Practice Quiz

MSNCB Medical-Surgical Nursing Exam Prep - Question List

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36.

The physician has ordered a 24-hour urine specimen collection. After explaining the procedure to the client, the nurse collects the first specimen. She is doing the right thing if she ________.

  1. Discards the first specimen, and then starts the collection
  2. Saves this specimen as part of the 24-hour collection
  3. Tests the specimen, and then discards it
  4. Places this specimen in a separate container and later adds to the collection
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37.

Which of the following findings in a client awaiting abdominal aortic aneurysm repair would you report immediately to the physician?

  1. Severe back pain
  2. Swelling of the arms and face
  3. Increased blue areas of the feet
  4. Hoarseness or difficulty swallowing
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38.

Forty-eight hours after a nephrectomy, a client complains of increasing nausea and abdominal pressure. The nurse's first nursing action is to:

  1. Change the client's position to relieve abdominal pressure
  2. Auscultate bowel sounds
  3. Insert a rectal tube to relieve flatus
  4. Administer morphine SO4, 6 mg, as ordered for the relief of discomfort
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39. Mr. Gregory, a 55-year-old tailor, is admitted to the hospital complaining of difficulty holding objects. He states that his condition progressively worsened. Based on the initial examination, the physician suspects Amyotrophic Lateral Sclerosis (ALS). The nurse is aware that characteristics of ALS are the following except:
  1. Loss of bowel and urine control
  2. Uncontrolled outburst of crying
  3. Aphagia and dysartria
  4. Fasciculation of the involved muscles
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40. Romeo Diaz, age 78, is admitted to the hospital with the diagnosis of benign prostatic hyperplasia (BPH). He is scheduled for a transurethral resection of the prostate (TURP). It would be inappropriate to include which of the following points in the preoperative teaching?
  1. TURP is the most common operation for BPH.
  2. Explain the purpose and function of a two-way irrigation system
  3. Expect bloody urine, which will clear as healing takes place
  4. He will be pain free.
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