Medical surgical practice exam Questions And
Answers Verified 100% Correct
During an interview with a client planning elective surgery, the client asks the nurse,
"What is the advantage of having a preferred provider organization insurance plan?"
Which response is best for the nurse to provide? - answer An individual may select
healthcare providers from outside of the PPO network
The nurse is providing dietary instructions to a 69 year old client who is at high risk for
development of coronary heart disease (CHD). Which information should the nurse
include? - answer Increase intake of soluble fiber to 10 to 25 grams per day
A male client receives a local anesthetic during surgery. During the post-operative
assessment, the nurse notices the client is slurring his speech. Which action should the
nurse take? - answer Evaluate his blood pressure, pulse, and respiratory status
A client who is sexually active with several partners requests an intrauterine device
(IUD) as a contraceptive method. Which information should the nurse provide? -
answer Using an IUD offers no protection against sexually transmitted disease (STD),
which increase the risk for pelvic inflammatory disease (PID).
A female client requests information about using the calendar method of contraception.
Which assessment is most important for the nurse to obtain? - answer An accurate
menstrual cycle diary for the past 6 to 12 months
A 32 year old female client complains of severe abdominal pain each month before her
menstrual period, painful intercourse, and painful defecation. Which additional history
should the nurse obtain that is consistent with the client's complaints? - answer Inability
to get pregnant
A 20 year old female client calls the nurse to report a lump she found in her breast.
Which response is the best for the nurse to provide? - answer Most lumps are benign,
but it is always best to come in form an examination.
The nurse is working with a 71-year-old obese client with bilateral osteoarthritis (OA) of
the hips. What recommendation should the nurse make that is most beneficial in
protecting the client's joints? - answer Initiate a weight-reduction diet to achieve a
health body weight
A 58 year old client who has been post menopausal for five years is concerned about
the risk of osteoporosis because her mother has the condition. Which information
, should the nurse offer? - answer Calcium loss from bones can be slowed by increasing
calcium intake and exercise
During assessment of a client with amyotrophic lateral sclerosis (ALS), which finding
should the nurse identify when planning care for this client? - answer muscle
weakness
The nurse formulates the nursing problem of urinary retention related to sensorimotor
deficit for a client with multiple sclerosis. Which nursing intervention should the nurse
implement? - answer Teach the client techniques of intermittent self-catheterization
The nurse is caring for a client with a stroke resulting in right-sided paresis and aphasia.
The client attempts to use the left hand for feeding and other self-care activities. The
spouse becomes frustrated and insists on doing everything for the client. Based on this
data, which nursing problem should the nurse document for this client? - answer
Disabled family coping related to dissonant coping style of significant person
A client with a completed ischemic stroke has a blood pressure of 180/90 mm Hg.
Which action should the nurse implement? - answer Give an antihypertensive
medication
A client with a 16-year history of diabetes mellitus is having renal function tests because
of recent fatigue, weakness, elevated blood urea nitrogen, and serum creatinine levels.
Which finding should the nurse conclude as an early symptom of renal insufficiency? -
answer Nocturia
The nurse is caring for a client with a continuous feeding through a percutaneous
endoscopic gastrostomy (PEG) tube. Which intervention should the nurse include in the
plan of care? - answer Check for tube placement and residual volume q4 hours
The nurse is planning care to prevent complications for a client with multiple myeloma.
Which intervention is most important for the nurse to include? - answer Maintain a fluid
intake of 3 to 4 L per day
When teaching diaphragmatic breathing to a client with chronic obstructive pulmonary
disease (COPD), which information should the nurse provide? - answer Place a small
book or magazine on the abdomen and make it rise while inhaling deeply
During suctioning, a client with an uncuffed tracheostomy tube begins to cough violently
and dislodges the tracheostomy tube. Which action should the nurse implement first? -
answer Attempt to reinsert the tracheostomy tube
A client is admitted for further testing to confirm sarcoidosis Which diagnostic test
provides definitive information that the nurse should report to the HCP? - answer Lung
tissue biopsy
Answers Verified 100% Correct
During an interview with a client planning elective surgery, the client asks the nurse,
"What is the advantage of having a preferred provider organization insurance plan?"
Which response is best for the nurse to provide? - answer An individual may select
healthcare providers from outside of the PPO network
The nurse is providing dietary instructions to a 69 year old client who is at high risk for
development of coronary heart disease (CHD). Which information should the nurse
include? - answer Increase intake of soluble fiber to 10 to 25 grams per day
A male client receives a local anesthetic during surgery. During the post-operative
assessment, the nurse notices the client is slurring his speech. Which action should the
nurse take? - answer Evaluate his blood pressure, pulse, and respiratory status
A client who is sexually active with several partners requests an intrauterine device
(IUD) as a contraceptive method. Which information should the nurse provide? -
answer Using an IUD offers no protection against sexually transmitted disease (STD),
which increase the risk for pelvic inflammatory disease (PID).
A female client requests information about using the calendar method of contraception.
Which assessment is most important for the nurse to obtain? - answer An accurate
menstrual cycle diary for the past 6 to 12 months
A 32 year old female client complains of severe abdominal pain each month before her
menstrual period, painful intercourse, and painful defecation. Which additional history
should the nurse obtain that is consistent with the client's complaints? - answer Inability
to get pregnant
A 20 year old female client calls the nurse to report a lump she found in her breast.
Which response is the best for the nurse to provide? - answer Most lumps are benign,
but it is always best to come in form an examination.
The nurse is working with a 71-year-old obese client with bilateral osteoarthritis (OA) of
the hips. What recommendation should the nurse make that is most beneficial in
protecting the client's joints? - answer Initiate a weight-reduction diet to achieve a
health body weight
A 58 year old client who has been post menopausal for five years is concerned about
the risk of osteoporosis because her mother has the condition. Which information
, should the nurse offer? - answer Calcium loss from bones can be slowed by increasing
calcium intake and exercise
During assessment of a client with amyotrophic lateral sclerosis (ALS), which finding
should the nurse identify when planning care for this client? - answer muscle
weakness
The nurse formulates the nursing problem of urinary retention related to sensorimotor
deficit for a client with multiple sclerosis. Which nursing intervention should the nurse
implement? - answer Teach the client techniques of intermittent self-catheterization
The nurse is caring for a client with a stroke resulting in right-sided paresis and aphasia.
The client attempts to use the left hand for feeding and other self-care activities. The
spouse becomes frustrated and insists on doing everything for the client. Based on this
data, which nursing problem should the nurse document for this client? - answer
Disabled family coping related to dissonant coping style of significant person
A client with a completed ischemic stroke has a blood pressure of 180/90 mm Hg.
Which action should the nurse implement? - answer Give an antihypertensive
medication
A client with a 16-year history of diabetes mellitus is having renal function tests because
of recent fatigue, weakness, elevated blood urea nitrogen, and serum creatinine levels.
Which finding should the nurse conclude as an early symptom of renal insufficiency? -
answer Nocturia
The nurse is caring for a client with a continuous feeding through a percutaneous
endoscopic gastrostomy (PEG) tube. Which intervention should the nurse include in the
plan of care? - answer Check for tube placement and residual volume q4 hours
The nurse is planning care to prevent complications for a client with multiple myeloma.
Which intervention is most important for the nurse to include? - answer Maintain a fluid
intake of 3 to 4 L per day
When teaching diaphragmatic breathing to a client with chronic obstructive pulmonary
disease (COPD), which information should the nurse provide? - answer Place a small
book or magazine on the abdomen and make it rise while inhaling deeply
During suctioning, a client with an uncuffed tracheostomy tube begins to cough violently
and dislodges the tracheostomy tube. Which action should the nurse implement first? -
answer Attempt to reinsert the tracheostomy tube
A client is admitted for further testing to confirm sarcoidosis Which diagnostic test
provides definitive information that the nurse should report to the HCP? - answer Lung
tissue biopsy
