Med/Surg Test

  1. To minimize headache following a lumbar puncture, what should be increased?



    C.
  2. The family should be advised that a craniotomy can take as long as:



    B.
  3. As ICP increases and perfusion is reduced, oxygen delivery to cerebral tissue is:



    D.
  4. A patient with increased ICP has a "blown pupil". Which of the following descirbes this condition?



    A.
  5. The pupils may become dilated and fixed as ICP rises due to pressure on the:



    C.
  6. Which neurons transmit information toward the central nervous system (CNS)?



    D.
  7. A type of headache in which the pain is usually unilateral and has a warning is called:



    C.
  8. What is used in the initial management of bacterial meningitis?



    D.
  9. What is the priority common source of anxiety for many patients with Guillain-Barre syndrome?



    D.
  10. In order to reduce the symptoms of Parkinson disease, what is L-dopa converted to as it crosses the blood-brain barrier?



    D.
  11. Which cranial nerve is tested by asking the patient to swallow on command?



    B.
  12. In a patient with myasthenia gravis, what does rapid improvement of muscle strength after administration of edrophonium chloride (Tensilon) indicate?



    C.
  13. A nurse is caring for a patient with amyolateral sclerosis. What is the priority patient problem?



    B.
  14. What is the priority cause of nutritional problems in patients with amyolateral sclerosis?



    A.
  15. A 27-year-old man was injured in a motorcycle accident 3 days ago. He is now alert and oriented to person and place but not to time. What is the most reliable indicator of mental status in this patient?



    D.
  16. What is a late sign of increased ICP due to pressure on the third cranial nerve?



    B.
  17. How high should this patient's bed be raised to prevent increased ICP?



    A.
  18. Which part of the brain receives and interprets sensory information?



    C.
  19. Which part of the cerebrum initiates motor activity for various parts of the body?



    D.
  20. Which part of the brain controls balance, coordination, and posture?



    B.
  21. One of the most important needs of the acute stroke patient is to be turned and repositioned at least every:



    A.
  22. Turning and repositioning the stroke patient will reduce the incidence of:



    A.
  23. A warning condition for a possible later stroke is:



    B.
  24. Which diagnostic test shows narrowing of cerebral blood vessels?



    B.
  25. The main focus of the rehabilitation phase following a stroke is to:



    C.
  26. The most frequent cause of death following a stroke is:



    D.
  27. What (approximate) percentage of individuals who experience a TIA will have a stroke within 5 years?



    C.
  28. What is a priority problem immediately following a stroke?



    B.
  29. What is a common sensory-perceptual problem in a patient with a stroke?



    B.
  30. A patient who does not feel pressure or pain due to lost sensation following a stroke is at risk for:



    C.
  31. A patient experiencing an acute stroke should receive a thrombolytic drug within:



    D.
  32. Which term is used to describe speech impaired to the point that the person has almost no ability to communicate?



    A.
  33. Glomerular filtrate and blood plasma are essentially the same, except that the filtrate does not have:



    B.
  34. As the blood passes through the glomerulis, which element is too large to pass through the semipermeable membrane?



    D.
  35. The normal pH of urine is:



    C.
  36. The body normally excretes how many liters of urine per day?



    B.
  37. Two substances that are present in blood but not normally present in urine are:



    C.
  38. Glomerular damage may be indicated by the presence of which of the following in urine?



    B.
  39. The presence of how much urine usually causes the urge to urinate?



    B.
  40. Blood pressure is regulated through fluid volume maintenance and release of the hormone:



    D.
  41. A change in blood volume will result in change in:



    D.
  42. Decreased oxygen in renal blood triggers the secretin of:



    C.
  43. Patients in renal failure have a deficiency of erythropoietin, which causes them to have:



    B.
  44. A common age-related problem in males related to the urinary system is:



    B.
  45. If crystals on the skin are observed during the examination of patients with urinary disorders, this is recorded as:



    C.
  46. Tissue turgor is evaluated in patients with urinary disorders to detect:



    A.
  47. If patients with urinary disorders have an odor of urine on their breath, this may indicate:



    B.
  48. Patients with urinary disorders who have potassium imbalances may have:



    C.
  49. The edema found in renal failure is described as:



    A.
  50. In patients with renal failure, the skin over edematous areas is likely to be described as:



    D.
  51. Normally, urine is sterile and slightly:



    D.
  52. A diagnostic test for the identification of microorganisms present in urine is:



    A.
  53. Which blood test needs to be within normal limites before a renal biopsy is performed?



    C.
  54. After a renal biopsy, what is the most important side effect to watch for?



    A.
  55. Following a cystoscopy, at firs the urine will be:



    C.
  56. Following cystoscopy, urine should lighten to its usual color within:



    B.
  57. Following cystoscopy, belladonna and opium suppositories may be ordered to reduce:



    D.
  58. Bladder perforation is rare following cystoscopy, but it may be indicated by severe:



    B.
  59. The most common healthcare-associated infections are:



    D.
  60. The pain of urethritis may be reduced by:



    C.
  61. The passage of renal calculi is facilitated by:



    D.
  62. Which is a common symptom of pyelonephritis?



    A.
  63. The most common type of glomerulonephritis follows a respiratory tract infection caused by:



    B.
  64. A patient is in the acute phase of glomerulonephritis. Bedrest is ordered to prevent or treat heart failure and sever hypertension that result from:



    D.
  65. In which of the following groups is the incidence of uric acid stones high?



    A.
  66. When a person is dehydrated, the kidneys conserve water, causing urine to be:



    C.
  67. A major nursing concern for patients with renal calculi is:



    C.
  68. The treatment of choice for renal cancer is:



    B.
  69. The location of the flank incision following nephrectomy causes pain with expansion of the:



    C.
  70. Which is the most common malignancy of the urinary tract?



    A.
  71. The most frequent symptom of bladder cancer is intermittent:



    B.
  72. When the bladder is removed completely, urinary diversion is sometimes provided, which allows urine to be excreted through the:



    B.
  73. Which is the most effective means of assessing changes in fluid status of patients in acute renal failure?



    D.
  74. When 90-95% of kidney function is lost, the patient is considered to be in:



    A.
  75. The most life-threatening effecto f renal failure is:



    A.
  76. When a kidney is obtained from a living related donor, the 1-year survival rate for transplantation is about:



    C.
  77. Which mediation is the transplant recipient given to control the body's response to foreign tissue?



    A.
  78. Which specific nursing diagnosis is related to the possibility of organ rejection after renal transplantation?



    B.
  79. Complications of lithotripsy include:



    B.
  80. Risk factors for bladder cancer include:



    D.
  81. Which procedure is contraindicated in patients with known renal insufficiency or diabetes mellitus?



    A.
  82. The eyes of a patient with a urinary disorders are examined and periorbital edema is present. What is the reason for periorbital edema in this patient?



    C.
  83. If patients with urinary disorders have dyspnea, this may be a sign of:



    C.
  84. Inspection of the genitalia durin examination of patients with urinary disorders must always be done utilizing:



    D.
  85. To measure residual volume, the patient must be catheterized immediately after voiding. Which of the following is an abnormal finding?



    B.
  86. Following urologic surgery, which of the following outputs should be reported to they physician?



    B.
  87. An older patient with pyelonephritis experiences a suddenly increased fluid volume. Which complication may develop for which the nurse must monitor?



    A.
  88. A patient has had a nephrectomy and is protecting his chest by not breathing deeply. For which related complication must the nurse monitor?



    D.
  89. Preoperative care for a patient undergoing an ileal of sigmoid conduit includes thorough preparation of the intestinal tract. Which antibiotic is administered that is not absorbed from the intestinal tract?



    B.
Author
MarieRN
ID
186496
Card Set
Med/Surg Test
Description
Chapters 27, 28, and 40
Updated