Practice Quiz

ANCC Medical-Surgical Nursing Exam Prep - Question List

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6. The nurse has just received instructions for an oral glucose tolerance test (OGTT) with a client. Which of the following statements made by the client indicates a need for more teaching?
  1. “I will eat a light breakfast the morning of the test.”
  2. “I will expect to take 100 mg of glucose at the start of the test.”
  3. “I can expect to have my blood drawn at 30 and 60 minute intervals during the test.”
  4. “I will report any symptoms of dizziness, sweating, and/or weakness if they occur during the test.”
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7. A diabetic client with the flu asks why he should drink juices, check his finger stick glucose every 4 hours, and take insulin when he is not eating and is vomiting. Which of the following would be the best explanation by the nurse?
  1. He needs to prevent dehydration, excessive breakdown of fats for glucose, and monitor for hyperglycemia.
  2. He needs to check his blood glucose because vomiting could cause hypoglycemia and drinking fluids will prevent dehydration.
  3. His body uses protein for energy when he is sick, causing increased ketones and hypoglycemia.
  4. If he could substitute water for the juices to prevent dehydration, then he would not need to check his blood glucose levels so often
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8. Which of the following evaluation data would best lead the nurse to conclude that the client with hyperglycemic hyperosmolar nonketotic coma (HHNK) has demonstrated improvement during the first 24 hours?
  1. Alert and oriented, balanced intake and output, and moist mucous membranes
  2. Intake equals output, denies pain and shortness of breath
  3. Alert and oriented, blood and urine without ketones, and no orthostatic BP
  4. Respirations easy and even, eats 50 to 75 percent of meals, and vital signs stable
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9. A client underwent Billroth surgery for gastric ulcer. Post-operatively, the drainage from his NGT is thick and the volume of secretions has dramatically reduced in the last 2 hours and the client feels like vomiting. The most appropriate nursing action is to:
  1. Reposition the NGT by advancing it gently NSS
  2. Notify the MD of your findings
  3. Irrigate the NGT with 50 cc of sterile
  4. Discontinue the low-intermittent suction
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10. The client presents with severe rectal bleeding, 16 diarrheal stools a day, severe abdominal pain, tenesmus, and dehydration. Because of these symptoms, the nurse should be alert for other problems associated with what disease?
  1. Crohn’s disease
  2. Ulcerative colitis
  3. Diverticulitis
  4. Peritonitis
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