RN ADULT MEDICAL SURGICAL 2019/RN ADULT MEDICAL SURGICAL 2019

RN ADULT MEDICAL SURGICAL
2019/RN ADULT MEDICAL
SURGICAL 2019

,RN ADULT MEDICAL SURGICAL 2019

1. A nurse is assessing a client who has a diagnosis on colon cancer which
of the following should the nurse expect?
a) Statorrhea
b) Elevated hemoglobin
c) Hematochezia
d) Weight gain

2. A nurse is assessing a client admitted with peripheral vascular disease,.
Which of the following findings indicates a venous vascular disorder?

a) An ulcer at the tip of a toe
b) Hair loss distal to the clients calves
c) Leg pain at rest
d) Edema of the ankle

3. A nurse is assessing a client who has pericarditis. In which of the following
areas of the client‟s chest should the nurse place the stethoscope to best hear a
pericardial friction rub? (select HOT spot)

, Answer: D

4. A nurse is caring for a client who has a chest tube. The client asks why
the fluid in the water -seal chamber rises and falls. Which of the following
statements should the nurse make?

a) “ this means your lung is fully expanded “
b) “ this indicates a possible leak”
c) “ suction pressure that is too high causes this”
d) “ Your breathing pattern causes this”




5. A community health nurse is reviewing home care instructions with an
older adult client who has a new diagnosis of heart failure. Which of the following
is the priority topic for the nurse to review with the client?

a) Daily sodium restriction
b) Daily exercise routine
c) Changes in weight
d) Fluid intake record