RN Adult Medical Surgical 2024/2025
complete exam questions and correct
answers
Compartment syndrome - ANSWER Early signs: intense pain with movement, capillary
refill less than 2 seconds, erythema of the toes, bounding distal pulses
Hemolytic transfusion reaction - ANSWER Manifestations: chills, back pain,
hypertension
Preventing hip dislocation - ANSWER Action: place two bed pillows between the legs
when in bed
Allergic cross-reactivity - ANSWER Risk for client with allergy to bananas: latex
Incentive spirometer - ANSWER Instruction: hold breaths about 3 to 5 seconds before
exhaling
Low serum potassium level - ANSWER Intervention: initiate cardiac monitoring for the
client
Peritoneal dialysis - ANSWER Action: hang the drainage bag below the client's
abdomen
Impaired vestibulocochlear nerve - ANSWER Finding: disequilibrium with movement
Postoperative care after cholecystectomy - ANSWER Intervention: apply compression
stockings to the lower extremities
Discharge teaching after mastectomy - ANSWER Statement: expect less than 25 mL of
secretions per day in the drainage devices
Using a metered-dose rescue inhaler - ANSWER Statement: exhale fully before
bringing the inhaler to your lips
Total parenteral nutrition (TPN) - ANSWER Finding requiring notification of provider:
calcium level 11.5 mg/dL
Setting up a sterile field - ANSWER Actions: grasp 2.5 cm (1 in) of the outer edge to
open the surgical wrap, place a surgical pack with a sterile drape on the work surface,
select a work surface at the nurse's waist level
, Blood alcohol level - ANSWER Priority action: obtain consent for surgery
Increased intracranial pressure - ANSWER First sign of deteriorating neurological
status: altered level of consciousness
Skin cancer screening - ANSWER Finding indicating melanoma: raised lesion with a
rolled border
Diabetes insipidus - ANSWER Medication: desmopressin
Insertion of a non-tunneled central venous catheter - ANSWER Action: confirm the
correct position of the line by obtaining a blood sample
Discharge teaching for chronic urinary tract infections - ANSWER Instruction: drink 2 to
3 L of fluids daily
Discharge teaching for HIV - ANSWER Priority information: describe your daily
medication schedule
Administering packed RBCs - ANSWER Action: stop the infusion
Thoracentesis - ANSWER Priority intervention: determine whether the client has an
allergy to local anesthetics
Bladder cancer - ANSWER Action: instruct the client to avoid eating raw fruit
Postoperative assessment after appendectomy - ANSWER Finding requiring reporting
to provider: hemoglobin 10 mg/dL
Assessment of a client with an NG tube - ANSWER Finding requiring reporting to
provider: the client's abdomen becomes distended and firm
Medications to withhold after CT scan with contrast media - ANSWER Medication:
metformin
Ocular irrigation - ANSWER First action: collect information about the irritant that
caused the injury
Foot care for peripheral arterial disease - ANSWER Statement indicating
understanding: rest in my recliner with my feet elevated for about an hour every
afternoon
Gathering data about toxoplasmosis - ANSWER Question: do you have any household
pets, such as a cat?
Complication of immobility - ANSWER Finding: confusion
complete exam questions and correct
answers
Compartment syndrome - ANSWER Early signs: intense pain with movement, capillary
refill less than 2 seconds, erythema of the toes, bounding distal pulses
Hemolytic transfusion reaction - ANSWER Manifestations: chills, back pain,
hypertension
Preventing hip dislocation - ANSWER Action: place two bed pillows between the legs
when in bed
Allergic cross-reactivity - ANSWER Risk for client with allergy to bananas: latex
Incentive spirometer - ANSWER Instruction: hold breaths about 3 to 5 seconds before
exhaling
Low serum potassium level - ANSWER Intervention: initiate cardiac monitoring for the
client
Peritoneal dialysis - ANSWER Action: hang the drainage bag below the client's
abdomen
Impaired vestibulocochlear nerve - ANSWER Finding: disequilibrium with movement
Postoperative care after cholecystectomy - ANSWER Intervention: apply compression
stockings to the lower extremities
Discharge teaching after mastectomy - ANSWER Statement: expect less than 25 mL of
secretions per day in the drainage devices
Using a metered-dose rescue inhaler - ANSWER Statement: exhale fully before
bringing the inhaler to your lips
Total parenteral nutrition (TPN) - ANSWER Finding requiring notification of provider:
calcium level 11.5 mg/dL
Setting up a sterile field - ANSWER Actions: grasp 2.5 cm (1 in) of the outer edge to
open the surgical wrap, place a surgical pack with a sterile drape on the work surface,
select a work surface at the nurse's waist level
, Blood alcohol level - ANSWER Priority action: obtain consent for surgery
Increased intracranial pressure - ANSWER First sign of deteriorating neurological
status: altered level of consciousness
Skin cancer screening - ANSWER Finding indicating melanoma: raised lesion with a
rolled border
Diabetes insipidus - ANSWER Medication: desmopressin
Insertion of a non-tunneled central venous catheter - ANSWER Action: confirm the
correct position of the line by obtaining a blood sample
Discharge teaching for chronic urinary tract infections - ANSWER Instruction: drink 2 to
3 L of fluids daily
Discharge teaching for HIV - ANSWER Priority information: describe your daily
medication schedule
Administering packed RBCs - ANSWER Action: stop the infusion
Thoracentesis - ANSWER Priority intervention: determine whether the client has an
allergy to local anesthetics
Bladder cancer - ANSWER Action: instruct the client to avoid eating raw fruit
Postoperative assessment after appendectomy - ANSWER Finding requiring reporting
to provider: hemoglobin 10 mg/dL
Assessment of a client with an NG tube - ANSWER Finding requiring reporting to
provider: the client's abdomen becomes distended and firm
Medications to withhold after CT scan with contrast media - ANSWER Medication:
metformin
Ocular irrigation - ANSWER First action: collect information about the irritant that
caused the injury
Foot care for peripheral arterial disease - ANSWER Statement indicating
understanding: rest in my recliner with my feet elevated for about an hour every
afternoon
Gathering data about toxoplasmosis - ANSWER Question: do you have any household
pets, such as a cat?
Complication of immobility - ANSWER Finding: confusion
