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Med Surg Mca 3 Proctored Exam 3 Practice Questions

Practice Med Surg Mca 3 Proctored Exam 3 Practice Questions. Review each answer with explanations when available.

Nursing Test BankMed Surg Mca 3 Proctored Exam 3 Practice Questions49 questions10 question preview
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Question 1 of 10Single-Select Multiple Choice

A patient who is disoriented and reports a headache and muscle cramps is hospitalized with syndrome of inappropriate antidiuretic hormone (SIADH). Which initial laboratory result would the nurse expect?

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Question 2 of 10Single-Select Multiple Choice

RM, a 38-year-old woman who is attending graduate school and is very sedentary, comes to a community outpatient clinic. Her chief complaint is overwhelming fatigue that is not relieved by rest. She is so exhausted that she has difficulty walking to classes and trouble concentrating when studying. She reports a recent weight gain of 15 pounds (6.8 kg) over 2 months without clear changes in her dietary habits. Her face looks puffy, she has experienced excessive hair loss, and her skin is dry and pale. She says she has general body aches and pains with frequent muscle cramps and constipation. You note she is dressed inappropriately warmly for the weather. The physician orders lab work. The lab results are as follows:

WBC - WNL

HGB - WNL

Glucose - WNL

Amylase - WNL

Cholesterol - WNL

T4 (thyroxine) -↓

T3 (triiodothyronine) -↓

Thyroid-stimulating hormone (TSH) -↑

The physician diagnoses RM with an endocrine disorder. The assessment findings and lab work are consistent with which endocrine problem?

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Question 3 of 10Single-Select Multiple Choice

Which finding indicates to the nurse that the current therapies are effective for a patient with acute adrenal insufficiency (Addison's Disease)?

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Question 4 of 10Multiple-Select / Select All That Apply (SATA)

Which assessment findings are consistent with cirrhosis? Select all that apply.

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Question 5 of 10Single-Select Multiple Choice

A 55-year-old male was admitted 1 week ago for a left lower leg venous thromboembolism, confirmed by ultrasound. He started to work from home 4 months ago and reports that his activity level has significantly decreased. When admitted, his left lower leg had 3+ edema and was warm and reddened over the calf area. He was immediately started on intravenous heparin therapy, with warfarin (Coumadin) on the same day. The patient asks the nurse why two medications are necessary. Which response by the nurse is accurate?

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Question 6 of 10Multiple-Select / Select All That Apply (SATA)

A patient who has been treated for status epilepticus in the emergency department will be transferred to the medical nursing unit. Which equipment should the nurse have available in the patient's assigned room?

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Question 7 of 10Single-Select Multiple Choice

Which information obtained by the nurse in the clinic about a patient who has been taking prednisone 40 mg daily for 3 weeks is most important to report to the health care provider?

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Question 8 of 10Multiple-Select / Select All That Apply (SATA)

A 38-year-old female client was diagnosed with a right lower extremity deep vein thrombosis (DVT) after surgery 2 days ago. This morning the nurse reviews the client's electronic health record to complete a shift assessment. Data from the health record include a prescription from the primary health care provider for warfarin 5 mg orally every day, and the following laboratory results:

  • Hemoglobin: 17 g/dL
  • Hematocrit: 44.9%
  • WBC count: 5500/mm³
  • Platelets: 160,000/mm³
  • aPTT: 40 sec
  • PT: 12 sec
  • INR: 0.9
  • BUN: 16 mg/dL
  • Creatinine: 0.6 mg/dL

The nurse assesses the client for which signs and symptoms of a DVT?

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Question 9 of 10Single-Select Multiple Choice

An adult male is experiencing increased fatigue and occasional palpitations at rest. Which laboratory data would the nurse identify as consistent with these symptoms?

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Question 10 of 10Single-Select Multiple Choice

Elevated serum ammonia level causes which complication of cirrhosis?

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