NURS 706 MED SURG CH 13,14 AND 15 NCLEX
FINAL EXAM QUESTIONS WITH ANSWERS
2022/2023 A+
The nurse observes skin tenting on the back of the older adult client's hand. Which action by the nurse
is most appropriate?
a. Notify the physician.
b. Examine dependent body areas.
c.Assess turgor on the client's forehead.
d. Document the finding and continue to monitor.
C
The client is taking a medication that inhibits aldosterone secretion and release. The nurse assesses for
what potential complication?
a. Fluid
retention b.
Hyperkalemia
c. Hyponatremia
d.
Hypervolemia
B
Which assessment does the nurse use to determine the adequacy of circulation in a client whose blood
osmolarity is 250 mOsm/L?
a. Measuring urine output
b. Measuring abdominal girth
c.Monitoring fluid intake
d. Comparing radial versus
,NURS 706 MED SURG CH 13,14 AND 15 NCLEX
FINAL EXAM QUESTIONS WITH ANSWERS
2022/2023 A+
apical pulses A
Which statement made by the older adult client alerts the nurse to assess specifically for fluid and
electrolyte imbalances?
a. "My skin is always so dry, especially here in the Southwest."
b. "I often use a glycerin suppository for constipation."
c."I don't drink liquids after 5 PM so I don't have to get up at night."
d. "In addition to coffee, I drink at least one glass of water
with each meal." C
A client has been taught to restrict dietary sodium. Which food selection by the client indicates to the
nurse that teaching has been effective?
a. Chinese take-out, including steamed rice
b. A grilled cheese sandwich with tomato soup
c.Slices of ham and cheese on whole grain crackers
d. A chicken leg, one slice of bread with butter, and
steamed carrots D
A client is on a potassium-restricted diet. Which protein choice by the client indicates a good
understanding of the dietary regimen?
a. 1% or 2% milk
b. Grilled
salmon c.
Poached eggs
d. Baked
chicken C
Which assessment finding obtained while taking the history of an older adult client alerts the nurse that
the client needs further assessment for fluid or electrolyte imbalance?
,NURS 706 MED SURG CH 13,14 AND 15 NCLEX
FINAL EXAM QUESTIONS WITH ANSWERS
2022/2023 A+
a. "I am often cold and need to wear a sweater."
b. "I seem to urinate more when I drink coffee."
c."In the summer, I feel thirsty more
often." d. "My rings seem to be tighter
this week."
D
Which client is at greatest risk for dehydration?
a. Younger adult client on bedrest
b. Older adult client receiving hypotonic IV fluid
c.Younger adult client receiving hypertonic
IV fluid d. Older adult client with cognitive
impairment
D
Which question does the nurse ask the client who has isotonic dehydration to determine a
possible cause? a. "Do you take diuretics, or 'water pills'?"
b. "What do you normally eat over a day's time?"
c."How many bowel movements do you have daily?"
d. "Have you been diagnosed with diabetes
mellitus?" A
Which intervention in a client with dehydration-induced confusion is most likely to relieve the confusion?
a. Measuring intake and output every four
hours b. Applying oxygen by mask or nasal
, NURS 706 MED SURG CH 13,14 AND 15 NCLEX
FINAL EXAM QUESTIONS WITH ANSWERS
2022/2023 A+
cannula
c. Increasing the IV flow rate to 250 mL/hr
d. Placing the client in a high Fowler's
position B
FINAL EXAM QUESTIONS WITH ANSWERS
2022/2023 A+
The nurse observes skin tenting on the back of the older adult client's hand. Which action by the nurse
is most appropriate?
a. Notify the physician.
b. Examine dependent body areas.
c.Assess turgor on the client's forehead.
d. Document the finding and continue to monitor.
C
The client is taking a medication that inhibits aldosterone secretion and release. The nurse assesses for
what potential complication?
a. Fluid
retention b.
Hyperkalemia
c. Hyponatremia
d.
Hypervolemia
B
Which assessment does the nurse use to determine the adequacy of circulation in a client whose blood
osmolarity is 250 mOsm/L?
a. Measuring urine output
b. Measuring abdominal girth
c.Monitoring fluid intake
d. Comparing radial versus
,NURS 706 MED SURG CH 13,14 AND 15 NCLEX
FINAL EXAM QUESTIONS WITH ANSWERS
2022/2023 A+
apical pulses A
Which statement made by the older adult client alerts the nurse to assess specifically for fluid and
electrolyte imbalances?
a. "My skin is always so dry, especially here in the Southwest."
b. "I often use a glycerin suppository for constipation."
c."I don't drink liquids after 5 PM so I don't have to get up at night."
d. "In addition to coffee, I drink at least one glass of water
with each meal." C
A client has been taught to restrict dietary sodium. Which food selection by the client indicates to the
nurse that teaching has been effective?
a. Chinese take-out, including steamed rice
b. A grilled cheese sandwich with tomato soup
c.Slices of ham and cheese on whole grain crackers
d. A chicken leg, one slice of bread with butter, and
steamed carrots D
A client is on a potassium-restricted diet. Which protein choice by the client indicates a good
understanding of the dietary regimen?
a. 1% or 2% milk
b. Grilled
salmon c.
Poached eggs
d. Baked
chicken C
Which assessment finding obtained while taking the history of an older adult client alerts the nurse that
the client needs further assessment for fluid or electrolyte imbalance?
,NURS 706 MED SURG CH 13,14 AND 15 NCLEX
FINAL EXAM QUESTIONS WITH ANSWERS
2022/2023 A+
a. "I am often cold and need to wear a sweater."
b. "I seem to urinate more when I drink coffee."
c."In the summer, I feel thirsty more
often." d. "My rings seem to be tighter
this week."
D
Which client is at greatest risk for dehydration?
a. Younger adult client on bedrest
b. Older adult client receiving hypotonic IV fluid
c.Younger adult client receiving hypertonic
IV fluid d. Older adult client with cognitive
impairment
D
Which question does the nurse ask the client who has isotonic dehydration to determine a
possible cause? a. "Do you take diuretics, or 'water pills'?"
b. "What do you normally eat over a day's time?"
c."How many bowel movements do you have daily?"
d. "Have you been diagnosed with diabetes
mellitus?" A
Which intervention in a client with dehydration-induced confusion is most likely to relieve the confusion?
a. Measuring intake and output every four
hours b. Applying oxygen by mask or nasal
, NURS 706 MED SURG CH 13,14 AND 15 NCLEX
FINAL EXAM QUESTIONS WITH ANSWERS
2022/2023 A+
cannula
c. Increasing the IV flow rate to 250 mL/hr
d. Placing the client in a high Fowler's
position B
