Medical-Surgical Practice Exam Practice
Medical-Surgical
Medical-Surgical PracticeExam
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1. Which client should the practical nurse question a C. 50-year-old with Prinzmet-
PRN prescription for sumatriptan (Imitrex) for mi- al's angina.
graine headaches?
2. The practical nurse (PN) is reinforcing information D. A low-dose aspirin given
to a older male client with a history of coronary daily.
artery disease about his prescribed daily medication
regimen. Which medication is most likely to reduce
the client's risk factors?
3. An adult client with otitis media has thick, yellow A. Pain relief after ear
drainage from the right ear canal. What additional drainage begins.
findings should the practical nurse (PN) expect to
identify?
4. The practical nurse is caring for a client who is C. Continue to monitor client's
admitted with signs of possible acute brain attack blood pressure.
(Stroke) three hours ago. The client's blood pressure
is 170/96, regular radial pulse 76 beats/minute, res-
pirations are nonlabored at 11 breaths/minute, and
a Sp02 of 99%. What action is most important for the
PN to implement?
5. A client who was hit in the head with a baseball D. Reports the hospital room
is admitted to the hospital for observation. Which is an office.
finding requires the practical nurse (PN) to follow-up
with further assessment?
6. An older female client with osteoporosis asks the D. It is a combination of wear
practical nurse (PN) to explain why she is now 2 and tear and calcium loss that
inches shorter than when she was younger. What causes the change.
information is best for the practical nurse (PN) to
provide?
Medical-Surgical Practice Exam
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Medical-Surgical
Medical-Surgical PracticeExam
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7. A practical nurse (PN) is coordinating the care of four A. 500/mm3.
clients on an oncology unit. Which neutrophil count
should the PN identify as a risk for a life-threatening
infection in one of the clients?
8. An older client who has had a cataract in the right C. Surgery can restore vision
eye for several years tells the practical nurse (PN), with corrective lens implants
"Now I have lost the sight in my right eye because or glasses.
I waited too long for treatment." What information
should the PN provide?
9. The practical nurse (PN) is visiting a male client with D. Elevate the arm above the
diabetes who has a new cast on his arm. The client's level of the heart.
fingers are pale, cool, slightly swollen, and the radial
pulse is strong. What should the PN do first?
10. A client with epilepsy is having bilateral rhythmic 1. Maintain the client's air-
jerking movements of all extremities. After calling way
for help, which action should the practical nurse (PN) 2. Apply pads to the bedside
do next? rails.
3. Avoid stimulation during
post-ictal phase.
4. Observe the client for in-
continence.
11. The practical nurse (PN) should place a client in B. Sitting upright in a tri-
which position for a thoracentesis? pod position leaning on an
overbed table.
12. Which action should the practical nurse take when A. Implement standard pre-
handling a sample of cerebrospinal fluid (CSF) col- cautions with the CSF speci-
lected for diagnostic testing from a client? men.
Medical-Surgical Practice Exam
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Medical-Surgical
Medical-Surgical PracticeExam
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13. Which instruction should the practical nurse (PN) C. Avoid using ice packs on the
reinforce with a female client about skin care after exposed area.
her first radiotherapy treatment?
14. A client with heart failure (HF) takes a daily tablet D. Sleeps with two additional
of furosemide (Lasix) and lisinopril (Zestril). Which pillows.
finding during the clinic visit should indicate to the
practical nurse that the client's condition is worsen-
ing?
15. A client who is 3 days postoperative after a laminec- D. Report the change in
tomy is coughing up thick green sputum and wheez- condition to the healthcare
ing. What action is most important for the practical provider.
nurse (PN) to implement?
16. A male client who had a stroke is incontinent of B. Offer the client the com-
urine. Which action should the practical nurse (PN) mode or urinal every two
implement in providing bladder training? hours.
17. Which action should the practical nurse (PN) imple- C. Change the transparent
ment to reduce the risk of infection for a client who dressing every 72 hours.
is receiving total parenteral nutrition (TPN)?
18. Which finding should the practical nurse (PN) identi- B. Hemoglobin of 10
fy as typical for a client who is hypoxic? grams/dl
19. Which finding for a client who is 1-day postoperative A. High pitched expiratory
for a partial thyroidectomy requires immediate fol- sound.
low-up by the practical nurse (PN)?
20. Which findings should the practical nurse identify in B. Smooth, beefy-red oral cav-
a client with anemia due to a vitamin B12 deficiency? ity.
(Select all)
Medical-Surgical Practice Exam
Medical-Surgical
Medical-Surgical PracticeExam
Exam
Study online at https://quizlet.com/_8np9fk
1. Which client should the practical nurse question a C. 50-year-old with Prinzmet-
PRN prescription for sumatriptan (Imitrex) for mi- al's angina.
graine headaches?
2. The practical nurse (PN) is reinforcing information D. A low-dose aspirin given
to a older male client with a history of coronary daily.
artery disease about his prescribed daily medication
regimen. Which medication is most likely to reduce
the client's risk factors?
3. An adult client with otitis media has thick, yellow A. Pain relief after ear
drainage from the right ear canal. What additional drainage begins.
findings should the practical nurse (PN) expect to
identify?
4. The practical nurse is caring for a client who is C. Continue to monitor client's
admitted with signs of possible acute brain attack blood pressure.
(Stroke) three hours ago. The client's blood pressure
is 170/96, regular radial pulse 76 beats/minute, res-
pirations are nonlabored at 11 breaths/minute, and
a Sp02 of 99%. What action is most important for the
PN to implement?
5. A client who was hit in the head with a baseball D. Reports the hospital room
is admitted to the hospital for observation. Which is an office.
finding requires the practical nurse (PN) to follow-up
with further assessment?
6. An older female client with osteoporosis asks the D. It is a combination of wear
practical nurse (PN) to explain why she is now 2 and tear and calcium loss that
inches shorter than when she was younger. What causes the change.
information is best for the practical nurse (PN) to
provide?
Medical-Surgical Practice Exam
, Medical-Surgical Practice Exam Practice
Medical-Surgical
Medical-Surgical PracticeExam
Exam
Study online at https://quizlet.com/_8np9fk
7. A practical nurse (PN) is coordinating the care of four A. 500/mm3.
clients on an oncology unit. Which neutrophil count
should the PN identify as a risk for a life-threatening
infection in one of the clients?
8. An older client who has had a cataract in the right C. Surgery can restore vision
eye for several years tells the practical nurse (PN), with corrective lens implants
"Now I have lost the sight in my right eye because or glasses.
I waited too long for treatment." What information
should the PN provide?
9. The practical nurse (PN) is visiting a male client with D. Elevate the arm above the
diabetes who has a new cast on his arm. The client's level of the heart.
fingers are pale, cool, slightly swollen, and the radial
pulse is strong. What should the PN do first?
10. A client with epilepsy is having bilateral rhythmic 1. Maintain the client's air-
jerking movements of all extremities. After calling way
for help, which action should the practical nurse (PN) 2. Apply pads to the bedside
do next? rails.
3. Avoid stimulation during
post-ictal phase.
4. Observe the client for in-
continence.
11. The practical nurse (PN) should place a client in B. Sitting upright in a tri-
which position for a thoracentesis? pod position leaning on an
overbed table.
12. Which action should the practical nurse take when A. Implement standard pre-
handling a sample of cerebrospinal fluid (CSF) col- cautions with the CSF speci-
lected for diagnostic testing from a client? men.
Medical-Surgical Practice Exam
, Medical-Surgical Practice Exam Practice
Medical-Surgical
Medical-Surgical PracticeExam
Exam
Study online at https://quizlet.com/_8np9fk
13. Which instruction should the practical nurse (PN) C. Avoid using ice packs on the
reinforce with a female client about skin care after exposed area.
her first radiotherapy treatment?
14. A client with heart failure (HF) takes a daily tablet D. Sleeps with two additional
of furosemide (Lasix) and lisinopril (Zestril). Which pillows.
finding during the clinic visit should indicate to the
practical nurse that the client's condition is worsen-
ing?
15. A client who is 3 days postoperative after a laminec- D. Report the change in
tomy is coughing up thick green sputum and wheez- condition to the healthcare
ing. What action is most important for the practical provider.
nurse (PN) to implement?
16. A male client who had a stroke is incontinent of B. Offer the client the com-
urine. Which action should the practical nurse (PN) mode or urinal every two
implement in providing bladder training? hours.
17. Which action should the practical nurse (PN) imple- C. Change the transparent
ment to reduce the risk of infection for a client who dressing every 72 hours.
is receiving total parenteral nutrition (TPN)?
18. Which finding should the practical nurse (PN) identi- B. Hemoglobin of 10
fy as typical for a client who is hypoxic? grams/dl
19. Which finding for a client who is 1-day postoperative A. High pitched expiratory
for a partial thyroidectomy requires immediate fol- sound.
low-up by the practical nurse (PN)?
20. Which findings should the practical nurse identify in B. Smooth, beefy-red oral cav-
a client with anemia due to a vitamin B12 deficiency? ity.
(Select all)
Medical-Surgical Practice Exam
