RN ADULT MEDICAL SURGICAL ONLINE PRACTICE B 135
QUESTIONS WITH COMPLETE SOLUTIONS 2025/2026
]
A nurse is reviewing the medical record of a client who has
systemic lupus erythematosus (SLE). Which of the following
findings should the nurse expect? - ANSWER - >Facial butterfly
rash
Rationale: A butterfly rash is a manifestation of SLE. It appears as
a dry, red rash on the client's cheeks and nose and can disappear
during times of remission.
A nurse is planning care for a client who is postoperative following
a parathyroidectomy.
Which of the following actions should the nurse identify as the
priority? -
ANSWER>>Place tracheostomy tray at the bedside
Rationale: The priority action the nurse should take when using
the airway, breathing, circulation approach to client care is to
,place a tracheostomy tray at the client's bedside in case of airway
obstruction.
A nurse is assessing a client who has diabetes insipidus. Which
of the following findings should the nurse expect? - ANSWER -
>Low urine specific gravity
Rationale: An expected finding for a client who has diabetes
insipidus is a urine specific gravity between 1.001 and 1.005.
Decreased water reabsorption by the renal tubules is caused by
an alteration in antidiuretic hormone release or the kidneys'
responsiveness to the hormone.
A nurse is providing teaching to a client who has stage II cervical
cancer and is scheduled for brachytherapy. Which of the following
instructions should the nurse include? - ANSWER - >You will
need to stay still in the bed during each treatment session."
Rationale: The nurse should instruct the client that they will need
to remain on bed rest with very limited movement because
excessive movement can cause the radioactive source to become
dislodged.
,The nurse should instruct the client that there is not excreted
radiation between treatments.
The nurse should instruct the client that there will likely be
between two and five treatments, once or twice each week.
The nurse should instruct the client that blood in the urine is an
adverse effect of brachytherapy and is not an expected finding.
A nurse is planning care for a client who is scheduled for a
thoracentesis. Which of the following interventions should the
nurse include in the plan? - ANSWER - >Encourage the client to
take deep breaths after the procedure.
Rationale: After a thoracentesis, the client should deep breathe to
re-expand the lung.
A nurse is caring for a client who is receiving a blood transfusion.
The client becomes restless, dyspneic, and has crackles noted to
the lung bases. Which of the following actions should the nurse
anticipate taking? - ANSWER - >Slow the infusion rate
Rationale: Dyspnea, restlessness, and the onset of crackles
during a blood transfusion are manifestations of circulatory
overload. The nurse should slow or stop the infusion to improve
the client's ability to breathe, place the client in an upright
, position, and notify the provider. The provider might prescribe a
diuretic to alleviate the fluid overload.
A nurse is providing teaching to a client who has end-stage
kidney disease and is waiting for a kidney transplant. Which of the
following information should the nurse provide? - ANSWER -
>Hemodialys is something required following surgery.
Rationale: When a kidney comes from a deceased donor, it might
not function immediately, requiring the recipient to continue
hemodialysis postoperatively.
A nurse is caring for a client who has hypothyroidism. Which of
the following manifestations should the nurse expect? -
ANSWER
- >Constipation
Rationale: A client who has hypothyroidism can experience
constipation due to the decrease in the client's metabolism,
resulting in slow motility of the gastrointestinal tract. The nurse
should instruct the client to increase fiber and fluid intake to
reduce the risk for constipation.
QUESTIONS WITH COMPLETE SOLUTIONS 2025/2026
]
A nurse is reviewing the medical record of a client who has
systemic lupus erythematosus (SLE). Which of the following
findings should the nurse expect? - ANSWER - >Facial butterfly
rash
Rationale: A butterfly rash is a manifestation of SLE. It appears as
a dry, red rash on the client's cheeks and nose and can disappear
during times of remission.
A nurse is planning care for a client who is postoperative following
a parathyroidectomy.
Which of the following actions should the nurse identify as the
priority? -
ANSWER>>Place tracheostomy tray at the bedside
Rationale: The priority action the nurse should take when using
the airway, breathing, circulation approach to client care is to
,place a tracheostomy tray at the client's bedside in case of airway
obstruction.
A nurse is assessing a client who has diabetes insipidus. Which
of the following findings should the nurse expect? - ANSWER -
>Low urine specific gravity
Rationale: An expected finding for a client who has diabetes
insipidus is a urine specific gravity between 1.001 and 1.005.
Decreased water reabsorption by the renal tubules is caused by
an alteration in antidiuretic hormone release or the kidneys'
responsiveness to the hormone.
A nurse is providing teaching to a client who has stage II cervical
cancer and is scheduled for brachytherapy. Which of the following
instructions should the nurse include? - ANSWER - >You will
need to stay still in the bed during each treatment session."
Rationale: The nurse should instruct the client that they will need
to remain on bed rest with very limited movement because
excessive movement can cause the radioactive source to become
dislodged.
,The nurse should instruct the client that there is not excreted
radiation between treatments.
The nurse should instruct the client that there will likely be
between two and five treatments, once or twice each week.
The nurse should instruct the client that blood in the urine is an
adverse effect of brachytherapy and is not an expected finding.
A nurse is planning care for a client who is scheduled for a
thoracentesis. Which of the following interventions should the
nurse include in the plan? - ANSWER - >Encourage the client to
take deep breaths after the procedure.
Rationale: After a thoracentesis, the client should deep breathe to
re-expand the lung.
A nurse is caring for a client who is receiving a blood transfusion.
The client becomes restless, dyspneic, and has crackles noted to
the lung bases. Which of the following actions should the nurse
anticipate taking? - ANSWER - >Slow the infusion rate
Rationale: Dyspnea, restlessness, and the onset of crackles
during a blood transfusion are manifestations of circulatory
overload. The nurse should slow or stop the infusion to improve
the client's ability to breathe, place the client in an upright
, position, and notify the provider. The provider might prescribe a
diuretic to alleviate the fluid overload.
A nurse is providing teaching to a client who has end-stage
kidney disease and is waiting for a kidney transplant. Which of the
following information should the nurse provide? - ANSWER -
>Hemodialys is something required following surgery.
Rationale: When a kidney comes from a deceased donor, it might
not function immediately, requiring the recipient to continue
hemodialysis postoperatively.
A nurse is caring for a client who has hypothyroidism. Which of
the following manifestations should the nurse expect? -
ANSWER
- >Constipation
Rationale: A client who has hypothyroidism can experience
constipation due to the decrease in the client's metabolism,
resulting in slow motility of the gastrointestinal tract. The nurse
should instruct the client to increase fiber and fluid intake to
reduce the risk for constipation.
