lOMoARcPSD| 5767030
RN ADULT
MEDICAL
SURGICAL
Nursing Care of Adults I (Florida International University)
, lOMoARcPSD| 5767030
RN ADULT MEDICAL SURGICAL 2019
1. A nurse is assessing a client who has a diagnosis on colon cancer which of the
following should the nurse expect?
a) Statorrhea
b) Elevated hemoglobin
c) Hematochezia
d) Weight gain
2. A nurse is assessing a client admitted with peripheral vascular disease,. Which of
the following findings indicates a venous vascular disorder?
a) An ulcer at the tip of a toe
b) Hair loss distal to the clients calves
c) Leg pain at rest
d) Edema of the ankle
3. A nurse is assessing a client who has pericarditis. In which of the following areas
of the client’s chest should the nurse place the stethoscope to best hear a pericardial
friction rub? (select HOT spot)
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()
, lOMoARcPSD| 5767030
Answer: D
4. A nurse is caring for a client who has a chest tube. The client asks why the fluid in
the water -seal chamber rises and falls. Which of the following statements should the
nurse make?
a) “ this means your lung is fully expanded “
b) “ this indicates a possible leak”
c) “ suction pressure that is too high causes this”
d) “ Your breathing pattern causes this”
5. A community health nurse is reviewing home care instructions with an older
adult client who has a new diagnosis of heart failure. Which of the following is the
priority topic for the nurse to review with the client?
a) Daily sodium restriction
b) Daily exercise routine
c) Changes in weight
d) Fluid intake record
6. A nurse is teaching a client about the use of transcutaneous electrical nerve
stimulation (TENS) unit. Which of the following statements should the nurse include?
Downloaded by erasmo vasquez ()
RN ADULT
MEDICAL
SURGICAL
Nursing Care of Adults I (Florida International University)
, lOMoARcPSD| 5767030
RN ADULT MEDICAL SURGICAL 2019
1. A nurse is assessing a client who has a diagnosis on colon cancer which of the
following should the nurse expect?
a) Statorrhea
b) Elevated hemoglobin
c) Hematochezia
d) Weight gain
2. A nurse is assessing a client admitted with peripheral vascular disease,. Which of
the following findings indicates a venous vascular disorder?
a) An ulcer at the tip of a toe
b) Hair loss distal to the clients calves
c) Leg pain at rest
d) Edema of the ankle
3. A nurse is assessing a client who has pericarditis. In which of the following areas
of the client’s chest should the nurse place the stethoscope to best hear a pericardial
friction rub? (select HOT spot)
Downloaded by erasmo vasquez
()
, lOMoARcPSD| 5767030
Answer: D
4. A nurse is caring for a client who has a chest tube. The client asks why the fluid in
the water -seal chamber rises and falls. Which of the following statements should the
nurse make?
a) “ this means your lung is fully expanded “
b) “ this indicates a possible leak”
c) “ suction pressure that is too high causes this”
d) “ Your breathing pattern causes this”
5. A community health nurse is reviewing home care instructions with an older
adult client who has a new diagnosis of heart failure. Which of the following is the
priority topic for the nurse to review with the client?
a) Daily sodium restriction
b) Daily exercise routine
c) Changes in weight
d) Fluid intake record
6. A nurse is teaching a client about the use of transcutaneous electrical nerve
stimulation (TENS) unit. Which of the following statements should the nurse include?
Downloaded by erasmo vasquez ()
