MED-SURG A 90 QUESTIONS
A nurse is reviewing the medical record of a client who has a prescription for morphine.
Which of the following findings should the nurse report to the provider?
A. Urinary retention
B. Administration of celecoxib 24hr ago
C. History of immunosuppression
D. Administration of levothyroxine 12 hr ago - correct answer *A. Urinary retention*
A nurse is caring for a client who is at risk for developing pressure ulcers. Which of the
following actions should the nurse take?
A. Position pillows between the bony prominences.
B. Check for incontinence every 3 hr.
C. Massage reddened areas of the skin.
D.Elevate the head of the bed to 45°. - correct answer *A. Position pillows between the
bony prominences.*
A nurse is caring for a client who is preoperative and is receiving an IV infusion of
cefazolin. Ten minutes after beginning the infusion, the client reports intense itching.
Which of the following actions should the nurse take first?
A. Stop the medication infusion.
B. Notify the charge nurse.
C. Administer a PRN dose of diphenhydramine.
D. Follow facility policy for appropriate reporting of the adverse reaction. - correct
answer A. Stop the medication infusion
A nurse is reinforcing teaching with a client who has gonorrhea. Which of the following
information should the nurse include?
A. "Your partner will not require treatment for this infection."
B. "You can resume sexual activity as soon as you begin treatment."
C. "You are at risk for infertility with this infection, regardless of treatment."
D. "You will not be at further risk for this infection following treatment. - correct answer
C. "You are at risk for infertility with this infection, regardless of treatment."
A nurse is examining a client's IV site and notes a red line up his arm. The client reports
a throbbing, burning pain at the IV site. The nurse should identify that the client's
manifestations indicate which of the following complications of IV therapy?
A. Thrombophlebitis
B. Infiltration
C. Hematoma
D. Venous spasms - correct answer A. Thrombophlebitis
,MED-SURG A 90 QUESTIONS
A nurse is reinforcing teaching with an adolescent client regarding testicular self-
examination. Which of the following statements by the client demonstrates an
understanding of the teaching?
A. "I will perform the exam before I shower."
B. "I will check my testicles every 6 months."
C. "I understand that testicular cancer is painless."
D. "I understand that pea-sized lumps are normal." - correct answer C. "I understand
that testicular cancer is painless.
A nurse in a long-term care facility is collecting data from a client who reports fullness in
the rectum and abdominal cramping. Which of the following findings should indicate to
the nurse that the client might have a fecal impaction?
A. Halitosis
B. Hemorrhoids
C. Rebound tenderness
D. Small liquid stools - correct answer D. Small liquid stools
A nurse in an oncology clinic is reinforcing teaching about Mohs surgery with a client
who has skin cancer. Which of the following information should the nurse include in the
teaching?
A. Mohs surgery is a horizontal shaving of thin layers of the tumor.
B. Mohs surgery uses liquid nitrogen to destroy the cancerous tissue.
C. Mohs surgery is the preferred treatment for melanoma skin cancer.
D. Mohs surgery is a palliative treatment for metastatic skin cancer. - correct answer A.
Mohs surgery is a horizontal shaving of thin layers of the tumor.
A nurse is reinforcing teaching about gastroesophageal reflux disease (GERD) with a
client. Which of the following statements by the client indicates an understanding of the
teaching?
A. "I should wait at least 2 hours after eating before going to bed."
B. "I should eat three meals a day without eating snacks between meals."
C. "I should season my food with garlic."
D. "I should drink my liquids through a straw." - correct answer A. "I should wait at least
2 hours after eating before going to bed."
- correct answer Check IV
Stop Infusion
Withdraw IV
Elevate arm
Notify Charge Nurse
, MED-SURG A 90 QUESTIONS
A nurse is contributing to the plan of care for an older adult client who is at risk for
osteoporosis. Which of the following interventions should the nurse include to prevent
bone loss?
A. Increase fluid intake.
B. Encourage range-of-motion exercises.
C. Massage bony prominences.
D. Encourage weight-bearing exercises. - correct answer D. Encourage weight-bearing
exercises.
A nurse is assisting with the care of a client who had a cardiac catheterization via the
right femoral artery. Which of the following actions should the nurse take to prevent
postprocedure complications? (Select all that apply.
A. Monitor the insertion site for bleeding.
B. Position the affected extremity at a 45° angle.
C. Restrict the client's fluid intake.
D. Maintain the pressure dressing.
E. Check the client's peripheral pulses. - correct answer A. Monitor the insertion site for
bleeding.
D. Maintain the pressure dressing.
E. Check the client's peripheral pulses.
A nurse is caring for a client who is 1 day postoperative following a hip arthroplasty. The
client is exhibiting hypotension, tachycardia, and tachypnea. The nurse should
recognize that these findings indicate which of the following complications?
A. Wound infection
B. Pulmonary embolism
C. Thrombophlebitis
D. Paralytic ileus - correct answer B. Pulmonary embolism
A nurse is reinforcing discharge teaching with a client who has hearing loss. Which of
the following actions should the nurse take when communicating with the client?
A.Rephrase client instructions when not understood.
B. Cup hands around the mouth and direct speech toward the client.
C. Accentuate vowel sounds by using a higher pitch when speaking.
D. Sit to the side of the client and speak instructions into her best ear. - correct answer
A.Rephrase client instructions when not understood.
A nurse is caring for a client who is postoperative and has an epidural infusion. Which of
the following findings should the nurse recognize as the priority?
A. Pruritus
B. Nausea
A nurse is reviewing the medical record of a client who has a prescription for morphine.
Which of the following findings should the nurse report to the provider?
A. Urinary retention
B. Administration of celecoxib 24hr ago
C. History of immunosuppression
D. Administration of levothyroxine 12 hr ago - correct answer *A. Urinary retention*
A nurse is caring for a client who is at risk for developing pressure ulcers. Which of the
following actions should the nurse take?
A. Position pillows between the bony prominences.
B. Check for incontinence every 3 hr.
C. Massage reddened areas of the skin.
D.Elevate the head of the bed to 45°. - correct answer *A. Position pillows between the
bony prominences.*
A nurse is caring for a client who is preoperative and is receiving an IV infusion of
cefazolin. Ten minutes after beginning the infusion, the client reports intense itching.
Which of the following actions should the nurse take first?
A. Stop the medication infusion.
B. Notify the charge nurse.
C. Administer a PRN dose of diphenhydramine.
D. Follow facility policy for appropriate reporting of the adverse reaction. - correct
answer A. Stop the medication infusion
A nurse is reinforcing teaching with a client who has gonorrhea. Which of the following
information should the nurse include?
A. "Your partner will not require treatment for this infection."
B. "You can resume sexual activity as soon as you begin treatment."
C. "You are at risk for infertility with this infection, regardless of treatment."
D. "You will not be at further risk for this infection following treatment. - correct answer
C. "You are at risk for infertility with this infection, regardless of treatment."
A nurse is examining a client's IV site and notes a red line up his arm. The client reports
a throbbing, burning pain at the IV site. The nurse should identify that the client's
manifestations indicate which of the following complications of IV therapy?
A. Thrombophlebitis
B. Infiltration
C. Hematoma
D. Venous spasms - correct answer A. Thrombophlebitis
,MED-SURG A 90 QUESTIONS
A nurse is reinforcing teaching with an adolescent client regarding testicular self-
examination. Which of the following statements by the client demonstrates an
understanding of the teaching?
A. "I will perform the exam before I shower."
B. "I will check my testicles every 6 months."
C. "I understand that testicular cancer is painless."
D. "I understand that pea-sized lumps are normal." - correct answer C. "I understand
that testicular cancer is painless.
A nurse in a long-term care facility is collecting data from a client who reports fullness in
the rectum and abdominal cramping. Which of the following findings should indicate to
the nurse that the client might have a fecal impaction?
A. Halitosis
B. Hemorrhoids
C. Rebound tenderness
D. Small liquid stools - correct answer D. Small liquid stools
A nurse in an oncology clinic is reinforcing teaching about Mohs surgery with a client
who has skin cancer. Which of the following information should the nurse include in the
teaching?
A. Mohs surgery is a horizontal shaving of thin layers of the tumor.
B. Mohs surgery uses liquid nitrogen to destroy the cancerous tissue.
C. Mohs surgery is the preferred treatment for melanoma skin cancer.
D. Mohs surgery is a palliative treatment for metastatic skin cancer. - correct answer A.
Mohs surgery is a horizontal shaving of thin layers of the tumor.
A nurse is reinforcing teaching about gastroesophageal reflux disease (GERD) with a
client. Which of the following statements by the client indicates an understanding of the
teaching?
A. "I should wait at least 2 hours after eating before going to bed."
B. "I should eat three meals a day without eating snacks between meals."
C. "I should season my food with garlic."
D. "I should drink my liquids through a straw." - correct answer A. "I should wait at least
2 hours after eating before going to bed."
- correct answer Check IV
Stop Infusion
Withdraw IV
Elevate arm
Notify Charge Nurse
, MED-SURG A 90 QUESTIONS
A nurse is contributing to the plan of care for an older adult client who is at risk for
osteoporosis. Which of the following interventions should the nurse include to prevent
bone loss?
A. Increase fluid intake.
B. Encourage range-of-motion exercises.
C. Massage bony prominences.
D. Encourage weight-bearing exercises. - correct answer D. Encourage weight-bearing
exercises.
A nurse is assisting with the care of a client who had a cardiac catheterization via the
right femoral artery. Which of the following actions should the nurse take to prevent
postprocedure complications? (Select all that apply.
A. Monitor the insertion site for bleeding.
B. Position the affected extremity at a 45° angle.
C. Restrict the client's fluid intake.
D. Maintain the pressure dressing.
E. Check the client's peripheral pulses. - correct answer A. Monitor the insertion site for
bleeding.
D. Maintain the pressure dressing.
E. Check the client's peripheral pulses.
A nurse is caring for a client who is 1 day postoperative following a hip arthroplasty. The
client is exhibiting hypotension, tachycardia, and tachypnea. The nurse should
recognize that these findings indicate which of the following complications?
A. Wound infection
B. Pulmonary embolism
C. Thrombophlebitis
D. Paralytic ileus - correct answer B. Pulmonary embolism
A nurse is reinforcing discharge teaching with a client who has hearing loss. Which of
the following actions should the nurse take when communicating with the client?
A.Rephrase client instructions when not understood.
B. Cup hands around the mouth and direct speech toward the client.
C. Accentuate vowel sounds by using a higher pitch when speaking.
D. Sit to the side of the client and speak instructions into her best ear. - correct answer
A.Rephrase client instructions when not understood.
A nurse is caring for a client who is postoperative and has an epidural infusion. Which of
the following findings should the nurse recognize as the priority?
A. Pruritus
B. Nausea
