PN Med Surg
Study online at https://quizlet.com/_8resor
PN MED SURG TEST BANK.
1. A nurse is reviewing the medical record of a client who has a prescription for
morphine. Which of the following findings should the nurse report to the provider?:
Urinary retention
2. A nurse is caring for a client who is at risk for developing pressure ulcers.
Which of the following actions should the nurse take?: Position pillows between the
bony prominences
3. A nurse is caring for a client who is postoperative and is receiving an IV
infusion of cefazolin. Ten minutes after beginning the infusion, the client reports
intense itching. Which of the following actions should the nurse take first?: Stop the
medication infusion
4. A nurse is reinforcing teaching with a client who has gonorrhea. Which of the
following information should the nurse include?: You are at risk for infertility with
this infection, regardless of treatment
5. A nurse is examining a clients IV site and notes a red line up his arm. The
client reliant a throbbing, burning pain at the IV site. The nurse should identify that
the clients manifestations indicate which of the following complications?-
: Thrombophlebitis
6. A nurse is reinforcing teaching with an adolescent client regarding testicular
self examination. Which of the following statements by the client demonstrates an
undertsmdibg of the teaching?: I understand that testicular cancer is painless
7. A nurse in a long term care facility is collecting data from a client who reports
fullness in the rectum and abdominal cramping. Which of the following findings
should indicate to the nurse that the client might have a fecal impaction?: Small
liquid stools
8. A nurse in an oncology is reinforcing teaching about Mohs surgery with a
client who has skin cancer. Which of the following information should the nurse
include in the teaching?: Mohs surgery is a horizontal shaving of thin layers of the
tumor
9. A nurse is reinforcing teaching about GERd with a client. Which of the
following statements by the client indicates an understanding of the teaching?: I
should wait at least 2 hours after eating before going to bed
10. A nurse is assisting with the care of a care who is reconciled 0.9 % sodium
chloride by continuous IV infusion. The client report pain and swelling at the IV
site. In which order should the nurse perform that following steps?: Check the IV
site, stop the infusion, withdraw the IV catheter, elevate the affected arm, notify the
charge nurse
, . Med Surg
PN
Study online at https://quizlet.com/_8resor
11 A nurse is contributing to the plan of care for an older adult client who is at risk
for osteoporosis. Which of the following interventions should the nurse include to
prevent bone loss?: Encourage weight bearing exercises
12. A nurse is assisting with the care of a client who has a cardiac catheterization
via the right femoral artery. Which of the following actions should the nurse take to
prevent lost procedure complications?: Monitor the insertion site for bleeding is
correct, maintain the pressure dressing, check the clients peripheral pulses
13. A nurse is caring for a client who is 1 day postoperative following a hip
arthroplasty. The client is exhibiting hypotension,tachycardia, and tachypnea. The
nurse should recognize these findings indicate which of the following
complications?: Pulmonary embolism
14. A nurse is reinforcing discharge teaching with a client who has hearing loss.
Which of the following actions should the nurse take when communication with the
client?: Rephrase client instructions when not understood
15. A nurse is caring for a client who is postoperative and has an epidural
infusion. Which of the following findings should the nurse recognize as the
priority?: Dyspnea
16. A nurse is preparing to administer phytonadione 7 mg subcutaneously to a
client who has an INR of 4. Available is phytonadione 10 mg/ml. How many ml
should the nurse administer?: 0.7
17. A nurse is reinforcing teaching with a client who has multiple sclerosis and a
new prescription for baclofen. Which of the following instructions should the nurse
include in the teaching?: Avoid stopping this medication suddenly
18. A nurse is planning to implement droplet precautions for a client who has
manifestation of pertussis. Which of the following interventions should the nurse
include when contributing?: Apply a mask on the client of transport is needed
19. A nurse is caring for an older adult client who has a reddened area over the
sacrum. Which of the following actions should the nurse take?: Minimize the time
the head of the bed is elevated
20. A nurse is collecting data from a client and noticed several skin lesions. Which
of the following findings should the nurse report as possible melanoma?: Irregular
borders
21. A nurse is reinforcing teaching with a client who is in a low sodium diet and
asks about how to improve the taste of bland food. Which of the following should
the nurse recommend?: Lemon juice
22. A nurse is assisting with the discharge planning for a client who is
postoperative following a total hip arthroplasty. Which of the following instructions
should the nurse include in the discharge plan?: Obtain a raised toilet seat
, PN Med Surg
Study online at https://quizlet.com/_8resor
23. A nurse is caring for a client who has meningococcal pneumonia. Which of
the following personal protective equipment should the nurse use?: Mask
24. A nurse is reinforcing teaching with a client who has asthma. Which of the
following client statements indicates an understanding of the use of budensonide
and albuterol inhalers?: I never forget to rinse my mouth after using my budesonide ,
between office visits I keep a record of how many times I use my albiterol inhaler, I use
my albuterol inhaler before I go swimming.
25. A nurse is care for for a client who has a compound fracture of the femur and
was placed in balanced suspension skeletal traction 4 days ago. Which of the
following actions should the nurse take?: Perform pin site care daily
26. A nurse is preparing to auscultate the bowel sounds of a client who has a
mechanical bowel obstruction in the descending colon. When listening in the upper
left upper quadrant, the nurse should identify this sound as which of the following?:
Hyperactive bowel sounds
27. A nurse is contributing to the plan of care for a client who was admitted to the
neurological unit following a stroke 3 hr ago. Which of the following interventions
should the nurse identify as the priority?: Keep the client in a side lying position
28. A nurse is collecting data from a client who has hypokalemia. Which of the
following findings should the identify as the priority?: Dysrthymia
29. A nurse is reinforcing teaching about dietary changes with a client who has
cardiovascular disease. Which of the following images indicates the type of cooking
fat the nurse recommend the client use when preparing meals?: Olive oil
30. A nurse is reviewing the laboratory results of a client who has chronic kidney
failure and is receiving epoetin alfa. The nurse should identify that which of the
following laboratory values indicates the treatment is effective?: Hgb 11 g/dL
31. A nurse is assisting in the plan of care regarding bowel restraining for a client
who has a cervical spinal cord injury. Which of the following interventions should
the nurse plan to implement first?: Determine the clients daily elimination habits
32. A nurse is contributing to the plan of care for a client who has PAD of the
lower extremities. Which of the following international should the nurse include?:
Dangle the extremities off the side of the bed
33 A nurse is caring for a client who is reveling chemotherapy. The client mentions
that has a loss of appetite because she has sores in her mouth and that food no
longer tastes good. Which of the following suggestions to the client should the nurse
make?: Eat several small portioned meals daily
34. A nurse is caring for a client who is 24 hr postoperative following abdominal
surgery and has an NG tube. Which of the following actions should the nurse plan
to take to decrease the rain of postoperative complications?: Encourage the client to
use an incentive spirometer every hour while awake
Study online at https://quizlet.com/_8resor
PN MED SURG TEST BANK.
1. A nurse is reviewing the medical record of a client who has a prescription for
morphine. Which of the following findings should the nurse report to the provider?:
Urinary retention
2. A nurse is caring for a client who is at risk for developing pressure ulcers.
Which of the following actions should the nurse take?: Position pillows between the
bony prominences
3. A nurse is caring for a client who is postoperative and is receiving an IV
infusion of cefazolin. Ten minutes after beginning the infusion, the client reports
intense itching. Which of the following actions should the nurse take first?: Stop the
medication infusion
4. A nurse is reinforcing teaching with a client who has gonorrhea. Which of the
following information should the nurse include?: You are at risk for infertility with
this infection, regardless of treatment
5. A nurse is examining a clients IV site and notes a red line up his arm. The
client reliant a throbbing, burning pain at the IV site. The nurse should identify that
the clients manifestations indicate which of the following complications?-
: Thrombophlebitis
6. A nurse is reinforcing teaching with an adolescent client regarding testicular
self examination. Which of the following statements by the client demonstrates an
undertsmdibg of the teaching?: I understand that testicular cancer is painless
7. A nurse in a long term care facility is collecting data from a client who reports
fullness in the rectum and abdominal cramping. Which of the following findings
should indicate to the nurse that the client might have a fecal impaction?: Small
liquid stools
8. A nurse in an oncology is reinforcing teaching about Mohs surgery with a
client who has skin cancer. Which of the following information should the nurse
include in the teaching?: Mohs surgery is a horizontal shaving of thin layers of the
tumor
9. A nurse is reinforcing teaching about GERd with a client. Which of the
following statements by the client indicates an understanding of the teaching?: I
should wait at least 2 hours after eating before going to bed
10. A nurse is assisting with the care of a care who is reconciled 0.9 % sodium
chloride by continuous IV infusion. The client report pain and swelling at the IV
site. In which order should the nurse perform that following steps?: Check the IV
site, stop the infusion, withdraw the IV catheter, elevate the affected arm, notify the
charge nurse
, . Med Surg
PN
Study online at https://quizlet.com/_8resor
11 A nurse is contributing to the plan of care for an older adult client who is at risk
for osteoporosis. Which of the following interventions should the nurse include to
prevent bone loss?: Encourage weight bearing exercises
12. A nurse is assisting with the care of a client who has a cardiac catheterization
via the right femoral artery. Which of the following actions should the nurse take to
prevent lost procedure complications?: Monitor the insertion site for bleeding is
correct, maintain the pressure dressing, check the clients peripheral pulses
13. A nurse is caring for a client who is 1 day postoperative following a hip
arthroplasty. The client is exhibiting hypotension,tachycardia, and tachypnea. The
nurse should recognize these findings indicate which of the following
complications?: Pulmonary embolism
14. A nurse is reinforcing discharge teaching with a client who has hearing loss.
Which of the following actions should the nurse take when communication with the
client?: Rephrase client instructions when not understood
15. A nurse is caring for a client who is postoperative and has an epidural
infusion. Which of the following findings should the nurse recognize as the
priority?: Dyspnea
16. A nurse is preparing to administer phytonadione 7 mg subcutaneously to a
client who has an INR of 4. Available is phytonadione 10 mg/ml. How many ml
should the nurse administer?: 0.7
17. A nurse is reinforcing teaching with a client who has multiple sclerosis and a
new prescription for baclofen. Which of the following instructions should the nurse
include in the teaching?: Avoid stopping this medication suddenly
18. A nurse is planning to implement droplet precautions for a client who has
manifestation of pertussis. Which of the following interventions should the nurse
include when contributing?: Apply a mask on the client of transport is needed
19. A nurse is caring for an older adult client who has a reddened area over the
sacrum. Which of the following actions should the nurse take?: Minimize the time
the head of the bed is elevated
20. A nurse is collecting data from a client and noticed several skin lesions. Which
of the following findings should the nurse report as possible melanoma?: Irregular
borders
21. A nurse is reinforcing teaching with a client who is in a low sodium diet and
asks about how to improve the taste of bland food. Which of the following should
the nurse recommend?: Lemon juice
22. A nurse is assisting with the discharge planning for a client who is
postoperative following a total hip arthroplasty. Which of the following instructions
should the nurse include in the discharge plan?: Obtain a raised toilet seat
, PN Med Surg
Study online at https://quizlet.com/_8resor
23. A nurse is caring for a client who has meningococcal pneumonia. Which of
the following personal protective equipment should the nurse use?: Mask
24. A nurse is reinforcing teaching with a client who has asthma. Which of the
following client statements indicates an understanding of the use of budensonide
and albuterol inhalers?: I never forget to rinse my mouth after using my budesonide ,
between office visits I keep a record of how many times I use my albiterol inhaler, I use
my albuterol inhaler before I go swimming.
25. A nurse is care for for a client who has a compound fracture of the femur and
was placed in balanced suspension skeletal traction 4 days ago. Which of the
following actions should the nurse take?: Perform pin site care daily
26. A nurse is preparing to auscultate the bowel sounds of a client who has a
mechanical bowel obstruction in the descending colon. When listening in the upper
left upper quadrant, the nurse should identify this sound as which of the following?:
Hyperactive bowel sounds
27. A nurse is contributing to the plan of care for a client who was admitted to the
neurological unit following a stroke 3 hr ago. Which of the following interventions
should the nurse identify as the priority?: Keep the client in a side lying position
28. A nurse is collecting data from a client who has hypokalemia. Which of the
following findings should the identify as the priority?: Dysrthymia
29. A nurse is reinforcing teaching about dietary changes with a client who has
cardiovascular disease. Which of the following images indicates the type of cooking
fat the nurse recommend the client use when preparing meals?: Olive oil
30. A nurse is reviewing the laboratory results of a client who has chronic kidney
failure and is receiving epoetin alfa. The nurse should identify that which of the
following laboratory values indicates the treatment is effective?: Hgb 11 g/dL
31. A nurse is assisting in the plan of care regarding bowel restraining for a client
who has a cervical spinal cord injury. Which of the following interventions should
the nurse plan to implement first?: Determine the clients daily elimination habits
32. A nurse is contributing to the plan of care for a client who has PAD of the
lower extremities. Which of the following international should the nurse include?:
Dangle the extremities off the side of the bed
33 A nurse is caring for a client who is reveling chemotherapy. The client mentions
that has a loss of appetite because she has sores in her mouth and that food no
longer tastes good. Which of the following suggestions to the client should the nurse
make?: Eat several small portioned meals daily
34. A nurse is caring for a client who is 24 hr postoperative following abdominal
surgery and has an NG tube. Which of the following actions should the nurse plan
to take to decrease the rain of postoperative complications?: Encourage the client to
use an incentive spirometer every hour while awake
