EVALUATED MEDICAL
SURGICAL EXAM TEST BANK
QUESTIONS AND ANSWERS
The nurse is caring for an older client who has kyphosis and a widened gait. For which health problems is
the client at risk?
a. Osteoporosis
b. Contracture
c. Osteopenia
d. Falls - CORRECT ANSWER -D
The nurse is teaching assistant personnel (AP) about care of an older ambulatory adult who has
osteopenia. Which statement by the
AP indicates understanding of the teaching?
a. "I will tell the client to change positions frequently to prevent pressure injury."
b. "I will remind the client to take frequent walks to strengthen bones."
c. "I will assist the client with activities of daily living as needed."
d. "I will apply warm compresses to the joints to relieve pain." - CORRECT ANSWER -B
A client had an arthroscopy 1 hour ago on the left knee. The nurse finds the left lower leg to be pale and
cool, with a 1+ pedal
pulse. What action would the nurse perform first?
a. Assess the neurovascular status of the right leg.
b. Document the findings in the patient's chart.
,c. Elevate the left leg on at least two pillows.
d. Notify the primary health care provider immediately. - CORRECT ANSWER -A
A hospitalized client's strength of the upper extremities is rated at a 4. What does the nurse understand
about this client's ability to
perform activities of daily living (ADLs)?
a. The client is able to perform ADLs but not lift some items.
b. The client is unable to perform ADLs alone.
c. No difficulties are expected with ADLs.
d. The client would need almost total assistance with ADLs. - CORRECT ANSWER -C
An older client is distressed at body changes related to kyphosis. What response by the nurse is
appropriate?
a. Ask the client to explain more about these feelings.
b. Explain that these changes are irreversible.
c. Offer to help select clothes to hide the deformity.
d. Tell the client that safety is more important than looks. - CORRECT ANSWER -A
The nurse is taking a history from an older client who reports having frequent falls. Which dietary habit
could be contributing to the
client's problem?
a. Consumes high-protein foods.
b. Eats few concentrated sweets.
c. Limits fatty or greasy foods.
d. Avoids dairy products - CORRECT ANSWER -D
,The client's electronic health record indicates genu varum. What does the nurse understand this term to
mean?
a. Bow-legged
b. Fluid accumulation
c. Knock-kneed
d. Spinal curvature - CORRECT ANSWER -A
The nurse is teaching a client who had a left humeral biopsy about home care. Which statement by the
client indicates
understanding of the nurse's teaching?
a. "I will take my opioids only when I have severe pain."
b. "I will keep my left arm elevated for 24 hours."
c. "I will watch for tenderness and warmth around the biopsy site."
d. "I will report any discomfort to my primary health care provider immediately." - CORRECT ANSWER -C
The nurse is teaching assistive personnel (AP) about the risk for osteoporosis associated with race or
ethnicity. Which population
typically has a decreased incidence of osteoporosis when compared to Euro-Americans?
a. Irish Americans
b. African Americans
c. American Indians
d. Asian Americans - CORRECT ANSWER -B
A female client is preparing to have open magnetic resonance imaging (MRI) of the spine. What action(s)
by the nurse is (are) most
important to assess before the test? (Select all that apply.)
a. Ask if the client has a history of kidney disease.
, b. Ask the client if she could possibly be pregnant.
c. Ensure that the patient has no metal or electronic implants.
d. Assess the client for the ability to communicate.
e. Assess the client for a history of claustrophobia. - CORRECT ANSWER -ABCD
The nurse is reviewing the laboratory profile for a client who has muscular dystrophy. Which laboratory
value(s) would the nurse
expect to be elevated? (Select all that apply.)
a. Calcium (Ca)
b. Phosphate (PO4)
c. Creatine kinase (CK)
d. Lactic dehydrogenase (LDH)
e. Aspartate aminotransferase (AST)
f. Aldolase (ALD - CORRECT ANSWER -CDEF
An older client's serum calcium level is 8.7 mg/dL (2.18 mmol/L). What possible etiology(ies) does the
nurse consider for this
result? (Select all that apply.)
a. Good dietary intake of calcium and vitamin D
b. Normal age-related decrease in serum calcium
c. Possible occurrence of osteoporosis or osteopenia
d. Potential for metastatic cancer or Paget disease
e. Recent bone fracture in a healing stage - CORRECT ANSWER -BC
When assessing gait, what feature(s) would the nurse inspect? (Select all that apply.)
a. Balance
SURGICAL EXAM TEST BANK
QUESTIONS AND ANSWERS
The nurse is caring for an older client who has kyphosis and a widened gait. For which health problems is
the client at risk?
a. Osteoporosis
b. Contracture
c. Osteopenia
d. Falls - CORRECT ANSWER -D
The nurse is teaching assistant personnel (AP) about care of an older ambulatory adult who has
osteopenia. Which statement by the
AP indicates understanding of the teaching?
a. "I will tell the client to change positions frequently to prevent pressure injury."
b. "I will remind the client to take frequent walks to strengthen bones."
c. "I will assist the client with activities of daily living as needed."
d. "I will apply warm compresses to the joints to relieve pain." - CORRECT ANSWER -B
A client had an arthroscopy 1 hour ago on the left knee. The nurse finds the left lower leg to be pale and
cool, with a 1+ pedal
pulse. What action would the nurse perform first?
a. Assess the neurovascular status of the right leg.
b. Document the findings in the patient's chart.
,c. Elevate the left leg on at least two pillows.
d. Notify the primary health care provider immediately. - CORRECT ANSWER -A
A hospitalized client's strength of the upper extremities is rated at a 4. What does the nurse understand
about this client's ability to
perform activities of daily living (ADLs)?
a. The client is able to perform ADLs but not lift some items.
b. The client is unable to perform ADLs alone.
c. No difficulties are expected with ADLs.
d. The client would need almost total assistance with ADLs. - CORRECT ANSWER -C
An older client is distressed at body changes related to kyphosis. What response by the nurse is
appropriate?
a. Ask the client to explain more about these feelings.
b. Explain that these changes are irreversible.
c. Offer to help select clothes to hide the deformity.
d. Tell the client that safety is more important than looks. - CORRECT ANSWER -A
The nurse is taking a history from an older client who reports having frequent falls. Which dietary habit
could be contributing to the
client's problem?
a. Consumes high-protein foods.
b. Eats few concentrated sweets.
c. Limits fatty or greasy foods.
d. Avoids dairy products - CORRECT ANSWER -D
,The client's electronic health record indicates genu varum. What does the nurse understand this term to
mean?
a. Bow-legged
b. Fluid accumulation
c. Knock-kneed
d. Spinal curvature - CORRECT ANSWER -A
The nurse is teaching a client who had a left humeral biopsy about home care. Which statement by the
client indicates
understanding of the nurse's teaching?
a. "I will take my opioids only when I have severe pain."
b. "I will keep my left arm elevated for 24 hours."
c. "I will watch for tenderness and warmth around the biopsy site."
d. "I will report any discomfort to my primary health care provider immediately." - CORRECT ANSWER -C
The nurse is teaching assistive personnel (AP) about the risk for osteoporosis associated with race or
ethnicity. Which population
typically has a decreased incidence of osteoporosis when compared to Euro-Americans?
a. Irish Americans
b. African Americans
c. American Indians
d. Asian Americans - CORRECT ANSWER -B
A female client is preparing to have open magnetic resonance imaging (MRI) of the spine. What action(s)
by the nurse is (are) most
important to assess before the test? (Select all that apply.)
a. Ask if the client has a history of kidney disease.
, b. Ask the client if she could possibly be pregnant.
c. Ensure that the patient has no metal or electronic implants.
d. Assess the client for the ability to communicate.
e. Assess the client for a history of claustrophobia. - CORRECT ANSWER -ABCD
The nurse is reviewing the laboratory profile for a client who has muscular dystrophy. Which laboratory
value(s) would the nurse
expect to be elevated? (Select all that apply.)
a. Calcium (Ca)
b. Phosphate (PO4)
c. Creatine kinase (CK)
d. Lactic dehydrogenase (LDH)
e. Aspartate aminotransferase (AST)
f. Aldolase (ALD - CORRECT ANSWER -CDEF
An older client's serum calcium level is 8.7 mg/dL (2.18 mmol/L). What possible etiology(ies) does the
nurse consider for this
result? (Select all that apply.)
a. Good dietary intake of calcium and vitamin D
b. Normal age-related decrease in serum calcium
c. Possible occurrence of osteoporosis or osteopenia
d. Potential for metastatic cancer or Paget disease
e. Recent bone fracture in a healing stage - CORRECT ANSWER -BC
When assessing gait, what feature(s) would the nurse inspect? (Select all that apply.)
a. Balance
