MSNCB Medical-Surgical Nursing Exam Prep - Question List

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26. Following a thyroid scan with radioactive iodine for a thyroid nodule, the nurse should plan for:
  1. No special radiation precautions
  2. Full radiation precautions to be instituted, including segregating the client in a private room
  3. Radiation precautions that are limited to urine and feces
  4. Full radiation precautions to be instituted for 8 hours (the half-life of radioactive iodine)
27. Following gastrectomy, the nurse must observe for signs of pernicious anemia because:
  1. The extrinsic factor is produced in the stomach
  2. The extrinsic factor is absorbed in the antral portion of the stomach
  3. The intrinsic factor is produced in the stomach
  4. Decreased hydrochloride acid production inhibits vitamin B12 reabsorption
28.

Marcia, 68 years old, presents to the gynecology clinic with complaints of painless vaginal bleeding. The nurse should be certain the client is tested for which of the following health problems?

  1. Ovarian cyst
  2. Cervical or uterine cancer
  3. Hormonal imbalances
  4. Endometriosis
29. The nurse prepares discharge instructions for Mayra, 27 years old, following cryosurgery for the treatment of a malignant skin lesion. Which of the following should the nurse include in the instructions?
  1. Avoid showering for 7 to 10 days.
  2. Apply ice to the site to prevent discomfort.
  3. Apply alcohol-soaked dressings twice a day.
  4. Clean the site with hydrogen peroxide to prevent infection.
30. The non-insulin-dependent diabetic who is obese is best controlled by weight loss because obesity:
  1. Reduces the number of insulin receptors
  2. Causes pancreatic islet cell exhaustion
  3. Reduces insulin binding at receptor sites
  4. Reduces pancreatic insulin production

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