Adv. med surg multiple choice

Question 1

The nurse is assessing the patency of an arteriovenous fistula and suspects
clotting in the fistula if which finding are noted? Select all that apply
A. presence of a thrill on palpation over the fistula
B. Absence of a bruit on auscultation over the fistula
C. Presence of a pulse in the extremity below the fistula
D. Complaints of tingling or discomfort in the extremity
E. Warm hand and fingers in the extremity in which the fistula is located.

Answer 1

B. Absence of a bruit on auscultation over the fistula
D. Complaints of tingling or discomfort in the extremity

Question 2

A nurse is planning care for a client with a chest tube attached to a Pleur-Evac
drainage system. The nurse includes which interventions in the plan? Select all that apply
A. Clamping the chest tube intermittently
B. Changing the client’s position frequently
C. Maintaining the collection chamber below the client’s waist
D. Adding water to the suction control chamber as it evaporates.
E. Taping the connection between the chest tube and the drainage
system.

Answer 2

B. Changing the client’s position frequently
C. Maintaining the collection chamber below the client’s waist
D. Adding water to the suction control chamber as it evaporates.
E. Taping the connection between the chest tube and the drainage
system.

Question 3

A client has a total serum calcium level of 7.5 mg/dl. Which clinical manifestations
would the nurse expect to note on assessment of the client? Select all
A. Constipation
B. Muscle twitches
C. Hypoactive bowel sounds
D. Hyperactive deep tendon reflexes
E. Positive Trousseau’s sign and positive Chvostek’s sign
F. Prolong ST interval and QT interval on ECG

Answer 3

B. Muscle twitches
D. Hyperactive deep tendon reflexes
E. Positive Trousseau’s sign and positive Chvostek’s sign
F. Prolong ST interval and QT interval on ECG

Question 4

The nurse is caring for a client diagnosed with ARDS who is on a ventilator.
Which interventions should the nurse implement. Select all
A. Assess the client’s level of consciousness
B. Monitor clients urine output
C. Perform passive range of motion exercise
D. maintain intravenous fluids as ordered
E. Place the client with the HOB flat

Answer 4

A. Assess the client’s level of consciousness
B. Monitor clients urine output
C. Perform passive range of motion exercise
D. maintain intravenous fluids as ordered