Med Surg 2 Exams 1, 2, 3, and Final Questions Answers 2023

Med Surg 2 Exams 1, 2, 3, and Final Questions & Answers 2023 Revision Guide

Med Surg 2 Exam 1

Question 1 In conducting an informational session about HIV infection to a local community center, the nurse is aware to reinforce that the fastest growing population for HIV infections is

• White men who have sex with men
• Heterosexual couples
• Hispanic men who have sex with men
• Black/African American men who have sex with men (Correct)

Question 2 A nurse is teaching a client who has rheumatoid arthritis (RA). Which of the following pieces of information should the nurse include in the teaching?

• Place pillows under the knees when resting
• Apply ice pack for 45-75 minutes on a stiff joint
• Avoid heavy lifting (Correct)
• Sleep using a soft mattress

Question 3 A nurse is caring for a client with Stage 2 breast cancer who is receiving chemotherapy and several radiation treatments. The results of the client's laboratory tests are: WBC 2,400/ul, hemoglobin 12.3 g/dL, platelet count 100,000/UL. serum sodium 145mEq/L, serum potassium 3.4 mEq/L. The client's vital signs are: BP 85/38 mm Hg, HR 118 beats/min, temperature 100.8 F (38.2C), respiratory rate 27 breaths/min. Which of following nursing interventions should be included in the client's plan of care? Select all that apply

• diuretic therapy (Incorrect)
• neutropenic precautions (Correct)
• filgrastim injection (Correct)
• epoetin alfa agents (Incorrect)
• bleeding precautions (Correct)
• platelet transfusion (Incorrect)

Question 4 A nurse in an HIV/AIDS unit is caring for a group of clients. The nurse should recommend that which of the following clients be attended to first?

• A 52-year-old client with painful rash around his left upper arm 1 / 4

• A 45-year-old client who is lethargic and having difficulty talking (Correct)
• A 33-year-old client with 3 episodes of diarrhea for the last 16 hours
• A 29-year-old client with sudden onset of yellowish urethral discharge

Question 5 The nurse is aware that Cushing's Syndrome can occur with the use of corticosteroids for the management of Systemic Lupus Erythematosus (SLE). Which of the following signs and symptoms should the nurse include in patient teaching? (Select all that apply)

• Lower leg edema (Correct)
• Bruises and petechiae (Correct)
• Hypoglycemia
• Moon face (Correct)
• Excessive menstrual bleeding

Question 6 Which of the following interventions is the priority for the client experiencing blood transfusion reaction?

• Obtain blood samples
• Check VS
• Administer oxygen therapy
• Stop the blood transfusion (Correct)

Question 7 Active immunity means that the individual has responded to an antigen and produced its own antibodies, lymphocytes are activated and the memory cells formed provide long lasting resistance.True (Correct) False

Question 8 The nurse is caring for a 23 yo female client with leukemia unresponsive to chemotherapy and the hematology team has discussed with her the possibility of bone marrow transplant. The client discusses with the nurse the difference between bone marrow and stem cell transplant.Which of the following statements by the client indicates understanding?

• "In both stem cell and bone marrow transplant the stem cells can only be harvested from the

client"

• "Neither stem cell or bone marrow transplants require any type of anesthesia"
• "In stem cell and bone marrow transplant the stem cells are removed from the peripheral

blood"

• "Both stem cell and bone marrow transplants can fail although from different causes"

(Correct) 2 / 4

Question 9 A nurse in a cancer unit has received change-of-shift report on four clients. Which of the following client should the nurse see first?

• A 24-year-old client with Hodgkin's Lymphoma with a platelet count of 16, 800 (Correct)
• a 72-year-old client with chronic lymphocytic leukemia (CLL) who has large ecchymosis on his

right upper extremity

• A 61-year-old client with multiple myeloma with a hemoglobin level of 6.1 g/dL
• a 46-year-old client with acute myelogenous leukemia (AML) with a white blood cell (WBC)

count of 45,000 /uL

Question 10 Pathological evaluation of a tissue sample is the only definitive means to diagnose cancer. The pathologist examines the tissue to determine (Select all that apply)

• Whether it is benign or malignant (Correct)
• The anatomic tissue from which the tumor arises (Correct)
• The degree of cell differentiation (Correct)
• Molecular receptor status (Incorrect)

Question 11 A nurse is monitoring a client who is receiving antiretroviral (ARV) drug therapy. The nurse should anticipate an elevation in which of the following laboratory values?

• Glucose levels (Correct)
• High-density lipoprotein
• Viral load
• Cyanocobalamin level

Question 12 A nurse is planning care for a client who has multiple myeloma. Which of the following should the nurse identify as the priority?

• End-of-life care
• Reduction of bone fractures
• Pain management
• Fluid and electrolyte balance (Correct)

Question 13 Systemic lupus erythematosus (SLE) common physical characteristics present on your patient's skin is

• Kaposi Sarcoma
• Fungal rash
• Hair loss
• Butterfly rash and red patches (Correct)

Question 14 3 / 4

A patient is newly admitted to your unit with early signs of breast cancer. During the assessment of the hematological system, you asked all of the following data except

• Past and current use of medications, herbs and supplements
• Demographic data
• Past health history
• Physical examination (Correct)
• Current and past individual and family history

Question 15 Which of the following transfusion reactions are categorized as early complications of blood transfusions?

• Transfusion-transmitted infection
• Gram negative bacteremia (Correct)
• Iron overload
• Transfusion-associated acute lung injury

Question 16 The nurse is caring for a client with potential spinal cord compression at L1-3 secondary to spinal metastasis from breast cancer. Which of the following findings should the nurse report immediately to the provider?

• Numbness in toes and buttocks
• Escalating pain (Correct)
• Gait disturbance
• Bowel incontinence

Question 17 The nurse is caring for a client who received 2 units of PRBC (packed red blood cells) 7 days ago. The nurse notes jaundice of the sclera. BP 130/70, HR 92 and regular, RR 16 without effort. T 101.2. The nurse is aware these findings are consistent with

• Delayed mild allergic reaction
• Acute hemolytic transfusion reaction
• Acute febrile transfusion reaction
• Delayed hemolytic transfusion reaction (Correct)

Question 18 (Math 1) A nurse is preparing to administer zidovudine 0.3 grams every 12 hours for a client who is HIV positive. The amount available is zidovudine syrup 50mg/5ml. How many tablespoons should the administer per day? (Round the answer to the nearest whole number. Use a leading zero if applies. Do not use a trailing zero)

Answer: …

0.3 grams = 300 mg => 5*300mg = 1500 1500/50 = 30 ml 30 ml = 2 tablespoons for 12 hours, and 4 tablespoons per day. (Correct)

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