Practice Quiz

ANCC Medical-Surgical Nursing Exam Prep - Question List

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81. While the nurse is caring for a client on a ventilator, the low-pressure ventilator alarm sounds. What should the nurse’s first action be?
  1. Suction the secretions from the endotracheal tube.
  2. Check the client and ventilator connections.
  3. Administer intravenous sedation and analgesia.
  4. Reassure the client and instruct him or her not to bite on the tube.
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82. Mr. Kent, 42 years old, had a cuffed tracheostomy tube placed 4 weeks ago. This morning, his doctor made an order for him to begin eating by mouth, with the tracheostomy in place. To prevent aspiration, the nurse will: Select all that apply:
  1. Raise the head of the bed to high Fowler’s.
  2. Increase Mr. Kent’s FiO2.
  3. Deflate the cuff on the tracheostomy tube.
  4. Suction the client before eating.
  5. Assess gag and swallow ability.
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83. A nurse is reading the results of a TB skin test on Ms. Dressler, a 72-year-old resident in a Nursing Home. Ms. Dressler has never had a TB skin test. There is no induration around the injection site. The nurse should document the test as negative and:
  1. State that the client does not have TB
  2. Have the client repeat the skin test in 2 weeks
  3. Schedule the client repeat for a follow-up chest X-ray
  4. Start the client on prophylactic TB medications because the client is in a high-risk group
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84. The nurse explains to a client’s family that humidification is given with oxygen administration because:
  1. Oxygen is highly permeable in water, thereby increasing gaseous diffusion.
  2. Oxygen is very drying to the mucous membrane.
  3. The partial pressures of oxygen are increased by water dilution, allowing more oxygen to reach the alveoli.
  4. Water acts as a carrier substance, facilitating movement of oxygen across the respiratory membrane.
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85. A client undergoes below the knee amputation following a vehicular accident. Three days postoperatively, the client is refusing to eat, talk, or perform any rehabilitative activities. The best initial nursing approach would be to:
  1. Give him an explanation of why there is a need to quickly increase his activity
  2. Emphasize repeatedly that with his prosthesis, he will be able to return to his normal lifestyle.
  3. Appear cheerful and non-critical, regardless of his response to attempts at intervention.
  4. Accept and acknowledge that his withdrawal is an initially normal and necessary part of grieving.
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