MEDICAL-SURG PRACTICE QUESTIONS ONLY ASSURED A+
A client who is sexually active with several partners requests an intrauterine device (IUD)
as a contraceptive method. Which information should the nurse provide?
A. Using an IUD offers no protection against sexually transmitted diseases (STDs), which increase
the risk for pelvic inflammatory disease (PID).
B. Getting pregnant while using an IUD is common and is not the best contraceptive choice.
C. Relying on an IUD may be a safer choice for monogamous partners, but a barrier method
provides a better option in preventing STD transmission.
D. When selecting a contraceptive device should consider choosing a successful method used in the
past.
The nurse is planning to initiate a socialization group for older residents of a long-term facility.
Which information is most useful to the nurse when planning activities for the group?
A. The length of time each group member has resided at the nursing home.
B. A brief description of each resident's family life.
C. The age of each group member.
D. The usual activity patterns of each member of the group.
Which milestone indicates the nurse's achievement of young adulthood?
A. Demonstrates a conceptualization of death and dying.
B. Completes education and becomes self-supporting.
C. Creates a new definition of self and roles with others.
D. Develops a strong need for parental support and approval.
Which finding should the nurse identify as most significant for a client diagnosed with polycystic
kidney disease (PKD)?
A. Hematuria.
B. 2 pounds weight gain.
, C. 3+ bacteria in urine.
D. Steady, dull flank pain.
A client with gastroesophageal reflux disease (GERD) has been experiencing severe reflux during
sleep. Which recommendation by the nurse is most effective to assist the client?
A. Losing weight.
B. Decreasing caffeine intake.
C. Avoiding large meals.
D. Raising the head of the bed on blocks.
The healthcare provider prescribes aluminum and magnesium hydroxide (Maalox), 1 tablet PO PRN,
for a client with chronic renal failure who is complaining of indigestion. What intervention should the
nurse implement?
A. Administer 30 minutes before eating.
B. Evaluate the effectiveness 1 hour after administration.
C. Instruct the client to swallow the tablet whole.
D. Question the healthcare provider's prescription.
A client who was in a motor vehicle collision was admitted to the hospital and the right knee was
placed in skeletal traction. The nurse has documented this nursing diagnosis in the client's medical
record: "Potential for impairment of skin integrity related to immobility from traction." Which nursing
intervention is indicated based on this diagnosis statement?
A. Release the traction q4h to provide skin care.
B. Turn the client for back care while suspending traction.
C. Provide back and skin care while maintaining the traction.
D. Give back care after the client is released from traction.
A client reported unprotected sexual intercourse one week ago and is worried about HIV exposure.
An initial HIV antibody screen (ELISA) is obtained. The nurse teaches the client that seroconversion
to HIV positive relies on antibody production by B lymphocytes after exposure to the virus. When
should the nurse recommend the client return for repeat blood testing?
A. 6 to 18 months.
, B. 1 to 12 months.
C. 1 to 18 weeks.
D. 6 to 12 weeks.
The nurse is assessing a client with chronic renal failure (CRF). Which finding is most important for
the nurse to respond to first?
A. Potassium 6.0 mEq.
B. Daily urine output of 400 ml.
C. Peripheral neuropathy.
D. Uremic fetor.
A 32-year-old female client complains of severe abdominal pain each month before her menstrual
period, painful intercourse, and painful defecation. Which additional history should the nurse
obtain that is consistent with the client's complaints?
A. Frequent urinary tract infections.
B. Inability to get pregnant.
C. Premenstrual syndrome.
D. Chronic use of laxatives.
During an interview with a client planning elective surgery, the client asks the nurse, "What is the
advantage of having a preferred provider organization insurance plan?" Which response is best for
the nurse to provide?
A. Long-term relationships with healthcare providers are more likely.
B. There are fewer healthcare providers to choose from than in an HMO plan.
C. Insurance coverage of employees is less expensive to employers.
D. An individual can become a member of a PPO without belonging to a group.
How should the nurse position the electrodes for modified chest lead one (MCL I) telemetry
monitoring?
, A. Positive polarity right shoulder, negative polarity left shoulder, ground left chest nipple line.
B. Positive polarity left shoulder, negative polarity right chest nipple line, ground left chest nipple
line.
C. Positive polarity right chest nipple line, negative polarity left chest nipple line, ground left
shoulder.
D. Negative polarity left shoulder, positive polarity right chest nipple line, ground left chest nipple
line.
During the assessment of a client with amyotrophic lateral sclerosis (ALS), which finding should the
nurse identify when planning care for this client?
A. Muscle weakness.
B. Urinary frequency.
C. Abnormal involuntary movements.
D. A decline in cognitive function.
The nurse is completing an admission interview and assessment of a client with a history of
Parkinson's disease. Which question should provide information relevant to the client's plan of care?
A. Have you ever experienced any paralysis of your arms or legs?
B. Have you ever sustained a severe head injury?
C. Have you ever been 'frozen' in one spot, unable to move?
D. Do you have headaches, especially ones with throbbing pain?
A female client requests information about using the calendar method of contraception.
Which assessment is most important for the nurse to obtain?
A. Amount of weight gain or weight loss during the previous year.
B. An accurate menstrual cycle diary for the past 6 to 12 months.
C. Skin pigmentation and hair texture for evidence of hormonal changes.
D. Previous birth-control methods and beliefs about the calendar method.
The nurse is caring for a client with the syndrome of inappropriate antidiuretic hormone (SIADH),
which is manifested by which symptoms?
A. Loss of thirst, weight gain.
A client who is sexually active with several partners requests an intrauterine device (IUD)
as a contraceptive method. Which information should the nurse provide?
A. Using an IUD offers no protection against sexually transmitted diseases (STDs), which increase
the risk for pelvic inflammatory disease (PID).
B. Getting pregnant while using an IUD is common and is not the best contraceptive choice.
C. Relying on an IUD may be a safer choice for monogamous partners, but a barrier method
provides a better option in preventing STD transmission.
D. When selecting a contraceptive device should consider choosing a successful method used in the
past.
The nurse is planning to initiate a socialization group for older residents of a long-term facility.
Which information is most useful to the nurse when planning activities for the group?
A. The length of time each group member has resided at the nursing home.
B. A brief description of each resident's family life.
C. The age of each group member.
D. The usual activity patterns of each member of the group.
Which milestone indicates the nurse's achievement of young adulthood?
A. Demonstrates a conceptualization of death and dying.
B. Completes education and becomes self-supporting.
C. Creates a new definition of self and roles with others.
D. Develops a strong need for parental support and approval.
Which finding should the nurse identify as most significant for a client diagnosed with polycystic
kidney disease (PKD)?
A. Hematuria.
B. 2 pounds weight gain.
, C. 3+ bacteria in urine.
D. Steady, dull flank pain.
A client with gastroesophageal reflux disease (GERD) has been experiencing severe reflux during
sleep. Which recommendation by the nurse is most effective to assist the client?
A. Losing weight.
B. Decreasing caffeine intake.
C. Avoiding large meals.
D. Raising the head of the bed on blocks.
The healthcare provider prescribes aluminum and magnesium hydroxide (Maalox), 1 tablet PO PRN,
for a client with chronic renal failure who is complaining of indigestion. What intervention should the
nurse implement?
A. Administer 30 minutes before eating.
B. Evaluate the effectiveness 1 hour after administration.
C. Instruct the client to swallow the tablet whole.
D. Question the healthcare provider's prescription.
A client who was in a motor vehicle collision was admitted to the hospital and the right knee was
placed in skeletal traction. The nurse has documented this nursing diagnosis in the client's medical
record: "Potential for impairment of skin integrity related to immobility from traction." Which nursing
intervention is indicated based on this diagnosis statement?
A. Release the traction q4h to provide skin care.
B. Turn the client for back care while suspending traction.
C. Provide back and skin care while maintaining the traction.
D. Give back care after the client is released from traction.
A client reported unprotected sexual intercourse one week ago and is worried about HIV exposure.
An initial HIV antibody screen (ELISA) is obtained. The nurse teaches the client that seroconversion
to HIV positive relies on antibody production by B lymphocytes after exposure to the virus. When
should the nurse recommend the client return for repeat blood testing?
A. 6 to 18 months.
, B. 1 to 12 months.
C. 1 to 18 weeks.
D. 6 to 12 weeks.
The nurse is assessing a client with chronic renal failure (CRF). Which finding is most important for
the nurse to respond to first?
A. Potassium 6.0 mEq.
B. Daily urine output of 400 ml.
C. Peripheral neuropathy.
D. Uremic fetor.
A 32-year-old female client complains of severe abdominal pain each month before her menstrual
period, painful intercourse, and painful defecation. Which additional history should the nurse
obtain that is consistent with the client's complaints?
A. Frequent urinary tract infections.
B. Inability to get pregnant.
C. Premenstrual syndrome.
D. Chronic use of laxatives.
During an interview with a client planning elective surgery, the client asks the nurse, "What is the
advantage of having a preferred provider organization insurance plan?" Which response is best for
the nurse to provide?
A. Long-term relationships with healthcare providers are more likely.
B. There are fewer healthcare providers to choose from than in an HMO plan.
C. Insurance coverage of employees is less expensive to employers.
D. An individual can become a member of a PPO without belonging to a group.
How should the nurse position the electrodes for modified chest lead one (MCL I) telemetry
monitoring?
, A. Positive polarity right shoulder, negative polarity left shoulder, ground left chest nipple line.
B. Positive polarity left shoulder, negative polarity right chest nipple line, ground left chest nipple
line.
C. Positive polarity right chest nipple line, negative polarity left chest nipple line, ground left
shoulder.
D. Negative polarity left shoulder, positive polarity right chest nipple line, ground left chest nipple
line.
During the assessment of a client with amyotrophic lateral sclerosis (ALS), which finding should the
nurse identify when planning care for this client?
A. Muscle weakness.
B. Urinary frequency.
C. Abnormal involuntary movements.
D. A decline in cognitive function.
The nurse is completing an admission interview and assessment of a client with a history of
Parkinson's disease. Which question should provide information relevant to the client's plan of care?
A. Have you ever experienced any paralysis of your arms or legs?
B. Have you ever sustained a severe head injury?
C. Have you ever been 'frozen' in one spot, unable to move?
D. Do you have headaches, especially ones with throbbing pain?
A female client requests information about using the calendar method of contraception.
Which assessment is most important for the nurse to obtain?
A. Amount of weight gain or weight loss during the previous year.
B. An accurate menstrual cycle diary for the past 6 to 12 months.
C. Skin pigmentation and hair texture for evidence of hormonal changes.
D. Previous birth-control methods and beliefs about the calendar method.
The nurse is caring for a client with the syndrome of inappropriate antidiuretic hormone (SIADH),
which is manifested by which symptoms?
A. Loss of thirst, weight gain.
