Medical surgical nursing is an important aspect in nursing field and its knowledge is important in clinical and in care of patient . These medical surgical nursing MCQ multiple choice question and answer are very important for nursing examination like NORCET AIIMS , ESIC , DSSSB , Railway and PGMIR also cardiovascular mcq are also important.
You can also refer more MEDICAL SURGICAL NURSING MCQ . AND previous year staff nurse paper
You can also refer more MEDICAL SURGICAL NURSING MCQ . AND previous year staff nurse paper
MEDICAL SURGICAL NURSING MCQ pdf
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| medical surgical nursing mcq |
Medical surgical nursing mcq question paper
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#1. The nurse counts an adult’s apical heart beat at 110 beats per minute. The nurse describes this as ?
#2. A client has an elevated AST 24 hours following chest pain and shortness of breath. This is suggestive of which of the following?
#3. An adult has a coagulation time of 20 minutes. The nurse should observe the client for which of the following ?
#4. A prothrombin time test should be performed regularly on persons who are taking which medication?
#5. Which prothrombin time value would be considered normal for a client who is receiving warfarin (Coumadin)?
#6. An adult who is receiving heparin asks the nurse why it cannot be given by mouth. The nurse responds that heparin is given parenterally because ?
Heparin is a protein and is destroyed by gastric secretions.
#7. The nurse is preparing a client for a cardiac catheterization. Which action would the nurse expect to take?
#8. When a client returns from undergoing a cardiac catheterization, it is most essential for the nurse to ?
#9. The nurse is teaching an adult who has angina about taking nitro-glycerine. The nurse tells him he will know the nitro-glycerine is effective when ?
#10. An adult client is admitted with a diagnosis of left-sided congestive heart failure. Which assessment finding would most likely be present?
#11. Digoxin (Lanoxin) and furosemide (Lasix) are ordered for a client who has congestive heart failure. Which of the following would the nurse also expect to be ordered for this client?
Because lasix is potassium depleting diuretic and hypokalemia can cause digoxin toxicity
#12. When the nurse is about to administer digoxin to a client, the client says, “I think I need to see the eye doctor. Things seem to look kind of green today.” The nurse takes his vital signs, which are blood pressure = 150/94, pulse = 60 bpm, and respirations = 28. What is the most appropriate initial action for the nurse to take?
Disturbance in green and yellow vision is a sign of digoxin toxicity
#13. Which assessment finding would most likely indicate that a client has thrombophlebitis in the leg? ?
Red, shiny skin suggests inflammation .
#14. What should be included in the teaching plan for an adult who has hypertension?
High alcohol intake contributes to increases in blood pressure
#15. The nurse is caring for an elderly client who has congestive heart failure and is taking digoxin. The client should be monitored for which of the following signs of toxicity?
#16. An adult is admitted with venous thromboembolism. What treatment should the nurse expect during the acute stage?
#17. The nurse is observing a client who is learning to perform Buerger-Allen exercises. The nurse knows that the client is performing these exercises correctly when the client is observed doing what?
#18. What should be included in foot care for the client who has a peripheral vascular disorder?
#19. An older adult is scheduled for coronary arteriography during a cardiac catheterization. Which nursing intervention will be essential as she recovers from the diagnostic procedure on the hospital unit?
#20. An older adult is admitted to the hospital with symptoms of severe dyspnea, orthopnea, diaphoresis, bubbling respirations, and cyanosis. He states that he is afraid “something bad is about to happen.” How should the nurse position this client ?
#21. An adult male has a high level of high-density lipoproteins (HDL) in proportion to low-density lipoproteins (LDL). How does this relate to his risk of developing coronary artery disease (CAD)?
#22. Ferrous sulphate is prescribed for a client. She returns to the clinic in two weeks. Which assessment by the nurse indicates that she has NOT been taking iron as ordered?
#23. A Schilling test has been ordered for a client suspected of having pernicious anaemia. What is the nurse’s primary responsibility in relation to this test?
#24. A client who has been diagnosed as having pernicious anaemia asks how long she will have to take shots. What is the best answer for the nurse to give?
#25. A college student who is diagnosed as having infectious mononucleosis asks how the disease is spread. The nurse’s response is based on the knowledge that the usual mode of transmission is through
#26. A child with leukaemia bruises easily. This is most likely due to which of the following?
#27. A child who is being treated for leukaemia develops stomatitis. Which of the following nursing care measures is essential?
#28. When planning care for a client who is HIV positive, the nurse should do what ?
#29. Which action should the nurse expect to perform after a client has a bone marrow biopsy taken from the iliac crest?
#30. Which of the following would be the most appropriate snack for a client who has iron deficiency anaemia ?
#31. Which of the following assessment findings should alert the nurse that the elderly client should be evaluated for pernicious anemia?
#32. An elderly client who is being treated for pernicious anaemia needs to be monitored periodically for which of the following conditions?
The incidence of stomach cancer is increased in clients with deficiency of gastric acid
#33. The nurse administers iron using the Z track technique. What is the primary reason for administering iron via Z track?
#34. A 1-year-old is admitted to the hospital with sickle cell anaemia in crisis. Upon admission, which therapy will assume priority?
Dehydration causes sickling
#35. A child who has haemophilia is admitted to the hospital with a swollen knee joint. He is complaining of severe pain. What is the priority of nursing care for this child upon admission?
Hemarthrosis (bleeding into a joint) is very painful A bed cradle will keep the bed covers off of his sore joint
#36. The nurse is caring for a child who has haemophilia. He is admitted with a bleeding episode. Which of the following should the nurse expect will be given to stop the bleeding?
#37. The nurse knows that infectious mononucleosis is caused by which of the following?
#38. A child is being evaluated for possible leukaemia. Which assessment finding is most likely to be present ?
#39. A child who has leukaemia is to have a bone marrow biopsy performed. How will the child be positioned for this procedure?
#40. An adult client is to have a sputum for culture. When is the best time for the nurse to collect the specimen?
#41. A thoracentesis was performed on an adult client. After the procedure, the client has haemoptysis and a pulse of 80, respirations of 28, and temperature of 99°F. Which of these is of greatest concern to the nurse?
#42. An adult client is to have postural drainage four times a day. In developing the care plan, the nurse should schedule this for ?
Postural drainage should be scheduled before or between meals and close to bedtime .
#43. An adult man has a tracheostomy tube in place. Which of the following actions is most appropriate for the nurse to take when suctioning the tracheostomy?
Suctioning should be done under sterile technique for no more than 10 seconds
#44. During suctioning of a tracheostomy tube, the catheter appears to attach to the tracheal wall and creates a pulling sensation. What is the best action for the nurse to take?
#45. During the preoperative period, which nursing action will be of greatest priority for a person who is to have a laryngectomy ?
#46. A 62-year-old man is admitted with emphysema and acute upper respiratory infection. Oxygen is ordered at 2 L/min. The reason for low-flow oxygen is to ?
The stimulus to breathe in a person with COPD is a low oxygen level rather than a carbon dioxide level, as in normal persons .
#47. An adult is admitted with chronic obstructive pulmonary disease (COPD). The nurse notes that he has neck vein distention and slight peripheral edema. The practical nurse notifies the registered nurse and continues frequent assessments because the nurse knows that these signs signal the onset of which of the following?
#48. A 79-year-old client is admitted to the hospital with a diagnosis of pneumococcal pneumonia. The client has dyspnoea. The client’s temperature is 102°F., respirations are 36, and pulse is 92. Bed rest is ordered for this client primarily to
Bed rest will reduce metabolic needs in this client who has pneumonia and is having difficulty meeting oxygenation needs
#49. An adult is to have a tracheostomy performed. What is the nursing priority?
#50. Which nursing action is essential during tracheal suctioning?
#51. An adult has a chest drainage system. Several hours after the chest tube was inserted, the nurse observes that there is no bubbling in the water seal chamber. What is the most likely reason for the absence of bubbling?
#52. An adult has a chest drainage system. The client’s wife reports to the nurse that her husband is restless. The nurse enters the room just in time to see him pull out his chest tube. The most appropriate initial action for the nurse to take is to ?
The nurse’s primary goal has to be to stop air from entering the thoracic cavity and causing the lung to collapse again.
#53. An adult had a negative purified protein derivative (PPD) test when he was first employed two years ago. A year later, the client had a positive PPD test and a negative chest x-ray. This indicated that at that time the client:
A positive PPD test indicates that the client has come in contact with the organism and fought it.