Practice Quiz

MSNCB Medical-Surgical Nursing Exam Prep - Question List

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46. A client newly diagnosed with trigeminal neuralgia asks the nurse to explain why it hurts so much when an episode occurs. The nurse would explain that the pain of trigeminal neuralgia is the result of which of the following?
  1. Stimulation of the nerve by temperature or pressure
  2. Irritation due to cellular effects of hypoglycemia
  3. Release of epinephrine during the fight-or-flight response
  4. An immune system reaction to cold and influenza
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47.

Kaitlyn, who was diagnosed with juvenile rheumatoid arthritis, must take long-term steroids. Through health teaching on the nurse's part, which adverse effect of the medications can be prevented?

  1. Infection
  2. Hyperglycemia
  3. Hirsutism
  4. Delayed growth
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48. Faye, a nurse in a urology clinic, conducts a community education program about benign prostatic hypertrophy. When asked to explain the condition, Faye should respond that BPH is:
  1. Associated with multiple factors, including frequent UTIs
  2. Thought to occur because of declining testosterone levels
  3. Rare until the seventh decade of life
  4. Responsible for the symptoms such as weak urinary stream and that the size of the prostate gland directly correlates to the severity of the symptoms.
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49.

Kyle, a 28-year-old teacher, is admitted to the hospital with a diagnosis of renal calculi. The result of Kyle's blood studies shows a BUN of 20 mg/dL, serum calcium level of 4.5 mEq/L, serum phosphorus of 1.8 mEq/L, serum sodium of 138 mEq/L, and urine pH of 5.1. Calcium phosphate stone is suspected. What nursing intervention would be most effective in altering Kyle's urine pH?

  1. Increasing activity
  2. Forcing fluids
  3. Administering allopurinol zyloprim as ordered
  4. Excluding high calcium fluids from his diet
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50. A school-age child has leukemia. Considering the diagnosis and health teaching needs, the nurse would be most correct in advising this child to:
  1. Skip brushing the teeth at this time.
  2. Brush the teeth with a soft toothbrush only.
  3. Brush the teeth with a firm toothbrush only.
  4. Rinse the mouth with an antiseptic solution instead of brushing the teeth.
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