MEDICAL SURGICAL PRACTICE EXAM
150 QUESTIONS WITH WELL ELABORATED ANSWERS
1. An adult client who is hospitalized after Pulmonary embolism
surgery reports sudden onset of chest pain
and dyspnea. the client appears anxious,
rest- less, and mildly cyanotic. the nurse
should fur- ther assess the client for which
condition?
Quality of the pain
2. which information should the nurse obtain Signs of
when performing an initial assessment of a inflammation
client who presents to the emergency depart- Ankle range of
ment with a painful ankle injury? (select all motion
that apply) Visible deformities of
the joint
3. Which description of pain is consistent with
a diagnosis of rheumatoid arthritis? Joint pain is worse in
the morning and
involves symmetric
4. Which physical assessment finding should joints
the nurse anticipate in a client with long-term
gas- troesophagealreflux disease (GERD)? Hoarseness
5. A client presents with chronic venous
insuffi- ciency. Which assessment finding
should the nurse anticipate? Bilateral lower leg
stasis dermatitis
6. A client has been hospitalized with a femur
fracture and is being treated with traction.
which action by the nurse is the priority Assess
when caring for this client? neurovascular
status
7. Which statement made by a client with
chronic pancreatitis indicates that further
education is needed?
8. The nurse is teaching a female client who I will cut back on
uses a contraceptive diaphragm about smoking cigarettes
reducing the risk for toxic shock syndrome daily
(TSS). Which in- formation should the nurse
include? (Select all that apply)
Do not leave the di-
1/
36
, MEDICAL SURGICAL PRACTICE EXAM
150 QUESTIONS WITH WELL ELABORATED ANSWERS
aphragm in place longer than 8 hours after
inter- course
Replace the old di- aphragm every 3 months
2/
36
, MEDICAL SURGICAL PRACTICE EXAM
150 QUESTIONS WITH WELL ELABORATED ANSWERS
9. A male client who smokes two packs of ciga- Alcohol consumption
rettes a day states he understands that can cause erectile
smok- ing cigarettes is contributing to the dysfunc- tion
difficul- ty that he and his wife are having in
getting pregnant and wants to know if other Low testosterone
factors could be contributing to their levels affect sperm
difficulty. Which information is best for the production
nurse to provide? (Select all that apply).
Cessation of smoking
im- proves general
health and fertility
10. Twenty four hours after a client returns from
surgical gastric bypass, the registered nurse lethargy
(RN) observes large amounts of blood in the
nasogastric tube (NGT) cannister. Which as-
sessment finding should the RN report as
early signs of hypovolemic shock?
11. the registered nurse (RN) is assessing a male
client who arrives at the clinic with severe ab- Ulcerative colitis
dominal cramping, pain, tenesmus, and dehy-
dration. the RN discovers that the client has
had 14 to 20 loose stools with rectal bleeding.
When taking the client's medical history,
which information is most for the nurse to
obtain?
12. A client is newly diagnosed with diverticulo-
sis. The registered nurse (RN) is assessing Chronic constipation
the client's basic knowledge about the causes weakening of
disease process. Which statement by the colon wall which
client con- veys an understanding of the results in out
etiology of diver- ticula? pouching sacs
13. The registered nurse (RN) is assessing a
client who was discharged home after
manage- ment of chronic hypertension. Sphygmomanometer
Which equip- ment should the RN instruct the
client to use at home?
3/
36
, Study
14. A young adult mail is diagnosed with stage Propose sperm
4 Hodgkin's lymphoma in the banking before RT
abdominopelvic region and is scheduled for then artificial
radiation thera- py (RT). The client expresses insemination is an
concern about becoming infertile. How option
should the nurse re- spond?
15. A client's susceptibility to ulcerative colitis is
most likely due to which aspect in the
client's history? Jewish European
ances- try
16. Small bowl obstruction is a condition
charac- terized by which finding?
Severe fluid and elec-
17. Which client should the nurse recognize trolyte imbalances
as most likely to experience sleep apnea?
Obese older male
18. Which milestone indicates to the nurse client with a short,
suc- cessful achievement of young thick neck
adulthood?
Completes education
and becomes self-
19. A client who has heart failure is admitted with sup- porting
a serum potassium level of 2.9 mEq/L (2.9
mmol/L). Which action is most important for Initiate continuous
the nurse to implement? car- diac monitoring
20. Which postmenopausal client's
complaint should the nurse refer to the
HCP? episodes of vaginal
bleeding
21. The nurse is teaching a female client about
the best time to plan sexual intercourse in Two weeks before
order to conceive. Which information should men- struation
the nurse provide?
22. A postmenopausal client asks the nurse
why she is experiencing discomfort during Estrogen deficiency
inter- course. Which response is best for the causes the vaginal
nurse to provide? tissue to become dry
150 QUESTIONS WITH WELL ELABORATED ANSWERS
1. An adult client who is hospitalized after Pulmonary embolism
surgery reports sudden onset of chest pain
and dyspnea. the client appears anxious,
rest- less, and mildly cyanotic. the nurse
should fur- ther assess the client for which
condition?
Quality of the pain
2. which information should the nurse obtain Signs of
when performing an initial assessment of a inflammation
client who presents to the emergency depart- Ankle range of
ment with a painful ankle injury? (select all motion
that apply) Visible deformities of
the joint
3. Which description of pain is consistent with
a diagnosis of rheumatoid arthritis? Joint pain is worse in
the morning and
involves symmetric
4. Which physical assessment finding should joints
the nurse anticipate in a client with long-term
gas- troesophagealreflux disease (GERD)? Hoarseness
5. A client presents with chronic venous
insuffi- ciency. Which assessment finding
should the nurse anticipate? Bilateral lower leg
stasis dermatitis
6. A client has been hospitalized with a femur
fracture and is being treated with traction.
which action by the nurse is the priority Assess
when caring for this client? neurovascular
status
7. Which statement made by a client with
chronic pancreatitis indicates that further
education is needed?
8. The nurse is teaching a female client who I will cut back on
uses a contraceptive diaphragm about smoking cigarettes
reducing the risk for toxic shock syndrome daily
(TSS). Which in- formation should the nurse
include? (Select all that apply)
Do not leave the di-
1/
36
, MEDICAL SURGICAL PRACTICE EXAM
150 QUESTIONS WITH WELL ELABORATED ANSWERS
aphragm in place longer than 8 hours after
inter- course
Replace the old di- aphragm every 3 months
2/
36
, MEDICAL SURGICAL PRACTICE EXAM
150 QUESTIONS WITH WELL ELABORATED ANSWERS
9. A male client who smokes two packs of ciga- Alcohol consumption
rettes a day states he understands that can cause erectile
smok- ing cigarettes is contributing to the dysfunc- tion
difficul- ty that he and his wife are having in
getting pregnant and wants to know if other Low testosterone
factors could be contributing to their levels affect sperm
difficulty. Which information is best for the production
nurse to provide? (Select all that apply).
Cessation of smoking
im- proves general
health and fertility
10. Twenty four hours after a client returns from
surgical gastric bypass, the registered nurse lethargy
(RN) observes large amounts of blood in the
nasogastric tube (NGT) cannister. Which as-
sessment finding should the RN report as
early signs of hypovolemic shock?
11. the registered nurse (RN) is assessing a male
client who arrives at the clinic with severe ab- Ulcerative colitis
dominal cramping, pain, tenesmus, and dehy-
dration. the RN discovers that the client has
had 14 to 20 loose stools with rectal bleeding.
When taking the client's medical history,
which information is most for the nurse to
obtain?
12. A client is newly diagnosed with diverticulo-
sis. The registered nurse (RN) is assessing Chronic constipation
the client's basic knowledge about the causes weakening of
disease process. Which statement by the colon wall which
client con- veys an understanding of the results in out
etiology of diver- ticula? pouching sacs
13. The registered nurse (RN) is assessing a
client who was discharged home after
manage- ment of chronic hypertension. Sphygmomanometer
Which equip- ment should the RN instruct the
client to use at home?
3/
36
, Study
14. A young adult mail is diagnosed with stage Propose sperm
4 Hodgkin's lymphoma in the banking before RT
abdominopelvic region and is scheduled for then artificial
radiation thera- py (RT). The client expresses insemination is an
concern about becoming infertile. How option
should the nurse re- spond?
15. A client's susceptibility to ulcerative colitis is
most likely due to which aspect in the
client's history? Jewish European
ances- try
16. Small bowl obstruction is a condition
charac- terized by which finding?
Severe fluid and elec-
17. Which client should the nurse recognize trolyte imbalances
as most likely to experience sleep apnea?
Obese older male
18. Which milestone indicates to the nurse client with a short,
suc- cessful achievement of young thick neck
adulthood?
Completes education
and becomes self-
19. A client who has heart failure is admitted with sup- porting
a serum potassium level of 2.9 mEq/L (2.9
mmol/L). Which action is most important for Initiate continuous
the nurse to implement? car- diac monitoring
20. Which postmenopausal client's
complaint should the nurse refer to the
HCP? episodes of vaginal
bleeding
21. The nurse is teaching a female client about
the best time to plan sexual intercourse in Two weeks before
order to conceive. Which information should men- struation
the nurse provide?
22. A postmenopausal client asks the nurse
why she is experiencing discomfort during Estrogen deficiency
inter- course. Which response is best for the causes the vaginal
nurse to provide? tissue to become dry
