Free Medical Surgical Nurse Questions and Answers

Question 1

The client's wound dehisces days after abdominal surgery. When this happens, the most secure nursing solution is to

Accepted Answer

Cover the wound with sterile, moist saline dressing

Answer

Approximate the wound edges with tapes

Answer

Irrigate the wound with sterile saline

Answer

Hold the abdominal contents in place with a sterile gloved hand

Question 2

In order to control the bleeding of esophageal varices in a patient with complicated liver cirrhosis, a Sengstaken-Blakemore tube is implanted. After the tube is placed, the customer complains of breathing problems. The nurse's initial step is to:

Accepted Answer

Encourage him to take deep breaths
Deflate the esophageal balloon

Answer

Monitor VS

Answer

Encourage him to take deep breaths

Answer

Notify the MD

Question 3

A renal calculus is found in Don, age 35, according to an intravenous pyelogram. It is thought that he possesses a little stone that will pass on its own. The nurse would advise the client to push fluids and to move around to maximize the likelihood of the stone passing.

Accepted Answer

Ambulate

Answer

Strain all urine.

Answer

Ask for medications to relax him.

Answer

Remain on bed rest.

Question 4

The client correctly describes how to lower the risk of colon cancer when he says:

Accepted Answer

“I will include more fresh fruits and vegetables in my diet.”

Answer

“I will include more red meat in my diet.”

Answer

“I will exercise daily.”

Answer

“I will have an annual chest x-ray.”

Question 5

At nine in the morning, a patient leaves the recovery area aware, conscious, and IV-infused. His respirations are 20 and his blood pressure is 120/80, all of which are within the normal range. His vital signs are stable around 10 and 11 in the morning. However, by lunchtime, his heart rate is 94, his blood pressure is 116/74, and his breathing rate is 24. Which nursing intervention is most suitable?

Accepted Answer

Take his vital signs again in 15 minutes.

Answer

Notify his physician.

Answer

Place the patient in shock position.

Answer

Take his vital signs again in an hour.

Question 6

A patient is being examined for colon cancer. The nurse should: when preparing the patient for a barium enema

Accepted Answer

Give laxative the night before and a cleansing enema in the morning before the test

Answer

Instruct the client to swallow 6 radiopaque tablets the evening before the study

Answer

Place the client on CBR a day before the study

Answer

Render an oil retention enema and give laxative the night before

Question 7

Because of bone metastases from his malignancy, Mr. Banny experiences ongoing agony. Even with pain medicine, he is unwilling to move. The nurse ought to prepare to:

Accepted Answer

Handle him gently when assisting with required care

Answer

Let him perform his own activities of daily living

Answer

Reassure him that the nurses will not hurt him

Answer

Complete A.M. care quickly as possible when necessary