MSNCB Medical-Surgical Nursing Exam Prep - Question List

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11.

Situation: Jenny, 43 years old, has consulted her family physician because she has been experiencing chest pains, intolerance to heat, nervousness, dizziness, frequent headaches, and palpitations during the past three months. The doctor diagnosed her with pheochromocytoma. The most important assessment that the nurse should carry out with regards to Jenny's condition is:

  1. Urine output
  2. Blood pressure
  3. Respiratory rate
  4. Temperature
12. Arnold Swanson, who had a myocardial infarction 2 days ago, has been complaining to the nurse about issues related to his hospital stay. The best initial nursing response would be to:
  1. Allow him to release his feelings and then leave him alone to allow him to regain his composure.
  2. Refocus the conversation on his fears, frustrations, and anger about his condition.
  3. Explain how his being upset dangerously disturbs his need for rest.
  4. Attempt to explain the purpose of different hospital routines.
13. The client is admitted with metabolic acidosis secondary to diabetic ketoacidosis (DKA). Understanding metabolic acidosis, the nurse should choose which of the following as the priority nursing diagnosis?
  1. Decreased urinary elimination related to reduced output and muscle function.
  2. Decreased cardiac output related to fluid and electrolyte imbalance.
  3. Ineffective breathing pattern related to hyperventilation.
  4. Anxiety related to fears of long-term outcomes and discomfort.
14. A 45-year-old client with leg ulcers and arterial insufficiency is admitted to the hospital. The nurse understands that leg ulcers of this nature are usually caused by:
  1. Decreased arterial blood flow secondary to vasoconstriction
  2. Decreased arterial blood flow leading to hyperemia
  3. Atherosclerotic obstruction of arteries
  4. Trauma to the lower extremities
15.

After surgery, Gina returns from the Post-anesthesia Care Unit (Recovery Room) with a nasogastric tube in place following a gall bladder surgery. She continues to complain of nausea. Which action would the nurse take?

  1. Call the physician immediately
  2. Administer the prescribed antiemetic
  3. Check the patency of the nasogastric tube for any obstruction
  4. Change the patient's position

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