Medical-surgical Nursing MCQ. ~ Nursing Path

1. A patient tells you that her urine is starting to look discolored. If you believe this change is due to medication, which of the following patient’s medication does not cause urine discoloration?

Sulfasalazine
Levodopa
Phenolphthalein
Aspirin

2. You are responsible for reviewing the nursing unit’s refrigerator. If you found the following drug in the refrigerator it should be removed from the refrigerator’s contents?

Corgard
Humulin (injection)
Urokinase
Epogen (injection)

3. A 34 year old female has recently been diagnosed with an autoimmune disease. She has also recently discovered that she is pregnant. Which of the following is the only immunoglobulin that will provide protection to the fetus in the womb?

4. A second year nursing student has just suffered a needlestick while working with a patient that is positive for AIDS. Which of the following is the most important action that nursing student should take?

Immediately see a social worker
Start prophylactic AZT treatment
Start prophylactic Pentamide treatment
Seek counseling

5. A thirty five year old male has been an insulin-dependent diabetic for five years and now is unable to urinate. Which of the following would you most likely suspect?

Atherosclerosis
Diabetic nephropathy
Autonomic neuropathy
Somatic neuropathy

6. You are taking the history of a 14 year old girl who has a (BMI) of 18. The girl reports inability to eat, induced vomiting and severe constipation. Which of the following would you most likely suspect?

Multiple sclerosis
Anorexia nervosa
Bulimia
Systemic sclerosis

7. A 24 year old female is admitted to the ER for confusion. This patient has a history of a myeloma diagnosis, constipation, intense abdominal pain, and polyuria. Which of the following would you most likely suspect?

Diverticulosis
Hypercalcaemia
Hypocalcaemia
Irritable bowel syndrome

8. Rho gam is most often used to treat____ mothers that have a ____ infant.

RH positive, RH positive
RH positive, RH negative
RH negative, RH positive
RH negative, RH negative

9. A new mother has some questions about (PKU). Which of the following statements made by a nurse is not correct regarding PKU?

A Guthrie test can check the necessary lab values.
The urine has a high concentration of phenylpyruvic acid
Mental deficits are often present with PKU.
The effects of PKU are reversible.

10. A patient has taken an overdose of aspirin. Which of the following should a nurse most closely monitor for during acute management of this patient?

Onset of pulmonary edema
Metabolic alkalosis
Respiratory alkalosis
Parkinson’s disease type symptoms

11. A fifty-year-old blind and deaf patient has been admitted to your floor. As the charge nurse your primary responsibility for this patient is?

Let others know about the patient’s deficits
Communicate with your supervisor your concerns about the patient’s deficits.
Continuously update the patient on the social environment.
Provide a secure environment for the patient.

12. A patient is getting discharged from a SNF facility. The patient has a history of severe COPD and PVD. The patient is primarily concerned about their ability to breath easily. Which of the following would be the best instruction for this patient?

Deep breathing techniques to increase O2 levels.
Cough regularly and deeply to clear airway passages.
Cough following bronchodilator utilization
Decrease CO2 levels by increase oxygen take output during meals.

13. A nurse is caring for an infant that has recently been diagnosed with a congenital heart defect. Which of the following clinical signs would most likely be present?

Slow pulse rate
Weight gain
Decreased systolic pressure
Irregular WBC lab values

14. A mother has recently been informed that her child has Down’s syndrome. You will be assigned to care for the child at shift change. Which of the following characteristics is not associated with Down’s syndrome?

Simian crease
Brachycephaly
Oily skin
Hypotonicity

15. A patient has recently experienced a (MI) within the last 4 hours. Which of the following medications would most like be administered?

Streptokinase
Atropine
Acetaminophen
Coumadin

16. A patient asks a nurse, “My doctor recommended I increase my intake of folic acid. What type of foods contain folic acids?”

Green vegetables and liver
Yellow vegetables and red meat
Carrots
Milk

17. A nurse is putting together a presentation on meningitis. Which of the following microorganisms has not been linked to meningitis in humans?

S. pneumonia
H. influenza
N. meningitis
Cl. difficile

18. A nurse is administering blood to a patient who has a low hemoglobin count. The patient asks how long to RBC’s last in my body? The correct response is.

The life span of RBC is 45 days.
The life span of RBC is 60 days.
The life span of RBC is 90 days.
The life span of RBC is 120 days.

19. A 65 year old man has been admitted to the hospital for spinal stenosis surgery. When does the discharge training and planning begin for this patient?

Following surgery
Upon admit
Within 48 hours of discharge
Preoperative discussion

20. A child is 5 years old and has been recently admitted into the hospital. According to Erickson which of the following stages is the child in?

Trust vs. mistrust
Initiative vs. guilt
Autonomy vs. shame
Intimacy vs. isolation

21. A toddler is 16 months old and has been recently admitted into the hospital. According to Erickson which of the following stages is the toddler in?

Trust vs. mistrust
Initiative vs. guilt
Autonomy vs. shame
Intimacy vs. isolation

22. A young adult is 20 years old and has been recently admitted into the hospital. According to Erickson which of the following stages is the adult in?

Trust vs. mistrust
Initiative vs. guilt
Autonomy vs. shame
Intimacy vs. isolation

23. A nurse is making rounds taking vital signs. Which of the following vital signs is abnormal?

11 year old male – 90 b.p.m, 22 resp/min., 100/70 mm Hg
13 year old female – 105 b.p.m., 22 resp/min., 105/60 mm Hg
5 year old male- 102 b.p.m, 24 resp/min., 90/65 mm Hg
6 year old female- 100 b.p.m., 26 resp/min., 90/70mm Hg

24. When you are taking a patient’s history, she tells you she has been depressed and is dealing with an anxiety disorder. Which of the following medications would the patient most likely be taking?