Practice Quiz

ANCC Medical-Surgical Nursing Exam Prep - Question List

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26. Following a thyroid scan with radioactive iodine for a thyroid nodule, the nurse should plan for:
  1. No special radiation precautions
  2. Full radiation precautions to be instituted, including segregating the client in a private room
  3. Radiation precautions that are limited to urine and feces
  4. Full radiation precautions to be instituted for 8 hours (the half-life of radioactive iodine)
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27. Because aldosterone is the major mineralocorticoid secreted by the adrenal cortex, which fluid and electrolyte imbalance should the nurse anticipate with decreased secretion of this hormone?
  1. Hyperkalemia
  2. Hypernatremia
  3. Hypervolemia
  4. Hypercalcemia
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28. The nurse would be correct in saying that the two common causes of primary hypothyroidism are:
  1. Destruction of thyroid tissue by radioactive iodine during therapy for hyperthyroidism and spontaneous atrophy due to autoimmune response.
  2. Spontaneous atrophy due to autoimmune response and surgical removal of the thyroid gland.
  3. Surgical removal of the thyroid gland and tumors of the pituitary gland that decrease the amount of circulating thyroxine.
  4. Tumors of the pituitary gland and/or large doses of antithyroid drugs.
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29. A patient is hemorrhaging from multiple trauma sites. The nurse expects that compensatory mechanisms associated with hypovolemia would cause all of the following symptoms except:
  1. Hypertension
  2. Oliguria
  3. Tachycardia
  4. Tachypnea
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30. A patient with angina pectoris is being discharged home with nitroglycerine tablets. Which of the following instructions does the nurse include in the teaching?
  1. “When your chest pain begins, lie down and place one tablet under your tongue. If the pain continues, take another tablet in 5 minutes.”
  2. “Place one tablet under your tongue. If the pain is not relieved in 15 minutes, go to the hospital.”
  3. “Continue your activity and if the pain does not go away in 10 minutes, begin taking the nitro tablets one every 5 minutes for 15 minutes, then go lie down.”
  4. “Place one Nitroglycerine tablet under the tongue every five minutes for three doses. Go to the hospital if the pain is unrelieved.
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