Practice Quiz

ANCC Medical-Surgical Nursing Exam Prep - Question List

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11. J. Chan, a 30-year-old bartender, receives a positive antinuclear antibody (ANA) test result with a titer level > 1:40. He does not understand what the test result means and asks the nurse for an explanation. Which of the following responses to the client would be most appropriate in this situation?
  1. “The test result is normal.”
  2. “The test indicates that you may have an autoimmune disorder and this result should be discussed in more detail with your physician.”
  3. “You should have the test repeated to verify its specificity for autoimmune disorders.”
  4. “Your test result is specific for the detection of systemic lupus and this should be discussed further with your physician.”
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12. Steven, 38 years old, was diagnosed with rheumatoid arthritis and was given acetylsalicylic acid (aspirin) as part of his medications. He asked the nurse why aspirin was ordered and even added “this is a child’s medication.” The nurse would explain that the main reason that aspirin is used in the treatment of rheumatoid arthritis is to:
  1. Reduce fever
  2. Reduce inflammation of the joints
  3. Assist the client in range-of-motion activities without pain
  4. Prevent extension of the disease process
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13. The nurse has given postprocedure instructions to a client who has undergone a colonoscopy. Which statement by the client indicates the need for further teaching?
  1. “It is normal to feel gassy or bloated after the procedure.”
  2. “The abdominal muscles may be tender from the procedure.”
  3. “It is alright to drive once I’ve been home for an hour or so.”
  4. “Intake should be light at first and the progress.”
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14. The nurse is preparing a client with hiatal hernia for discharge. Which of the following statements made by the client would indicate that teaching has been effective?
  1. “I will join the gym and get in shape by lifting weights.”
  2. “I know I need to eat a high-fat diet to slow down my digestion.”
  3. “I will join a support group.”
  4. “I will take a walk after dinner each night.”
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15. After surgery, Gina returns from the Post-anesthesia Care Unit (Recovery Room) with a nasogastric tube in place following a gall bladder surgery. She continues to complain of nausea. Which action would the nurse take?
  1. Call the physician immediately
  2. Administer the prescribed antiemetic
  3. Check the patency of the nasogastric tube for any obstruction
  4. Change the patient’s position
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