Practice Quiz

ANCC Medical-Surgical Nursing Exam Prep - Question List

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51. The nurse prepares discharge instructions for Mayra, 27 years old, following cryosurgery for the treatment of a malignant skin lesion. Which of the following should the nurse include in the instructions?
  1. Avoid showering for 7 to 10 days.
  2. Apply ice to the site to prevent discomfort.
  3. Apply alcohol-soaked dressings twice a day.
  4. Clean the site with hydrogen peroxide to prevent infection.
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52. Shane, 12 years old, is an avid fan of skateboarding. She tried to learn the moves, but accidentally fell on her first try. Agonizing in pain, she was then brought to the Emergency Department. The X-ray film showed an incomplete fracture of the left tibia. The doctor ordered for a closed reduction and a cast was applied on her left leg. Which of the following is an incorrect intervention for Shane?
  1. Elevate entire extremity higher than the client’s heart for the first 24 to 48 hours
  2. Exercise her toes
  3. Support Shane’s foot with the ankle in 90 degrees of flexion
  4. Create a turning schedule for position changes every 3 hours
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53. The nurse should plan to include which of the following statements in client teaching for impetigo?
  1. Poor hygiene is the only reason impetigo occurs.
  2. Good hand washing with antibacterial soap helps reduce spreading the infection to others.
  3. Impetigo is not contagious and cannot spread to other members of the family.
  4. Antibacterial medication is not useful in impetigo.
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54. Forty-eight hours after a burn injury, the physician orders for the client 2 liters of IV fluid to be administered q12 h. The drop factor of the tubing is 10 gtt/ml. The nurse should set the flow to provide:
  1. 18 gtt/min
  2. 28 gtt/min
  3. 32 gtt/min
  4. 36 gtt/min
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55. To promote the safety environment of a client with Von Willebrand’s disease, which actions would the nurse take?
  1. Administer ibuprofen if the client has a temperature of 101.5°F or experiences pain.
  2. Advise the client to wear gloves while doing household chores.
  3. Provide oral care and recommend daily flossing.
  4. Administer vitamins C and K on a daily basis.
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