MS Practice Exam
Study online at https://quizlet.com/_a1fqd7
1. Which information should the nurse obtain when performing an initial as-
sessment of a client who presents to the emergency department with a painful
ankle injury?: quality of the pain
signs of inflammation
ankle range of motion
visible deformities of the joint
2. Which physical assessment finding should the nurse anticipate in a client with
long-term gastroesophagealreflux disease (GERD)?: hoarseness
Dyspepsia and regurgitation are the main symptoms of gastroesophageal reflux disease (GERD); however, hoarseness
is one of the most common long-term symptoms of GERD due to the irritation of the reflux of gastric secretions.
3. A client presents with chronic venous insufficiency. Which assessment finding
should the nurse anticipate?: Bilateral lower leg stasis dermatitis
Clients who suffer from chronic venous insufficiency often develop stasis dermatitis in the lower extremities. Stasis
dermatitis appear as brownish-red discoloration on the lower extremities at the ankles which can develop into stasis
ulcers due to the pooling of the venous blood flow back to the heart.
4. Which statement made by a client with chronic pancreatitis indicates that
further education is needed?: I will cut back on smoking cigarettes daily
To prevent exacerbations of chronic pancreatitis, patients should be instructed to avoid nicotine entirely
5. 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. What information is best for the nurse to pro-
vide?: Alcohol consumption can cause erectile dysfunction
low testosterone levels affect sperm production
cessation of smoking improves general health and fertility
6. 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 divertic-
ula?: Chronic constipation causes weakening of colon wall which result in out-pouching sacs
1/9
, MS Practice Exam
Study online at https://quizlet.com/_a1fqd7
7. Small bowel obstruction is a condition characterized by which finding?: severe
fluid and electrolyte imbalances
8. A client who has heart failure is admitted with a serum potassium level
of 2.9 mEq/L (2.9 mmol/L). Which action is most important for the nurse to
implement?: Initiate continuous cardiac monitoring
Hypokalemia (normal 3.5 to 5 mEq/L [3.5 to 5 mmol/L]) causes changes in myocardial irritability and ECG waveform,
so it is most important for the nurse to initiate continuous cardiac monitoring to identify ventricular ectopy or other
life-threatening dysrhythmias. After cardiac monitoring is initiated, then the potassium chloride should be given so
that the effects of potassium replacement on the cardiac rhythm can be monitored.
9. The nurse is assessing a client with chronic kidney disease (CKD). Which
finding is most important for the nurse to respond to first?: Potassium 6.0 mEq
When assessing a client with chronic kidney disease (CKD), hyperkalemia (normal serum level, 3.5 to 5.5 mEq) is a
serious electrolyte disorder that can cause fatal arrhythmias, so the elevation of the potassium level is a nursing priority
10. Which finding should the nurse identify as most significant for a client
diagnosed with polycystic kidney disease (PKD)?: 3+ bacteria in urine.
Urinary tract infections (UTI) for a client with polycystic kidney disease (PKD) require prompt antibiotic therapy to prevent
renal damage and scarring which may cause further progression of the disease so bacteria in the urine would be
significant finding.
11. The nurse is planning care for a client with newly diagnosed diabetes mel-
litus that requires insulin. Which assessment should the nurse identify before
beginning the teaching session?: Willingness of patient to learn the injection sites
If a patient is incapable or does not want to learn, it is unlikely that learning will occur, so motivation is the first factor
the nurse should assess before teaching
12. The nurse is assisting a patient out of bed for the first time after surgery.
Which action should the nurse do first?: Allow the client to sit with the bed in a high Fowler's
position
The first step in assisting a client out of bed for the first time after surgery is to raise the head of the bed to a high
2/9
Study online at https://quizlet.com/_a1fqd7
1. Which information should the nurse obtain when performing an initial as-
sessment of a client who presents to the emergency department with a painful
ankle injury?: quality of the pain
signs of inflammation
ankle range of motion
visible deformities of the joint
2. Which physical assessment finding should the nurse anticipate in a client with
long-term gastroesophagealreflux disease (GERD)?: hoarseness
Dyspepsia and regurgitation are the main symptoms of gastroesophageal reflux disease (GERD); however, hoarseness
is one of the most common long-term symptoms of GERD due to the irritation of the reflux of gastric secretions.
3. A client presents with chronic venous insufficiency. Which assessment finding
should the nurse anticipate?: Bilateral lower leg stasis dermatitis
Clients who suffer from chronic venous insufficiency often develop stasis dermatitis in the lower extremities. Stasis
dermatitis appear as brownish-red discoloration on the lower extremities at the ankles which can develop into stasis
ulcers due to the pooling of the venous blood flow back to the heart.
4. Which statement made by a client with chronic pancreatitis indicates that
further education is needed?: I will cut back on smoking cigarettes daily
To prevent exacerbations of chronic pancreatitis, patients should be instructed to avoid nicotine entirely
5. 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. What information is best for the nurse to pro-
vide?: Alcohol consumption can cause erectile dysfunction
low testosterone levels affect sperm production
cessation of smoking improves general health and fertility
6. 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 divertic-
ula?: Chronic constipation causes weakening of colon wall which result in out-pouching sacs
1/9
, MS Practice Exam
Study online at https://quizlet.com/_a1fqd7
7. Small bowel obstruction is a condition characterized by which finding?: severe
fluid and electrolyte imbalances
8. A client who has heart failure is admitted with a serum potassium level
of 2.9 mEq/L (2.9 mmol/L). Which action is most important for the nurse to
implement?: Initiate continuous cardiac monitoring
Hypokalemia (normal 3.5 to 5 mEq/L [3.5 to 5 mmol/L]) causes changes in myocardial irritability and ECG waveform,
so it is most important for the nurse to initiate continuous cardiac monitoring to identify ventricular ectopy or other
life-threatening dysrhythmias. After cardiac monitoring is initiated, then the potassium chloride should be given so
that the effects of potassium replacement on the cardiac rhythm can be monitored.
9. The nurse is assessing a client with chronic kidney disease (CKD). Which
finding is most important for the nurse to respond to first?: Potassium 6.0 mEq
When assessing a client with chronic kidney disease (CKD), hyperkalemia (normal serum level, 3.5 to 5.5 mEq) is a
serious electrolyte disorder that can cause fatal arrhythmias, so the elevation of the potassium level is a nursing priority
10. Which finding should the nurse identify as most significant for a client
diagnosed with polycystic kidney disease (PKD)?: 3+ bacteria in urine.
Urinary tract infections (UTI) for a client with polycystic kidney disease (PKD) require prompt antibiotic therapy to prevent
renal damage and scarring which may cause further progression of the disease so bacteria in the urine would be
significant finding.
11. The nurse is planning care for a client with newly diagnosed diabetes mel-
litus that requires insulin. Which assessment should the nurse identify before
beginning the teaching session?: Willingness of patient to learn the injection sites
If a patient is incapable or does not want to learn, it is unlikely that learning will occur, so motivation is the first factor
the nurse should assess before teaching
12. The nurse is assisting a patient out of bed for the first time after surgery.
Which action should the nurse do first?: Allow the client to sit with the bed in a high Fowler's
position
The first step in assisting a client out of bed for the first time after surgery is to raise the head of the bed to a high
2/9
