KAPLAN MEDICAL SURGICAL INTEGRA TED TEST
2023-2024 ACTUAL EXAM 200 QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
A client just had an upper GI X-ray procedure. Which information is most important for the nurse to give the client?
- Save stool specimen after 48 hours
- Take a laxative after 72 hours if no stool
- Clear liquid diet only for 24 hours then a regular diet
- Drink large amounts of fluid for 72 hours - ANSWER- d. Drink large
amounts of fluid for 72 hours
A client experiences anaphylactic shock caused by a reaction to a medication. IV diphenhydramine is administered, and the client appears to be recovering. Which VS is the most important for the nurse to monitor for the next several hours?
- Respirations
- Blood pressure
- Pulse
- Temperature - ANSWER- a. Respirations
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A client with heart failure is to be weighed daily. The client asks why this is necessary. Which is the best information for the nurse to give the client?
- Helps determine if the medication is working
- Shows how activity affects activity intolerance
- Is an indication of the fluid status in the body
- Determines the number of calories for the diet - ANSWER- c. Is an
indication of the fluid status in the body
A client is diagnosed with glaucoma. The client asks the nurse why eye drops are necessary. Which response by the nurse is best?
- "The drops keep your eye pressure low and help maintain your
- "How can we help you use the drops better? You need to follow the
- "Does using the drops bother you? Did you ask your eye care
- "Unfortunately, you are not a candidate for the surgery and need the
vision."
directions."
provider?"
drops." - ANSWER- a. "The drops keep your eye pressure low and help maintain your vision."
A client is to receive high-flow oxygen with a concentration of 35%.Which oxygen delivery system does the nurse anticipate for this client?
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- Venturi mask
- Non-rebreather mask
- Tracheostomy T bar
- Tracheostomy collar - ANSWER- a. Venturi mask
A client reports recurrent headaches with the following symptoms:
headache located in "hat band" area with squeezing, tight sensation last
- hours and causing stiff neck muscles. Which medication prescription
does the nurse anticipate?
- Verapamil
- Sumatriptan
- Acetaminophen/butalbital/caffeine
- Dihydroergotamine mesylate - ANSWER- c.
Acetaminophen/butalbital/caffeine
A client is unresponsive after a closed-head injury. The Glasgow Coma Scale score is 7. The nurse identifies the client's state as which best description?
- Shows signs of visual and hearing impairment
- Is alert with impaired motor function
- Has a subdural hematoma
- Is identified as comatose - ANSWER- d. Is identified as comatose
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The nurse obtains a specimen for arterial blood gases from a client.Which principle guides the nurse?
- Clotted blood will preserve the blood gas values
- Air in the syringe will alter the blood values
- Continuous intra-arterial monitoring is required
- May use peripheral IV site if no IV fluids present - ANSWER- b. Air
in the syringe will alter the blood values
A client has a vaso-occlusive crisis. The nurse teaches the client ways to avoid another crisis. Which intervention is most important for this client?
- Refer to a support group
- Adequate hydration
- Infection prevention
- Avoid high altitude situations - ANSWER- b. Adequate hydration
A client is diagnosed with hepatitis B. The nurse identifies a nursing diagnosis based on which priority concern?
- Potential for changes in skin integrity because of the jaundice
- Changes in urinary output because oft he darkened urine
- Possible changes in liver function because of a viral infection
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