COMBO Med Surg Proctor Review

Question 1

Assess for bleeding, hematoma & peripheral perfusion after a client undergoes percutaneous transluminal angioplasty.(35)

Accepted Answer

True

Question 2

Prone position will help the asthmatic client to maximize ventilation. (Chp. 21)

Accepted Answer

False

Question 3

A client is scheduled for a Ct scan with contrast media. Which assessments should be completed before the test? ch.3

Accepted Answer

Allergies to shellfish or iodine, BUN/ Creatinine level

Question 4

The nurse should identify which of the following variables as modifiable? Ch. 1

Accepted Answer

BMI, Smoking, Hypertension

Question 5

A client had a below-the-elbow amputation. Which of the following actions should the nurse take?

Accepted Answer

Palpate residual limb for warmth., Inspect for presence and amount of drainage, Assess for feelings of body image changes.

Question 6

A nurse is preparing to initiate dialysis for a client who has a ESRD. Which actions should the nurse take? Ch 57

Accepted Answer

Measure the client’s weight., Assess the AV fistula for a bruit

Question 7

chp 21 - Manifestations of asthma include everything EXCEPT:

Accepted Answer

irreversible airway obstruction

Question 8

Which of the following is the most common manifestation of pneumonia in older clients? (chp 20)

Accepted Answer

confusion

Question 9

What diet should cardiac patients be on? (36)

Accepted Answer

Low salt, low fat, low cholesterol

Question 10

A patient with HX of endocarditis may need antibiotic prophylaxis before surgery, including dental procedures. (Chp 34)

Accepted Answer

True

Question 11

Which of the following actions should the nurse plan to carry during the code for a client in asystole? Ch. 2

Accepted Answer

Administer Epinephrine

Question 12

Clients taking ethambutal for TB infection should be aware of which potential adverse affect?

Accepted Answer

changes in vision

Question 13

A nurse instructing a client on how to perform pursed‑lip breathing. Which statement should the nurse include? Chp 22

Accepted Answer

“Take a deep breath in through your nose.”

Question 14

Which of the following interventions should the nurse include to prevent postoperative atelectasis? Ch.96

Accepted Answer

Reposition the client every 2 hr., teach to splint incision, cough and use incentive spirometer every 2 hr., Assist with early ambulation.

Question 15

Drinking alcohol while taking isoniazid can increase the risk for hepatotoxicity. (Chp 23)

Accepted Answer

True

Question 16

A cancer client reports an increase in pain after taking morphin PO BID x 2 months. What kind of pain is this? ch. 4

Accepted Answer

Breakthrough pain

Question 17

What can help a client with peripheral vascular disease avoid vasoconstriction? (Chp 35)

Accepted Answer

Quitting smoking / tobacco

Question 18

Which would recieve a higher GCS score? ch.3

Accepted Answer

Eye opening occurs spontaneously

Question 19

Which problems are associated wiht parkinsons disease? ch. 7

Accepted Answer

swallowing difficulty/ drooling, poor appetite, muscle ridgidity

Question 20

What is true regarding the spread of infection in pneumonia patients? chp 20

Accepted Answer

avoided crowded areas

Question 21

Which should be monitored when administering pain medications? ch. 4

Accepted Answer

Medication effectiveness, Respiratiry depression, Sedation

Question 22

Select the correct Strategies to reduce migraine headaches Ch. 11

Accepted Answer

Cool, dark queit environment, Avoid triggers, Get adequate rest

Question 23

Which should be included in the care plan for a patient who has a brain tumor? Ch.9

Accepted Answer

Fall precautions, Increased ICP precautions, Seizure precautions

Question 24

A nurse is caring for a client with heart failure,new prescriptions for furosemide & digoxin.What should they teach?SATA

Accepted Answer

Decrease intake of sodium, Daily weights

Question 25

After a broncospy or and intubation /camera procedure which is a safe nursing action? Ch. 17

Accepted Answer

Keep NPO until gag reflex refturns

Question 26

What is multiple sclerosis? Ch.10

Accepted Answer

Neurologic disease that results in impaired function of VOLUNTARY muscles

Question 27

How is ICP monitored? ch. 3

Accepted Answer

a device is inserted into the cranial cavity that records pressure

Question 28

Which dx test shows the presence of an active TB infection? (chp 23)

Accepted Answer

QuantiFERON‑TB Gold or Chest X-ray

Question 29

Left‑sided valve damage can increase pulmonaryartery pressure, cause left ventricular hypertrophy, and lower CO (chp33)

Accepted Answer

True

Question 30

Which of the following should the nurse monitor when the client is taking loop or thiazide diuretics? (Chp. 32)

Accepted Answer

potassium

Question 31

After a mastectomy a pt reports decreased sexual desire, then states "my body is different now". What should the RN say

Accepted Answer

"I'm interested in finding out more about how your body feels to you"

Question 32

Choose the correct statement . ch. 4

Accepted Answer

Pain is whatever the client says it is

Question 33

We should teach our clients to report a cough, which is an adverse effect of ACE inhibitors (36)

Accepted Answer

True

Question 34

Which true regarding antiepileptic drugs such as phenytoin, valproic acid, phenobarbital, and carbamezapine? ch. 6

Accepted Answer

They should not be stopped abruptly, The client will need routine medication level labs monitoring, They can cause sedation

Question 35

Which vaccines should older adults receive if they have not been immunized before? Ch. 85

Accepted Answer

InfluenzA, varicella, pneumoccocal, COVID vacine

Question 36

Select all of the indications for a bronchoscopy? Ch 17

Accepted Answer

Biopsy, Remove small lung tunors, Remove secretions

Question 37

Which are true about lumbar punctures ch. 3

Accepted Answer

a small amount of CSF is withdrawn from the spinal canal, Client should remain laying for several hours after procedure

Question 38

A client can recieve pharmacologic pain interventions and nonpharmacologic pain interventions at the same time. ch. 4

Accepted Answer

True

Question 39

Find the INCORRECT statement regarding chronic obstructive pulmonary disease (COPD).

Accepted Answer

typically affects teens to young adults

Question 40

Which would recieve the lowest GCS score? ch. 3

Accepted Answer

Decorticate posture

Question 41

Which should be done during a siezure ch 6

Accepted Answer

prepare to suction client, protect client's privacy, document onset and duration

Question 42

Which are non pharmacologic pain treatments that can help decrease the amount of pain meds a client needs? ch. 4

Accepted Answer

meditation, distraction, herbs/oils, Yoga

Question 43

What is a heart murmur? (chp 33)

Accepted Answer

the sound heard with turbulent blood flow

Question 44

Pneumonia is a complication of influenza. (Chp 20)

Accepted Answer

True

Question 45

Chp. 20 - Which of the following is a major contributing factor in the development of pneumonia?

Accepted Answer

Immobility

Question 46

What information should th nurse include aboutnon-pharmm options to a who has osteoarthritis? ch.72

Accepted Answer

Apply thermal therapies (heat or cold)., Use transcutaneous electrical nerve stimulation (TENS), Provide nutritional information on weight loss.

Question 47

Which should be included in care for a client after a head-on motor vehicle crash who is alert & oriented? Ch. 14

Accepted Answer

Report any decrease in consciousness, Keep neck stabilized

Question 48

What labs do we use to monitor the effectiveness of warfarin? (35)

Accepted Answer

PT & INR

Question 49

A patient who has a ICP monitoring device in place is at risk for infection ch. 3

Accepted Answer

True

Question 50

Clients with epilepsy are not allowed to drive in some states ch. 6

Accepted Answer

True

Question 51

A client is returning to a cardiac floor after a femoral angiography. Which should the nurse complete? Ch. 3

Accepted Answer

Apply pressure to the artery sight if bleeding is noted., Assess pedal pulses.

Question 52

Correct nursing actions for multiple sclerosis Ch. 10

Accepted Answer

Teach self catheterization, Collaborate/ consult with PT/OT, Assess swallowing, and speech pattern

Question 53

Tuberculosis is transmitted via droplets. (chp 23)

Accepted Answer

False

Question 54

What is a sign of a DVT? (35)

Accepted Answer

sudden onset of edema to an extremity

Question 55

A nurse is planning post care for aclient who received hemodialysis. Which interventions should the nurse include? ch57

Accepted Answer

Assess the access site for bleeding., Observe for findings of hypovolemia, Check BUN and blood creatinine.

Question 56

Who performs arterial puncture for ABG in most hospital settings? Ch. 17

Accepted Answer

Respiratory therapist

Question 57

Which are appropriate in caring for a patient with meningitis ch.5

Accepted Answer

Avoid coughing/ keep head at 30 degrees or above, Droplet precautions

Question 58

What are NSAIDS used for? (Chp 34)

Accepted Answer

Treat fever and pain with pericarditis

Question 59

Alzheimer's disease ONLY affects the mind. Ch. 8

Accepted Answer

False

Question 60

Which are true about MRI's? ch.3

Accepted Answer

Approved equipment can be used to perform a MRI on someone on a ventilator, MRI's should not be done on client's with metal in their body, Some clients have claustrophobia during MRI exams

Question 61

Which are appropriate teaching points for a stroke patient? Ch. 15

Accepted Answer

Sit upright and flex chin towards chest when swallowing, Dress the paralyzed side first

COMBO Med Surg Proctor Review

Questions 61

COMBO Med Surg Proctor Review

Questions 61