Medical Surgical Nursing Objective Quiz

Medical Surgical Nursing Objective Quiz


1. An adult has had a total laryngectomy. The nurse is discussing options for verbal communication with the client. Which statement indicates the client understands the available options for verbal communication?
(a) “Because of the arthritis in my hands, I think the voice button method would be easiest to use.”
(b) “By the time I leave the hospital, I will be able to talk.”
(c) “If I use the esophageal speech, my voice will be high pitched and soft.”
(d) “Using an artificial larynx will make me sound sort of monotone”.

2. The nurse is checking tuberculin skin test results at a health clinic. One client has an area of induration measuring 12 mm in diameter. What does this finding indicate?
(a) This finding is a normal reading.
(b) This finding indicates active TB.
(c) This is a positive reaction and can indicate exposure to TB.
(d) This client needs to come back in two more days and let the nurse look at the area of induration again.

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3. Theophylline ethylnediamide is administered to a client with COPD to _____
(a) Reduce bronchial secretions
(b) Relax bronchial smooth muscle
(c) Decrease alveolar elasticity
(d) Decrease ventilation-perfusion mismatch

4. The patient is asked to breathe his expired air through a reservoir bag. This type of intervention is prescribed for a client with _______
(a) Corpulmonale
(b) Pulmonary edema
(c) Atlectasis
(d) Alkalosis

5. ABG results shows – PH- 7.50, PaO2-80, PaCO2-50, Bi carbonate-30. This report suggestive of
(a) Compensated respiratory alkalosis
(b) Compensated respiratory acidosis
(c) Compensated metabolic acidosis
(d) Compensated metabolic alkalosis

6. The client is admitted in intensive care with following features – Potassium 6 mEq/L, peaked t waves in ECG and known history of Heart failure. What is the first prescription physician may order to correct electrolyte balance?
(a) 5mcg/kg/min Dopamine in NS
(b) Pottasium chloride in 5% DNS
(c) 12 units of insulin in 25% glucose
(d) Digoxin in 0.9% NS

7. Renin –Angiotensin-Aldosterone mechanism that occurs due to ________
(a) Heart block
(b) Hypertension
(c) Liver Failure
(d) Renal failure

8. The tendelenberg position increases ______. Thus, this position is used cautiously in patient who had MI with Shock.
(a) Preload
(b) Afterload
(c) Contractility
(d) Heart rate

9. The cardiac marker is most likely to be tested for a client who had a history of suspected Myocardial Ischemia 2 weeks back.
(a) CK-MB
(b) CK
(c) Myoglobin
(d) Troponin I

10. Roth Spots,Oscler Nodes,Splinter Hemmorrages are associated with _______
(a) Rhematic arthritis
(b) Osteoid Arthritis
(c) Corpulmonale
(d) Infective endocarditis

11. Which of the following measure would be most appropriate while caring skeletal traction patient for fracture femur?
(a) Maintaining client in supine position
(b) Removing weights temporarily while repositioning patient
(c) Inspect the pin site every 8 hours
(d) Maintaining foot in planter flexion

12. The plan of care for a client with hypertension taking propranolol would include__________
(a) Instruct the client to discontinue the drug if vomiting occurs
(b) Instruct the client to notify the physician of irregular and slow heart rate
(c) Monitor PTT every week
(d) Monitor BP and adjust the medication accordingly

13. The commonest side effect of Gentamycin is __________
(a) Ascitis
(b) Confusion
(c) Cardiac dysrhythmias
(d) Ototoxcity

14. Among the following, which one of the symptom is not typically associated with Peripheral Artery Disease?
(a) Cool Skin
(b) Decreased pulse or absence of pulse
(c) Ankle edema
(d) Intermittent claudication

15. Among the following, which nursing intervention would be most appropriate to promote circulation for a client with Peripheral Artery occlusive disease?
(a) Regular walking exercise
(b) Keep the extremities elevated slightly
(c) Warm compress
(d) Massage calf muscles if pain occurs

16. The triad of Symptoms –Drop in Blood Pressure, Increase in JVP and Muffled heart sounds are the clinical features of ____
(a) Cardiac Shock
(b) Cardiac tamponade
(c) Cardiac failure
(d) Aortic aneurysms

17. The type of intervention that nurse may use to treat the gangrene formation of a client who had open fracture with deeper wounds.
(a) Elevate the affected limb and dry heat application
(b) Wound care using only betadine and Normal saline
(c) Wound care using only KMNO4 and Normal saline
(d) Wound care using only H2O2 and Normal saline

18. Which one act as a “counter traction” when skeletal traction is applied at lower limb for Hip fracture?
(a) Patient body weight
(b) External Weights applied
(c) Pulley and wire
(d) Hip joint in which steinmann pin is applied

19. The fracture that occurred due to extreme ligament pull is called as _____
(a) Complex fracture
(b) Greenstick fracture
(c) Comminuted fracture
(d) Avulsion frature

20. The position that commonly advised to the client who had undergone Total Hip Replacement is
(a) Abduction of hip
(b) Adduction of hip
(c) Flexion of hip
(d) Extension of hip