lOMoAR cPSD| 12263423
lOMoAR cPSD| 12263423
CMS NR341 med surg exam- with 100% verified solutions-
2023-2024
1. A nurse is caring for a client who had a total hip arthroplasty. Which of the following
actions should the nurse take to prevent hip dislocation?
a. Place two bed pillows between the legs when in bed.
b. Encourage the client to lean forward when attempting to stand.
c. Elevate the knees higher than the hips when sitting.
d. Remove the wedge device when turning.
2. A nurse is providing teaching to a client who has diabetes mellitus. Which of the
following instructions should the nurse provide to the client to help prevent the
development of nephropathy?
a. Limiting protein intake
b. Voiding every 2 hr
c. Decreasing potassium intake
d. Controlling hypertension
3. A nurse in a long-term care facility is caring for a bedridden client. Which of the
following findings should alert the nurse to a potential complication of the client’s
immobility?
a. Confusion
b. Polyuria
c. Blurred vision
d. Diarrhea
4. A nurse is instructing a client who has a new diagnosis of type 1 diabetes mellitus about
the sick-day rules. Which of the following statements by the client indicates an
understanding of the teaching?
a. “I will monitor my blood glucose every 8 hours.”
b. “I will consume 250 grams of carbohydrates daily while I’m sick.”
c. “I will check my urine for ketones if my blood glucose is greater than 240 mg/dL.”
d. “I will not take my diabetes medications while I am sick.”
5. A nurse is reviewing medications taken at home with a client who has angina. Which of
the following statements by the client indicates an understanding of the teaching?
Downloaded by Anna Maina ()
, lOMoAR cPSD| 12263423
a. I should withhold my metoprolol if my heart rate is above 100 bpm
Downloaded by Anna Maina ()
, lOMoAR cPSD| 12263423
b. I should place a nitroglycerin tablet under my tongue every 10min for up to four
doses
c. I should lie down before taking dose of isosorbide dinitrate
d. I should take my daily aspirin on an empty stomach
6. A nurse is teaching a client who has Graves’ disease about recognizing the manifestation
of thyroid storm. Which of the following findings should the nurse include in the
teaching?
a. Lethargy
b. Increased temperature
c. Decreased heart rate
d. Hypotension
7. A nurse is caring for a client who is receiving total parenteral nutrition through central
line. The current bag is nearly empty, and a new bag is unavailable from the pharmacy.
Which of the following actions should the nurse take?
a. Discontinue the infusion and flush the line.
b. Decrease the rate of the infusion to last until the new bag is available.
c. Switch the infusion to a 10% dextrose solution.
d. Start an infusion of 0.45% sodium chloride solution.
8. A nurse is providing instructions about foot care for a client who has peripheral disease.
The nurse should identify that which of the following statements by the client indicates
an understanding of the teaching?
a. I soak my feet in hot water before trimming my toenails
b. I rest in my recliner with my feet elevated for about an hour every afternoon
c. I use my heating pad on low setting to keep my feet warm.
d. I apply a lubricating lotion to the cracked area on the soles of my feet
9. A nurse is providing discharge teaching to a client who has an ileostomy. Which of the
following client statements indicates an understanding of the teaching?
a. I will take a laxative when I am constipated
b. I will expect my stools to be loose
c. I will eat a higher-fiber diet
d. I will empty my bag when it is full
Downloaded by Anna Maina ()
lOMoAR cPSD| 12263423
CMS NR341 med surg exam- with 100% verified solutions-
2023-2024
1. A nurse is caring for a client who had a total hip arthroplasty. Which of the following
actions should the nurse take to prevent hip dislocation?
a. Place two bed pillows between the legs when in bed.
b. Encourage the client to lean forward when attempting to stand.
c. Elevate the knees higher than the hips when sitting.
d. Remove the wedge device when turning.
2. A nurse is providing teaching to a client who has diabetes mellitus. Which of the
following instructions should the nurse provide to the client to help prevent the
development of nephropathy?
a. Limiting protein intake
b. Voiding every 2 hr
c. Decreasing potassium intake
d. Controlling hypertension
3. A nurse in a long-term care facility is caring for a bedridden client. Which of the
following findings should alert the nurse to a potential complication of the client’s
immobility?
a. Confusion
b. Polyuria
c. Blurred vision
d. Diarrhea
4. A nurse is instructing a client who has a new diagnosis of type 1 diabetes mellitus about
the sick-day rules. Which of the following statements by the client indicates an
understanding of the teaching?
a. “I will monitor my blood glucose every 8 hours.”
b. “I will consume 250 grams of carbohydrates daily while I’m sick.”
c. “I will check my urine for ketones if my blood glucose is greater than 240 mg/dL.”
d. “I will not take my diabetes medications while I am sick.”
5. A nurse is reviewing medications taken at home with a client who has angina. Which of
the following statements by the client indicates an understanding of the teaching?
Downloaded by Anna Maina ()
, lOMoAR cPSD| 12263423
a. I should withhold my metoprolol if my heart rate is above 100 bpm
Downloaded by Anna Maina ()
, lOMoAR cPSD| 12263423
b. I should place a nitroglycerin tablet under my tongue every 10min for up to four
doses
c. I should lie down before taking dose of isosorbide dinitrate
d. I should take my daily aspirin on an empty stomach
6. A nurse is teaching a client who has Graves’ disease about recognizing the manifestation
of thyroid storm. Which of the following findings should the nurse include in the
teaching?
a. Lethargy
b. Increased temperature
c. Decreased heart rate
d. Hypotension
7. A nurse is caring for a client who is receiving total parenteral nutrition through central
line. The current bag is nearly empty, and a new bag is unavailable from the pharmacy.
Which of the following actions should the nurse take?
a. Discontinue the infusion and flush the line.
b. Decrease the rate of the infusion to last until the new bag is available.
c. Switch the infusion to a 10% dextrose solution.
d. Start an infusion of 0.45% sodium chloride solution.
8. A nurse is providing instructions about foot care for a client who has peripheral disease.
The nurse should identify that which of the following statements by the client indicates
an understanding of the teaching?
a. I soak my feet in hot water before trimming my toenails
b. I rest in my recliner with my feet elevated for about an hour every afternoon
c. I use my heating pad on low setting to keep my feet warm.
d. I apply a lubricating lotion to the cracked area on the soles of my feet
9. A nurse is providing discharge teaching to a client who has an ileostomy. Which of the
following client statements indicates an understanding of the teaching?
a. I will take a laxative when I am constipated
b. I will expect my stools to be loose
c. I will eat a higher-fiber diet
d. I will empty my bag when it is full
Downloaded by Anna Maina ()
