PN Adult Medical Surgical Exam Newest / PN Adult Medical Surgical
Preparation
PN ADULT MEDICAL SURGICAL EXAM NEWEST / PN ADULT MEDICAL
SURGICAL PREPARATION / PN ADULT MEDICAL SURGICAL PRACTICE
EXAM WITH COMPLETE QUESTIONS AND CORRECT ANSWERS
|ALREADY GRADED A+||BRAND NEW VERSIONS!!
A nurse is reinforcing teaching with a client about breast self-examinations. Which
of the following statements by the client indicates an understanding of the
teaching?
a) "It is common for one breast to be larger than the other."
b) "It is common for the skin on my breasts to dimple."
c) "I will perform breast exams the day my period begins."
d) "I will perform breast exams every other month."
A. "It is common for one breast to be larger than
the other."
Rationale:
It is normal to have asymmetrical breasts, usually, the left breast is bigger than the
right.
This is because of the difference in the percentage of breast tissues and fatty
tissues, that's why they react differently to hormonal changes.
"Dimpling on the skin on breasts is NOT common" Physician consultation should
be taken regarding this as it can be a sign of breast cancer.
"Self-breast exams are recommended to be performed after a week when the
period starts." The rest of the month breasts reamain tender due to hormone
fluctuation.
1|Page
, PN Adult Medical Surgical Exam Newest / PN Adult Medical Surgical
Preparation
"Self-Breast exams should be performed every month." For women in
reproductive age usually after a week when the period starts and at the same day
of every month for women who have attained menopause.
A nurse is reinforcing teaching with a client who has a new ileostomy. Which of
the following statements by the client indicates an understanding of the teaching?
a) "I will need to empty the bag every 4 to 6 hours."
b) "I will use moisturizing soap to clean around
the stoma before applying the bag."
c) "I will use a skin sealant before I apply the bag."
d) "I will cut the wafer opening one-fourth of an
inch larger than the stoma."
C. "I will use a skin sealant before I apply the
bag."
Rationale:
An ileostomy is an opening in the belly that's made during surgery to allow waste
to pass out of the body. It requires special care to keep the skin around it clean
and prevent infection. A skin sealant can protect the skin from irritation and help
the bag stick better. The other statements are incorrect because:
a) You may need to empty the bag more often than every 4 to 6 hours, depending
on how much waste you produce.
b) You should not use moisturizing soap to clean around the stoma, as it can leave
a residue that interferes with the bag's adhesion. You should use plain water or
mild soap and rinse well.
2|Page
, PN Adult Medical Surgical Exam Newest / PN Adult Medical Surgical
Preparation
d) You should cut the wafer opening to fit snugly around the stoma, not larger
than it. A larger opening can expose the skin to waste and cause irritation
TEST
A nurse is assisting in the plan of care for a client who is dehydrated and is
receiving IV fluid replacement. Which of the following interventions should the
nurse contribute to the plan of care?
a) Offer oral fluids every 4 hr.
b) Check for neck vein distention.
c) Limit oral fluids prior to bedtime.
d) Monitor pulse pressure every 6 hr.
B. Check for neck vein distention.
Rational:
Neck vein distention might be a sign of congestion of fluid in the vascular system,
which can occur when a person is receiving excessive IV fluids.
Offering oral fluids every 4 hours may be appropriate for a patient who is mildly
dehydrated and able to tolerate oral intake, but it is not recommended for a
patient who is severely dehydrated and receiving IV fluid replacement.
Limiting oral fluids prior to bedtime may be appropriate for a patient with
nocturia, but it is not relevant to the care of a dehydrated patient receiving IV fluid
replacement.
Pulse pressure is the difference between the systolic and diastolic blood pressure
readings. While monitoring vital signs, including blood pressure, is important,
pulse pressure may not be the most relevant parameter to track in this context.
3|Page
, PN Adult Medical Surgical Exam Newest / PN Adult Medical Surgical
Preparation
Other vital signs like heart rate and blood pressure could be more indicative of the
client's overall condition
A nurse is caring for a young adult client who has testicular cancer and expresses
concern about their sexual function following an orchiectomy of the involved
testicle. Which of the following responses should the nurse make?
a) "I'm sure any partner will understand that you
have no control over this."
b) "There are other ways to express intimacy
besides intercourse."
c) "You should focus on recovering from your
cancer right now."
d) "The removal of a single testicle will not
prevent you from having an erection."
D. "The removal of a single testicle will not
prevent you from having an erection."
TEST
A nurse is collecting data from a client who has hyperthyroidism and is taking
propylthiouracil. Which of the following statements by the client indicates the
medication is effective?
a) "I no longer feel nervous."
b) "I no longer take a stool softener."
c) "I have less oily skin."
d) "I continue to lose weight."
A. "I no longer feel nervous."
Rationale:
4|Page
Preparation
PN ADULT MEDICAL SURGICAL EXAM NEWEST / PN ADULT MEDICAL
SURGICAL PREPARATION / PN ADULT MEDICAL SURGICAL PRACTICE
EXAM WITH COMPLETE QUESTIONS AND CORRECT ANSWERS
|ALREADY GRADED A+||BRAND NEW VERSIONS!!
A nurse is reinforcing teaching with a client about breast self-examinations. Which
of the following statements by the client indicates an understanding of the
teaching?
a) "It is common for one breast to be larger than the other."
b) "It is common for the skin on my breasts to dimple."
c) "I will perform breast exams the day my period begins."
d) "I will perform breast exams every other month."
A. "It is common for one breast to be larger than
the other."
Rationale:
It is normal to have asymmetrical breasts, usually, the left breast is bigger than the
right.
This is because of the difference in the percentage of breast tissues and fatty
tissues, that's why they react differently to hormonal changes.
"Dimpling on the skin on breasts is NOT common" Physician consultation should
be taken regarding this as it can be a sign of breast cancer.
"Self-breast exams are recommended to be performed after a week when the
period starts." The rest of the month breasts reamain tender due to hormone
fluctuation.
1|Page
, PN Adult Medical Surgical Exam Newest / PN Adult Medical Surgical
Preparation
"Self-Breast exams should be performed every month." For women in
reproductive age usually after a week when the period starts and at the same day
of every month for women who have attained menopause.
A nurse is reinforcing teaching with a client who has a new ileostomy. Which of
the following statements by the client indicates an understanding of the teaching?
a) "I will need to empty the bag every 4 to 6 hours."
b) "I will use moisturizing soap to clean around
the stoma before applying the bag."
c) "I will use a skin sealant before I apply the bag."
d) "I will cut the wafer opening one-fourth of an
inch larger than the stoma."
C. "I will use a skin sealant before I apply the
bag."
Rationale:
An ileostomy is an opening in the belly that's made during surgery to allow waste
to pass out of the body. It requires special care to keep the skin around it clean
and prevent infection. A skin sealant can protect the skin from irritation and help
the bag stick better. The other statements are incorrect because:
a) You may need to empty the bag more often than every 4 to 6 hours, depending
on how much waste you produce.
b) You should not use moisturizing soap to clean around the stoma, as it can leave
a residue that interferes with the bag's adhesion. You should use plain water or
mild soap and rinse well.
2|Page
, PN Adult Medical Surgical Exam Newest / PN Adult Medical Surgical
Preparation
d) You should cut the wafer opening to fit snugly around the stoma, not larger
than it. A larger opening can expose the skin to waste and cause irritation
TEST
A nurse is assisting in the plan of care for a client who is dehydrated and is
receiving IV fluid replacement. Which of the following interventions should the
nurse contribute to the plan of care?
a) Offer oral fluids every 4 hr.
b) Check for neck vein distention.
c) Limit oral fluids prior to bedtime.
d) Monitor pulse pressure every 6 hr.
B. Check for neck vein distention.
Rational:
Neck vein distention might be a sign of congestion of fluid in the vascular system,
which can occur when a person is receiving excessive IV fluids.
Offering oral fluids every 4 hours may be appropriate for a patient who is mildly
dehydrated and able to tolerate oral intake, but it is not recommended for a
patient who is severely dehydrated and receiving IV fluid replacement.
Limiting oral fluids prior to bedtime may be appropriate for a patient with
nocturia, but it is not relevant to the care of a dehydrated patient receiving IV fluid
replacement.
Pulse pressure is the difference between the systolic and diastolic blood pressure
readings. While monitoring vital signs, including blood pressure, is important,
pulse pressure may not be the most relevant parameter to track in this context.
3|Page
, PN Adult Medical Surgical Exam Newest / PN Adult Medical Surgical
Preparation
Other vital signs like heart rate and blood pressure could be more indicative of the
client's overall condition
A nurse is caring for a young adult client who has testicular cancer and expresses
concern about their sexual function following an orchiectomy of the involved
testicle. Which of the following responses should the nurse make?
a) "I'm sure any partner will understand that you
have no control over this."
b) "There are other ways to express intimacy
besides intercourse."
c) "You should focus on recovering from your
cancer right now."
d) "The removal of a single testicle will not
prevent you from having an erection."
D. "The removal of a single testicle will not
prevent you from having an erection."
TEST
A nurse is collecting data from a client who has hyperthyroidism and is taking
propylthiouracil. Which of the following statements by the client indicates the
medication is effective?
a) "I no longer feel nervous."
b) "I no longer take a stool softener."
c) "I have less oily skin."
d) "I continue to lose weight."
A. "I no longer feel nervous."
Rationale:
4|Page
