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Medical-surgical Nursing quiz: nclex | Practice MCQ #mcq.ImBooz

January 29, 2020 by Dr. IM Leave a Comment

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1 >>Treatment of the patient with appendicitis includes: ?

  • (A) transfusion to replace blood loss.
  • (B) bowel prep for cleansing.
  • (C) surgical removal of appendix.
  • (D) medications to lower pH within stomach.

2 >>Mary, who is diagnosed with osteomyelitis, may not heal properly unless she has: ?

  • (A) debridement and drainage of the area.
  • (B) immobilization of the area.
  • (C) ice packs alternating with moist heat, applied externally.
  • (D) internal fixation device inserted.

3 >>A patient who is preparing for surgery asks the nurse why his physician took him off his oral hypoglycemic and placed him on sliding-scale insulin. Which response by the nurse is best? ?

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  • (A) “It helps us maintain better control of your blood glucose during surgery. You will most likely be back on your pills before you go home.”
  • (B) “The stress of surgery often exacerbates diabetes. We will teach you how to give insulin before you go home.”
  • (C) “Oral hypoglycemics are ineffective during times of stress. Insulin is the only way to keep your blood glucose under control.”
  • (D) “The oral agents must not be controlling your blood glucose any longer. I will check and see which insulin you will be going home on.”

4 >>Joan is diagnosed with a ruptured aneurysm. She wonders why this wasn’t picked up in her annual physicial. You respond by saying: ?

  • (A) The physician must have misread the x-ray.
  • (B) The aneurysm must have developed since the physical.
  • (C) Aneurysms are often asymptomatic.
  • (D) Don’t be too concerned because this happens all the time.

5 >>Tom reports abdominal pain that started over the periumbilical area and moved to the right lower quadrant area. Tom probably has: ?

  • (A) Crohn’s disease.
  • (B) cholecystitis.
  • (C) appendicitis.
  • (D) diverticulitis.

6 >>Sue is diagnosed with congestive heart failure. What medication would you expect to administer to strengthen myocardial contractility? ?

  • (A) Nitroprusside.
  • (B) Digoxin.
  • (C) Nitroglycerine ointment.
  • (D) Furosemide.

7 >>Gregory has gastrointestinal bleeding and is experiencing hematochezia. You recognize this as: ?

  • (A) vomiting of bright red or maroon blood.
  • (B) passage of black, tarry stool.
  • (C) passage of red or maroon-colored stool.
  • (D) coffee ground emesis.

8 >>Tim presents with an acute episode of gout. You expect the physician to prescribe: ?

  • (A) nonsteroidal anti-inflammatory medications and colchicine.
  • (B) allopurinol and aspirin.
  • (C) antibiotics and acetaminophen.
  • (D) bisphosphonates and calcium.

9 >>Sam is diagnosed with having a myocardial infarction after experiencing chest pain and pain radiating to his arms, jaw, and back. He asks what a myocardial infarction is. You respond by saying: ?

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  • (A) You had a heart attack.
  • (B) Your aortic valve was malformed at birth, causing a disruption in blood flow.
  • (C) All patients who are as overweight as you will have a heart attack
  • (D) One or more arteries that supply blood to your heart are blocked, thereby preventing blood from flowing to your cardiac muscles.

10 >>John presents with bronchitis. He thinks that he might have chronic bronchitis and asks you to explain the difference between them. You respond by saying: ?

  • (A) Acute bronchitis lasts for three consecutive months and is reversible.
  • (B) Acute bronchitis lasts seven to ten days.
  • (C) Chronic bronchitis lasts three consecutive months in two consecutive years. This results in a blockage of the airways which cannot be reversed. Acute bronchitis is caused by a viral or bacterial infection and lasts about ten days. Blockage of the airways is reversible in acute bronchitis.
  • (D) I’ll ask your physician to explain the differences during his rounds.

11 >>The first priority to care for the patient with a new fracture includes assessing: ?

  • (A) respiratory rate and effort, as well as pulse.
  • (B) the fracture site for bleeding.
  • (C) for signs of infection at the wound site of an open fracture.
  • (D) for circulation and sensation distal to the fracture site.

12 >>Mary is diagnosed with gastroesophageal reflux disease. You need to teach Mary to: ?

  • (A) avoid coffee, tea, and other caffeine-containing beverages.
  • (B) take histamine 2 blockers, such as ranitidine, as directed.
  • (C) avoid acidic foods such as citrus or tomato.
  • (D) all of the above.

13 >>Mary is diagnosed with a brain tumor and is unable to speak. Where is the tumor probably located? ?

  • (A) Occipital Lobe.
  • (B) Cerebellum.
  • (C) Frontal Lobe.
  • (D) Parietal Lobe.

14 >>Bob reports chest pains when performing strenuous work. The pain goes away when he sits. What is he likely to be experiencing? ?

  • (A) Indigestion.
  • (B) Stable angina.
  • (C) Unstable angina.
  • (D) Prinzmetal’s angina.

15 >>A patient with a history of pulmonary embolism asks how to lower the risk of experiencing another pulmonary embolism. You respond by saying: ?

  • (A) Take vitamin K with heparin.
  • (B) Avoid confined spaces.
  • (C) Avoid sitting and standing for too long and don’t cross your legs.
  • (D) Jog five miles each day.

16 >>For which of the following blood glucose results would the nurse administer a fast sugar? ?

  • (A) 48
  • (B) 80
  • (C) 126
  • (D) 223

17 >>Tom arrives in the ER and is unable to move his legs as a result of an automobile accident that occurred 30 minutes ago. You respond by saying: ?

  • (A) Swelling due to the initial trauma prevents you from moving your legs.
  • (B) There are good rehabilitation centers that will help restore sensation to your legs.
  • (C) Swelling due to the initial trauma may make the injury seem move severe than it actually is. A more accurate assessment will be made once the swelling goes down.
  • (D) You should have been wearing your seatbelt.

18 >>An inflammatory bowel disorder in which the patient develops abdominal pain, bloody diarrhea, tenesmus (feeling of incomplete defecation), and weight loss is: ?

  • (A) Crohn’s disease.
  • (B) diverticulitis.
  • (C) ulcerative colitis.
  • (D) appendicitis.

19 >>Tom has Guillain-Barr syndrome and asks what causes his burning, prickling feeling. You respond by saying: ?

  • (A) You are lying too long on the affected side.
  • (B) This is in response to your medication.
  • (C) The myelin cover of the nerve endings is absent.
  • (D) This is secondary to dysphagia.

20 >>Anne asks how she developed iron deficiency anemia. You respond by saying: ?

  • (A) insomnia.
  • (B) an increase in iron intake.
  • (C) heavy menses or an inadequate intake of iron.
  • (D) low salt intake.

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Filed Under: Competitive Exam Quiz Tagged With: Basic Medical-surgical Nursing objective question, general knowledge quiz, Medical-surgical Nursing Question answers, Medical-surgical Nursing questions MCQs with answers, Medical-surgical Nursing Quiz, Medical-surgical Nursingquiz game, Multiple Choice Questions on Medical-surgical Nursing, NCLEX, NCLEX Medical-surgical Nursing quiz

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