RN Adult Medical Surgical Online Practice 2023 A ETSU NUR
5TH SEMESTER Actual Final Exam 2026 -2027 | Most Recent
Exam Actual Complete Real Exam Questions And Correct
Answers (Verified Answers) Already Graded A+ |Guaranteed
Success!! Newest Exam | Just Released!!
1
Q
A nurse is caring for a client who has amyotrophic lateral sclerosis (ALS) and is
being admitted to the hospital with pneumonia. Which of the following
assessment findings is the nurse’s priority?
1. Temperature 38.4 C (101.1 F)
2. Increased respiratory secretions
3. Fluid intake of 200 mL in the prior 8 hr
4. Limited range of motion
A
Increased respiratory secretions
CORRECT
Using the airway, breathing, circulation approach to client care, the nurse
should determine that the priority assessment finding is increased respiratory
secretions. Clients who have ALS may experience respiratory muscle weakness
and dysphagia, and excessive respiratory secretions can impair the ability to
clear the airway, which increases the client’s risk for aspiration.
2
Q
A nurse is preparing to administer a blood transfusion to a client who has
anemia. Which of the following actions should the nurse take first?
1. Obtain the client’s vital signs
2. Describe the blood transfusion procedure to the client
3. Check for the type and number of units of blood to administer.
4. Initiate a peripheral IV line
A
Check for the type and number of units of blood to administer
,According to evidence-based practice, the nurse should first confirm that the
type and number of units of blood to administer matches what is indicated in
the client’s medication administration record.
3
Q
A nurse in an acute care facility is caring for a client who is at risk for seizures.
Which of the following precautions should the nurse implement?
1. Place a padded tongue blade at the client’s bedside
2. keep the side rails lowered on the client’s bed
3. Maintain the client’s bed at hip level o above
4. Ensure that the client has a patent IV.
A
Place a padded tongue blade at the client’s bedside.
INCORRECT
The nurse should never insert a padded tongue blade in the client’s mouth
because it can cause injury or occlude the client’s airway.
Keep the side rails lowered on the client’s bed.
INCORRECT
The nurse should keep two or three side rails up on the client’s bed to prevent
falls.
Maintain the client’s bed at hip level or above.
INCORRECT
The nurse should keep the client’s bed in the lowest position to prevent falls.
Ensure that the client has a patent IV.
CORRECT
The nurse should ensure the client has IV access in the event that the client
requires medication to stop seizure activity.
4
Q
A nurse is providing follow-up care for a client who sustained a compound
fracture 3 weeks ago. The nurse should recognize that an unexpected finding for
which of the following laboratory values is a manifestation of osteomyelitis and
should be reported to the provider?
1. Sedimentation rate
, 2. Hematocrit
3. Calcium
4. Acid phosphatase
A
Sedimentation rate
CORRECT
An increased sedimentation rate occurs when a client has any type of
inflammatory process, such as osteomyelitis.
Hematocrit
INCORRECT
Hematocrit levels are not altered by inflammatory processes such as
osteomyelitis.
Calcium
INCORRECT
A client who has a bone fracture can have an alteration in calcium levels due to
bone remodeling, but alterations in calcium levels do not indicate an
inflammatory process.
Acid phosphatase
INCORRECT
Acid phosphatase levels are altered in a client who has prostate disease.
Phosphorus levels have an inverse relationship with calcium levels. Neither
phosphorus nor acid phosphatase indicates an inflammatory disorder.
5
Q
A nurse is preparing to present a program about the prevention of
atherosclerosis at a health fair. Which of the following recommendations should
the nurse plan to include? (Select all that apply.)
1. Follow a smoking cessation program.
2. Maintain an appropriate weight.
3. Eat a low-fat diet.
4. Increase fluid intake.
5. Decrease intake of complex carbohydrates.
A
, Follow a smoking cessation program. (CORRECT)
Smoking cessation is an important lifestyle modification to prevent
atherosclerosis.
Maintain an appropriate weight. (CORRECT)
Preventing obesity through diet and exercise can help to prevent
atherosclerosis.
Eat a low-fat diet. (CORRECT)
Eating a low-fat diet decreases LDL cholesterol and can prevent atherosclerosis.
Increase fluid intake. (INCORRECT)
Increasing intake of fruits, vegetables, and grains can prevent atherosclerosis.
Decrease intake of complex carbohydrates. (INCORRECT)
Decreasing intake of simple sugars and sweetened foods and increasing
complex carbohydrates, such as fiber, can reduce the risk of heart disease.
6
Q
A nurse is caring for a client who has a potassium level of 3 mEq/L (normal
range: 3.5 to 5 mEq/L). Which of the following assessment findings should the
nurse expect?
1. Positive Trousseau’s sign
2. 4+ deep tendon reflexes
3. Deep respirations
4. Hypoactive bowel sounds
A
Positive Trousseau’s sign:
INCORRECT
Trousseau’s sign is associated with hypocalcemia, not hypokalemia.
2+ deep tendon reflexes:
INCORRECT
Deep tendon reflexes may be normal or diminished in hypokalemia. A 2+ reflex
is within the normal range.
Deep respirations:
INCORRECT
5TH SEMESTER Actual Final Exam 2026 -2027 | Most Recent
Exam Actual Complete Real Exam Questions And Correct
Answers (Verified Answers) Already Graded A+ |Guaranteed
Success!! Newest Exam | Just Released!!
1
Q
A nurse is caring for a client who has amyotrophic lateral sclerosis (ALS) and is
being admitted to the hospital with pneumonia. Which of the following
assessment findings is the nurse’s priority?
1. Temperature 38.4 C (101.1 F)
2. Increased respiratory secretions
3. Fluid intake of 200 mL in the prior 8 hr
4. Limited range of motion
A
Increased respiratory secretions
CORRECT
Using the airway, breathing, circulation approach to client care, the nurse
should determine that the priority assessment finding is increased respiratory
secretions. Clients who have ALS may experience respiratory muscle weakness
and dysphagia, and excessive respiratory secretions can impair the ability to
clear the airway, which increases the client’s risk for aspiration.
2
Q
A nurse is preparing to administer a blood transfusion to a client who has
anemia. Which of the following actions should the nurse take first?
1. Obtain the client’s vital signs
2. Describe the blood transfusion procedure to the client
3. Check for the type and number of units of blood to administer.
4. Initiate a peripheral IV line
A
Check for the type and number of units of blood to administer
,According to evidence-based practice, the nurse should first confirm that the
type and number of units of blood to administer matches what is indicated in
the client’s medication administration record.
3
Q
A nurse in an acute care facility is caring for a client who is at risk for seizures.
Which of the following precautions should the nurse implement?
1. Place a padded tongue blade at the client’s bedside
2. keep the side rails lowered on the client’s bed
3. Maintain the client’s bed at hip level o above
4. Ensure that the client has a patent IV.
A
Place a padded tongue blade at the client’s bedside.
INCORRECT
The nurse should never insert a padded tongue blade in the client’s mouth
because it can cause injury or occlude the client’s airway.
Keep the side rails lowered on the client’s bed.
INCORRECT
The nurse should keep two or three side rails up on the client’s bed to prevent
falls.
Maintain the client’s bed at hip level or above.
INCORRECT
The nurse should keep the client’s bed in the lowest position to prevent falls.
Ensure that the client has a patent IV.
CORRECT
The nurse should ensure the client has IV access in the event that the client
requires medication to stop seizure activity.
4
Q
A nurse is providing follow-up care for a client who sustained a compound
fracture 3 weeks ago. The nurse should recognize that an unexpected finding for
which of the following laboratory values is a manifestation of osteomyelitis and
should be reported to the provider?
1. Sedimentation rate
, 2. Hematocrit
3. Calcium
4. Acid phosphatase
A
Sedimentation rate
CORRECT
An increased sedimentation rate occurs when a client has any type of
inflammatory process, such as osteomyelitis.
Hematocrit
INCORRECT
Hematocrit levels are not altered by inflammatory processes such as
osteomyelitis.
Calcium
INCORRECT
A client who has a bone fracture can have an alteration in calcium levels due to
bone remodeling, but alterations in calcium levels do not indicate an
inflammatory process.
Acid phosphatase
INCORRECT
Acid phosphatase levels are altered in a client who has prostate disease.
Phosphorus levels have an inverse relationship with calcium levels. Neither
phosphorus nor acid phosphatase indicates an inflammatory disorder.
5
Q
A nurse is preparing to present a program about the prevention of
atherosclerosis at a health fair. Which of the following recommendations should
the nurse plan to include? (Select all that apply.)
1. Follow a smoking cessation program.
2. Maintain an appropriate weight.
3. Eat a low-fat diet.
4. Increase fluid intake.
5. Decrease intake of complex carbohydrates.
A
, Follow a smoking cessation program. (CORRECT)
Smoking cessation is an important lifestyle modification to prevent
atherosclerosis.
Maintain an appropriate weight. (CORRECT)
Preventing obesity through diet and exercise can help to prevent
atherosclerosis.
Eat a low-fat diet. (CORRECT)
Eating a low-fat diet decreases LDL cholesterol and can prevent atherosclerosis.
Increase fluid intake. (INCORRECT)
Increasing intake of fruits, vegetables, and grains can prevent atherosclerosis.
Decrease intake of complex carbohydrates. (INCORRECT)
Decreasing intake of simple sugars and sweetened foods and increasing
complex carbohydrates, such as fiber, can reduce the risk of heart disease.
6
Q
A nurse is caring for a client who has a potassium level of 3 mEq/L (normal
range: 3.5 to 5 mEq/L). Which of the following assessment findings should the
nurse expect?
1. Positive Trousseau’s sign
2. 4+ deep tendon reflexes
3. Deep respirations
4. Hypoactive bowel sounds
A
Positive Trousseau’s sign:
INCORRECT
Trousseau’s sign is associated with hypocalcemia, not hypokalemia.
2+ deep tendon reflexes:
INCORRECT
Deep tendon reflexes may be normal or diminished in hypokalemia. A 2+ reflex
is within the normal range.
Deep respirations:
INCORRECT
