ANCC Medical-Surgical Nursing Exam Prep - Question List

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31. The doctor orders for a glycosylated hemoglobin test for a client with diabetes. The client asked you what the purpose of this test is. You explained that glycosylated hemoglobin is used:
  1. To check for anemia
  2. To determine the average blood glucose level for up to 4 prior months
  3. To compare hemoglobin to glucose levels
  4. To calculate the amount of glucose in hemoglobin for the past 6 months
32. A client was diagnosed with hyperparathyroidism. The nurse explains that because of his condition, he is at risk for having:
  1. Hypothyroidism
  2. Hypertension
  3. Fractures
  4. Gingivitis
33. Contractures are among the most serious long-term complications of severe burns. If a burn is located on the upper torso, which nursing measure would be least effective to help prevent contractures?
  1. Changing the location of the bed, the TV set, or both, daily
  2. Encouraging the client to chew gum and blow up balloons
  3. Avoiding the use of a pillow for sleep or placing the head in a position of hyperextension
  4. Helping the client to rest in the position of maximal comfort
34. The nurse explains to a client that bronchitis is characterized by:
  1. Production of mucoid sputum, sometimes difficult to expectorate
  2. Bronchoconstriction and edema of the wall of the bronchioles
  3. Exudates in the alveoli
  4. Increasing lung stiffness
35. Which finding below would indicate the most effective response to asthma medications?
  1. The ability to participate in active sports for longer periods
  2. Cyanosis subsides
  3. Peak expiratory flow rate (PEFR) within normal limits
  4. Client can breathe on his own without oxygen

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