Supp Reviewers
Supp Reviewers
The nurse
should suspect:
MEDICAL-SURGICAL NURSING QUIZ A. Cushing’s syndrome
B. Adrenal crisis
- After a cerebrovascular accident, a 75 C. Diabetes mellitus
yrs. old client is admitted to the health D. Diabetes insipidus
care facility. The client has left-sided
weakness 10g/dl absent gag reflex. He’s - The nurse is providing post procedure
incontinent and has a tarry stool. His care for a client who underwent
blood pressure is 90/50 mmHg, and his percutaneous lithotripsy. In this
hemoglobin is 10 mg/dl. Which of the procedure, an ultrasonic probe inserted
following is a priority for this client? through a nephrostomy tube into the
A. Checking stools for occult blood renal pelvis generates ultra-high-
B. Performing range-of-motion exercises to frequency sound waves to shatter renal
the left side calculi The nurse should instruct the
C. Keeping skin clean and dry client to:
D. Elevating the head of the bed to 30 A. Limit oral fluid intake for 1 to 2 weeks
degrees B. Report the presence of fine, sand like
particles through the nephrostomy tube
- The nurse is caring for a client with a C. Notify the physician about cloudy or
colostomy. The client tells the nurse that foul-smelling urine
he makes small pin holes in the drainage D. Report bright pink urine within 24 hours
bag to help relieve gas. The nurse should after the procedure
teach him that this action.
A. Destroys the odor-proof seal - A client with a serum glucose level of 618
B. Won’t affect the colostomy system mg/dl is admitted to the facility He’s
C. Is appropriate for relieving the gas in a awake and oriented, has hot dry skin,
colostomy system and has the following vital signs:
D. Destroys the moisture barrier seal temperature of 100.6° F (381), heart rate
of 116 beats/minute, and blood pressure
- When assessing the client with celiac of 108/70 mmHg. Based on this
disease, the nurse can expect to find assessment findings, which nursing
which of the following? diagnosis takes the highest priority?
A. Steatorrhea A. Deficient fluid volume related to
B. Clay-colored stools osmotic diuresis
C. Jaundiced sclera B. Decreased cardiac output related to
D. Widened pulse pressure elevated heart rate
C. Imbalanced nutrition Less than body
- A client is hospitalized with a diagnosis of requirements related to insulin
chronic glomerulonephritis. The client deficiency
mentions that she likes salty foods. The D. Ineffective thermoregulation related to
nurse should warn her to avoid foods dehydration
containing sodium because:
A. Reducing sodium promotes urea - Capillary glucose monitoring is being
nitrogen excretion performed every 4 hours for a client
B. Reducing sodium improves her diagnosed with diabetic ketoacidosis.
glomerular filtration rate Insulin is administered using a scale of
C. Reducing sodium increases potassium regular insulin according to glucose
absorption results. At 2 pm, the client has a capillary
D. Reducing sodium decreases edema glucose level of 250 mg/dl for which he
receives 8 U of regular insulin. The nurse
- The nurse is caring for a client with a should expect the dose’s
cerebral injury that impaired his speech A. Onset to be at 2 pm and its peak at 3 p.m
and hearing. Most likely, the client has B. Onset to be at 2:15 p.m. and its peak at
experienced damage to the: 3 p.m.
A. Frontal lobe C. Onset to be at 2:30 p.m. and its peak at
B. Parietal lobe 4 p.m.
C. Occipital lobe D. Onset to be at 4 p.m. and its peak at 6
D. Temporal lobe p.m.
- The nurse is assessing a post craniotomy - A 52 yrs.-old female tells the nurse that
client and finds the urine output from a she has found a painless lump in her
catheter is 1500 ml for the 1st hour and right breast during her monthly self-
examination. Which assessment finding
would strongly suggest that this client’s B. Portal Hypertension
lump is cancerous? C. Pulmonary Hypertension
A. Eversion of the right nipple and a mobile D. Peptic Ulcers
mass
B. Nonmobile mass with irregular edges - A 49-yer-old clients was admitted for
C. Mobile mass that is oft and easily surgical repair of a Colles’ fracture. An
delineated external fixator was placed during
D. Nonpalpable right axillary lymph nodes surgery. The surgeon explains that this
method of repair:
- A client is scheduled to have a A. Has very low complication rate
descending colostomy. He’s very anxious B. Is less bothersome than a cast
and has many questions regarding the C. Maintains reduction and overall hand
surgical procedure, care of stoma, and function
lifestyle changes. It would be most D. Is best for older people
appropriate for the nurse to make a
referral to which member of the health - A client is hospitalized with a diagnosis of
care team? chronic renal failure. An arteriovenous
A. Social worker fistula was created in his left arm for
B. Registered dietician hemodialysis. When preparing the client
C. Occupational therapist for discharge, the nurse should reinforce
D. Enterostomal nurse therapist which dietary instruction?
A. Be sure to eat meat at every meal
- Ottorrhea and rhinorrhea are most B. Restrict your salt intake
commonly seen with which type of skull C. Monitor your fruit intake and eat plenty
fracture? of bananas
A. Basilar D. Drink plenty of fluids
B. Temporal
C. Occipital - The nurse is caring for a client who has
D. Parietal just had a modified radical mastectomy
with immediate reconstruction. She’s in
- A male client should be taught about her 30s and has two children. Although
testicular examinations: she’s worried about her future, she
A. When sexual activity starts seems to be adjusting well to her
B. After age 60 diagnosis. What should the nurse do to
C. After age 40 support her coping?
D. Before age 20 A. Tell the client’s spouse or partner to be
supportive while she recovers
- Before weaning a client from a ventilator, B. Encourage the client to proceed with the
which assessment parameter is most next phase of treatment
important for the nurse to review? C. Recommend that the client remain
A. Fluid intake for the last 24 hours cheerful for the sake of her children
B. Baseline arterial blood gas (ABG) levels D. Refer the client to the American Cancer
C. Prior outcomes of weaning Society’s Reach for Recovery program
D. Electrocardiogram (ECG) results or another support program
- The nurse is speaking to a group of - A 21-year-old male has been seen in the
women about early detection of breast clinic for a thickening in his right testicle.
cancer The average age of the women in The physician ordered a human
the group is 47 Following the American chorionic gonadotropin (HCG) level. The
Cancer Society (ACS) guidelines, the nurse’s explanation to the client should
nurse should recommend that the include the fact that:
women: A. The test will evaluate prostatic function
A. Perform breast self-examination B. The test was ordered to identify the site
annually of a possible infection
B. Have a mammogram annually C. The test was ordered because clients
C. Have a hormonal receptor assay who have testicular cancer has elevated
annually levels of HCG
D. Have a physician conduct a clinical D. The test was ordered to evaluate the
evaluation every 2 years testosterone level
- A teenage girl named Noona was - Ubel tells you “I am a worthless person
diagnosed with Anorexia. As a nurse with and I should be dead”. Your best nursing
Noona, what would be your initial response would be?
assessment? A. “Don’t say you are worthless; you are not
A. Desired Weight a worthless person”
B. Body Image B. “We are going to help you with your
C. Cause of behavior feelings”
D. Food she loves C. “What makes you feel you’re
worthless?”
- Sasuke is a psychiatric client in the Psych D. “What you say is not true”
Ward. He said “The baddies babies are
coming! I must train Sasuke is showing - Flamme has a history of short temper
neologism, what is your first response? and physical abuse becomes extremely
A. State that the client is saying had not violent and is admitted to the psychiatric
been understood and divert Sasukes service. At the time of admission, the
attention that is real client is extremely anxious. The nurse
B. Acknowledge that the word had some should:
special meaning to him A. Seclude him in his assigned room
C. Divert Sasuke’s attention to reality like B. Encourage him to play videogames
having Sakura as her wife C. Introduce him to the group of other
D. Interpret what the client means clients
D. Take him to his room and sit quietly
- A severely obese client named Choji tells with him
the nurse, “My therapist informed me
that I eat so much because I didn’t get - A client with expressive aphasia
any attention and love from my becomes frustrated and upset when
momshie. What does the therapist mean attempting to communicate with the
to say?”. Your best nursing response nurse. To help alleviate his frustration
would be? the nurse should:
A. You need to ask your therapist A. Anticipate the needs so that the client
B. Tell me more about you being obese does not have to ask for help
C. Tell me more what do you think about B. Face the client and speak loudly so that
what your therapist said the client can see and hear better
D. Just, tell me more C. Allow adequate time so that the client
does not have to respond under
- Boruto is brought to the hospital by his pressure
parents. When assessing Boruto, what D. Limit the client’s contact with others to
kind of parental behavior towards him limit frustration
should you suspect as child abuse?
A. Showing guilt - Stark is anxious. Which of the following
B. Acting more solicitous towards the child statement concerning the concepts of
C. No expression at all anxiety is not true?
D. Ignoring the child and doesn’t care A. Anxiety is a multidimensional concept
and is manifested as a somatic and
- You as a nurse suspects that Jiraya interpersonal in nature
suffered from depression due to B. Anxiety is an energy and as such cannot
Tsunade’s rejection of love. During initial be observed directly
assessment, as Jiraya’s Nurse, what do C. Anxiety occurs as a result of a thread to
you think are the signs and symptoms of a person’s selfhood, self-esteem and
depression? identify
A. Diarrhea and madness
D. Anxiety on any level is a destructive D. Valium
force and thus moves the organism to
change - A patient who was admitted yesterday
with an adjustment disorder and
- Luffy has been voluntarily admitted to depressed mood has not left his or her
the psychiatric institution because he room. The psychiatric-mental health
thinks he is “Not OK” After a week, he nurse’s most appropriate approach at
then decided to terminate all therapy meal time today is to respond:
because he thinks he is already “OK.” As A. I will bring your tray to your room, if it
his nurse, you will tell Luffy that: will make you feel comfortable
A. Being voluntarily admitted means that B. Where would you like to eat your meal?
he cannot leave the hospital until his C. You will feel better if you go to the dining
condition improves room and eat with others
B. Allow him to leave D. I will walk you to the dining room and sit
C. Contact the doctor with regards to the while you eat
client’s wishes and wait for the doctor’s
approval
D. Have the client sign a waiver freeing the PALMER QUIZ
hospital of responsibility that will
accompany his decision - It is a powerful process for thinking
about the ideal future, and motivating
- The appropriate therapeutic program to oneself, the group or organization to turn
help clients with obsessive compulsive vision of the future into reality
personality disorder is geared towards: A. Management
A. Gaining insight that the behavior is due B. Power
to unconscious and uncontrollable C. Leadership
impulses D. Goal Setting
B. Participate in activities that will require
her to deal with the conflicts - Nurse Michael notices that the Chief
C. Encourage the use of rituals to relieve Nurse has a charismatic leadership style.
the anxiety Which of the following behaviors best
D. Accept her rituals as much as possible describes this style?
A. Possesses inspirational quality that
- One morning, Reigna told the nurse that makes followers get attracted to him
she is the best nurse that ever cared for and regard him with reverence
her. Reigna also told the nurse how B. Acts as he does because he expects that
pretty she is with her white dress. The his behavior will yield positive results
best approach by the nurse with this kind C. Uses visioning as the core of his
of behavior is: leadership
A. Acceptance D. Matches his leadership style to the
B. Cognitive therapy situation at hand
C. Behavior therapy
D. Set Limits - The nursing student reads about the
Path-Goal theory. Which of the following
- Ronnie, a 30-year-old psychiatric client behaviors is manifested by the leader
was admitted due to schizophrenia. who uses this theory?
During the morning assessment, Ronnie A. Recognizes staff for going beyond
shouted “Did you know that I am the top expectations by giving them citations
salesman in the world? Different B. Challenges the staff to take individual
companies want me! As a nurse, you accountability for their own practice
know that this is an example of: C. Reprimanding staff for being laggards
A. Hallucination D. Reminds staff about the sanctions for
B. Confabulation non-performance
C. Flight of Ideas
D. Delusion - One leadership theory states that
“leaders are born and not made,” which
- Himmel is anxious. In treating a patient refers to which of the following theories?
diagnosed with severe level of anxiety A. Trait
disorder, you would expect that the drug B. Charismatic
that would tend to decrease the client’s C. Great Man
level of anxiety is: D. Situational
A. Elavil
B. Anafranil - The head nurse came across a theory
C. Clorazil that states that the leadership style is
effective depending on the situation. C. Relates to people according to their
Which of the following styles best fits a roles
situation when the followers are self- D. Interested in risk-taking and exploring
directed, experts, and mature? new ideas
A. Democratic
B. Authoritarian - This is a kind of influence where an
C. Laissez-faire individual makes another feel important
D. Bureaucratic or good making a request.
A. Blocking
- Chief Nurse Roy learns that some leaders B. Assertiveness
are transactional leaders. Which of the C. Sanction
following does not characterize a D. Ingratiation
transactional leader?
A. Focuses on management tasks - A nurse talks to the manager to make
B. Is a caretakers sure that other non-performing nurses
C. Uses trade-offs to meet goal would do their jobs in the nursing care
D. Inspires others with vision unit. This time of influence is?
A. Rationality
- The chief nurse finds out that some B. Coalition
managers have a benevolent- C. Exchange
authoritative style of management. D. Upward appeal
Which of the following behaviors will she
exhibit most likely? - According to John Maxwell in his “Levels
A. Have condescending trust and of Leadership”, the fourth level is?
confidence in their subordinates A. Production
B. Gives economic or ego awards B. Permission
C. Communicate Downward to the staff C. People Development
D. Allows decision-making among D. Personhood
subordinates
- This is the capacity to influence others
- It also means “doing the right thing”: through control over needed resources.
A. Efficient A. Influence
B. Effective B. Organizational Power
C. Power C. People Development
D. Authority D. Goal Setting