Medical surgical practice exam
questions and answers.
,An adult client who is hospitalized after surgery reports sudden onset of chest pain and dyspnea. the client
appears anxious, restless, and mildly cyanotic. the nurse should further assess the client for which condition? -
correct answer Pulmonary embolism
which information should the nurse obtain when performing an initial assessment of a client who presents
to the emergency department with a painful ankle injury? (select all that apply) - correct answer Quality of
the pain
Signs of inflammation Ankle
range of motion
Visible deformities of the joint
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
The registered nurse (RN) is assessing a client who was discharged home after management of chronic
hypertension. Which equipment should the RN instruct the client to use at home? - correct answer
Sphygmomanometer
A young adult mail is diagnosed with stage 4 Hodgkin's lymphoma in the abdominopelvic region and is scheduled
for radiation therapy (RT). The client expresses concern about becoming infertile. How should the nurse respond?
- correct answer Propose sperm banking before RT then artificial insemination is an option
questions and answers.
,An adult client who is hospitalized after surgery reports sudden onset of chest pain and dyspnea. the client
appears anxious, restless, and mildly cyanotic. the nurse should further assess the client for which condition? -
correct answer Pulmonary embolism
which information should the nurse obtain when performing an initial assessment of a client who presents
to the emergency department with a painful ankle injury? (select all that apply) - correct answer Quality of
the pain
Signs of inflammation Ankle
range of motion
Visible deformities of the joint
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
The registered nurse (RN) is assessing a client who was discharged home after management of chronic
hypertension. Which equipment should the RN instruct the client to use at home? - correct answer
Sphygmomanometer
A young adult mail is diagnosed with stage 4 Hodgkin's lymphoma in the abdominopelvic region and is scheduled
for radiation therapy (RT). The client expresses concern about becoming infertile. How should the nurse respond?
- correct answer Propose sperm banking before RT then artificial insemination is an option
