RN ADULT MEDICAL SURGICAL
NURSING CONTENT MASTERY SERIES
(CMS)
EXAMS QUESTIONS AND CORRECT
VERIFIED
ANSWERS
A nurse is providing education to a client who is to undergo an electroencephalogram
(EEG) the next day. Which of the following information should the nurse include in the
teaching?
A. "Do not wash your hair the morning of the procedure."
B. "Try to stay awake most of the night prior to the procedure."
C. "The procedure will take approximately 15 minutes."
D. "You will need to lie flat for 4 hours after the procedure." - CORRECT ANSWER B.
"Try to stay awake most of the night prior to the procedure."
A nurse is caring for a client who is experiencing mild acute pain after spraining an ankle.
Which of the following analgesics should the nurse expect to administer?
A. Ketorolac
B. Ketamine
C. Meperidine
D. Methadone - CORRECT ANSWER A. Ketorolac
A nurse at a clinic is talking with a client who has cancer and takes extended-release
opioids twice daily. The client reports an increase in localized, achy pain over the last few
days. How should the nurse document this increase in pain?
Page 1 of 129
,A. Phantom limb pain
B. Mixed pain
C. Breakthrough pain
D. Neuropathic pain - CORRECT ANSWER C. Breakthrough pain
A nurse is caring for a client who is receiving morphine via a patientcontrolled analgesia
(PCA) infusion device after abdominal surgery. Which of the following client statements
indicates that the client understands how to use the device?
A. "I'll wait to use the device until it's absolutely necessary."
B. "I'll be careful about pushing the button so I don't get an overdose." C. "I should tell
the nurse if the pain doesn't stop after I use this device."
D. "I will ask my son to push the dose - CORRECT ANSWER C. "I should tell the nurse
if the pain doesn't stop after I use this device."
A nurse is discussing pain assessment with a newly licensed nurse. Which of the following
information should the nurse include?
A. Most clients exaggerate their level of pain
B. Pain must have an identifiable source to justify the use of opioids
C. Objective data are essential in assessing pain
D. Pain is whatever the client says it is - CORRECT ANSWER D. Pain is whatever the
client says it is
A nurse is monitoring a client who is receiving opioid analgesia. Which of the following
findings should the nurse identify as adverse effects of opioid analgesics? (SATA)
A. Urinary incontinence
B. Diarrhea
C. Bradypnea
D. Orthostatic hypotension
E. Nausea - CORRECT ANSWER C. Bradypnea
D. Orthostatic hypotension
E. Nausea
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,A nurse is assessing a client who reports severe headache and a stiff neck. The nurse's
assessment reveals positive Kernig's and Brudzinski's signs. Which of the following actions
should the nurse perform first?
A. Administer antibiotics
B. Implement droplet precautions
C. Initiate IV access
D. Decrease bright lights - CORRECT ANSWER B. Implement droplet precautions
A nurse is assessing for the presence of Brudzinski's sign in a client who has suspected
meningitis. Which of the following actions should the nurse take when performing this
technique? (SATA)
A. Place client in supine position
B. Flex client's hip and knee
C. Place hands behind the client's neck
D. Bend the client's head toward chest
E. Straighten the client's flexed leg at the knee - CORRECT ANSWER
A. Place client in supine position
C. Place hands behind the client's neck
D. Bend the client's head toward chest
A nurse is planning care for a client who has meningitis and is at risk for increased
intracranial pressure (ICP). Which of the following actions should the nurse plan to take?
(SATA)
A. Implement seizure precautions
B. Perform neurological checks four times a day
C. Administer morphine for the report of neck and generalized pain
D. Turn off room lights and television
E. Monitor for impaired extraocular movements
F. Encourage the client to cough frequently - CORRECT ANSWER A.
Implement seizure precautions
D. Turn off room lights and television
E. Monitor for impaired extraocular movements
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, A nurse is reviewing the use of the meningococcal vaccine (MCV4) for the prevention of
meningitis with a newly licensed nurse. Which of the following information should the
nurse include?
A. The vaccine is indicated to reduce the risk of respiratory infection
B. The vaccine is administered in a series of four doses
C. The vaccine is recommended for adolescents before starting college
D. The vaccine is initially given at 2 months of age - CORRECT ANSWER C. The
vaccine is recommended for adolescents before starting college
A nurse is planning care for a client who has bacterial meningitis. Which of the following
actions should the nurse include in the plan of care? (SATA)
A. Monitor for bradycardia
B. Provide an emesis basin at the bedside
C. Administer antipyretic medication
D. Perform a skin assessment
E. Keep the head of the bed flat - CORRECT ANSWER B. Provide an emesis basin at
the bedside
C. Administer antipyretic medication
D. Perform a skin assessment
A nurse is assessing a client who has a seizure disorder. The client tells the nurse, "I am
about to have a seizure." Which of the following actions should the nurse implement?
(SATA)
A. Provide privacy
B. Ease the client to the floor if standing
C. More furniture away from the client
D. Loosen the client's clothing
E. Protect the client's head with padding
F. Restrain the client - CORRECT ANSWER A. Provide pricacy
B. Ease the client to the floor if standing
C. More furniture away from the client
D. Loosen the client's clothing
E. Protect the client's head with padding
Page 4 of 129
NURSING CONTENT MASTERY SERIES
(CMS)
EXAMS QUESTIONS AND CORRECT
VERIFIED
ANSWERS
A nurse is providing education to a client who is to undergo an electroencephalogram
(EEG) the next day. Which of the following information should the nurse include in the
teaching?
A. "Do not wash your hair the morning of the procedure."
B. "Try to stay awake most of the night prior to the procedure."
C. "The procedure will take approximately 15 minutes."
D. "You will need to lie flat for 4 hours after the procedure." - CORRECT ANSWER B.
"Try to stay awake most of the night prior to the procedure."
A nurse is caring for a client who is experiencing mild acute pain after spraining an ankle.
Which of the following analgesics should the nurse expect to administer?
A. Ketorolac
B. Ketamine
C. Meperidine
D. Methadone - CORRECT ANSWER A. Ketorolac
A nurse at a clinic is talking with a client who has cancer and takes extended-release
opioids twice daily. The client reports an increase in localized, achy pain over the last few
days. How should the nurse document this increase in pain?
Page 1 of 129
,A. Phantom limb pain
B. Mixed pain
C. Breakthrough pain
D. Neuropathic pain - CORRECT ANSWER C. Breakthrough pain
A nurse is caring for a client who is receiving morphine via a patientcontrolled analgesia
(PCA) infusion device after abdominal surgery. Which of the following client statements
indicates that the client understands how to use the device?
A. "I'll wait to use the device until it's absolutely necessary."
B. "I'll be careful about pushing the button so I don't get an overdose." C. "I should tell
the nurse if the pain doesn't stop after I use this device."
D. "I will ask my son to push the dose - CORRECT ANSWER C. "I should tell the nurse
if the pain doesn't stop after I use this device."
A nurse is discussing pain assessment with a newly licensed nurse. Which of the following
information should the nurse include?
A. Most clients exaggerate their level of pain
B. Pain must have an identifiable source to justify the use of opioids
C. Objective data are essential in assessing pain
D. Pain is whatever the client says it is - CORRECT ANSWER D. Pain is whatever the
client says it is
A nurse is monitoring a client who is receiving opioid analgesia. Which of the following
findings should the nurse identify as adverse effects of opioid analgesics? (SATA)
A. Urinary incontinence
B. Diarrhea
C. Bradypnea
D. Orthostatic hypotension
E. Nausea - CORRECT ANSWER C. Bradypnea
D. Orthostatic hypotension
E. Nausea
Page 2 of 129
,A nurse is assessing a client who reports severe headache and a stiff neck. The nurse's
assessment reveals positive Kernig's and Brudzinski's signs. Which of the following actions
should the nurse perform first?
A. Administer antibiotics
B. Implement droplet precautions
C. Initiate IV access
D. Decrease bright lights - CORRECT ANSWER B. Implement droplet precautions
A nurse is assessing for the presence of Brudzinski's sign in a client who has suspected
meningitis. Which of the following actions should the nurse take when performing this
technique? (SATA)
A. Place client in supine position
B. Flex client's hip and knee
C. Place hands behind the client's neck
D. Bend the client's head toward chest
E. Straighten the client's flexed leg at the knee - CORRECT ANSWER
A. Place client in supine position
C. Place hands behind the client's neck
D. Bend the client's head toward chest
A nurse is planning care for a client who has meningitis and is at risk for increased
intracranial pressure (ICP). Which of the following actions should the nurse plan to take?
(SATA)
A. Implement seizure precautions
B. Perform neurological checks four times a day
C. Administer morphine for the report of neck and generalized pain
D. Turn off room lights and television
E. Monitor for impaired extraocular movements
F. Encourage the client to cough frequently - CORRECT ANSWER A.
Implement seizure precautions
D. Turn off room lights and television
E. Monitor for impaired extraocular movements
Page 3 of 129
, A nurse is reviewing the use of the meningococcal vaccine (MCV4) for the prevention of
meningitis with a newly licensed nurse. Which of the following information should the
nurse include?
A. The vaccine is indicated to reduce the risk of respiratory infection
B. The vaccine is administered in a series of four doses
C. The vaccine is recommended for adolescents before starting college
D. The vaccine is initially given at 2 months of age - CORRECT ANSWER C. The
vaccine is recommended for adolescents before starting college
A nurse is planning care for a client who has bacterial meningitis. Which of the following
actions should the nurse include in the plan of care? (SATA)
A. Monitor for bradycardia
B. Provide an emesis basin at the bedside
C. Administer antipyretic medication
D. Perform a skin assessment
E. Keep the head of the bed flat - CORRECT ANSWER B. Provide an emesis basin at
the bedside
C. Administer antipyretic medication
D. Perform a skin assessment
A nurse is assessing a client who has a seizure disorder. The client tells the nurse, "I am
about to have a seizure." Which of the following actions should the nurse implement?
(SATA)
A. Provide privacy
B. Ease the client to the floor if standing
C. More furniture away from the client
D. Loosen the client's clothing
E. Protect the client's head with padding
F. Restrain the client - CORRECT ANSWER A. Provide pricacy
B. Ease the client to the floor if standing
C. More furniture away from the client
D. Loosen the client's clothing
E. Protect the client's head with padding
Page 4 of 129
