blindness defined as

a. 20/20033.A nurse is dx with a d/o involved in the inner ear. Which of the following is most

common complain associated with d/o involving this part of ear

a. Tinnitus34.Which of the following eye disorders can lead to blindness

a. Diabetic retinopathyb. Glaucomac. Macular degenerationd. Cataracts

7/27/2019 Advanced Med Surgmidterm Review 290

5/5