1
PN MED SURG PROCTORED /ATI PN
MEDICAL SURGICAL EXAM BANK 2024-
2025 ACTUAL EXAM COMPLETE 350
QUESTIONS AND CORRECT DETAILED
ANSWERS
A nurse is reviewing the medical record of a client who has a
prescription for morphine. Which of the following findings should the
nurse report to the provider? - -Correct answer-Urinary retention
A nurse is caring for a client who is at risk for developing pressure
ulcers. Which of the following actions should the nurse take? - -
Correct answer-Position pillows between the bony prominences
A nurse is caring for a client who is postoperative and is receiving an
IV infusion of cefazolin. Ten minutes after beginning the infusion, the
client reports intense itching. Which of the following actions should
the nurse take first? - -Correct answer-Stop the medication infusion
A nurse is reinforcing teaching with a client who has gonorrhea.
Which of the following information should the nurse include? - -
Correct answer-You are at risk for infertility with this infection,
regardless of treatment
1
, 2
A nurse is examining a clients IV site and notes a red line up his arm.
The client reliant a throbbing, burning pain at the IV site. The nurse
should identify that the clients manifestations indicate which of the
following complications? - -Correct answer-Thrombophlebitis
A nurse is reinforcing teaching with an adolescent client regarding
testicular self examination. Which of the following statements by the
client demonstrates an undertsmdibg of the teaching? - -Correct
answer-I understand that testicular cancer is painless
A nurse in a long term care facility is collecting data from a client
who reports fullness in the rectum and abdominal cramping. Which
of the following findings should indicate to the nurse that the client
might have a fecal impaction? - -Correct answer-Small liquid stools
A nurse in an oncology is reinforcing teaching about Mohs surgery
with a client who has skin cancer. Which of the following information
should the nurse include in the teaching? - -Correct answer-Mohs
surgery is a horizontal shaving of thin layers of the tumor
A nurse is reinforcing teaching about GERd with a client. Which of
the following statements by the client indicates an understanding of
the teaching? - -Correct answer-I should wait at least 2 hours after
eating before going to bed
A nurse is assisting with the care of a care who is reconciled 0.9 %
sodium chloride by continuous IV infusion. The client report pain and
swelling at the IV site. In which order should the nurse perform that
2
, 3
following steps? - -Correct answer-Check the IV site, stop the
infusion, withdraw the IV catheter, elevate the affected arm, notify
the charge nurse
A nurse is contributing to the plan of care for an older adult client
who is at risk for osteoporosis. Which of the following interventions
should the nurse include to prevent bone loss? - -Correct answer-
Encourage weight bearing exercises
A nurse is assisting with the care of a client who has a cardiac
catheterization via the right femoral artery. Which of the following
actions should the nurse take to prevent lost procedure
complications? - -Correct answer-Monitor the insertion site for
bleeding is correct, maintain the pressure dressing, check the clients
peripheral pulses
A nurse is caring for a client who is 1 day postoperative following a
hip arthroplasty. The client is exhibiting hypotension,tachycardia,
and tachypnea. The nurse should recognize these findings indicate
which of the following complications? - -Correct answer-Pulmonary
embolism
A nurse is reinforcing discharge teaching with a client who has
hearing loss. Which of the following actions should the nurse take
when communication with the client? - -Correct answer-Rephrase
client instructions when not understood
3
, 4
A nurse is caring for a client who is postoperative and has an epidural
infusion. Which of the following findings should the nurse recognize
as the priority? - -Correct answer-Dyspnea
A nurse is preparing to administer phytonadione 7 mg
subcutaneously to a client who has an INR of 4. Available is
phytonadione 10 mg/ml. How many ml should the nurse administer?
- -Correct answer-0.7
A nurse is reinforcing teaching with a client who has multiple
sclerosis and a new prescription for baclofen. Which of the following
instructions should the nurse include in the teaching? - -Correct
answer-Avoid stopping this medication suddenly
A nurse is planning to implement droplet precautions for a client
who has manifestation of pertussis. Which of the following
interventions should the nurse include when contributing? - -Correct
answer-Apply a mask on the client of transport is needed
A nurse is caring for an older adult client who has a reddened area
over the sacrum. Which of the following actions should the nurse
take? - -Correct answer-Minimize the time the head of the bed is
elevated
A nurse is collecting data from a client and noticed several skin
lesions. Which of the following findings should the nurse report as
possible melanoma? - -Correct answer-Irregular borders
4
PN MED SURG PROCTORED /ATI PN
MEDICAL SURGICAL EXAM BANK 2024-
2025 ACTUAL EXAM COMPLETE 350
QUESTIONS AND CORRECT DETAILED
ANSWERS
A nurse is reviewing the medical record of a client who has a
prescription for morphine. Which of the following findings should the
nurse report to the provider? - -Correct answer-Urinary retention
A nurse is caring for a client who is at risk for developing pressure
ulcers. Which of the following actions should the nurse take? - -
Correct answer-Position pillows between the bony prominences
A nurse is caring for a client who is postoperative and is receiving an
IV infusion of cefazolin. Ten minutes after beginning the infusion, the
client reports intense itching. Which of the following actions should
the nurse take first? - -Correct answer-Stop the medication infusion
A nurse is reinforcing teaching with a client who has gonorrhea.
Which of the following information should the nurse include? - -
Correct answer-You are at risk for infertility with this infection,
regardless of treatment
1
, 2
A nurse is examining a clients IV site and notes a red line up his arm.
The client reliant a throbbing, burning pain at the IV site. The nurse
should identify that the clients manifestations indicate which of the
following complications? - -Correct answer-Thrombophlebitis
A nurse is reinforcing teaching with an adolescent client regarding
testicular self examination. Which of the following statements by the
client demonstrates an undertsmdibg of the teaching? - -Correct
answer-I understand that testicular cancer is painless
A nurse in a long term care facility is collecting data from a client
who reports fullness in the rectum and abdominal cramping. Which
of the following findings should indicate to the nurse that the client
might have a fecal impaction? - -Correct answer-Small liquid stools
A nurse in an oncology is reinforcing teaching about Mohs surgery
with a client who has skin cancer. Which of the following information
should the nurse include in the teaching? - -Correct answer-Mohs
surgery is a horizontal shaving of thin layers of the tumor
A nurse is reinforcing teaching about GERd with a client. Which of
the following statements by the client indicates an understanding of
the teaching? - -Correct answer-I should wait at least 2 hours after
eating before going to bed
A nurse is assisting with the care of a care who is reconciled 0.9 %
sodium chloride by continuous IV infusion. The client report pain and
swelling at the IV site. In which order should the nurse perform that
2
, 3
following steps? - -Correct answer-Check the IV site, stop the
infusion, withdraw the IV catheter, elevate the affected arm, notify
the charge nurse
A nurse is contributing to the plan of care for an older adult client
who is at risk for osteoporosis. Which of the following interventions
should the nurse include to prevent bone loss? - -Correct answer-
Encourage weight bearing exercises
A nurse is assisting with the care of a client who has a cardiac
catheterization via the right femoral artery. Which of the following
actions should the nurse take to prevent lost procedure
complications? - -Correct answer-Monitor the insertion site for
bleeding is correct, maintain the pressure dressing, check the clients
peripheral pulses
A nurse is caring for a client who is 1 day postoperative following a
hip arthroplasty. The client is exhibiting hypotension,tachycardia,
and tachypnea. The nurse should recognize these findings indicate
which of the following complications? - -Correct answer-Pulmonary
embolism
A nurse is reinforcing discharge teaching with a client who has
hearing loss. Which of the following actions should the nurse take
when communication with the client? - -Correct answer-Rephrase
client instructions when not understood
3
, 4
A nurse is caring for a client who is postoperative and has an epidural
infusion. Which of the following findings should the nurse recognize
as the priority? - -Correct answer-Dyspnea
A nurse is preparing to administer phytonadione 7 mg
subcutaneously to a client who has an INR of 4. Available is
phytonadione 10 mg/ml. How many ml should the nurse administer?
- -Correct answer-0.7
A nurse is reinforcing teaching with a client who has multiple
sclerosis and a new prescription for baclofen. Which of the following
instructions should the nurse include in the teaching? - -Correct
answer-Avoid stopping this medication suddenly
A nurse is planning to implement droplet precautions for a client
who has manifestation of pertussis. Which of the following
interventions should the nurse include when contributing? - -Correct
answer-Apply a mask on the client of transport is needed
A nurse is caring for an older adult client who has a reddened area
over the sacrum. Which of the following actions should the nurse
take? - -Correct answer-Minimize the time the head of the bed is
elevated
A nurse is collecting data from a client and noticed several skin
lesions. Which of the following findings should the nurse report as
possible melanoma? - -Correct answer-Irregular borders
4
