ANCC Medical-Surgical Nursing Exam Prep - Question List

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16. The nurse is caring for a client following a Billroth II procedure. Which operative order should the nurse question and verify?
  1. Leg exercises
  2. Early ambulation
  3. Irrigating the nasogastric tube
  4. Coughing and deep-breathing exercises
17. The nurse is caring for a client with new onset of atrial fibrillation. The nurse anticipates that which of the following is a possible treatment for this dysrhythmia when it first develops?
  1. External pacemaker application
  2. Insertion of automatic internal cardiac defibrillator (AICD)
  3. Synchronized cardioversion
  4. Defibrillation.
18. Thirty minutes after left-heart catheterization, the client’s blood pressure begins to drop. Which potential complication explains this?
  1. Absent distal pulses
  2. Increased pain at puncture site.
  3. Nausea
  4. Bleeding or hematoma at the puncture site
19. In preparation for discharge of a client with arterial insufficiency and Raynaud’s disease, client teaching instructions should include:
  1. Walking several times each day as part of an exercise routine
  2. Keeping the heat up so that the environment is warm
  3. Wearing TED hose during the day
  4. Using hydrotherapy for increasing oxygenation
20. A client tells the nurse that he has leg pains that begin when he walks, but cease when he stops walking. Which of the following conditions would the nurse assess for?
  1. An acute obstruction in the vessels of the legs
  2. Peripheral vascular problems in both legs
  3. Diabetes
  4. Calcium deficiency

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