Adult Medical-Surgical Nursing — Integrated Care practice questions

Question 1

The nurse is preparing an educational program on risk factors for the development of prostate cancer. Which information will the nurse include as being the greatest risk factor for developing prostate cancer?

Accepted Answer

Age

Answer

History of a vasectomy

Answer

Family history

Answer

A diet high in fat

Question 2

According to the CDC childhood vaccination schedule, when is the second dose of the Hepatitis B vaccine typically given to newborns?

Accepted Answer

2 months

Answer

birth (within 24 hours)

Answer

12 months

Answer

6 months

Question 3

A nurse is teaching a client about the pathophysiology of chronic obstructive pulmonary disease (COPD). Which statement best describes the pathophysiology of chronic obstructive pulmonary disease (COPD)?

Accepted Answer

Inflammation causes permanent narrowing of the airways and destruction of alveoli

Answer

The immune system attacks the lungs, causing autoimmune inflammation

Answer

Airways become hyperresponsive and produce excessive mucus only during infections

Answer

Lung tissue becomes scarred, primarily affecting oxygen diffusion

Question 4

A nurse is reviewing discharge instructions with a client who is prescribed metformin for type 2 diabetes. Which statement by the nurse addresses the medication's black box warning?

Accepted Answer

"You should report signs of lactic acidosis, especially in patients with renal impairment"

Answer

"Clients taking this medication have an increased risk of heart failure"

Answer

"There is an increased risk of hypoglycemia in all patients taking this medication"

Answer

"There is a risk of severe pancreatitis and hypertension"

Question 5

A nurse is reviewing laboratory results for a client receiving doxorubicin for treatment of breast cancer. Which finding requires immediate follow-up by the nurse?

Accepted Answer

Severe myelosuppression

Answer

Profound alopecia

Answer

Nausea and vomiting

Answer

Paralytic ileus

Question 6

A nurse prepares to administer naloxone to an unresponsive client with respiratory depression following morphine administration. When documenting the medication's classification, how should the nurse describe naloxone?

Accepted Answer

Opioid antagonist

Answer

Opioid agonist

Answer

Non-opioid analgesic

Answer

Sedative-hypnotic agent

Question 7

A nurse is assessing a group of clients scheduled for elective surgery later today. Which findings require follow-up before the client proceeds to the operating room? A client scheduled for..... Select all that apply.

Accepted Answer

hernia repair who mentions that a sibling was placed on a special cooling blanket and given emergency medication during surgery several years ago.

Accepted Answer

cholecystectomy whose preoperative blood glucose is 287 mg/dL despite being NPO since midnight.

Accepted Answer

hysterectomy who reports cloudy, foul-smelling urine and pelvic discomfort since yesterday.

Answer

cataract surgery who reports feeling nervous and asks how long the procedure will take.

Answer

knee replacement who took their morning metoprolol with a small sip of water as instructed by their cardiologist

Question 8

A nurse is caring for a postoperative day one client following abdominal surgery who is grimacing, guarding their abdomen, and refusing to ambulate. The client rates their pain as 8/10. The nurse has completed the assessment and is now developing the plan of care. Which planned outcome best reflects appropriate…

Accepted Answer

The client will report a pain level of 3/10 or less within 60 minutes of analgesic administration, allowing participation in ambulation.

Answer

The client will demonstrate use of the incentive spirometer independently by discharge.

Answer

The nurse will administer the prescribed analgesic and reposition the client to a position of comfort within the next 30 minutes.

Answer

The client will verbalize understanding of the importance of ambulation for postoperative recovery by end of shift.

Question 9

A nurse is planning care for a client with early-stage Alzheimer's disease who is experiencing short-term memory loss. Which goal is most appropriate?

Accepted Answer

A memory aid will be used to support daily routine

Answer

The nurse will observe the client complete all ADLs within 48 hours

Answer

All forgetfulness will be eliminated through cognitive therapy

Answer

The client will recall all past events by the end of the shift

Question 10

Which diagnostic technique is used to confirm the location and extent of cataracts?

Accepted Answer

Identifying patient history consistent with risk of cataracts and examining the eye while dilated

Answer

Using tonometry to indirectly measure intraocular pressure

Answer

Revealing a dark area instead of the red reflex through ophthalmoscopy

Answer

Visually inspecting the optic fundus using an ophthalmoscope

Adult Medical-Surgical Nursing — Integrated Care practice questions

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