Medical surgical practice exam
Questions and Answers Fully Solved
100%
Which postmenopausal client's complaint should the nurse refer to the HCP? -
CORRECT ANSWER-episodes of vaginal bleeding
The nurse is teaching a female client about the best time to plan sexual intercourse in
order to conceive. Which information should the nurse provide? - CORRECT ANSWER-
Two weeks before menstruation
A postmenopausal client asks the nurse why she is experiencing discomfort during
intercourse. Which response is best for the nurse to provide? - CORRECT ANSWER-
Estrogen deficiency causes the vaginal tissue to become dry and thinner
Which discharge instruction is most important for a client after a kidney transplant? -
CORRECT ANSWER-Use daily reminders to take immunosuppressants
The nurse is assessing a client with chronic kidney disease (CKD). Which finding is
most important for the nurse to respond to first? - CORRECT ANSWER-Potassium 6.0
mEq
Which finding should the nurse identify as most significant for a client diagnosed with
polycystic kidney disease (PKD)? - CORRECT ANSWER-3+ bacteria in urine
The nurse is planning care for a client with newly diagnosed diabetes mellitus that
requires insulin. Which assessment should the nurse identify before beginning the
teaching session? - CORRECT ANSWER-Willingness of the client to learn the
injections sites
When providing discharge teaching for a client with osteoporosis, the nurse should
reinforce which home care activity? - CORRECT ANSWER-Elimination of hazards to
home safety
Which description of pain is consistent with a diagnosis of rheumatoid arthritis? -
CORRECT ANSWER-Joint pain is worse in the morning and involves symmetric
joints
Which physical assessment finding should the nurse anticipate in a client with long-term
gastroesophagealreflux disease (GERD)? - CORRECT ANSWER-Hoarseness
, A client presents with chronic venous insufficiency. Which assessment finding should
the nurse anticipate? - CORRECT ANSWER-Bilateral lower leg stasis dermatitis
A client has been hospitalized with a femur fracture and is being treated with traction.
which action by the nurse is the priority when caring for this client? - CORRECT
ANSWER-Assess neurovascular status
Which statement made by a client with chronic pancreatitis indicates that further
education is needed? - CORRECT ANSWER-I will cut back on smoking cigarettes
daily
The nurse is teaching a female client who uses a contraceptive diaphragm about
reducing the risk for toxic shock syndrome (TSS). Which information should the nurse
include? (Select all that apply) - CORRECT ANSWER-Do not leave the diaphragm in
place longer than 8 hours after intercourse
Replace the old diaphragm every 3 months
A male client who smokes two packs of cigarettes a day states he understands that
smoking cigarettes is contributing to the difficulty that he and his wife are having in
getting pregnant and wants to know if other factors could be contributing to their
difficulty. Which information is best for the nurse to provide? (Select all that apply). -
CORRECT ANSWER-Alcohol consumption can cause erectile dysfunction
Low testosterone levels affect sperm production
Cessation of smoking improves general health and fertility
Twenty four hours after a client returns from surgical gastric bypass, the
registered nurse (RN) observes large amounts of blood in the nasogastric tube
(NGT) cannister.
Which assessment finding should the RN report as early signs of hypovolemic shock? -
CORRECT ANSWER-lethargy
the registered nurse (RN) is assessing a male client who arrives at the clinic with severe
abdominal cramping, pain, tenesmus, and dehydration. the RN discovers that the client
has had 14 to 20 loose stools with rectal bleeding. When taking the client's medical
history, which information is most for the nurse to obtain? - CORRECT ANSWER-
Ulcerative colitis
A client is newly diagnosed with diverticulosis. The registered nurse (RN) is assessing
the client's basic knowledge about the disease process. Which statement by the client
conveys an understanding of the etiology of diverticula? - CORRECT ANSWER-
Chronic constipation causes weakening of colon wall which results in out
pouching sacs
Questions and Answers Fully Solved
100%
Which postmenopausal client's complaint should the nurse refer to the HCP? -
CORRECT ANSWER-episodes of vaginal bleeding
The nurse is teaching a female client about the best time to plan sexual intercourse in
order to conceive. Which information should the nurse provide? - CORRECT ANSWER-
Two weeks before menstruation
A postmenopausal client asks the nurse why she is experiencing discomfort during
intercourse. Which response is best for the nurse to provide? - CORRECT ANSWER-
Estrogen deficiency causes the vaginal tissue to become dry and thinner
Which discharge instruction is most important for a client after a kidney transplant? -
CORRECT ANSWER-Use daily reminders to take immunosuppressants
The nurse is assessing a client with chronic kidney disease (CKD). Which finding is
most important for the nurse to respond to first? - CORRECT ANSWER-Potassium 6.0
mEq
Which finding should the nurse identify as most significant for a client diagnosed with
polycystic kidney disease (PKD)? - CORRECT ANSWER-3+ bacteria in urine
The nurse is planning care for a client with newly diagnosed diabetes mellitus that
requires insulin. Which assessment should the nurse identify before beginning the
teaching session? - CORRECT ANSWER-Willingness of the client to learn the
injections sites
When providing discharge teaching for a client with osteoporosis, the nurse should
reinforce which home care activity? - CORRECT ANSWER-Elimination of hazards to
home safety
Which description of pain is consistent with a diagnosis of rheumatoid arthritis? -
CORRECT ANSWER-Joint pain is worse in the morning and involves symmetric
joints
Which physical assessment finding should the nurse anticipate in a client with long-term
gastroesophagealreflux disease (GERD)? - CORRECT ANSWER-Hoarseness
, A client presents with chronic venous insufficiency. Which assessment finding should
the nurse anticipate? - CORRECT ANSWER-Bilateral lower leg stasis dermatitis
A client has been hospitalized with a femur fracture and is being treated with traction.
which action by the nurse is the priority when caring for this client? - CORRECT
ANSWER-Assess neurovascular status
Which statement made by a client with chronic pancreatitis indicates that further
education is needed? - CORRECT ANSWER-I will cut back on smoking cigarettes
daily
The nurse is teaching a female client who uses a contraceptive diaphragm about
reducing the risk for toxic shock syndrome (TSS). Which information should the nurse
include? (Select all that apply) - CORRECT ANSWER-Do not leave the diaphragm in
place longer than 8 hours after intercourse
Replace the old diaphragm every 3 months
A male client who smokes two packs of cigarettes a day states he understands that
smoking cigarettes is contributing to the difficulty that he and his wife are having in
getting pregnant and wants to know if other factors could be contributing to their
difficulty. Which information is best for the nurse to provide? (Select all that apply). -
CORRECT ANSWER-Alcohol consumption can cause erectile dysfunction
Low testosterone levels affect sperm production
Cessation of smoking improves general health and fertility
Twenty four hours after a client returns from surgical gastric bypass, the
registered nurse (RN) observes large amounts of blood in the nasogastric tube
(NGT) cannister.
Which assessment finding should the RN report as early signs of hypovolemic shock? -
CORRECT ANSWER-lethargy
the registered nurse (RN) is assessing a male client who arrives at the clinic with severe
abdominal cramping, pain, tenesmus, and dehydration. the RN discovers that the client
has had 14 to 20 loose stools with rectal bleeding. When taking the client's medical
history, which information is most for the nurse to obtain? - CORRECT ANSWER-
Ulcerative colitis
A client is newly diagnosed with diverticulosis. The registered nurse (RN) is assessing
the client's basic knowledge about the disease process. Which statement by the client
conveys an understanding of the etiology of diverticula? - CORRECT ANSWER-
Chronic constipation causes weakening of colon wall which results in out
pouching sacs
