ANCC Medical-Surgical Nursing Exam Prep - Question List

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56. A school-age child has leukemia. Considering the diagnosis and health teaching needs, the nurse would be most correct in advising this child to:
  1. Skip brushing the teeth at this time.
  2. Brush the teeth with a soft toothbrush only.
  3. Brush the teeth with a firm toothbrush only.
  4. Rinse the mouth with an antiseptic solution instead of brushing the teeth.
57. Ana, 55 years old, is admitted to the hospital to rule out pernicious anemia. A Schilling test is ordered for Ana. The nurse recognizes that the primary purpose of the Schilling test is to determine the client’s ability to:
  1. Store vitamin B12
  2. Digest vitamin B12
  3. Absorb vitamin B12
  4. Produce vitamin B12
58. Roxanne, a 32-year-old waitress, underwent a cerebral angiogram through the right femoral site. Which procedural nursing assessment(s) would justify calling the physician? Select all that apply.
  1. Intact dressing that needs reinforcement due to bloody drainage
  2. Right pedal pulse weaker than left pedal pulse
  3. Equal, bilateral pedal pulses
  4. Bilateral pink, warm toes
  5. Blood pressure 88/52 mmHg
59. The nurse reads in an admission note that the physical examination of a client revealed an impairment of cranial nerve II. The nurse instructs ancillary caregivers to do which of the following when caring for this client?
  1. Whisper to the client
  2. Serve food at room temperature
  3. Clear the client’s path of obstacles
  4. Test the temperature of any running water
60. The nurse includes the important measures for stump care in the teaching plan for a client with an amputation. Which measure would be excluded from the teaching plan?
  1. Wash, dry, and inspect the stump daily
  2. Treat superficial abrasions and blisters promptly
  3. Apply a “shrinker” bandage with tighter arms around the proximal end of the affected limb
  4. Toughen the stump by pushing it against a progressively harder substance (e.g., pillow on a foot-stool)

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