Multiple Choice Questions on Medical-surgical Nursing | Medical-surgical Nursing Quiz
1 >>To clean a wound, it is best to use: ?
- (A) hydrogen peroxide to bubble away the debris.
- (B) tap water.
- (C) saline.
- (D) it is best not to disturb a healing wound.
2 >>Your postoperative patient develops cellulitis in the leg. Your nursing treatments would include: ?
- (A) keeping both the legs elevated as much as possible.
- (B) encouraging ambulation as much as possible to help the blood flow.
- (C) application of ice four times a day for one hour each to reduce inflammation.
- (D) application of moisturizing lotion three times daily to keep the skin moist.
3 >>For your patient with a mild dermatitis rash, you would encourage: ?
- (A) washing the area with an antiseptic soap frequently to keep the area clean.
- (B) the use of an antifungal ointment.
- (C) talcum powder to soothe the inflamed skin.
- (D) the use of a mild steroidal cream.
4 >>Steps to prevent a pressure ulcer may include: ?
- (A) not disturbing the patient.
- (B) changing the position of a bed-bound patient every 4 hours.
- (C) vigorously rubbing the skin with alcohol.
- (D) avoiding pressure on the heels of a bed-bound patient.
5 >>You are caring for a patient with an infected wound. You would expect: ?
- (A) to prepare for sutures, to close the wound.
- (B) the use of steri-strips, to hold the edges together.
- (C) to leave the wound open.
- (D) to cover with a loose, fluffy dressing.
6 >>Appropriate treatment for a patient with cellulitis includes: ?
- (A) petrolatum and vitamin A and D ointment.
- (B) antibiotics, such as cephalexin, and over-the-counter analgesics.
- (C) weight-bearing exercises and diuretics, such as furosemide.
- (D) wet to dry dressings and steroids.
7 >>When staging a pressure ulcer, you correctly recognize a stage II ulcer as: ?
- (A) redness, with no break in the skin.
- (B) shallow ulcer with red base.
- (C) dermis involvement with eschar.
- (D) bone visible with no drainage.
8 >>A patient with a second-degree burn has a greater risk for: ?
- (A) constipation.
- (B) infection.
- (C) hypotension.
- (D) hyperglycemia.
9 >>Patient teaching for risk reduction of skin cancer should include: ?
- (A) having suspicious moles checked by a dermatologist.
- (B) daily sun exposure every one-half hour.
- (C) daily sun exposure of 1 hour to build tolerance.
- (D) applying moisturizer.
10 >>When assessing a suspicious skin lesion, you are looking for A-asymmetry, B-irregular borders, C-variegated colors, D-diameter, and E- ?
- (A) edema.
- (B) erythema.
- (C) elevation.
- (D) ever-changing.
11 >>Dialysis is used to manage patients with: ?
- (A) acute glomerulonephritis.
- (B) renal failure.
- (C) nephrolithiasis.
- (D) pyelonephritis.
12 >>Acute renal failure due to a decrease in circulating blood volume causing diminished renal perfusion is treated with: ?
- (A) intravenous fluids.
- (B) inotropic agents.
- (C) erythropoetin.
- (D) diuretics.
13 >>Symptoms of prostate cancer include: ?
- (A) nocturia and intermittent stream of urination.
- (B) diminished force of urinary stream and urgency.
- (C) difficulty initiating stream of urine and frequency.
- (D) all of the above.
14 >>One of your patients is awaiting lab results for kidney function. The patient has recently recovered from a streptococcal throat infection. The patient has most likely developed symptoms of: ?
- (A) pyelonephritis.
- (B) nephrolithiasis.
- (C) chronic renal failure.
- (D) glomerulonephritis.
Medical-surgical Nursing Practice Quiz
15 >>You are caring for a patient who has had a transurethral resection of the prostate for benign prostatic hypertrophy. There is a continuous bladder irrigation set up. You would notify the physician if you noted: ?
- (A) any signs of hematuria.
- (B) a decrease in the amount of blood in the urine.
- (C) a change from clear red output to thicker, bright red output.
- (D) the development of uremic pruritis.
16 >>Care of the postoperative nephrectomy patient includes: ?
- (A) assessing the wound site for redness, swelling, or drainage.
- (B) giving diuretics to enhance urinary output.
- (C) monitoring urinary output every 2 hours.
- (D) encouraging intake of cranberry juice to acidify the urine.
17 >>Teach a patient at risk for testicular cancer to: ?
- (A) restrict potassium, phosphate, sodium, and protein in diet.
- (B) self-catheterize ileal reservoir.
- (C) perform testicular self-exam.
- (D) monitor change in color of urine.
18 >>Patients with bladder cancer typically exhibit symptoms of: ?
- (A) weight loss and low back pain.
- (B) fatigue and anemia.
- (C) hematuria and change in urinary pattern.
- (D) difficulty initiating urinary stream and nocturia.
19 >>You are caring for a patient with a urinary tract infection. You would expect the plan of care to include: ?
- (A) antibiotics and phenazopyridine.
- (B) erythropoetin and stent placement.
- (C) hormonal therapy and intravenous fluids.
- (D) hourly urine output measurements and antibiotics.
20 >>Patients with nephrolithiasis or kidney stones need to increase fluid intake. This is to: ?
- (A) concentrate the urine.
- (B) help flush the stones through the urinary tract.
- (C) crystallize the struvite from the renal tubules.
- (D) break down the stones into smaller pieces that will more easily pass through the urinary tract.