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Exam Review

Med Surg 2 Exam (ICHS)

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Total Questions : 80

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Question 1:

While working in the outpatient clinic, the nurse notes that the client has a history of intermittent claudication. Which statement by the client would support this information?

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Question 2:

The nurse is assessing a client who has been admitted to the intensive care unit (ICU) with hypertensive emergency. Which of the following is most important to report to the healthcare provider?

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Question 3:

Which information about continuous bladder irrigation will the nurse teach to a client who is being admitted for a transurethral resection of the prostate (TURP)?

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Question 4:

A client admitted to a medical - surgical unit has a CBC with differential drawn. Lab results show a WBC count of 4000, with neutrophil segments at 5% and neutrophil bands at 5%. Based on these values what would the nurse do? Calculate the absolute neutrophil count

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Question 5:

75-year-old who lives alone, is admitted to the hospital because of weakness and confusion.

Physical Examination

Confusion, slow to respond to questioning, generalized weakness, decreased skin turgor, dry mucous membranes, peripheral pulses weak.

Vitals: T: 101 F, BP 90/62, HR 120 bpm and irregular, RR 24, Sp02 89% on room air.

Central Venous Pressure (CVP): 1 mmHg

Pulmonary Arterial Wedge Pressure (PAWP): 2 mmHg.

Test Name

Results

Reference Range

WBC

12, 000

4, 000- 11, 000

Na+

149 mEq/L

135-145 mEq/L

K+

5.0 mEq/L

3.5- 5.0 mEq/L

Cl-

110 mEq/L

96-106 mEq/L

pH

7.34

7.35-7.45

PaCO2

34 mmHg

35- 45 mmHg

PaO2

78 mm Hg

80-100 mmHg

HCO3

21 mEq/L

22- 26 mEq/L

What order by the health care provider should the nurse question?

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Question 6:

A client who has tested positive for the human immunodeficiency virus (HIV) antibodies is admitted to the hospital with Pneumocystis Jiroveci Pneumonia (PCP) and a CD4+ T - Cell count of less than 200 cells/ ul. Based on the diagnostic criteria established by the Centers of Disease Control and Prevention (CDC), which statement by the nurse is correct?

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Question 7:

A client who has been anticoagulated with warfarin (Coumadin) has been admitted for gastrointestinal bleeding. The history and physical examination indicates that the client may have been taken too much warfarin. The nurse anticipates that client will receive which antidote?

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Question 8:

A 36-yr-old client who has a diagnosis of fibrocystic breast changes calls the nurse in the clinic reporting symptoms. Which information is likely to change the treatment plan?

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Question 9:

The nurse taking a focused health history for a client with possible testicular cancer will ask the client about a history of

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Question 10:

After receiving change-of-shift report, which client should the nurse assess first?

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