I just finished my 2nd med surg 2 exam and thankfully I passed ! However, I did not like some of the questions, so I thought I'd post them here and you guys can either help me understand what I did wrong or agree that these are some really bad test questions.
Lecture- Vascular System
1) The client is 2 days post-op after having varicose vein surgery. You decide more pt. teaching is needed whent the pt. states I should not:
a. wear elastic compression stockings continously
b. walk 30 minutes/ day
c. dry my incision after taking a shower
d. apply lotion.
( I picked A and got it wrong)
2) A clients family history reveals lower extremity circulation problems. The nurse should tell the client:
a. Take your antihypertensives as prescribed
b. Do not consume more than 2-3 alcoholic drinks daily
c. Jog for 30 minutes 3x a week
d. Take 2 adult aspirins a day.
( I chose c and got it wrong)
3) A patients spouse has parkinsons disease. The nurse would expect which statement from the clients spouse:
a. He writes big with big loop circles
b. He has tremors in both hands when active.
c. He lads behind me and doesnt' know where he is when we go on walks
d. He can't hear me over the telephone.
( I chose c... the three cardinal signs of parkinsons is : tremors ( unilateral ), bradykinesia ( slow, shuffling gait), and ridgity.. C described bradykinsia but I still got it wrong...)
4) A client just suffered a stroke. The nurse is now determining whether the client can eat or not. The nurse deteremined that the pt. has an intake gag reflex, what is the next nursing action?
a. Assess if the patient can move head
b. Offer liquids so that it'll be easier for the pt. to follow
c. insert an ng tube
d. Sit the pt. in an upright postion with the neck flexed forward.
( I chose A and got it wrong)
These are the main questions that threw me for a loop. I don't understand why I got these wrong but I did. Before I reveal the correct answers I want to see what you all think first. And then when I got some of these questions wrong the instructor says " How could you have gotten that one wrong" I reply " I don't know, I guess I'm just an idiot ! "
i just finished my 2nd med surg 2 exam and thankfully i passed ! however, i did not like some of the questions, so i thought i'd post them here and you guys can either help me understand what i did wrong or agree that these are some really bad test questions.
the client is 2 days post-op after having varicose vein surgery. you decide more pt. teaching is needed when the pt. states i should not:
a. wear elastic compression stockings continuously
b. walk 30 minutes/day
c. dry my incision after taking a shower
d. apply lotion
you must read the words in the stems of these questions very carefully. the answer choices are the patient states "i should not wear elastic compression stockings continuously", "i should not walk 30 minutes/ day", "i should not dry my incision after taking a shower" or "i should not apply lotion". when you read each statement completely as they were intended, answer choice a ("i should not wear elastic compression stockings continuously") is revealed to be a true statement and reflects that the patient was indeed listening to the teaching. compression stockings are never to be left on continuously and they need to be removed periodically. c ("i should not dry my incision after taking a shower") is true. no vigorous scrubbing of any kind of the incision should be done. lotion can be applied (d) if the doctor has approved it. the correct answer is b ("i should not walk 30 minutes/ day"). walking for 30 minutes a day will prevent the formation of blood clots in the leg.
a clients family history reveals lower extremity circulation problems. the nurse should tell the client:
a. take your antihypertensives as prescribed
b. do not consume more than 2-3 alcoholic drinks daily
c. jog for 30 minutes 3x a week
d. take 2 adult aspirins a day.
poor circulation has to do with narrowing of the arteries and veins. peripheral resistance, resistance of the arteries against the flow of blood through them, is one of the components of high blood pressure and a cause of lower extremity circulation problems. the patient should take their blood pressure medication to prevent future problems.
a patients spouse has parkinson's disease. the nurse would expect which statement from the clients spouse:
a. he writes big with big loop circles
b. he has tremors in both hands when active.
c. he lags behind me and doesn't know where he is when we go on walks
d. he can't hear me over the telephone.
every parkinson's patient i ever cared for had an intention tremor in both hands. it was the pill rolling tremor that was unilateral. c is wrong because while parkinson's patients are slow they do not get disoriented and lose track of where they are. d is wrong since parkinson's does not cause loss of hearing. as for a, they have an intention tremor and some spasming, so they would not be making big loop circles when they write.
a client just suffered a stroke. the nurse is now determining whether the client can eat or not. the nurse determined that the pt. has an intake gag reflex, what is the next nursing action?
a. assess if the patient can move head
b. offer liquids so that it'll be easier for the pt. to follow
c. insert an ng tube
d. sit the pt. in an upright position with the neck flexed forward.
gagging is anything that elicits vomiting. sitting the patient upright and having them bend their head forward makes it difficult for food to enter the pharynx or to be swallowed. this positioning closes off the airway making aspiration of food and fluids into the trachea less likely if the patient does swallow.
these are the correct answers !!! thanks for all the replies, i now see why i got my answers wrong. thanks everyone.
thanks for the questions and answers to both of you (the op and daytonite). i missed the first one. i have trouble with the negative questions. usually i mark off the ones that totally don't apply and can get all questions down to at least two answers.
Here is another question that threw me for a loop.
To prevent a Pulmonary Embolism in a client the best nursing action is to:
a. Tell pt. to turn cough and deep breath q 2 hours
b. Have the pt. ambulate
c. Tell pt. to elevate legs
d. Tell pt. to sit in chair ( not sure what the last answer was so I just threw this in there)
*** The answer I chose was a. but I got it wrong. I " right" answer was C. However I assumed the pt. was had a DVT and the question was asking how to prevent a PE... elevating the legs will dislodge a clot wouldn't it ?
Here is another question that threw me for a loop.
To prevent a Pulmonary Embolism in a client the best nursing action is to:
a. Tell pt. to turn cough and deep breath q 2 hours
b. Have the pt. ambulate
c. Tell pt. to elevate legs
d. Tell pt. to sit in chair ( not sure what the last answer was so I just threw this in there)
*** The answer I chose was a. but I got it wrong. I " right" answer was C. However I assumed the pt. was had a DVT and the question was asking how to prevent a PE... elevating the legs will dislodge a clot wouldn't it ?
DONT read into the question, lol......i would have picked b) until i followed my own advice,lol
Specializes in med/surg, telemetry, IV therapy, mgmt.
to prevent a pulmonary embolism in a client the best nursing action is to:
a. tell pt. to turn cough and deep breath q 2 hours
b. have the pt. ambulate
c. tell pt. to elevate legs
d. tell pt. to sit in chair ( not sure what the last answer was so i just threw this in there)
the reason c is the answer is this: the origin of a pulmonary embolism is a blood clot that travels from the lower extremities and then becomes lodged in the pulmonary circulation (review the circulation and you will see that the pathway back to the heart is one of progressing enlarging veins and then the blood gets pumped to the lungs for oxygenation where a blood clot can become trapped in the pulmonary network). the idea behind teaching a patient to keep their legs elevated, especially if they are on bedrest, is that it keeps the blood moving in the extremities and does not give blood a chance to pool in the legs where a clot has a chance to form. choice b (have the patient ambulate) would be a close second choice except that if the patient had been immobile for a long length of time beforehand, the activity could cause any blood clots which have already formed to break loose and enter into the circulation.
even if you assume the patient had a dvt and you wanted to prevent a pe you would still answer c (tell patient to elevate legs). having a patient elevate their legs promotes the circulation in the lower extremities. any clot that might be there is at a risk to be dislodged. however, they do not know what causes these clots to dislodge and become emboli, but it makes common sense that since these clots originate in the deep veins of the legs that
vigorous
activity should be avoided if they are suspected or confirmed to exist.
I answered 2/4 correct. But also I'm not in nursing school yet. I'm a CNA at a hospital. I hate it when they word questions like that... you really need to read them over throughly before answering. ugh!
Thanks again. I have just one more question that threw me for a loop.
Patient has late stage Alzheimers Disease. What nursing action is best:
a. Use simple statements.
b. Orient the pt. daily
c. Put written lists around the patients room
d. Take the pt. to the snoelzelen room.
I chose D and got it wrong. My rationale was this: In the late stage its best to take them to the Snoelzelen room because this room is relaxing and a good place to take them , especially when they are fustrated. My instructor told me that its not point in orienting them daily because this will just fustrate them and it will not help, so I did eliminate C, right away. So any way the Answer was A, and I'm still not sure why. Its not like they have receptive aphasia. We did get one question credited and I'm thinking this one was the one... the whole class was in an uproar at the review because the majority of us picked D.
Specializes in med/surg, telemetry, IV therapy, mgmt.
patient has late stage alzheimers disease. what nursing action is best:
a. use simple statements.
b. orient the pt. daily
c. put written lists around the patients room
d. take the pt. to the snoelzelen room.
a snoelzelen room is a therapeutic course of treatment that needs to be performed on a regular basis. it is not available to the majority of the nursing facilities.
However, I did not like some of the questions, so I thought I'd post them here and you guys can either help me understand what I did wrong or agree that these are some really bad test questions. 
oppa84
16 Posts
Thank you Daytonite for the answers and explanations. I actually had some similar questions on my recent Med surg final.