MED SURG FINAL EXAM STUDY GUIDE EXAM 1 QUESTIONS

1. A nurse performs a skin screening for a client who has numerous skin lesions.
Which lesion does the nurse evaluate first? Irregular blue mole with white
specks on the lower leg
2. The nurse is caring for a client with an acute burn injury. Which action should the
nurse take
to prevent infection by autocontamination?Change gloves between wound
care on different parts of the client's body.
3. A client has a leg wound that is in the second stage of the inflammatory response. For
what manifestation does the nurse assess?Purulent drainage
4. A nurse is caring for a client with systemic sclerosis. The client’s facial skin is very
taut, limiting the client’s ability to open the mouth. After consulting with a registered
dietitian for appropriate nutrition, what other consultation should the nurse
facilitate? With limited ability to open the mouth, dental hygiene may be
lacking. The nurse should encourage the client to see a dentist. The other
referrals are not related to the mouth.
5. A student nurse asks the nursing instructor what “apoptosis” means. What
response by the
instructor is best? Apoptosis is programmed cell death. With this
characteristic, organs and tissues function with cells that are at their peak
of performance. Growth by cells enlarging is hyperplasia. Having the
normal number of chromosomes is euploidy. Inhibition of cell growth is
contact inhibition.
6. A preoperative nurse is assessing a client prior to surgery. Which information would
be most important for the nurse to relay to the surgical team? Use of multiple
herbs and supplements
7. Which statement about carcinogenesis is accurate? Tumor cells need to develop
their own blood supply.
8. A nurse is caring for a client who is receiving an epidural infusion for pain
management. Which assessment finding requires immediate intervention from
the nurse? Report of headache and stiff neck
9. The nurse caring for oncology clients knows that which form of metastasis is the
most common? Bloodborne
10. A nurse prepares to administer intravenous cimetidine (Tagamet) to a client who has
a new burn injury. The client asks, “Why am I taking this medication?” How should
the nurse respond? "It helps prevent stomach ulcers, which are common
after burns."
11. A nurse is orienting a new client and family to the inpatient unit. What information
does the nurse provide to help the client promote his or her own safety? Encourage
the client and family to be active partners.
12.A nurse assesses a client who has burn injuries and notes crackles in bilateral lung
bases, a
respiratory rate of 40 breaths/min, and a productive cough with blood-tinged
sputum. Which action should the nurse take next? Place the client in an upright
position.
13. A nurse is caring for a client who has a spinal cord injury at level T3. Which