ANCC Medical-Surgical Nursing Exam Prep - Question List

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46. Marcus, a 56-year-old miner, was diagnosed with lung cancer and requires a wedge resection. How much of the lung is removed?
  1. One entire lung
  2. A lobe of the lung
  3. A small, localized area near the surface of the lung
  4. A segment of the lung, including a bronchiole and its alveoli
47. The nurse is preparing her plan of care for a patient diagnosed with pneumonia. Which is the most appropriate nursing diagnosis for this patient?
  1. Fluid volume deficit
  2. Decreased tissue perfusion
  3. Impaired gas exchange
  4. Risk for infection
48. Which of the following physiologic effects of a pulmonary embolism would initially affect oxygenation?
  1. A blood clot blocks ventilation; perfusion is unaffected.
  2. A blood clot blocks ventilation, producing hypoxia despite normal perfusion.
  3. A blood clot blocks perfusion and ventilation, producing profound hypoxia.
  4. A blood clot blocks perfusion, producing hypoxia despite normal or supernormal ventilation.
49. A 60-year-old client develops acute shortness of breath and progressive hypoxia, requiring mechanical ventilation after repair of a fractured right femur. The hypoxia was probably caused by which of the following conditions?
  1. Asthma attack
  2. Atelectasis
  3. Bronchitis
  4. Fat embolism
50. The nurse inspects the skin of Jamie, 11 years old, suspected of having scabies. Which assessment finding would the nurse note if this disorder was present?
  1. Patchy hair loss and round red macules with scales
  2. The presence of white patches scattered about the trunk
  3. Multiple straight or wavy, thread-like lines beneath the skin
  4. The appearance of vesicles or pustules with a thick honey-colored crust

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