RN ADULT MEDICAL SURGICAL
QUESTIONS AND ANSWERS
2023 & 2024
A nurse is providing teaching to a client who has chronic kidney disease and a new prescription for erythropoietin.
Which of the following statements by the client indicates an understanding of the teaching?
a) "I should take calcium supplements, so the medication will work better in my system."
b) "I am taking this medication to increase my energy level."
c) "This medication can cause my blood pressure to drop."
d) "I will need to restrict protein in my diet while taking this medication."
- RATIONALE
-b "I am taking this medication to increase my energy level."
A nurse in a provider's office is caring for a client who requests sildenafil to treat erectile dysfunction. Which of the
following statements should the nurse make?
a) You might need to take a stool softener while taking this medication.
b) You will not be able to use sildenafil if you have diabetes.
c) You will need to limit your caffeine intake if you start taking sildenafil.
d) You will not be able to use sildenafil if you are taking nitroglycerin.
- RATIONALE
-d You will not be able to use sildenafil if you are taking nitroglycerin.
A nurse is caring for a client who has a new diagnosis of hyperthyroidism. Which of the following is the priority
assessment finding that the nurse should report to the provider?
a) Restlessness
b) T3 level 215 ng/dL
c) Blood pressure 170/80
d) Decreased weight
, RN ADULT MEDICAL SURGICAL
QUESTIONS AND ANSWERS
2023 & 2024
- RATIONALE
c)Blood pressure 170/80
A nurse on a medical-surgical unit is receiving change-of-shift report on four clients. Which of the following clients
should the nurse identify as having the greatest risk for developing an infection?
a) A client who has a closed fracture of the arm and is receiving an opioid pain medication
b) A client who has COPD and is receiving steroid therapy
c) A client who is postoperative following a laparoscopic appendectomy and is receiving an antibiotic
d) A client who has a deep vein thrombosis (DVT) and is receiving anticoagulant therapy
- RATIONALE
-b A client who has COPD and is receiving steroid therapy
A nurse in an emergency department is assessing an older adult client who has a fractured wrist following a fall.
During the assessment, the client states, "Last week I crashed my car because my vision suddenly went blurry."
Which of the following actions is the nurse's priority?
a) Check the client's neurological status
b) Document the client's statements
c) Prepare the client for a CT scan
d) Teach the client about using safety precautions for falls
- RATIONALE
-a) Check the client's neurological status
A nurse is providing preoperative teaching for a client who is scheduled for an open cholecystectomy. Which of the
following actions should the nurse take?
, RN ADULT MEDICAL SURGICAL
QUESTIONS AND ANSWERS
2023 & 2024
a) Teach the importance of a clear liquid diet after discharge
b) Tell the client to remove incisional adhesive strips 3 days after discharge
c) Demonstrate ways to deep breath and cough
d) Instruct the client to maintain bedrest for 48 hours
- RATIONALE-c) Demonstrate ways to deep breath and cough
A nurse in an emergency department is caring for a client who has full-thickness burns over 20% of his total body
surface area. After ensuring a patent airway and administering oxygen, which of the following items should the
nurse prepare to administer?
a) IV fluids
b) Analgesia
c) Antibiotics
d) Tetanus toxoid
- RATIONALE-a) IV fluids
A nurse in a provider's office is assessing a client who has migraine headaches and is taking feverfew to prevent her
headaches. The nurse should identify that which of the following client medications interacts with feverfew?
a) Metoprolol
b) Bupropion
c) Naproxen
d) Atorvastatin
- RATIONALE-c) Naproxen
, RN ADULT MEDICAL SURGICAL
QUESTIONS AND ANSWERS
2023 & 2024
A nurse is providing discharge teaching to a client who has laryngeal cancer and is receiving radiation treatment.
Which of the following statements made by the client indicates an understanding of the teaching?
a) I will wear a badge to measure how much radiation I am receiving
b) I will remove the markings on the skin after each radiation treatment
c) I will avoid direct exposure to the sun
d) I will rinse my mouth with a commercial mouthwash
- RATIONALE-c) I will avoid direct exposure to the sun
A nurse is preparing to administer a blood transfusion to a client who has anemia. Which of the following actions
should the nurse take first?
a) Obtain the client's vital signs
b) Describe the blood transfusion procedure to the client
c) Check for the type and number of units of blood to administer
d) Initiate a peripheral IV
- RATIONALE-c) Check for the type and number of units of blood to administer
A nurse is caring for a client who has a prescription for enalapril. The nurse should identify which of the following
findings as an adverse effect of the medication?
a) Bradycardia
b) Tremors
c) Orthostatic hypotension
d) Drowsiness
- RATIONALE-c) Orthostatic hypotension
QUESTIONS AND ANSWERS
2023 & 2024
A nurse is providing teaching to a client who has chronic kidney disease and a new prescription for erythropoietin.
Which of the following statements by the client indicates an understanding of the teaching?
a) "I should take calcium supplements, so the medication will work better in my system."
b) "I am taking this medication to increase my energy level."
c) "This medication can cause my blood pressure to drop."
d) "I will need to restrict protein in my diet while taking this medication."
- RATIONALE
-b "I am taking this medication to increase my energy level."
A nurse in a provider's office is caring for a client who requests sildenafil to treat erectile dysfunction. Which of the
following statements should the nurse make?
a) You might need to take a stool softener while taking this medication.
b) You will not be able to use sildenafil if you have diabetes.
c) You will need to limit your caffeine intake if you start taking sildenafil.
d) You will not be able to use sildenafil if you are taking nitroglycerin.
- RATIONALE
-d You will not be able to use sildenafil if you are taking nitroglycerin.
A nurse is caring for a client who has a new diagnosis of hyperthyroidism. Which of the following is the priority
assessment finding that the nurse should report to the provider?
a) Restlessness
b) T3 level 215 ng/dL
c) Blood pressure 170/80
d) Decreased weight
, RN ADULT MEDICAL SURGICAL
QUESTIONS AND ANSWERS
2023 & 2024
- RATIONALE
c)Blood pressure 170/80
A nurse on a medical-surgical unit is receiving change-of-shift report on four clients. Which of the following clients
should the nurse identify as having the greatest risk for developing an infection?
a) A client who has a closed fracture of the arm and is receiving an opioid pain medication
b) A client who has COPD and is receiving steroid therapy
c) A client who is postoperative following a laparoscopic appendectomy and is receiving an antibiotic
d) A client who has a deep vein thrombosis (DVT) and is receiving anticoagulant therapy
- RATIONALE
-b A client who has COPD and is receiving steroid therapy
A nurse in an emergency department is assessing an older adult client who has a fractured wrist following a fall.
During the assessment, the client states, "Last week I crashed my car because my vision suddenly went blurry."
Which of the following actions is the nurse's priority?
a) Check the client's neurological status
b) Document the client's statements
c) Prepare the client for a CT scan
d) Teach the client about using safety precautions for falls
- RATIONALE
-a) Check the client's neurological status
A nurse is providing preoperative teaching for a client who is scheduled for an open cholecystectomy. Which of the
following actions should the nurse take?
, RN ADULT MEDICAL SURGICAL
QUESTIONS AND ANSWERS
2023 & 2024
a) Teach the importance of a clear liquid diet after discharge
b) Tell the client to remove incisional adhesive strips 3 days after discharge
c) Demonstrate ways to deep breath and cough
d) Instruct the client to maintain bedrest for 48 hours
- RATIONALE-c) Demonstrate ways to deep breath and cough
A nurse in an emergency department is caring for a client who has full-thickness burns over 20% of his total body
surface area. After ensuring a patent airway and administering oxygen, which of the following items should the
nurse prepare to administer?
a) IV fluids
b) Analgesia
c) Antibiotics
d) Tetanus toxoid
- RATIONALE-a) IV fluids
A nurse in a provider's office is assessing a client who has migraine headaches and is taking feverfew to prevent her
headaches. The nurse should identify that which of the following client medications interacts with feverfew?
a) Metoprolol
b) Bupropion
c) Naproxen
d) Atorvastatin
- RATIONALE-c) Naproxen
, RN ADULT MEDICAL SURGICAL
QUESTIONS AND ANSWERS
2023 & 2024
A nurse is providing discharge teaching to a client who has laryngeal cancer and is receiving radiation treatment.
Which of the following statements made by the client indicates an understanding of the teaching?
a) I will wear a badge to measure how much radiation I am receiving
b) I will remove the markings on the skin after each radiation treatment
c) I will avoid direct exposure to the sun
d) I will rinse my mouth with a commercial mouthwash
- RATIONALE-c) I will avoid direct exposure to the sun
A nurse is preparing to administer a blood transfusion to a client who has anemia. Which of the following actions
should the nurse take first?
a) Obtain the client's vital signs
b) Describe the blood transfusion procedure to the client
c) Check for the type and number of units of blood to administer
d) Initiate a peripheral IV
- RATIONALE-c) Check for the type and number of units of blood to administer
A nurse is caring for a client who has a prescription for enalapril. The nurse should identify which of the following
findings as an adverse effect of the medication?
a) Bradycardia
b) Tremors
c) Orthostatic hypotension
d) Drowsiness
- RATIONALE-c) Orthostatic hypotension
