Practice Quiz

MSNCB Medical-Surgical Nursing Exam Prep - Question List

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56. In a client with new rib fractures, which assessment finding would best alert the nurse to the possible development of a pneumothorax?
  1. Pink, frothy sputum
  2. Hoarseness
  3. Decreased breath sounds on affected side
  4. Dullness to percussion on the affected side
See answer
57.

The nurse includes the important measures for stump care in the teaching plan for a client with an amputation. Which measure would be excluded from the teaching plan?

  1. Wash, dry, and inspect the stump daily
  2. Treat superficial abrasions and blisters promptly
  3. Apply a "shrinker" bandage with tighter arms around the proximal end of the affected limb
  4. Toughen the stump by pushing it against a progressively harder substance (e.g., pillow on a foot-stool)
See answer
58. Eddie, a plane crash victim, undergoes endotracheal intubation and positive pressure ventilation. The most immediate nursing intervention for him at this time would be to:
  1. Facilitate his verbal communication
  2. Maintain sterility of the ventilation system
  3. Assess his response to the equipment
  4. Prepare him for emergency surgery
See answer
59.

Mr. Kent, 42 years old, had a cuffed tracheostomy tube placed 4 weeks ago. This morning, his doctor made an order for him to begin eating by mouth, with the tracheostomy in place. To prevent aspiration, the nurse will: Select all that apply:

  1. Raise the head of the bed to high Fowler's
  2. Increase Mr. Kent's FiO2
  3. Deflate the cuff on the tracheostomy tube
  4. Suction the client before eating
  5. Assess gag and swallow ability
See answer
60. A client with myasthenia gravis is given a Tensilon test. Forty minutes after the test, the client develops severe weakness and ptosis. The nurse should be prepared to:
  1. Administer atropine
  2. Administer pyridostigmine
  3. Check for constricted pupils
  4. Intubate the client
See answer

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