PN ADULT MEDICAL SURGICAL CMS EXAM AND STUDYGUIDE
COMPLETE 500+ ACTUAL QUESTIONS AND WELL
ELABORATED ANSWERS WITH RATIONALES (COMPLETE
CORRECT VERIFIED SOLUTIONS)
Terms in this set (223)
TEST D. Sodium
A nurse is caring for a
client who is taking 132 mEq/L
lithium and reports
persistent nausea and Rationale:
vomiting for 2 days.
Which of the following The nurse should identify that a sodium level
laboratory values of 132 mEq/L is not within the expected
should the nurse reference range of 136 to 145 mEq/L. This
report to the finding indicates hyponatremia, which can
provider? lead to lithium accumulation and places the
client at risk for lithium toxicity. The nurse
a) Potassium 4.0 mEq/L should report this finding to the provider.
b) Lithium 0.9 mEq/L
c) BUN 12 mg/dL
d) Sodium 132 mEq/L
, A. Cleanse the client's toothbrush with hydrogen
A nurse is caring
peroxide.
for a client who has
cancer and has a Rationale:
WBC count of
4,000/mm3. Which A WBC count of 4,000/mm3 is considered
of the following low and is known as leukopenia. A low WBC
actions should the count can be caused by cancer or cancer
nurse take? treatment. The nurse should instruct the client
to cleanse their toothbrush with hydrogen
a) Cleanse the client's peroxide. People with leukemia or leukopenia
toothbrush with should avoid using disposable razors, which
hydrogen peroxide. can cause cuts and
b) Instruct the client bleeding that can lead to infections. Instead,
to use a disposable they recommend using an electric razor to
razor to shave. reduce the risk of injury. Encouraging the
c) Decrease the client's
protein intake. client to eat unpasteurized dairy
d) Encourage the products is not recommended as they can
client to eat contain harmful bacteria that can cause
unpasteurized infections. Decreasing the client's protein
dairy products. intake is not recommended as protein is
important for wound healing and immune
function
TEST C. Assist the client to a nearby common area.
A nurse enters a
client's room and Rationale:
sees smoke coming
from the bathroom. use
Which of the following Res
actions should the cue
nurse take first? Alar
m
a) Activate the fire alarm Cont
system. ain
b) Use a fire Extinguish
extinguisher at the
source of the
smoke.
c) Assist the client to a
nearby common
,area.
d) Close the doors to
the room and to the
bathroom.
TEST A. Apply foam handles to the client's eating utensils.
A nurse is
contributing to the Rationale:
plan of care for a
client who reports To help a client with chronic arthritis who
difficulty eating due experiences difficulty eating, applying foam
to chronic arthritis. handles to the eating utensils can provide a
Which of the larger, more comfortable grip and reduce
following interventions strain on the joints. Asking for a puree diet
should the nurse include may not be necessary unless
in the plan? swallowing difficulties are present. Having an
assistive personnel feed the client may not
a) Apply foam handles to promote independence. While obtaining a
the client's eating referral for physical therapy may be beneficial
utensils. for overall mobility, it does not directly
b) Obtain a referral for address the client's difficulty with eating.
physical therapy.
c) Have an assistive
personnel feed the
client.
d) Ask the provider for
a prescription for a
pureed diet.
, C. "Face in the direction of
A nurse is providing
directions to an the client's movement."
assistive personnel
about moving a client Rational:
up in bed.
When moving a client up in bed, it is
a. "Place a pillow important for the nurse to face in the
under the client's direction of the client's movement to
head prior to maintain proper body mechanics and ensure
repositioning." safe
b. "Keep your feet transfer.
close together while
moving the client" 1) Adjust the head of the bed to a flat position.
c "Face in the direction 2) Remove all pillows from under the client.
3)Position the UAP on the side opposite the nurse.
of the client's
4) Place a friction-reducing sheet under the client.
movement"
5) Ask the client to bend the legs and place the chin on
d. "Move the client's the chest.
arms to his sides prior 6)Grasp the sheet and move the client on the count of
to repositioning." three.
A nurse is obtaining a C.
medication history
from a client who is to Silden
start taking
nitroglycerin for chest afil
discomfort with activity.
Which of the following Ratio
medications should the
nurse instruct the client nale:
to avoid taking within
24 hrs of using Sildenafil treats PAH (pulmonary arterial
nitroglycerin? hypertension) by relaxing the blood vessels in
the lungs to allow blood to flow easily.
a) Atorvastatin
b) Metformin Same as, nitroglycerin is a vaso-dilator which
c) Sildenafil is primarily to treat anginal chest pain and
d) Omeprazole thereby it reduces blood pressure.
Remaining drugs like omeprazole and
atorvastatin can be given for patients with in
COMPLETE 500+ ACTUAL QUESTIONS AND WELL
ELABORATED ANSWERS WITH RATIONALES (COMPLETE
CORRECT VERIFIED SOLUTIONS)
Terms in this set (223)
TEST D. Sodium
A nurse is caring for a
client who is taking 132 mEq/L
lithium and reports
persistent nausea and Rationale:
vomiting for 2 days.
Which of the following The nurse should identify that a sodium level
laboratory values of 132 mEq/L is not within the expected
should the nurse reference range of 136 to 145 mEq/L. This
report to the finding indicates hyponatremia, which can
provider? lead to lithium accumulation and places the
client at risk for lithium toxicity. The nurse
a) Potassium 4.0 mEq/L should report this finding to the provider.
b) Lithium 0.9 mEq/L
c) BUN 12 mg/dL
d) Sodium 132 mEq/L
, A. Cleanse the client's toothbrush with hydrogen
A nurse is caring
peroxide.
for a client who has
cancer and has a Rationale:
WBC count of
4,000/mm3. Which A WBC count of 4,000/mm3 is considered
of the following low and is known as leukopenia. A low WBC
actions should the count can be caused by cancer or cancer
nurse take? treatment. The nurse should instruct the client
to cleanse their toothbrush with hydrogen
a) Cleanse the client's peroxide. People with leukemia or leukopenia
toothbrush with should avoid using disposable razors, which
hydrogen peroxide. can cause cuts and
b) Instruct the client bleeding that can lead to infections. Instead,
to use a disposable they recommend using an electric razor to
razor to shave. reduce the risk of injury. Encouraging the
c) Decrease the client's
protein intake. client to eat unpasteurized dairy
d) Encourage the products is not recommended as they can
client to eat contain harmful bacteria that can cause
unpasteurized infections. Decreasing the client's protein
dairy products. intake is not recommended as protein is
important for wound healing and immune
function
TEST C. Assist the client to a nearby common area.
A nurse enters a
client's room and Rationale:
sees smoke coming
from the bathroom. use
Which of the following Res
actions should the cue
nurse take first? Alar
m
a) Activate the fire alarm Cont
system. ain
b) Use a fire Extinguish
extinguisher at the
source of the
smoke.
c) Assist the client to a
nearby common
,area.
d) Close the doors to
the room and to the
bathroom.
TEST A. Apply foam handles to the client's eating utensils.
A nurse is
contributing to the Rationale:
plan of care for a
client who reports To help a client with chronic arthritis who
difficulty eating due experiences difficulty eating, applying foam
to chronic arthritis. handles to the eating utensils can provide a
Which of the larger, more comfortable grip and reduce
following interventions strain on the joints. Asking for a puree diet
should the nurse include may not be necessary unless
in the plan? swallowing difficulties are present. Having an
assistive personnel feed the client may not
a) Apply foam handles to promote independence. While obtaining a
the client's eating referral for physical therapy may be beneficial
utensils. for overall mobility, it does not directly
b) Obtain a referral for address the client's difficulty with eating.
physical therapy.
c) Have an assistive
personnel feed the
client.
d) Ask the provider for
a prescription for a
pureed diet.
, C. "Face in the direction of
A nurse is providing
directions to an the client's movement."
assistive personnel
about moving a client Rational:
up in bed.
When moving a client up in bed, it is
a. "Place a pillow important for the nurse to face in the
under the client's direction of the client's movement to
head prior to maintain proper body mechanics and ensure
repositioning." safe
b. "Keep your feet transfer.
close together while
moving the client" 1) Adjust the head of the bed to a flat position.
c "Face in the direction 2) Remove all pillows from under the client.
3)Position the UAP on the side opposite the nurse.
of the client's
4) Place a friction-reducing sheet under the client.
movement"
5) Ask the client to bend the legs and place the chin on
d. "Move the client's the chest.
arms to his sides prior 6)Grasp the sheet and move the client on the count of
to repositioning." three.
A nurse is obtaining a C.
medication history
from a client who is to Silden
start taking
nitroglycerin for chest afil
discomfort with activity.
Which of the following Ratio
medications should the
nurse instruct the client nale:
to avoid taking within
24 hrs of using Sildenafil treats PAH (pulmonary arterial
nitroglycerin? hypertension) by relaxing the blood vessels in
the lungs to allow blood to flow easily.
a) Atorvastatin
b) Metformin Same as, nitroglycerin is a vaso-dilator which
c) Sildenafil is primarily to treat anginal chest pain and
d) Omeprazole thereby it reduces blood pressure.
Remaining drugs like omeprazole and
atorvastatin can be given for patients with in
