POSSIBLE QUESTIONS OF ADULT MEDICAL SURGICAL PRACTICE A AND B
A nurse is providing teaching to a client who has anemia and has a new prescription for an iron
supplement. Which of the following should be included in the teaching? (Select all that apply.)
A. Add foods that are high in fiber to the diet.
B. Rinse the mouth after taking the liquid formulation.
C. Expect stools to be green or black in color.
D. Take the medication on a full stomach.
E. Add additional red meat to the diet. - CORRECT ANSWERA. Add foods that are high in fiber to the diet.
B. Rinse the mouth after taking the liquid formulation.
C. Expect stools to be green or black in color.
E. Add additional red meat to the diet.
A nurse is evaluating a group of clients at a health fair in relation to the need for folic acid therapy.
Which of the following clients may benefit from folic acid therapy? (Select all that apply.)
A. A 12-year-old child with iron deficiency anemia
B. A 24-year-old female with no health problems
C. A 44-year-old male with hypertension
D. A 55-year-old female with alcohol use disorder
E. A 35-year-old male with type 2 diabetes mellitus - CORRECT ANSWERB. A 24-year-old female with no
health problems
D. A 55-year-old female with alcohol use disorder
A nurse is preparing to administer potassium chloride IV to a client who has hypokalemia. Which of the
following are appropriate actions by the nurse? (Select all that apply.)
,A. Infuse medication no faster than 10 mEq/hr.
B. Monitor urine output to ensure at least 20 mL/hr.
C. Administer medication via direct IV bolus.
D. Implement cardiac monitoring
E. Administer the infusion using an IV pump. - CORRECT ANSWERA. Infuse medication no faster than 10
mEq/hr.
D. Implement cardiac monitoring
E. Administer the infusion using an IV pump.
A nurse is caring for a client who has increased liver enzymes and is taking herbal supplements. The use
of which of the following herbal supplements should be reported to the provider?
A. Ma huang
B. Saw palmetto
C. Kava
D. St. John's wort - CORRECT ANSWERC. Kava
A client requests information from a nurse on the use of the herbal supplement feverfew. Which of the
following is an appropriate response by the nurse?
A. It is used to treat topical microbial infections.
B. It decreases the frequency of migraine headaches.
C. It lessens the nasal congestion of the common cold.
D. It relieves nausea of morning sickness during pregnancy. - CORRECT ANSWERB. It decreases the
frequency of migraine headaches.
A nurse is completing an assessment of a client's current medications. The client states she also takes
gingko biloba. Which of the following medications is contraindicated for a client taking gingko biloba?
,A. Acetaminophen (Tylenol)
B. Warfarin (Coumadin)
C. Digoxin (Lanoxin)
D. Lisinopril (Zestril) - CORRECT ANSWERB. Warfarin (Coumadin)
A nurse is providing dietary instructions to a client who is recovering from acute gastroenteritis and has
been advised to limit his intake to low-fat foods. The nurse should suggest that the client eat which of
the
following foods? (Select all that apply.)
A. Saltine crackers
B. Oatmeal
C. Ice cream
D. Canned peaches
E. Pretzels - CORRECT ANSWERA. Saltine crackers
B. Oatmeal
D. Canned peaches
E. Pretzels
A nurse is providing instructions to a client who reports constipation and has a prescription for a
high-fiber, low-fat diet. Which of the following food choices by the client indicates he understands the
teaching?
A. Peanut butter
B. Peeled apples
C. Hardboiled egg
, D. Brown rice - CORRECT ANSWERD. Brown rice
A nurse is caring for a an older adult client who has diabetes mellitus. The client reports loss of
peripheral vision. For which of the following is the client at risk?
A. Cataracts
B. Open-angle glaucoma
C. Macular degeneration
D. Angle-closure glaucoma - CORRECT ANSWERB. Open-angle glaucoma
A nurse is caring for a male older adult client who has a new diagnosis of glaucoma. Which of the
following should the nurse recognize as risk factors associated with this disease? (Select all that apply.)
A. Gender
B. Genetic predisposition
C. Hypertension
D. Age
E. Diabetes mellitus - CORRECT ANSWERB. Genetic predisposition
C. Hypertension
D. Age
E. Diabetes mellitus
A nurse is caring for a client who has a new diagnosis of cataracts. Which of the following clinical
manifestations should the nurse expect to find? (Select all that apply.)
A. Eye pain
B. Floating spots
C. Blurred vision
A nurse is providing teaching to a client who has anemia and has a new prescription for an iron
supplement. Which of the following should be included in the teaching? (Select all that apply.)
A. Add foods that are high in fiber to the diet.
B. Rinse the mouth after taking the liquid formulation.
C. Expect stools to be green or black in color.
D. Take the medication on a full stomach.
E. Add additional red meat to the diet. - CORRECT ANSWERA. Add foods that are high in fiber to the diet.
B. Rinse the mouth after taking the liquid formulation.
C. Expect stools to be green or black in color.
E. Add additional red meat to the diet.
A nurse is evaluating a group of clients at a health fair in relation to the need for folic acid therapy.
Which of the following clients may benefit from folic acid therapy? (Select all that apply.)
A. A 12-year-old child with iron deficiency anemia
B. A 24-year-old female with no health problems
C. A 44-year-old male with hypertension
D. A 55-year-old female with alcohol use disorder
E. A 35-year-old male with type 2 diabetes mellitus - CORRECT ANSWERB. A 24-year-old female with no
health problems
D. A 55-year-old female with alcohol use disorder
A nurse is preparing to administer potassium chloride IV to a client who has hypokalemia. Which of the
following are appropriate actions by the nurse? (Select all that apply.)
,A. Infuse medication no faster than 10 mEq/hr.
B. Monitor urine output to ensure at least 20 mL/hr.
C. Administer medication via direct IV bolus.
D. Implement cardiac monitoring
E. Administer the infusion using an IV pump. - CORRECT ANSWERA. Infuse medication no faster than 10
mEq/hr.
D. Implement cardiac monitoring
E. Administer the infusion using an IV pump.
A nurse is caring for a client who has increased liver enzymes and is taking herbal supplements. The use
of which of the following herbal supplements should be reported to the provider?
A. Ma huang
B. Saw palmetto
C. Kava
D. St. John's wort - CORRECT ANSWERC. Kava
A client requests information from a nurse on the use of the herbal supplement feverfew. Which of the
following is an appropriate response by the nurse?
A. It is used to treat topical microbial infections.
B. It decreases the frequency of migraine headaches.
C. It lessens the nasal congestion of the common cold.
D. It relieves nausea of morning sickness during pregnancy. - CORRECT ANSWERB. It decreases the
frequency of migraine headaches.
A nurse is completing an assessment of a client's current medications. The client states she also takes
gingko biloba. Which of the following medications is contraindicated for a client taking gingko biloba?
,A. Acetaminophen (Tylenol)
B. Warfarin (Coumadin)
C. Digoxin (Lanoxin)
D. Lisinopril (Zestril) - CORRECT ANSWERB. Warfarin (Coumadin)
A nurse is providing dietary instructions to a client who is recovering from acute gastroenteritis and has
been advised to limit his intake to low-fat foods. The nurse should suggest that the client eat which of
the
following foods? (Select all that apply.)
A. Saltine crackers
B. Oatmeal
C. Ice cream
D. Canned peaches
E. Pretzels - CORRECT ANSWERA. Saltine crackers
B. Oatmeal
D. Canned peaches
E. Pretzels
A nurse is providing instructions to a client who reports constipation and has a prescription for a
high-fiber, low-fat diet. Which of the following food choices by the client indicates he understands the
teaching?
A. Peanut butter
B. Peeled apples
C. Hardboiled egg
, D. Brown rice - CORRECT ANSWERD. Brown rice
A nurse is caring for a an older adult client who has diabetes mellitus. The client reports loss of
peripheral vision. For which of the following is the client at risk?
A. Cataracts
B. Open-angle glaucoma
C. Macular degeneration
D. Angle-closure glaucoma - CORRECT ANSWERB. Open-angle glaucoma
A nurse is caring for a male older adult client who has a new diagnosis of glaucoma. Which of the
following should the nurse recognize as risk factors associated with this disease? (Select all that apply.)
A. Gender
B. Genetic predisposition
C. Hypertension
D. Age
E. Diabetes mellitus - CORRECT ANSWERB. Genetic predisposition
C. Hypertension
D. Age
E. Diabetes mellitus
A nurse is caring for a client who has a new diagnosis of cataracts. Which of the following clinical
manifestations should the nurse expect to find? (Select all that apply.)
A. Eye pain
B. Floating spots
C. Blurred vision
