Practice Quiz

MSNCB Medical-Surgical Nursing Exam Prep - Question List

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61.

A client being measured for crutches asks the nurse why the crutches cannot rest up underneath the arm for extra support. The nurse's response is based on the understanding that this could result in:

  1. A fall and further injury
  2. Injury to the brachia plexus nerves
  3. Skin breakdown in the area of the axilla
  4. Impaired range of motion while the client ambulates
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62.

Roxanne, a 32-year-old waitress, underwent a cerebral angiogram through the right femoral site. Which procedural nursing assessment(s) would justify calling the physician? Select all that apply.

  1. Intact dressing that needs reinforcement due to bloody drainage
  2. Right pedal pulse weaker than left pedal pulse
  3. Equal, bilateral pedal pulses
  4. Bilateral pink, warm toes
  5. Blood pressure 88/52 mmHg
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63. A client with fat embolism is receiving 100% FiO2 on a mechanical ventilator and continues to be hypoxic. Which of the following measures can improve his oxygenation?
  1. Add positive end-expiratory pressure (PEEP)
  2. Give beta blockers
  3. Give diuretics
  4. Increase the FiO2 on the ventilator
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64. Two hours ago the client had a left thoracotomy with a lobe resection. The sanguineous drainage in the chest tube collection chamber is 325 mL. The nurse recognizes that this is:
  1. Normal chest tube drainage
  2. Indicative of a pneumothorax
  3. Chyle drainage
  4. A sign of hemorrhage
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65.

In a client with right lung pneumonia, the nurse should encourage which position to facilitate optimal oxygenation?

  1. Prone position
  2. Supine position with head elevated at 30 degrees
  3. Positioned with the right side dependent
  4. Positioned with the left side dependent
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