Prophecy med surg RN EXAM A+ GRADE ASSURED COMPLETE SOLUTIONS AND VERIFIED ANSWERS

EXAM

Exam Solution vc




Medical Surgical Assessment A 2026 A+ GRADE ASSURE vc vc vc vc vc vc vc




D COMPLETE SOLUTIONS AND VERIFIED ANSWERS (A4
vc vc vc vc vc vc




49F)




QUESTION 1 vc




A nurse is reviewing the laboratory results of a client who is scheduled for a CT scan wit
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc



h an IV contrast agent. Which of the following laboratory findings should the nurse repor
vc vc vc vc vc vc vc vc vc vc vc vc vc vc



t to the provider prior to the procedure?
vc vc vc vc vc vc vc



A) Sodium 136 mEq/L
vc vc vc



B) Potassium 4.8 mEq/L
vc vc vc



C) Creatinine 1.9 mg/dL
vc vc vc



D) Calcium 10 mg/dL
vc vc vc




ANSWER

C) Creatinine 1.9 mg/dL Creatinine 1.9 mg/dL is not within the expected reference range. Therefore, the
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc



nurse should report the finding to the provider before the client has a CT scan with an IV contrast agen
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc



t. This finding places the client at risk for developing contrast-induced nephropathy.
vc vc vc vc vc vc vc vc vc vc vc




QUESTION 2 vc




A nurse is monitoring a client who is taking acarbose. Which of the following findings sh
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc



ould the nurse identify as an adverse effect of the medication?
vc vc vc vc vc vc vc vc vc vc



A) Polyuria vc



B) Abdominal cramps
vc vc



C) Renal insufficiency
vc vc



D) Insomnia vc




ANSWER

B) Abdominal cramps Acarbose affects the gastrointestinal system. Therefore, the nurse should monitor
vc vc vc vc vc vc vc vc vc vc vc vc vc



the client for abdominal cramping, rumbling bowel sounds, and diarrhea as adverse effects of this medic
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc



ation.



QUESTION 3 vc

,A nurse is contributing to the plan of care for a client who has chronic obstructive pulmo
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc



nary disease (COPD) and is dyspneic. Which of the following interventions should the nu
vc vc vc vc vc vc vc vc vc vc vc vc vc



rse include in the plan?
vc vc vc vc



A) Encourage abdominal breathing
vc vc vc



B) Direct the client to inhale with pursed lips
vc vc vc vc vc vc vc vc



C) Set the oxygen therapy at 5L/min
vc vc vc vc vc vc



D) Instruct the client to lean back while coughing
vc vc vc vc vc vc vc vc




ANSWER

A) Encourage abdominal breathing The nurse should encourage abdominal breathing, which reduces the
vc vc vc vc vc vc vc vc vc vc vc vc



workload on the accessory muscles of respiration during dyspneic episodes.
vc vc vc vc vc vc vc vc vc vc




QUESTION 4 vc




A nurse is preparing to administer phytonadione 7 mg subcutaneously to a client who ha
vc vc vc vc vc vc vc vc vc vc vc vc vc vc



s an INR of 4. Available is phytonadione 10 mg/mL. How many mL should the nurse admi
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc



nister? (Round the answer to the nearest tenth. Use a leading zero is it applies. Do not us
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc



e a trailing zero.
vc vc vc




ANSWER

7mg/10 mg *1mL= 0.7 mL vc vc vc vc




QUESTION 5 vc




A nurse is examining a client's IV site and notes a red line up his arm. The client reports
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc



a throbbing, burning pain at the IV site. The nurse should identify that the client's manif
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc



estations indicate which of the following complications of IV therapy?
vc vc vc vc vc vc vc vc vc



A) Thrombophlebitis
vc



B) Infiltration
vc



C) Hematomavc



D) Venous spasms
vc vc




ANSWER

A) Thrombophlebitis The nurse should identify pain, warmth, and a red streak up the arm as indications
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc



of thrombophlebitis.
vc vc




QUESTION 6 vc




A nurse is reinforcing teaching about management of constipation with a client who has
vc vc vc vc vc vc vc vc vc vc vc vc vc vc



hypothyroidism. Which of the following should the nurse include in the teaching? vc vc vc vc vc vc vc vc vc vc vc



A) Increase intake of fiber-rich foods
vc vc vc vc vc



B) Take a laxative every morning
vc vc vc vc vc



C) Maintain a fluid intake of 1200 mL per day
vc vc vc vc vc vc vc vc vc



D) Limit activity to preserve energy
vc vc vc vc vc

, ANSWER

A) Increase intake of fiber-
vc vc vc vc



rich foods The nurse should instruct the client to increase the amount of fiber-
vc vc vc vc vc vc vc vc vc vc vc vc vc



rich foods in his diet. Dried beans and brown rice are examples of fiber-rich foods.
vc vc vc vc vc vc vc vc vc vc vc vc vc vc




QUESTION 7 vc




A nurse is caring for a client who has a compound fracture of the femur and was placed i
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc



n balanced suspension skeletal traction 4 days ago. Which of the following actions shoul
vc vc vc vc vc vc vc vc vc vc vc vc vc



d the nurse take?
vc vc vc



A) Perform pin site care daily
vc vc vc vc vc



B) Remove the overbed trapeze
vc vc vc vc



C) Remove the boot every 2 hr
vc vc vc vc vc vc



D) Keep the weights on a stable, flat surface
vc vc vc vc vc vc vc vc




ANSWER

A) Perform pin site care daily The nurse should perform pin site care daily with chlorhexidine solution
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc



or use a solution according to facility protocol. The nurse should also monitor the pin sites for manifest
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc



ations of infection. vc vc




QUESTION 8 vc




A nurse observes a client who is lying in bed experiencing a tonic-
vc vc vc vc vc vc vc vc vc vc vc vc



clonic seizure. Which of the following actions should the nurse take?
vc vc vc vc vc vc vc vc vc vc



A) Lower the side rails of the client's bed
vc vc vc vc vc vc vc vc



B) Apply wrist restraints to the client
vc vc vc vc vc vc



C) Position the client in the semi-Fowler's position
vc vc vc vc vc vc vc



D) Loosen clothing around the client's neck
vc vc vc vc vc vc




ANSWER

D) Loosen clothing around the client's neck The nurse should loosen clothing around the client's neck to
vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc vc



maintain an open airway and prevent aspiration.
vc vc vc vc vc vc vc




QUESTION 9 vc




A nurse is reinforcing discharge teaching to prevent dumping syndrome for a client follo
vc vc vc vc vc vc vc vc vc vc vc vc vc



wing a partial gastrectomy for ulcers. Which of the following information should the nur
vc vc vc vc vc vc vc vc vc vc vc vc vc



se include in the teaching?
vc vc vc vc



A) Avoid liquids at mealtimes
vc vc vc vc



B) Exclude eating starchy vegetables
vc vc vc vc



C) Avoid eating high-protein meals
vc vc vc vc



D) Plan to increase intake of sweetened fruits
vc vc vc vc vc vc vc




ANSWER