7/13/2019 Medical - Surgical II Quiz # 2 Chapters 55-57 - 2019 Medical-Surgical Nursing II Tuesday 6 pm-9 pm - Agape Academy of
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2019 Medical-Surgical Nursing II Tuesday 6 pm-9 pm
Medical - Surgical II Quiz # 2 Chapters 55-57
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7/13/2019 Medical - Surgical II Quiz # 2 Chapters 55-57 - 2019 Medical-Surgical Nursing II Tuesday 6 pm-9 pm - Agape Academy of Sciences
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Question 1
A client is prescribed cetuximab (Erbitux) for oral cancer and asks the nurse how it works. What response by the
nurse is best?
Response: “It blocks epidermal growth factor.”
Question 2
The nurse is caring for a client who had an esophagectomy 3 days ago and was extubated yesterday. What actions
may the nurse delegate to the unlicensed assistive personnel (UAP)? (Select all that apply.)
Response: Assisting with position changes and getting out of bed
Response: Keeping the head of the bed elevated to at least 30 degrees
Response: Taking and recording vital signs per hospital protocol
Question 3
A nurse works on the unit. After receiving the hand-off report, which client should the nurse see first?
Response: Client who had an esophagectomy with a respiratory rate of 32/min
Question 4
The nurse has collected several stool specimens that are to be sent to the laboratory. The nurse should:
Response: Take the specimens to the refrigerator to be tested later for parasites and ova.
Question 5
A student nurse is providing care to an older client with stomatitis and dysphagia. What action by the student nurse
requires the registered nurse to intervene?
Response: Preparing to administer a viscous lidocaine gargle
Question 6
A female client hospitalized for an unrelated problem has a large pearly-white lesion on her lip, to which she
continues to apply lipstick that she will not remove for inspection. The client refuses to discuss the lesion with the
nurse or health care provider. What action by the nurse is best?
Response: Work with the client to establish a trusting relationship.
Question 7
When a 72-year-old patient is diagnosed with achalasia, the nurse will teach the patient that
Response: treatment may include endoscopic procedures.
surgical
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7/13/2019 Medical - Surgical II Quiz # 2 Chapters 55-57 - 2019 Medical-Surgical Nursing II Tuesday 6 pm-9 pm - Agape Academy of Sciences
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Question 8
A nurse is teaching clients with gastroesophageal reflux disease (GERD) about foods to avoid. Which foods should
the nurse include in the teaching? (Select all that apply.)
Response: Chocolate
Response: Peppermint
Response: Tomato sauce
Response: Citrus fruits
Question 9
Which nursing action should be included in the postoperative plan of care for a patient after a laparoscopic
esophagectomy?
Response: Elevate the head of the bed to at least 30 degrees.
Question 10
A client with an esophageal tumor has difficulty swallowing and has been working with a speech-language
pathologist. What assessment finding by the nurse indicates that the priority goal for this problem is being met?
Response: Lungs clear after meals and snacks
Question 11
The home health nurse observes the patient with esophageal cancer tilt his head back while eating, which could
result in:
Response: Increasing the risk of aspiration
Question 12
After administering promethazine (Phenergan) for nausea, the nurse takes extra precautionary implementations
because of the common side effect of antiemetic medications, which is:
Response: Put up side rails to prevent falls.
Question 13
A client is scheduled for a traditional esophagogastrostomy. All preoperative teaching has been completed and the
client and family show good understanding. What action by the nurse is best?
Response: Assess the client’s psychosocial status.
Question 14
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7/13/2019 Medical - Surgical II Quiz # 2 Chapters 55-57 - 2019 Medical-Surgical Nursing II Tuesday 6 pm-9 pm - Agape Academy of Sciences
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A 46-year-old female with gastroesophageal reflux disease (GERD) is experiencing increasing discomfort. Which
patient statement indicates that additional teaching about GERD is needed?
Response: “I eat small meals during the day and have a bedtime snack.”
Question 15
A 68-year-old male patient with a stroke is unconscious and unresponsive to stimuli. After learning that the patient
has a history of gastroesophageal reflux disease (GERD), the nurse will plan to do frequent assessments of the
patient’s
Response: breath sounds.
Question 16
The nurse is caring for a client with sialadenitis. What comfort measures may the nurse delegate to the unlicensed
assistive personnel (UAP)? (Select all that apply.)
Response: Applying warm compresses
Response: Offering fluids every hour
Question 17
While the patient is on TPN feedings, the nurse will include in the care plan to: (Select all that apply.)
Response: Monitor for hyperglycemia.
Response: Assess temperature.
Response: Monitor for hypoglycemia.
Question 18
The nurse is working with clients who have esophageal disorders. The nurse should assess the clients for which
manifestations? (Select all that apply.)
Response: Dysphagia
Response: Eructation
Response: Halitosis
Question 19
The nurse explaining esomeprazole (Nexium) to a patient with recurring heartburn describes that the medication
Response: treats gastroesophageal reflux disease by decreasing stomach acid production.
Question 20
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7/13/2019 Medical - Surgical II Quiz # 2 Chapters 55-57 - 2019 Medical-Surgical Nursing II Tuesday 6 pm-9 pm - Agape Academy of Sciences
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A client is scheduled to have a fundoplication. What statement by the client indicates a need to review preoperative
teaching?
Response: “After the operation I can eat anything I want.”
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