PN VATI Medical-Surgical Practice
Questions & Answers
1. A nurse is caring for a client with heart
failure who has been prescribed furosemide.
Which finding should the nurse report to the
provider immediately?
A) Blood pressure of 110/70 mmHg
B) Potassium level of 3.0 mEq/L
C) Heart rate of 78 bpm
D) Mild dizziness upon standing
,Answer: B) Potassium level of 3.0 mEq/L
Rationale: Furosemide is a loop diuretic that
can cause hypokalemia. A potassium level
below 3.5 mEq/L can lead to cardiac
dysrhythmias and requires prompt intervention.
2. A client with COPD is experiencing
shortness of breath. Which position should
the nurse suggest to promote optimal
breathing?
A) Lying flat in bed
B) Sitting in a chair, leaning forward with arms
resting on a table
C) Side-lying with a pillow between the knees
D) Supine with legs elevated
Answer: B) Sitting in a chair, leaning forward
with arms resting on a table
Rationale: This position, known as the tripod
position, helps expand the lungs and improve
oxygenation in clients with COPD.
, 3. A nurse is reinforcing teaching to a client
with newly diagnosed peptic ulcer disease
(PUD). Which statement by the client
indicates a need for further teaching?
A) "I will avoid spicy foods and caffeine."
B) "I will take my sucralfate before meals."
C) "I can continue taking ibuprofen for my
arthritis pain."
D) "I will eat small, frequent meals to help my
stomach."
Answer: C) "I can continue taking ibuprofen for
my arthritis pain."
Rationale: NSAIDs like ibuprofen can worsen
PUD by increasing gastric acid production and
irritating the stomach lining.
4. A nurse is caring for a client who has a
new prescription for warfarin. Which food
Questions & Answers
1. A nurse is caring for a client with heart
failure who has been prescribed furosemide.
Which finding should the nurse report to the
provider immediately?
A) Blood pressure of 110/70 mmHg
B) Potassium level of 3.0 mEq/L
C) Heart rate of 78 bpm
D) Mild dizziness upon standing
,Answer: B) Potassium level of 3.0 mEq/L
Rationale: Furosemide is a loop diuretic that
can cause hypokalemia. A potassium level
below 3.5 mEq/L can lead to cardiac
dysrhythmias and requires prompt intervention.
2. A client with COPD is experiencing
shortness of breath. Which position should
the nurse suggest to promote optimal
breathing?
A) Lying flat in bed
B) Sitting in a chair, leaning forward with arms
resting on a table
C) Side-lying with a pillow between the knees
D) Supine with legs elevated
Answer: B) Sitting in a chair, leaning forward
with arms resting on a table
Rationale: This position, known as the tripod
position, helps expand the lungs and improve
oxygenation in clients with COPD.
, 3. A nurse is reinforcing teaching to a client
with newly diagnosed peptic ulcer disease
(PUD). Which statement by the client
indicates a need for further teaching?
A) "I will avoid spicy foods and caffeine."
B) "I will take my sucralfate before meals."
C) "I can continue taking ibuprofen for my
arthritis pain."
D) "I will eat small, frequent meals to help my
stomach."
Answer: C) "I can continue taking ibuprofen for
my arthritis pain."
Rationale: NSAIDs like ibuprofen can worsen
PUD by increasing gastric acid production and
irritating the stomach lining.
4. A nurse is caring for a client who has a
new prescription for warfarin. Which food
