Practice Quiz

ANCC Medical-Surgical Nursing Exam Prep - Question List

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1. Mr. Mitchell, a 61-year-old retired banker, is diagnosed with cancer and has been immunocompromised and malnourished due to decreased intake because of nausea, anorexia, and a feeling of fullness. A Salem sump tube had been draining the stomach and has been discontinued. The initial nursing action to manage malnutrition would be:
  1. Teach the client about total parenteral nutrition (TPN)
  2. Assist with insertion of a PEG tube
  3. Give an antiemetic before serving small, frequent meals
  4. Give an aluminum hydroxide antacid with meals
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2. After EGD, Edna was diagnosed to have gastroesophageal reflux disease (GERD). The nurse teaches Edna about ways to minimize symptoms. Which of the following statements made by Edna indicates that more teaching is needed?
  1. “I will be sure to drink tea instead of coffee.”
  2. “I will take a walk after I eat.”
  3. “I will try to eat smaller meals more frequently.”
  4. “I will sleep with the head of the bed elevated about 12 inches.”
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3. Fluid intake for clients suffering from dumping syndrome should be:
  1. Between meals
  2. Only with meals
  3. Anytime they want
  4. Restricted to 1200 ml/day
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4. A child admitted to rule out intussusception is scheduled for a barium enema. The nurse should teach the child’s parents that the major purpose of this procedure is to:
  1. Confirm the diagnosis
  2. Reduce the telescoping
  3. Ease the passage of stool
  4. Provide symptomatic relief
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5. You are teaching Mr. Joseph dela Rosa, a 36-year-old taxi driver who was diagnosed with a new onset of syndrome of inappropriate antidiuretic hormone (SIADH). Which of the following statements by the client best indicates that he correctly understands how to manage this disease?
  1. “I should limit my sodium intake to 2 grams daily.”
  2. “I should report constipation or fatigue to the doctor.”
  3. “I should drink at least 3,000 cc or 10 glasses of water daily.”
  4. “I should limit my fluid intake to approximately 800 cc or 4 glasses of water daily.”
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