Medsurg 1

Question 1

Elastic stockings should be worn on ___

Answer 1

both legs

Question 2

The normal partial pressure of oxygen in arterial blood is ___ (plus or minus 5 mm Hg).

Answer 2

95 mm Hg

Question 3

A patient who has a pressure ulcer should consume a ____ unless contraindicated.

Answer 3

high-protein, high-calorie diet

Question 4

The ___ is used to assess tissue damage in myocardial infarction.

Answer 4

CK-MB isoenzyme level

Question 5

A patient who is experiencing ___ may report nausea, vomiting, diplopia, blurred vision, light flashes, and yellow-green halos around images.

Answer 5

digoxin toxicity

Question 6

In ___ , the body temperature varies over a 24-hour period, but remains elevated.

Answer 6

remittent fever

Question 7

Risk of a fat embolism is greatest in the first 48 hours after the fracture of a long bone. It’s manifested by ___

Answer 7

respiratory distress.

Question 8

To help venous blood return in a patient who is in shock, the nurse should elevate the patient’s legs no more than 45 degrees. This procedure is ___

Answer 8

contraindicated in a patient with a head injury.

Question 9

The ___ is the difference between the apical and radial pulse rates, when taken simultaneously by two nurses

Answer 9

pulse deficit

Question 10

A positive Kernig’s sign, seen in ___ , occurs when an attempt to flex the hip of a recumbent patient causes painful spasms of the hamstring muscle and resistance to further extension of the leg at the knee

Answer 10

meningitis

Question 11

___ is surgical removal of the herniated portion of an intervertebral disk

Answer 11

Laminectomy

Question 12

___ is forced exhalation against a closed glottis, as when taking a deep breath, blowing air out or bearing down.

Answer 12

Valsalva’s maneuver

Question 13

___ is the drug of choice for reducing premature ventricular contractions.

Answer 13

Lidocaine (Xylocaine)

Question 14

During a myocardial infarction, the ___ usually sustains the greatest damage

Answer 14

left ventricle

Question 15

The pain of a myocardial infarction results from myocardial ischemia caused by ___.

Answer 15

anoxia

Question 16

For a patient in cardiac arrest, the first priority is to ___

Answer 16

establish an airway.

Question 17

The ___ is clutching the hand to the throat.

Answer 17

universal sign for choking

Question 18

A positive tuberculin skin test is an induration of ___ at the injection site.

Answer 18

10 mm or more

Question 19

The signs and symptoms of ____ , a chronic systemic fungal infection, resemble those of tuberculosis.

Answer 19

histoplasmosis

Question 20

In burn victims, the leading cause of death is respiratory compromise. The second leading cause is ___

Answer 20

infection

Question 21

A patient who has hepatitis A (infectious hepatitis) should consume a diet that’s moderately high in fat and high in carbohydrate and protein, and should eat the largest meal in the ___

Answer 21

morning

Question 22

Esophageal balloon tamponade shouldn’t be inflated ___

Answer 22

greater than 20 mm Hg

Question 23

___ by the pituitary gland can cause galactorrhea (excessive or abnormal lactation) and amenorrhea (absence of menstruation).

Answer 23

Overproduction of prolactin

Question 24

___ (pain during ambulation or other movement that’s relieved with rest) is a classic symptom of arterial insufficiency in the leg.

Answer 24

Intermittent claudication

Question 25

In bladder carcinoma, the most common finding is gross, ___

Answer 25

painless hematuria.

Question 26

____ of heparin sodium is contraindicated in patients with renal or liver disease, GI bleeding, or recent surgery or trauma; in pregnant patients; and in women older than age 60

Answer 26

Parenteral administration

Question 27

During cardiac arrest, if an IV route is unavailable, epinephrine can be administered ___.

Answer 27

endotracheally

Question 28

A patient who is receiving digoxin (Lanoxin)____ preparation because of the increased risk of digoxin toxicity. Concomitant use may affect cardiac contractility and lead to arrhythmias.

Answer 28

shouldn’t receive a calcium

Question 29

Intermittent positive-pressure breathing is inflation of the lung during inspiration with compressed air or oxygen. The goal of this inflation is to ___.

Answer 29

keep the lung open

Question 30

___ results from excessive plantar flexion and is usually a complication of prolonged bed rest.

Answer 30

Footdrop

Question 31

___ is medication that should be ready for immediate administration when the call to administer it’s received.

Answer 31

On-call medication

Question 32

If gagging, nausea, or vomiting occurs when an airway is removed, the nurse should place the patient in a ____ with the upper arm supported on a pillow.

Answer 32

lateral position

Question 33

___ is caused by hypofunction of the adrenal gland and is characterized by fatigue, anemia, weight loss, and bronze skin pigmentation. Without cortisol replacement therapy, it’s usually fatal.

Answer 33

Addison’s disease

Question 34

Glaucoma is managed conservatively with ___ such as timolol (Timoptic), which decrease sympathetic impulses to the eye, and with miotic eyedrops such as pilocarpine (Isopto Carpine), which constrict the pupils.

Answer 34

beta-adrenergic blockers

Question 35

___ effectively treat glaucoma by reducing intraocular pressure. They do this by constricting the pupil, contracting the ciliary muscles, opening the anterior chamber angle, and increasing the outflow of aqueous humor.

Answer 35

Miotics

Question 36

While a patient is receiving heparin, the nurse should monitor the ___

Answer 36

partial thromboplastin time.

Question 37

Urinary frequency incontinence, or both can occur after ___ removal. Incontinence may be manifested as dribbling.

Answer 37

catheter

Question 38

When teaching a patient about colostomy care, the nurse should instruct the patient to hang the irrigation reservoir ____ above the stoma, insert the catheter 2” to 4” (5 to 10 cm) into the stoma, irrigate the stoma with 17 to 34 oz (503 to 1,005 ml) of water at a temperature of 105° to 110° F (40° to 43° C) once a day, clean the area around the stoma with soap and water before applying a new bag, and use a protective skin covering, such as a Stomahesive wafer, karaya paste, or karaya ring around the stoma.

Answer 38

18” to 22” (45 to 55 cm)

Question 39

The first sign of ___ is painless, superficial lymphadenopathy, typically found under one arm or on one side of the neck in the cervical chain

Answer 39

Hodgkin’s disease

Question 40

A patient who has a gastric ulcer is most likely to report ___

Answer 40

pain during or after eating.

Question 41

To prevent external rotation in a patient who has had hip nailing, the nurse places ___ from the knee to the ankle of the affected leg.

Answer 41

Trochanter rolls

Question 42

The presenting sign of pleuritis is ____ that is usually unilateral and related to respiratory movement.

Answer 42

chest pain