MSNCB Medical-Surgical Nursing Exam Prep - Question List

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1. Mr. Ong, a 61-year-old cook in a Chinese restaurant, is admitted to the hospital with a diagnosis of Left-sided CHF. In the assessment, the nurse should expect to find:
  1. Crushing chest pain
  2. Dyspnea on exertion
  3. Extensive peripheral edema
  4. Jugular vein distention

Lisa, the nurse on duty, is preparing to discharge a client newly diagnosed with diabetes mellitus. The client states, " I should eat a candy bar or cup of ice cream every time I feel shaky, hungry, or nauseated." Which of the following is Lisa's best response?

  1. "Yes. A candy bar or cup of ice cream is needed to treat the hypoglycemia."
  2. "Yes. You should eat the snack and then have a meal as soon as possible."
  3. "No. You should quickly eat a meal; the candy will cause hyperglycemia."
  4. "No. These have too much sugar and fat, 5 Lifesavers candies or skim milk is better."

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
4. Mr. Tuxen, a 66-year-old black American, was brought by his wife to the Emergency Department because he is increasingly confused and is coughing blood. His medical diagnosis is cirrhosis of the liver. While assessing Mr. Tuxen, the nurse understands that the correct technique when doing abdominal assessment is:
  1. Palpate the most painful area progressing to the least painful parts
  2. Begin with inspection and end with palpation
  3. Follow the sequence of auscultation, inspection, percussion, and palpation
  4. Auscultate the bowel sound first then perform palpation and percussion
5. 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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