PN Adult Medical Surgical Online Practice 2023 A+ Exam with Questions and
Answers
.A nurse is assisting with the care of a client who has prostate cancer. The client asks the nurse
why they are having difficulty with urination. Which of the following responses should the nurse
make? - ✔✔✔-"The tumor causes obstruction of urine from the urethra."
A home health nurse is reinforcing teaching with a client about preventing complications of
peripheral vascular disease. Which of the following statements indicates that the client is
adhering to the nurse's instructions? - ✔✔✔-"I don't cross my legs anymore."
A nurse in a health clinic is reinforcing teaching with a client about tuberculosis (TB). Which of
the following client statements indicates an understanding of the teaching? - ✔✔✔-"I can
develop TB by breathing in the infection."
A nurse in an oncology clinic 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? -
✔✔✔-Mohs surgery is a horizontal shaving of thin layers of the tumor.
A nurse in an orthopedic clinic is reinforcing teaching with a client who has osteoarthritis. Which
of the following instructions should the nurse include to promote comfort? - ✔✔✔-Sleep on a
firm mattress.
A nurse is assisting in the care of a client who has AIDS-related pneumonia. The client is
receiving antibiotic therapy and albuterol nebulizer treatments daily. Which of the following
findings should indicate to the nurse that the client's therapeutic regimen is effective? - ✔✔✔-
Decrease in exertional dyspnea
A nurse is assisting in the care of a client who is experiencing withdrawal from heroin. Which of
the following medications should the nurse expect the provider to prescribe? - ✔✔✔-
Methadone
A nurse is assisting in the care of a client who is receiving a continuous tube feeding of 60 mL/hr
at 1.2 cal/mL. How many calories will the client receive in 12 hr? (Round the answer to the
,PN Adult Medical Surgical Online Practice 2023 A+ Exam with Questions and
Answers
nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) - ✔✔✔-864
cal
A nurse is assisting with monitoring a client who is receiving dialysis treatment.
Exhibit 1
Nurses' Notes
0530:Client is awake and alert. Arteriovenous fistula (AVF) to right forearm with thrill palpated
and auscultated for bruit. Breath sounds are clear upon auscultation; client denies shortness of
breath. No peripheral edema noted; capillary refill is less than 3 seconds; +2 bilateral pedal and
radial pulses.AVF access prepared and cannulated twice with no difficulty. Lines are taped and
secured; treatment is initiated.0600:Client is reading a book. Access is visible, and lines are
secure. Client reports no discomfort or pain.0630:Client reports feeling warm, nauseated, and
lightheaded; appears restless and slightly confused.
Exhibit 2
Vital Signs
0530:Current weight 88 kg (194 lb)Temperature 37° C (98.6° F)Blood pressure• Lying - 152/92
mm Hg• Sitting - 148/90 mm Hg• Standing - 144/88 mm HgHeart rate 90/m - ✔✔✔-For each
potential nursing intervention, click to specify if the intervention is indicated or not indicated.
Nursing Intervention
Request a chest x-ray - not indicated
Place the client in reverse Trendelenburg position - indicated
Assist with administering a 0.9% sodium chloride 200 mL IV bolus - indicated
Apply oxygen at 2 L/min via nasal cannula - indicated
Notify the charge nurse immediately - indicated
Obtain the client's blood glucose level - not indicated
, PN Adult Medical Surgical Online Practice 2023 A+ Exam with Questions and
Answers
A nurse is assisting with the care for a client following a gastrectomy. Which of the following
actions should the nurse take to decrease episodes of dumping syndrome? - ✔✔✔-Place the
client in the supine position after meals.
A nurse is assisting with the care for a client who begins to have a seizure while ambulating in
the hall. Identify the sequence of actions the nurse should follow. (Move the steps into the box
on the right, placing them in the order of performance. Use all the steps.) - ✔✔✔-Lower client
to the floor.
Place a pad beneath the client's head.
Loosen the clothing around the client's neck.
Time the length of the client's seizure.
Reorient and reassure the client.
A nurse is assisting with the care for a client who has a history of breast cancer. The client asks
the nurse about birth control. Which of the following methods of birth control is
contraindicated for this client? - ✔✔✔-Combination oral contraceptives
A nurse is assisting with the care for a client who has a prescription for digoxin 0.25 mg PO daily.
While taking the client's apical pulse, the nurse notes a rate of 58/min. Which of the following
actions should the nurse take? - ✔✔✔-Withhold the dose.
A nurse is assisting with the care for a client who has age-related macular degeneration. Which
of the following findings should the nurse expect? - ✔✔✔-Distorted central vision of the eyes
A nurse is assisting with the care for a client who has dementia due to Alzheimer's disease.
Which of the following actions should the nurse take to reduce the client's confusion? - ✔✔✔-
Encourage reminiscence of past experiences.
Answers
.A nurse is assisting with the care of a client who has prostate cancer. The client asks the nurse
why they are having difficulty with urination. Which of the following responses should the nurse
make? - ✔✔✔-"The tumor causes obstruction of urine from the urethra."
A home health nurse is reinforcing teaching with a client about preventing complications of
peripheral vascular disease. Which of the following statements indicates that the client is
adhering to the nurse's instructions? - ✔✔✔-"I don't cross my legs anymore."
A nurse in a health clinic is reinforcing teaching with a client about tuberculosis (TB). Which of
the following client statements indicates an understanding of the teaching? - ✔✔✔-"I can
develop TB by breathing in the infection."
A nurse in an oncology clinic 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? -
✔✔✔-Mohs surgery is a horizontal shaving of thin layers of the tumor.
A nurse in an orthopedic clinic is reinforcing teaching with a client who has osteoarthritis. Which
of the following instructions should the nurse include to promote comfort? - ✔✔✔-Sleep on a
firm mattress.
A nurse is assisting in the care of a client who has AIDS-related pneumonia. The client is
receiving antibiotic therapy and albuterol nebulizer treatments daily. Which of the following
findings should indicate to the nurse that the client's therapeutic regimen is effective? - ✔✔✔-
Decrease in exertional dyspnea
A nurse is assisting in the care of a client who is experiencing withdrawal from heroin. Which of
the following medications should the nurse expect the provider to prescribe? - ✔✔✔-
Methadone
A nurse is assisting in the care of a client who is receiving a continuous tube feeding of 60 mL/hr
at 1.2 cal/mL. How many calories will the client receive in 12 hr? (Round the answer to the
,PN Adult Medical Surgical Online Practice 2023 A+ Exam with Questions and
Answers
nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) - ✔✔✔-864
cal
A nurse is assisting with monitoring a client who is receiving dialysis treatment.
Exhibit 1
Nurses' Notes
0530:Client is awake and alert. Arteriovenous fistula (AVF) to right forearm with thrill palpated
and auscultated for bruit. Breath sounds are clear upon auscultation; client denies shortness of
breath. No peripheral edema noted; capillary refill is less than 3 seconds; +2 bilateral pedal and
radial pulses.AVF access prepared and cannulated twice with no difficulty. Lines are taped and
secured; treatment is initiated.0600:Client is reading a book. Access is visible, and lines are
secure. Client reports no discomfort or pain.0630:Client reports feeling warm, nauseated, and
lightheaded; appears restless and slightly confused.
Exhibit 2
Vital Signs
0530:Current weight 88 kg (194 lb)Temperature 37° C (98.6° F)Blood pressure• Lying - 152/92
mm Hg• Sitting - 148/90 mm Hg• Standing - 144/88 mm HgHeart rate 90/m - ✔✔✔-For each
potential nursing intervention, click to specify if the intervention is indicated or not indicated.
Nursing Intervention
Request a chest x-ray - not indicated
Place the client in reverse Trendelenburg position - indicated
Assist with administering a 0.9% sodium chloride 200 mL IV bolus - indicated
Apply oxygen at 2 L/min via nasal cannula - indicated
Notify the charge nurse immediately - indicated
Obtain the client's blood glucose level - not indicated
, PN Adult Medical Surgical Online Practice 2023 A+ Exam with Questions and
Answers
A nurse is assisting with the care for a client following a gastrectomy. Which of the following
actions should the nurse take to decrease episodes of dumping syndrome? - ✔✔✔-Place the
client in the supine position after meals.
A nurse is assisting with the care for a client who begins to have a seizure while ambulating in
the hall. Identify the sequence of actions the nurse should follow. (Move the steps into the box
on the right, placing them in the order of performance. Use all the steps.) - ✔✔✔-Lower client
to the floor.
Place a pad beneath the client's head.
Loosen the clothing around the client's neck.
Time the length of the client's seizure.
Reorient and reassure the client.
A nurse is assisting with the care for a client who has a history of breast cancer. The client asks
the nurse about birth control. Which of the following methods of birth control is
contraindicated for this client? - ✔✔✔-Combination oral contraceptives
A nurse is assisting with the care for a client who has a prescription for digoxin 0.25 mg PO daily.
While taking the client's apical pulse, the nurse notes a rate of 58/min. Which of the following
actions should the nurse take? - ✔✔✔-Withhold the dose.
A nurse is assisting with the care for a client who has age-related macular degeneration. Which
of the following findings should the nurse expect? - ✔✔✔-Distorted central vision of the eyes
A nurse is assisting with the care for a client who has dementia due to Alzheimer's disease.
Which of the following actions should the nurse take to reduce the client's confusion? - ✔✔✔-
Encourage reminiscence of past experiences.
