PN Adult Medical Surgical 2024/2025
Exam
Complete the diagram by dragging from the choices below to specify what condition the client is most
likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the
nurse should monitor to assess the client's progress. - ANS The nurse should reduce the temperature in
the client's room and limit visitors because the client has manifestations of hyperthyroidism. Clients who
have hyperthyroidism have heat intolerance and require an environment with decreased stimuli. The
nurse should monitor the client for an increased temperature which can indicate a thyroid storm, as well
as the client's weight daily, to monitor for weight loss.
A nurse is contributing to the plan of care for a client who has multiple sclerosis and is taking dantrolene
to manage muscle spasms. Which of the following interventions should the nurse include? - ANS
Encourage the client to complete ADLs.
A nurse is assisting with the care for a client who has a new cast on their left forearm and reports severe
pain in the affected arm with numbness in the fingers. The nurse finds the skin is pale and cold with
sluggish capillary refill. Which of the following fracture complications should the nurse suspect? - ANS
Compartment syndrome
A nurse is assisting with the care for a client who has Cushing's syndrome and expresses concern
regarding physical changes associated with the syndrome. Which of the following should the nurse
recognize as a physical change caused by this disorder? - ANS Truncal obesity
A nurse is reinforcing teaching with a client who is taking levothyroxine. Which of the following
statements by the client indicates an understanding of the teaching? - ANS "The medication should be
taken before I eat breakfast every morning."
A nurse is collecting data from a client who is being treated for hypovolemia due to nausea and
vomiting. Which of the following findings should the nurse report to the provider? - ANS Heart rate
120/min
FLAG
, A nurse is assisting with the care for a client who reports stomatitis. Which of the following dietary
recommendations should the nurse make? - ANS "Select foods that are low in protein."
A nurse is reviewing the medical record for a client who is experiencing nausea and vomiting. Based on
the client data, which of the following actions should the nurse take? (Click on the exhibit tabs for
additional information about the client. There are three tabs that contain separate categories of data.) -
ANS Notify the charge nurse of the client's blood pressure.
A nurse is reinforcing discharge teaching for the caregivers of a client who has Parkinson's disease.
Which of the following information should the nurse include in the teaching? - ANS Remind the client to
avoid watching their feet when walking.
A nurse is assisting with the care of a client who had a stroke and is unable to speak. The nurse should
identify that the client's injury occurred in which of the following lobes of the brain? (You will find hot
spots to select in the artwork below. Select only the hot spot that corresponds to your answer.) - ANS A
is correct.
A nurse observes a client who is lying in bed and experiencing a tonic-clonic seizure. Which of the
following actions should the nurse take? - ANS Loosen clothing around the client's neck.
A nurse is assisting with the care for a client who has acute pancreatitis. While providing care, the nurse
observes ecchymosis around the umbilicus. The nurse should identify that this is a manifestation of
which of the following? - ANS Intra-abdominal bleeding
A home health nurse is assisting with the care for a client who has COPD. The client reports shortness of
breath while eating, despite the use of home oxygen. Which of the following recommendations should
the nurse make? - ANS "Use a bronchodilator 30 minutes before your meal."
A nurse is changing the dressing for a client who has an abdominal incision and a closed-suction drain.
Which of the following actions should the nurse take? - ANS Cleanse the drainage plug with alcohol
swabs.
Exam
Complete the diagram by dragging from the choices below to specify what condition the client is most
likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the
nurse should monitor to assess the client's progress. - ANS The nurse should reduce the temperature in
the client's room and limit visitors because the client has manifestations of hyperthyroidism. Clients who
have hyperthyroidism have heat intolerance and require an environment with decreased stimuli. The
nurse should monitor the client for an increased temperature which can indicate a thyroid storm, as well
as the client's weight daily, to monitor for weight loss.
A nurse is contributing to the plan of care for a client who has multiple sclerosis and is taking dantrolene
to manage muscle spasms. Which of the following interventions should the nurse include? - ANS
Encourage the client to complete ADLs.
A nurse is assisting with the care for a client who has a new cast on their left forearm and reports severe
pain in the affected arm with numbness in the fingers. The nurse finds the skin is pale and cold with
sluggish capillary refill. Which of the following fracture complications should the nurse suspect? - ANS
Compartment syndrome
A nurse is assisting with the care for a client who has Cushing's syndrome and expresses concern
regarding physical changes associated with the syndrome. Which of the following should the nurse
recognize as a physical change caused by this disorder? - ANS Truncal obesity
A nurse is reinforcing teaching with a client who is taking levothyroxine. Which of the following
statements by the client indicates an understanding of the teaching? - ANS "The medication should be
taken before I eat breakfast every morning."
A nurse is collecting data from a client who is being treated for hypovolemia due to nausea and
vomiting. Which of the following findings should the nurse report to the provider? - ANS Heart rate
120/min
FLAG
, A nurse is assisting with the care for a client who reports stomatitis. Which of the following dietary
recommendations should the nurse make? - ANS "Select foods that are low in protein."
A nurse is reviewing the medical record for a client who is experiencing nausea and vomiting. Based on
the client data, which of the following actions should the nurse take? (Click on the exhibit tabs for
additional information about the client. There are three tabs that contain separate categories of data.) -
ANS Notify the charge nurse of the client's blood pressure.
A nurse is reinforcing discharge teaching for the caregivers of a client who has Parkinson's disease.
Which of the following information should the nurse include in the teaching? - ANS Remind the client to
avoid watching their feet when walking.
A nurse is assisting with the care of a client who had a stroke and is unable to speak. The nurse should
identify that the client's injury occurred in which of the following lobes of the brain? (You will find hot
spots to select in the artwork below. Select only the hot spot that corresponds to your answer.) - ANS A
is correct.
A nurse observes a client who is lying in bed and experiencing a tonic-clonic seizure. Which of the
following actions should the nurse take? - ANS Loosen clothing around the client's neck.
A nurse is assisting with the care for a client who has acute pancreatitis. While providing care, the nurse
observes ecchymosis around the umbilicus. The nurse should identify that this is a manifestation of
which of the following? - ANS Intra-abdominal bleeding
A home health nurse is assisting with the care for a client who has COPD. The client reports shortness of
breath while eating, despite the use of home oxygen. Which of the following recommendations should
the nurse make? - ANS "Use a bronchodilator 30 minutes before your meal."
A nurse is changing the dressing for a client who has an abdominal incision and a closed-suction drain.
Which of the following actions should the nurse take? - ANS Cleanse the drainage plug with alcohol
swabs.
