Practice Quiz

ANCC Medical-Surgical Nursing Exam Prep - Question List

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21. Michelle, a 24-year-old intern, was diagnosed with mitral stenosis. Aside from noticing a murmur during the physical examination, the nurse may also find:
  1. Dyspnea upon exertion
  2. Jugular vein distention
  3. Syncope on exertion
  4. Angina
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22. The nurse is caring for Mrs. Guzman, a 47-year-old Filipina broker, on the 3rd postoperative day after coronary artery bypass (CABG) surgery. Because an important nursing diagnosis for post-CABG clients is ineffective breathing pattern, what is the best plan by the nurse?
  1. Ensure that Mrs. Guzman performs deep breathing and vigorous coughing every hour
  2. Ensure that Mrs. Guzman uses the incentive spirometer every hour
  3. Pre-medicate Mrs. Guzman before ambulation
  4. Auscultate lungs once a shift
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23. The nurse is preparing to defibrillate a pulseless adult client. Which action demonstrates safe, appropriate use of defibrillator?
  1. Apply the paddles to the right anterior and right posterior chest
  2. Do not take the time to remove nitroglycerine ointment
  3. Ensure that the device is placed on cardiovert
  4. Notify all beside personnel to stand clear immediately prior to defibrillation
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24. Which of the following findings in a client awaiting abdominal aortic aneurysm repair would you report immediately to the physician?
  1. Severe back pain
  2. Swelling of the arms and face
  3. Increased blue areas of the feet
  4. Hoarseness or difficulty swallowing
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25. Which of the following disorders is characterized by a sudden drop in blood glucose, followed by rebound hyperglycemia caused by gradual and excessive administration of insulin?
  1. Diabetes insipidus
  2. Diabetic ketoacidosis
  3. Somogyi phenomenon
  4. Hyperosmolar hyperglycemic nonketotic syndrome (HHNS)
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