Practice Quiz

MSNCB Medical-Surgical Nursing Exam Prep - Question List

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31. A client with multiple injuries following a vehicular accident is transferred to the critical care unit. He begins to complain of increased abdominal pain in the left upper quadrant. A ruptured spleen is diagnosed and he is scheduled for emergency splenectomy. In preparing the client for surgery, the nurse should emphasize in his teaching plan the:
  1. Complete safety of the procedure
  2. Expectation of postoperative bleeding
  3. Risk of the procedure with his other injuries
  4. Presence of abdominal drains for several days after surgery
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32.

Ana, 55 years old, is admitted to the hospital to rule out pernicious anemia. A Schilling test is ordered for Ana. The nurse recognizes that the primary purpose of the Schilling test is to determine the client's ability to:

  1. Store vitamin B12
  2. Digest vitamin B12
  3. Absorb vitamin B12
  4. Produce vitamin B12
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33.

Mikaela, 25 years old, is scheduled for a skin biopsy and asks the nurse how painful the procedure is. The appropriate response by the nurse is:

  1. "There is no pain associated with this procedure."
  2. "The local anesthetic may cause a burning or stinging sensation."
  3. "A preoperative medication will be given so you will be sleeping and will not feel any pain."
  4. "There is some pain, but the physician will prescribe an opioid analgesic following the procedure."
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34.

Kevin, 23 years old, was admitted for closed head injury following a motor vehicle accident. Which of the following interventions should the nurse plan that would minimize increased intracranial pressure?

  1. Maintain head of the bead at less than 10 degrees
  2. Group all nursing activities and leave the client undisturbed for 2 hours
  3. Maintain alignment of the head and neck
  4. Elevate the client's legs
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35. Ms. Margaret Shawn, a 45-year-old librarian, was ordered by her physician to undergo an oral cholecystography. Which nursing action is inappropriate in preparing Ms. Shawn for this procedure?
  1. Administering a fat-free diet the evening before the test
  2. Administering Telepaque (iopanoic acid) tablets in 5-minute intervals 1 hour after supper
  3. Administering at least 6 oz. of water with each Telepaque (iopanoic acid) tablet
  4. Allowing the client, after ingesting the tablets, to drink water until midnight, then NPO
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