Medical-Surgical Practical
Nursing Canada Study
Guide & MCQ Test Bank
C. International normalized ratio (INR) of 0.9 - ANSWERA client's prescription for warfarin (Coumadin)
therapy was discontinued three weeks ago and returns to the clinic for follow-up laboratory tests. Which
results should indicate to the practical nurse that the medication has been eliminated from the body?
C. Assess the placement of the NGT. - ANSWERThe practical nurse (PN) determines that a client's
nasogastric tube (NGT), which is attached to low intermittent suction, has a decreased amount of
drainage in the collection unit. Gastric secretions have pooled in the tubing and do not move with the
onset of intermittent suction. Which action should the PN implement?
, C. Assess the client's respiratory status. - ANSWERA male client returns to the surgical nursing unit after
having a thyroidectomy. Which action is most important for the practical nurse to implement?
D. Fingerstick glucose level - ANSWERA client with type 2 diabetes mellitus (DM) presents in the clinic
with a leg laceration that has not healed in two weeks. Which client data is most important for the
practical nurse to collect?
B. Notify the healthcare provider. - ANSWERA male client with a crushing injury of the right lower leg
from a tractor accident complains of numbness and tingling in his right leg and foot. The practical nurse
(PN) determines the right leg is pale and he has a weak pedal pulse. What action should the PN take?
A. Tracheostomy tray. - ANSWERWhat equipment should the practical nurse (PN) ensure is in the room
for a client after a thyroidectomy?
D. Pain medication should be taken every day. - ANSWERThe practical nurse (PN) is reviewing discharge
instructions with a client after out-patient surgery. Which client response indicates to the PN the need
for teaching reinforcement?
A. Role play a situation the client identifies as stressful. - ANSWERA client with newly diagnosed
essential hypertension is learning to cope with stressful situations in his life. Which activity should the
practical nurse (PN) implement to help the client learn constructive coping?
A. Have the client remain on-site for 30 minutes after the injections. - ANSWERWhich intervention is
most important for the practical nurse to implement after giving a client an initial injection for the
screening for allergies?
D. Notify the healthcare provider - ANSWERA male client with peptic ulcer disease complains of feeling
weak and dizzy. The practical nurse (PN) observes that the client is diaphoretic, has a firm abdomen,
thready pulse at 104 beats/minute, and blood pressure of 90/50. Which action should the PN
implement?
B. Brain tumors increase cerebral mass, resulting in increased intracranial pressure. - ANSWERThe wife
of a client with a large brain tumor asks the practical nurse (PN) to explain why the tumor should be
surgically removed. What is the best response for the PN to provide?
Nursing Canada Study
Guide & MCQ Test Bank
C. International normalized ratio (INR) of 0.9 - ANSWERA client's prescription for warfarin (Coumadin)
therapy was discontinued three weeks ago and returns to the clinic for follow-up laboratory tests. Which
results should indicate to the practical nurse that the medication has been eliminated from the body?
C. Assess the placement of the NGT. - ANSWERThe practical nurse (PN) determines that a client's
nasogastric tube (NGT), which is attached to low intermittent suction, has a decreased amount of
drainage in the collection unit. Gastric secretions have pooled in the tubing and do not move with the
onset of intermittent suction. Which action should the PN implement?
, C. Assess the client's respiratory status. - ANSWERA male client returns to the surgical nursing unit after
having a thyroidectomy. Which action is most important for the practical nurse to implement?
D. Fingerstick glucose level - ANSWERA client with type 2 diabetes mellitus (DM) presents in the clinic
with a leg laceration that has not healed in two weeks. Which client data is most important for the
practical nurse to collect?
B. Notify the healthcare provider. - ANSWERA male client with a crushing injury of the right lower leg
from a tractor accident complains of numbness and tingling in his right leg and foot. The practical nurse
(PN) determines the right leg is pale and he has a weak pedal pulse. What action should the PN take?
A. Tracheostomy tray. - ANSWERWhat equipment should the practical nurse (PN) ensure is in the room
for a client after a thyroidectomy?
D. Pain medication should be taken every day. - ANSWERThe practical nurse (PN) is reviewing discharge
instructions with a client after out-patient surgery. Which client response indicates to the PN the need
for teaching reinforcement?
A. Role play a situation the client identifies as stressful. - ANSWERA client with newly diagnosed
essential hypertension is learning to cope with stressful situations in his life. Which activity should the
practical nurse (PN) implement to help the client learn constructive coping?
A. Have the client remain on-site for 30 minutes after the injections. - ANSWERWhich intervention is
most important for the practical nurse to implement after giving a client an initial injection for the
screening for allergies?
D. Notify the healthcare provider - ANSWERA male client with peptic ulcer disease complains of feeling
weak and dizzy. The practical nurse (PN) observes that the client is diaphoretic, has a firm abdomen,
thready pulse at 104 beats/minute, and blood pressure of 90/50. Which action should the PN
implement?
B. Brain tumors increase cerebral mass, resulting in increased intracranial pressure. - ANSWERThe wife
of a client with a large brain tumor asks the practical nurse (PN) to explain why the tumor should be
surgically removed. What is the best response for the PN to provide?
