PN ADULT MEDICAL SURGICAL ONLINE PRACTICE FORM A 2020 EXAM ALL 180 QUESTIONS AND
CORRECT DETAILED ANSWERS
A nurse is caring for a client who is 3 days postoperative following a total right hip arthroplasty. Which of
the following actions should the nurse take? - (answer) Maintain abduction of the client's right leg
while in bed.
A nurse is caring for a client who has terminal pancreatic cancer. The client states, "I don't think I can go
on any longer." Which of the following responses should the nurse make? - (answer) "You feel like you
want to discontinue treatment?"
A nurse is contributing to the plan of care for a client who is having difficulty eating following a stroke.
Which of the following actions should the nurse take first? - (answer) Implement recommendations
from the speech-language pathologist.
A nurse is contributing to the plan of care for a client who was admitted to the neurological unit
following a stroke 3 hr ago. Which of the following interventions should the nurse identify as the
priority? - (answer) Keep the client in a side-lying position.
A nurse is participating in a health fair for older adult clients. Which of the following vaccines should the
nurse recommend for this age group? - (answer) Herpes zoster
A nurse is contributing to the plan of care for a client who has a new prescription for nystatin suspension
for oral candidiasis. Which of the following interventions should the nurse include in the plan? -
(answer) Instruct the client to swish the medication in their mouth.
A nurse is preparing to perform intermittent urinary catheterization for a female client who has been
unable to void following surgery 6 hr ago. Which of the following catheters should the nurse use to
perform this procedure? - (answer) intermittent straight catheter (clear tube with blue top)
A nurse is preparing to auscultate the bowel sounds of a client who has a mechanical bowel obstruction
in the descending colon. When listening in the left upper quadrant, the nurse should identify this sound
as which of the following? - (answer) Hyperactive bowel sounds
, PN ADULT MEDICAL SURGICAL ONLINE PRACTICE FORM A 2020 EXAM ALL 180 QUESTIONS AND
CORRECT DETAILED ANSWERS
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? - (answer)
Encourage the client to complete ADLs.
A nurse is assisting with the care of a client who had a cardiac catheterization via the right femoral
artery. Which of the following actions should the nurse take to prevent postprocedure complications? -
(answer) Monitor the insertion site for bleeding is
Maintain the pressure dressing
Check the client's peripheral pulses
A home health nurse is reinforcing teaching about preventing asthma attacks with a client who has
asthma. Which of the following instructions should the nurse include in the teaching? - (answer) "Do
not allow visitors to smoke cigarettes in your home."
A nurse is caring for a client who has a prescription for phenazopyridine. Which of the following findings
should the nurse identify as a therapeutic effect of the medication? - (answer) Decreases pain during
urination
A nurse is monitoring a client who is taking acarbose. Which of the following findings should the nurse
identify as an adverse effect of the medication? - (answer) Abdominal cramps
A nurse is caring for a client who has a new cast on their left forearm and reports severe pain in the
affected arm with numbness in the ngers. The nurse nds the skin is pale and cold with sluggish capillary
refill. Which of the following fracture complications should the nurse suspect? - (answer) Compartment
Syndrome
A nurse is assisting with the discharge planning for a client who is postoperative following a total hip
arthroplasty. Which of the following instructions should the nurse include in the discharge plan? -
(answer) Obtain a raised toilet seat.
A nurse is assisting in the care of a client who has manifestations of sepsis. Which of the following
provider prescriptions should the nurse implement first? - (answer) Initiate oxygen at 4 L/min via nasal
cannula
CORRECT DETAILED ANSWERS
A nurse is caring for a client who is 3 days postoperative following a total right hip arthroplasty. Which of
the following actions should the nurse take? - (answer) Maintain abduction of the client's right leg
while in bed.
A nurse is caring for a client who has terminal pancreatic cancer. The client states, "I don't think I can go
on any longer." Which of the following responses should the nurse make? - (answer) "You feel like you
want to discontinue treatment?"
A nurse is contributing to the plan of care for a client who is having difficulty eating following a stroke.
Which of the following actions should the nurse take first? - (answer) Implement recommendations
from the speech-language pathologist.
A nurse is contributing to the plan of care for a client who was admitted to the neurological unit
following a stroke 3 hr ago. Which of the following interventions should the nurse identify as the
priority? - (answer) Keep the client in a side-lying position.
A nurse is participating in a health fair for older adult clients. Which of the following vaccines should the
nurse recommend for this age group? - (answer) Herpes zoster
A nurse is contributing to the plan of care for a client who has a new prescription for nystatin suspension
for oral candidiasis. Which of the following interventions should the nurse include in the plan? -
(answer) Instruct the client to swish the medication in their mouth.
A nurse is preparing to perform intermittent urinary catheterization for a female client who has been
unable to void following surgery 6 hr ago. Which of the following catheters should the nurse use to
perform this procedure? - (answer) intermittent straight catheter (clear tube with blue top)
A nurse is preparing to auscultate the bowel sounds of a client who has a mechanical bowel obstruction
in the descending colon. When listening in the left upper quadrant, the nurse should identify this sound
as which of the following? - (answer) Hyperactive bowel sounds
, PN ADULT MEDICAL SURGICAL ONLINE PRACTICE FORM A 2020 EXAM ALL 180 QUESTIONS AND
CORRECT DETAILED ANSWERS
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? - (answer)
Encourage the client to complete ADLs.
A nurse is assisting with the care of a client who had a cardiac catheterization via the right femoral
artery. Which of the following actions should the nurse take to prevent postprocedure complications? -
(answer) Monitor the insertion site for bleeding is
Maintain the pressure dressing
Check the client's peripheral pulses
A home health nurse is reinforcing teaching about preventing asthma attacks with a client who has
asthma. Which of the following instructions should the nurse include in the teaching? - (answer) "Do
not allow visitors to smoke cigarettes in your home."
A nurse is caring for a client who has a prescription for phenazopyridine. Which of the following findings
should the nurse identify as a therapeutic effect of the medication? - (answer) Decreases pain during
urination
A nurse is monitoring a client who is taking acarbose. Which of the following findings should the nurse
identify as an adverse effect of the medication? - (answer) Abdominal cramps
A nurse is caring for a client who has a new cast on their left forearm and reports severe pain in the
affected arm with numbness in the ngers. The nurse nds the skin is pale and cold with sluggish capillary
refill. Which of the following fracture complications should the nurse suspect? - (answer) Compartment
Syndrome
A nurse is assisting with the discharge planning for a client who is postoperative following a total hip
arthroplasty. Which of the following instructions should the nurse include in the discharge plan? -
(answer) Obtain a raised toilet seat.
A nurse is assisting in the care of a client who has manifestations of sepsis. Which of the following
provider prescriptions should the nurse implement first? - (answer) Initiate oxygen at 4 L/min via nasal
cannula
