Pn Adult Medical Surgical 2024- 2025 Questions And
Answers
A nurse is caring for a client who has a prescription for a sequential compression device (SCD). Which of
the following actions should the nurse take when applying the SCD?
a) Ensure two fingers fit between the leg and the sleeve.
b) Wrap excess tubing to the side of each leg.
c) Ensure pressure of the device is at 25 mmHg.
d) Place each service under each leg with theopening at the calf. - ANSWER>>A. Ensure two fingers fit
between the leg and the
sleeve.
A nurse is caring for a client who has bladder cancer
and is 1 day postoperative following placement of an
ileal conduit. Which of the following information
should the nurse report to the provider? (Click on the
"Exhibit" button for additional information about the client. There are three tabs that contain separate
categories of data.")
a) Platelet count
b) Stoma color
c) Bowel sounds
d) Urine output - ANSWER>>B. Stoma color
A nurse is reinforcing teaching with a female client who has a history of urinary tract infections. Which
of the following instructions should the nurse include?
a) Use a vaginal douche once a week.
b) Empty the bladder at least every 6 hr.
c) Increase milk consumption to make the urine
more alkaline.
d) Urinate before and after sexual intercourse. - ANSWER>>D. Urinate before and after sexual
intercourse.
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,A nurse is collecting data about immunizations for a 65-year-old client who has no identified risk factors
for disease. The nurse should identify the client's need for which of the following immunizations?
a) Inactivated polio virus
b) Herpes zoster
c) Human papilloma virus
d) Measles, mumps, and rubella - ANSWER>>B. Herpes zoster
A nurse is reinforcing teaching with a client about colorectal cancer. Which of the following risk factors
should the nurse include?
a) Biliary colic
b) Duodenal ulcer
c) Chronic constipation
d) Ulcerative colitis - ANSWER>>D. Ulcerative colitis
A nurse is assisting with the transfer of a client from
a medical-surgical unit to an intensive care unit following a change in status. Which of the following
information should the nurse include in the transfer
documentation? (Select all that apply.)
a) Primary health problem
b) Scheduled times for dressing changes
c) Current medication prescriptions
d) Number of family members who have visited
e) Admission vital signs from 1 week ago - ANSWER>>A. Primary health problem
B. Scheduled times for dressing changes
C. Current medication prescriptions
A nurse is collecting data from a client prior to administering hydrochlorothiazide for mild
hypertension. Which of the following findings should the nurse identify as a contraindication to
administering the medication?
a) 2+ pedal edema
b) Potassium 2.8 mEq/L
c) Allergy to shellfish
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, d) History of GERD - ANSWER>>B. Potassium 2.8 mEq/L
A nurse is caring for a client who has a terminal illness and is in the active phase of dying. The client
refuses further hydration and nourishment. Which of the following actions should the nurse take?
a) Request a prescription for IV fluids.
b) Ask the client's health care surrogate for permission to withhold nourishment.
c) Provide regular oral care for the client with a moist swab.
d) Explain the importance of oral hydration to the chest. - ANSWER>>C. Provide regular oral care for the
client with a
moist swab.
A nurse is caring for a client who has a terminal illness and is in the active phase of dying. The client
refuses further hydration and nourishment. Which of the following actions should the nurse take?
a) Request a prescription for IV fluids.
b) Ask the client's health care surrogate for permission to withhold nourishment.
c) Provide regular oral care for the client with a moist swab.
d) Explain the importance of oral hydration to the chest. - ANSWER>>c) Provide regular oral care for the
client with a moist swab.
A nurse is caring for a client who has returned to the unit following a cardiac catheterization using a
femoral approach. Which of the following methods should the nurse use to monitor for complications?
a) Check the client's blood pressure while the
client lies supine, sits, and stands.
b) Palpate the client's brachial pulses and
compare bilaterally.
c) Check for jugular vein distention while the
client is supine.
d) Palpate the client's pedal pulses and
compare bilaterally. - ANSWER>>D. Palpate the client's pedal pulses and compare
bilaterally.
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Answers
A nurse is caring for a client who has a prescription for a sequential compression device (SCD). Which of
the following actions should the nurse take when applying the SCD?
a) Ensure two fingers fit between the leg and the sleeve.
b) Wrap excess tubing to the side of each leg.
c) Ensure pressure of the device is at 25 mmHg.
d) Place each service under each leg with theopening at the calf. - ANSWER>>A. Ensure two fingers fit
between the leg and the
sleeve.
A nurse is caring for a client who has bladder cancer
and is 1 day postoperative following placement of an
ileal conduit. Which of the following information
should the nurse report to the provider? (Click on the
"Exhibit" button for additional information about the client. There are three tabs that contain separate
categories of data.")
a) Platelet count
b) Stoma color
c) Bowel sounds
d) Urine output - ANSWER>>B. Stoma color
A nurse is reinforcing teaching with a female client who has a history of urinary tract infections. Which
of the following instructions should the nurse include?
a) Use a vaginal douche once a week.
b) Empty the bladder at least every 6 hr.
c) Increase milk consumption to make the urine
more alkaline.
d) Urinate before and after sexual intercourse. - ANSWER>>D. Urinate before and after sexual
intercourse.
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,A nurse is collecting data about immunizations for a 65-year-old client who has no identified risk factors
for disease. The nurse should identify the client's need for which of the following immunizations?
a) Inactivated polio virus
b) Herpes zoster
c) Human papilloma virus
d) Measles, mumps, and rubella - ANSWER>>B. Herpes zoster
A nurse is reinforcing teaching with a client about colorectal cancer. Which of the following risk factors
should the nurse include?
a) Biliary colic
b) Duodenal ulcer
c) Chronic constipation
d) Ulcerative colitis - ANSWER>>D. Ulcerative colitis
A nurse is assisting with the transfer of a client from
a medical-surgical unit to an intensive care unit following a change in status. Which of the following
information should the nurse include in the transfer
documentation? (Select all that apply.)
a) Primary health problem
b) Scheduled times for dressing changes
c) Current medication prescriptions
d) Number of family members who have visited
e) Admission vital signs from 1 week ago - ANSWER>>A. Primary health problem
B. Scheduled times for dressing changes
C. Current medication prescriptions
A nurse is collecting data from a client prior to administering hydrochlorothiazide for mild
hypertension. Which of the following findings should the nurse identify as a contraindication to
administering the medication?
a) 2+ pedal edema
b) Potassium 2.8 mEq/L
c) Allergy to shellfish
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, d) History of GERD - ANSWER>>B. Potassium 2.8 mEq/L
A nurse is caring for a client who has a terminal illness and is in the active phase of dying. The client
refuses further hydration and nourishment. Which of the following actions should the nurse take?
a) Request a prescription for IV fluids.
b) Ask the client's health care surrogate for permission to withhold nourishment.
c) Provide regular oral care for the client with a moist swab.
d) Explain the importance of oral hydration to the chest. - ANSWER>>C. Provide regular oral care for the
client with a
moist swab.
A nurse is caring for a client who has a terminal illness and is in the active phase of dying. The client
refuses further hydration and nourishment. Which of the following actions should the nurse take?
a) Request a prescription for IV fluids.
b) Ask the client's health care surrogate for permission to withhold nourishment.
c) Provide regular oral care for the client with a moist swab.
d) Explain the importance of oral hydration to the chest. - ANSWER>>c) Provide regular oral care for the
client with a moist swab.
A nurse is caring for a client who has returned to the unit following a cardiac catheterization using a
femoral approach. Which of the following methods should the nurse use to monitor for complications?
a) Check the client's blood pressure while the
client lies supine, sits, and stands.
b) Palpate the client's brachial pulses and
compare bilaterally.
c) Check for jugular vein distention while the
client is supine.
d) Palpate the client's pedal pulses and
compare bilaterally. - ANSWER>>D. Palpate the client's pedal pulses and compare
bilaterally.
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