Practice Quiz

MSNCB Medical-Surgical Nursing Exam Prep - Question List

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6. A diabetic client with the flu asks why he should drink juices, check his finger stick glucose every 4 hours, and take insulin when he is not eating and is vomiting. Which of the following would be the best explanation by the nurse?
  1. He needs to prevent dehydration, excessive breakdown of fats for glucose, and monitor for hyperglycemia.
  2. He needs to check his blood glucose because vomiting could cause hypoglycemia and drinking fluids will prevent dehydration.
  3. His body uses protein for energy when he is sick, causing increased ketones and hypoglycemia.
  4. If he could substitute water for the juices to prevent dehydration, then he would not need to check his blood glucose levels so often
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7. Thrombus formation is a danger for all postoperative clients. The nurse should act independently to prevent this complication by:
  1. Encouraging adequate fluids
  2. Applying elastic stockings
  3. Gently massaging the legs with lotion
  4. Performing active-assistive leg exercises
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8.

The nurse is providing discharge teaching for a client's family member on the administration of enoxaparin (Lovenox). Which action by the family member would indicate an understanding of the administration procedure for the drug?

  1. An 18-gauge, 1½-inch needle is selected for injection
  2. The family member administers the medication subcutaneously
  3. The family member aspirates for blood return after the needle is inserted in the muscle
  4. The same administration site is used for every injection
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9. The nurse is developing a plan for Mrs. Ramos, a 38-year-old housewife, who is going home with a new diagnosis of heart failure. The nurse is teaching Mrs. Ramos to monitor fluid status. Which of the following is the best instruction?
  1. Restrict fluid intake to 800ml per day
  2. Increase the dose of diuretics if there is decreased urination
  3. Record body weight every day before breakfast and report a weight gain of 3 or more pounds in a week
  4. Keep track of daily output and call the doctor for if it is less than 1 liter on any day
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10. Which client is at greatest risk for developing hypertension?
  1. Mr. Lincoln, a 52-year-old Caucasian with a family history of hypertension and heart disease
  2. Mrs. Franklin, a 50-year-old African-American who is 24 pounds overweight
  3. Mr. Bush, a 52-year-old African-American who smokes cigarettes
  4. Mr. Carter, a 67-year-old Caucasian with diabetes
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