KAPLAN MED-SURG EXAM, MEDICAL
SURGICAL INTEGRATED TEST, KAPLAN
NURSING QUESTIONS, M ED-SURG
CLINICAL EXAM, KAPLA N, NURSING
EXAM PREP, VERIFIED KAPLAN
ANSWERS
Question : Client has vomiting and diarrhea. ABG analysis
results are ph 7.48 paco2 40mmhg, hcos 35, pa02 95, sao2 98%. Which IV solution does nurse anticipate for client?Normal saline 3% Normal saline 0.9% Dextrose 5% in water Ringer solution
CORRECT ANSWER: Normal saline 0.9%
Question : Client comes with difficultly breathing, runny
nose, pulse of 100, sneezing and coughin. Diagnosis of asthma is made. Which information is most important for nurse to obtain? Select all that apply Any previous attacks like this Exposure to known allergans Family history of allergies Any symptoms while exercising Past history of psychological problems
Current list of medications
CORRECT ANSWER: Any previous attacks like this
Exposure to known allergans Family history of allergies Any symptoms while exercising Past history of psychological problems Current list of medications
Question : Client reports difficultly moving right arm.
Numbness and tingling in arm. Clitn has difficulty speaking and diagnosis of stroke is made. The nurse understands this is what type of stroke?Double hemisphere stroke Hemmorhagic stroke Left brain stroke right brain stroke
CORRECT ANSWER: Left brain stroke
Question : Nurse teaches client who had stapedectomy.
Teaching is understood when which client request is made.Physical therapy for vertigo Neck brace with padding Diet sheet that lists high protein foods Prescription for stool softener
CORRECT ANSWER: Prescription for stool softener
Question : Client diagnoses with pulmonary embolism.
Which priority does nurse apply?Give supportive care during healin Cardiac monitoring Prevent further embolism Administer thrombolytic agents
CORRECT ANSWER: Prevent further embolism
Question : Client diagnoses with meniere disease. Client has
sudden attack of vertigo, nausea, vomiting, and sweating.Nurse provides which interventions? Select all that apply
GLYCEROL TEST
diet high in dosium and caffeine Warm, moist environment Dark quiet environment Lorazepam and meclizine IV fluids and medications
CORRECT ANSWER: Dark quiet environment
Lorazepam and meclizine IV fluids and medications
Question : Client has respiratory failure. Client becomes
agitate, restless, and disoriented. Client has nasal flaring and RR of 26. Most important client goal for nurse to activate?Will have clear breath sounds in all lyng areas Will have pao2 of 90mmHg
Will have heart rate of at least 110 bpm Will cough and deep breath 10 tims an hour
CORRECT ANSWER: Will have pao2 of 90mmHg
Question : Client in middle stage of Parkinson. Client no long
able to work at job held for years and gave up hand crafts.Client cries and says" this is to hard I cant do the things I want to do. I never thought I would be like this." Which is the most important goal for this client?Will indicate reduced feeling of depression Will oibtain new job in preferred field of work Will join Parkinson support group Will maintain independence in activities of daily living
CORRECT ANSWER: Will indicate reduced feeling of
depression
Question : Clikent diagnoses with bell palsy. Client is
concerned because facial appearance has changed. Feelings of fear and qanxiety are expressed to the nurse. Which is the best goal for this client?Client will take meds as ordered Client will state understanding of disease process Client will share prognosis with spouse Client will express decrease in fear and anxiety
CORRECT ANSWER: Client will express decrease in fear
and anxiety