RN Adult Medical Surgical ACTUAL
EXAM 1 WITH 90 QUESTIONS AND
ANSWERS WITH RATIONALES|AGRADE
A nurse is caring for a client who has hepatic encephalopathy that is being treated with
lactulose. The client is experiencing excessive stools. Which of the following findings is
an adverse effect of this medication? - ANSWER-Hypokalemia
A nurse is caring for a client who has emphysema and is receiving mechanical
ventilation. The client appears anxious and restless, and the high-pressure alarm is
sounding. Which of the following actions should the nurse take first? - ANSWER-
Instruct the client to allow the machine to breathe for them.
A nurse is teaching a client who has a family history of colorectal cancer. To help
mitigate this risk, which of the following dietary alterations should the nurse
recommend? - ANSWER-Add cabbage to the diet.
A home health nurse is assigned to a client who was recently discharged from a
rehabilitation center after experiencing a right-hemispheric stroke. Which of the
following neurologic deficits should the nurse expect to find when assessing the client?
(Select all that apply.) - ANSWER-Visual spatial deficits, Left hemianopsia, One-
sided neglect
A nurse is caring for a client who has viral pneumonia. The client's pulse oximeter
readings have fluctuated between 79% and 88% for the last 30 min. Which of the
following oxygen delivery systems should the nurse initiate to provide the highest
concentration of oxygen? - ANSWER-Nonrebreather mask
A nurse is caring for a client who has bilateral pneumonia and an SaO2 of 85%. The
client has dyspnea with a productive cough and is using accessory muscles to breathe.
Which of the following actions should the nurse take first? - ANSWER-Place the client
in high-Fowler's position.
A nurse is planning care for a client who has extensive burn injuries and is
immunocompromised. Which of the following precautions should the nurse include in
the plan of care to prevent a Pseudomonas aeruginosa infection? - ANSWER-Avoid
placing plants or flowers in the client's room.
An older adult client is brought to an emergency department by a family member. Which
of the following assessment findings should cause the nurse to suspect that the client
has hypertonic dehydration? - ANSWER-Urine specific gravity 1.045
, RN Adult Medical Surgical ACTUAL
EXAM 1 WITH 90 QUESTIONS AND
ANSWERS WITH RATIONALES|AGRADE
A nurse in an emergency department is reviewing the provider's prescriptions for a
client who sustained a rattlesnake bite to the lower leg. Which of the following
prescriptions should the nurse expect? - ANSWER-Administer an opioid analgesic to
the client.
A nurse is assessing a client who has had a suspected stroke. The nurse should place
the priority on which of the following findings? - ANSWER-Dysphagia
A nurse is teaching a young adult client how to perform testicular self-examination.
Which of the following instructions should the nurse include? - ANSWER-Roll each
testicle between the thumb and fingers.
A nurse is providing instructions to a client who has type 2 diabetes mellitus and a new
prescription for metformin. Which of the following statements by the client indicates an
understanding of the teaching? - ANSWER-"I should take this medication with a
meal."
A nurse is teaching a client who has venous insufficiency about self-care. Which of the
following statements should the nurse identify as an indication that the client
understands the teaching? - ANSWER-"I will wear clean graduated compression
stockings every day."
A nurse is assessing a client who has acute cholecystitis. Which of the following
findings is the nurse's priority? - ANSWER-Tachycardia
A nurse is reviewing the health record of a client who is scheduled for allergy skin
testing. The nurse should postpone the testing and report to the provider which of the
following findings? (Click on the "Exhibit" button for additional information about the
client. There are three tabs that contain separate categories of data.) - ANSWER-
Current medications
A nurse is caring for a group of clients. The nurse should plan to make a referral to
physical therapy for which of the following clients? - ANSWER-A client who is
receiving preoperative teaching for a right knee arthroplasty
A nurse is caring for a client who has diabetic ketoacidosis (DKA). Which of the
following laboratory findings should the nurse expect? - ANSWER-BUN 32 mg/dL
A nurse is planning teaching for a client who has bladder cancer and is to undergo a
cutaneous diversion procedure to establish a ureterostomy. Which of the following
statements should the nurse include in the teaching? - ANSWER-"You should cut the
opening of the skin barrier one-eighth inch wider than the stoma."
EXAM 1 WITH 90 QUESTIONS AND
ANSWERS WITH RATIONALES|AGRADE
A nurse is caring for a client who has hepatic encephalopathy that is being treated with
lactulose. The client is experiencing excessive stools. Which of the following findings is
an adverse effect of this medication? - ANSWER-Hypokalemia
A nurse is caring for a client who has emphysema and is receiving mechanical
ventilation. The client appears anxious and restless, and the high-pressure alarm is
sounding. Which of the following actions should the nurse take first? - ANSWER-
Instruct the client to allow the machine to breathe for them.
A nurse is teaching a client who has a family history of colorectal cancer. To help
mitigate this risk, which of the following dietary alterations should the nurse
recommend? - ANSWER-Add cabbage to the diet.
A home health nurse is assigned to a client who was recently discharged from a
rehabilitation center after experiencing a right-hemispheric stroke. Which of the
following neurologic deficits should the nurse expect to find when assessing the client?
(Select all that apply.) - ANSWER-Visual spatial deficits, Left hemianopsia, One-
sided neglect
A nurse is caring for a client who has viral pneumonia. The client's pulse oximeter
readings have fluctuated between 79% and 88% for the last 30 min. Which of the
following oxygen delivery systems should the nurse initiate to provide the highest
concentration of oxygen? - ANSWER-Nonrebreather mask
A nurse is caring for a client who has bilateral pneumonia and an SaO2 of 85%. The
client has dyspnea with a productive cough and is using accessory muscles to breathe.
Which of the following actions should the nurse take first? - ANSWER-Place the client
in high-Fowler's position.
A nurse is planning care for a client who has extensive burn injuries and is
immunocompromised. Which of the following precautions should the nurse include in
the plan of care to prevent a Pseudomonas aeruginosa infection? - ANSWER-Avoid
placing plants or flowers in the client's room.
An older adult client is brought to an emergency department by a family member. Which
of the following assessment findings should cause the nurse to suspect that the client
has hypertonic dehydration? - ANSWER-Urine specific gravity 1.045
, RN Adult Medical Surgical ACTUAL
EXAM 1 WITH 90 QUESTIONS AND
ANSWERS WITH RATIONALES|AGRADE
A nurse in an emergency department is reviewing the provider's prescriptions for a
client who sustained a rattlesnake bite to the lower leg. Which of the following
prescriptions should the nurse expect? - ANSWER-Administer an opioid analgesic to
the client.
A nurse is assessing a client who has had a suspected stroke. The nurse should place
the priority on which of the following findings? - ANSWER-Dysphagia
A nurse is teaching a young adult client how to perform testicular self-examination.
Which of the following instructions should the nurse include? - ANSWER-Roll each
testicle between the thumb and fingers.
A nurse is providing instructions to a client who has type 2 diabetes mellitus and a new
prescription for metformin. Which of the following statements by the client indicates an
understanding of the teaching? - ANSWER-"I should take this medication with a
meal."
A nurse is teaching a client who has venous insufficiency about self-care. Which of the
following statements should the nurse identify as an indication that the client
understands the teaching? - ANSWER-"I will wear clean graduated compression
stockings every day."
A nurse is assessing a client who has acute cholecystitis. Which of the following
findings is the nurse's priority? - ANSWER-Tachycardia
A nurse is reviewing the health record of a client who is scheduled for allergy skin
testing. The nurse should postpone the testing and report to the provider which of the
following findings? (Click on the "Exhibit" button for additional information about the
client. There are three tabs that contain separate categories of data.) - ANSWER-
Current medications
A nurse is caring for a group of clients. The nurse should plan to make a referral to
physical therapy for which of the following clients? - ANSWER-A client who is
receiving preoperative teaching for a right knee arthroplasty
A nurse is caring for a client who has diabetic ketoacidosis (DKA). Which of the
following laboratory findings should the nurse expect? - ANSWER-BUN 32 mg/dL
A nurse is planning teaching for a client who has bladder cancer and is to undergo a
cutaneous diversion procedure to establish a ureterostomy. Which of the following
statements should the nurse include in the teaching? - ANSWER-"You should cut the
opening of the skin barrier one-eighth inch wider than the stoma."
