Page 1 of 271
PN Adult Medical Surgical Exam NEWEST VERSION
WTH COMPLETE QUESTIONS AND WELL
ELABORATED ANSWERS LATEST UPDATE THIS YEAR
Question: A nurse is reinforcing teaching with a client who has systemic lupus erythematosus
(SLE) and is to begin taking methylprednisolone orally. Which of the following statements
should the nurse include in the teaching? - CORRECT ANSWER✔✔"Limit contact with large
groups of people."
Glucocorticoids cause immunosuppression and may mask infection. The client should limit
contact with sources of possible infections, such as large groups of people.
Question: A nurse is reinforcing teaching with a client who is scheduled for a guaiac fecal occult
blood test, Which of the following instructions should the nurse include in the teaching? -
CORRECT ANSWER✔✔Avoid eating red meat for 3 days prior to the test.
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,Page 2 of 271
Question: A nurse is preparing to administer an influenza vaccine to a client. Which of the
following statements by the client should cause the nurse to postpone administration of the
vaccine? - CORRECT ANSWER✔✔"I had a low fever this morning."
Rationale:Clients who have a febrile illness should not receive the influenza vaccine.
-----
Clients who recently received a tuberculosis skin test can receive the influenza vaccine.
Clients who have an allergy to latex can receive the influenza vaccine.
Clients who have an allergy to shrimp or shellfish can receive the influenza vaccine.
Question: A nurse is assisting with the care for a client who has end-stage liver disease and just
underwent an abdominal paracentesis. For which of the following manifestations should the
nurse monitor as an adverse effect of the procedure? - CORRECT ANSWER✔✔Decreased blood
pressure
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,Page 3 of 271
R: Following an abdominal paracentesis, the nurse should monitor the client for a decrease in
blood pressure.
This finding indicates hypovolemia as a result of excess fluid withdrawal. Depending on the
amount of fluid withdrawn, hypovolemia can lead to shock.
Question: A nurse is collecting data from a client who has 30% body surface area deep partial-
thickness and full-thickness burns. Which of the following findings indicates that fluid
resuscitation is adequate? - CORRECT ANSWER✔✔Urine output is 50 mL/hr.
R: The nurse should closely monitor the client's urinary output as an indicator of effective fluid
resuscitation. A urinary output greater than 30 to 50 mL/hr indicates that fluid resuscitation is
adequate.
Question: Complete the diagram by dragging from the choices below to specify what condition
the client is most likely experiencing, 2 actions the nurse should take to address that condition,
and 2 parameters the nurse should monitor to assess the client's progress. - CORRECT
ANSWER✔✔Hypovolemia
Insert a large gauge IV
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, Page 4 of 271
Initiate a fluid challenge
blood pressure
Urine output
Question: A nurse is assisting with the care for a client who has a new cast on their left forearm
and reports severe pain in the affected arm with numbness in the fingers. The nurse finds the
skin is pale and cold with sluggish capillary refill. Which of the following fracture complications
should the nurse suspect? - CORRECT ANSWER✔✔Compartment syndrome
R: Compartment syndrome is a complication that involves increased pressure within a
compartment (an area that supports blood vessels, bones, and nerves) leading to circulatory
compromise to the limb. The pressure can be caused externally by a cast that is too tight or
internally by the inflammation or edema from the injury.
Circulatory impairment causes pallor and paresthesia of the extremities, a delay in capillary
refill, and, without immediate treatment, can cause nerve damage and necrosis.
4
SUCCESS!
PN Adult Medical Surgical Exam NEWEST VERSION
WTH COMPLETE QUESTIONS AND WELL
ELABORATED ANSWERS LATEST UPDATE THIS YEAR
Question: A nurse is reinforcing teaching with a client who has systemic lupus erythematosus
(SLE) and is to begin taking methylprednisolone orally. Which of the following statements
should the nurse include in the teaching? - CORRECT ANSWER✔✔"Limit contact with large
groups of people."
Glucocorticoids cause immunosuppression and may mask infection. The client should limit
contact with sources of possible infections, such as large groups of people.
Question: A nurse is reinforcing teaching with a client who is scheduled for a guaiac fecal occult
blood test, Which of the following instructions should the nurse include in the teaching? -
CORRECT ANSWER✔✔Avoid eating red meat for 3 days prior to the test.
1
SUCCESS!
,Page 2 of 271
Question: A nurse is preparing to administer an influenza vaccine to a client. Which of the
following statements by the client should cause the nurse to postpone administration of the
vaccine? - CORRECT ANSWER✔✔"I had a low fever this morning."
Rationale:Clients who have a febrile illness should not receive the influenza vaccine.
-----
Clients who recently received a tuberculosis skin test can receive the influenza vaccine.
Clients who have an allergy to latex can receive the influenza vaccine.
Clients who have an allergy to shrimp or shellfish can receive the influenza vaccine.
Question: A nurse is assisting with the care for a client who has end-stage liver disease and just
underwent an abdominal paracentesis. For which of the following manifestations should the
nurse monitor as an adverse effect of the procedure? - CORRECT ANSWER✔✔Decreased blood
pressure
2
SUCCESS!
,Page 3 of 271
R: Following an abdominal paracentesis, the nurse should monitor the client for a decrease in
blood pressure.
This finding indicates hypovolemia as a result of excess fluid withdrawal. Depending on the
amount of fluid withdrawn, hypovolemia can lead to shock.
Question: A nurse is collecting data from a client who has 30% body surface area deep partial-
thickness and full-thickness burns. Which of the following findings indicates that fluid
resuscitation is adequate? - CORRECT ANSWER✔✔Urine output is 50 mL/hr.
R: The nurse should closely monitor the client's urinary output as an indicator of effective fluid
resuscitation. A urinary output greater than 30 to 50 mL/hr indicates that fluid resuscitation is
adequate.
Question: Complete the diagram by dragging from the choices below to specify what condition
the client is most likely experiencing, 2 actions the nurse should take to address that condition,
and 2 parameters the nurse should monitor to assess the client's progress. - CORRECT
ANSWER✔✔Hypovolemia
Insert a large gauge IV
3
SUCCESS!
, Page 4 of 271
Initiate a fluid challenge
blood pressure
Urine output
Question: A nurse is assisting with the care for a client who has a new cast on their left forearm
and reports severe pain in the affected arm with numbness in the fingers. The nurse finds the
skin is pale and cold with sluggish capillary refill. Which of the following fracture complications
should the nurse suspect? - CORRECT ANSWER✔✔Compartment syndrome
R: Compartment syndrome is a complication that involves increased pressure within a
compartment (an area that supports blood vessels, bones, and nerves) leading to circulatory
compromise to the limb. The pressure can be caused externally by a cast that is too tight or
internally by the inflammation or edema from the injury.
Circulatory impairment causes pallor and paresthesia of the extremities, a delay in capillary
refill, and, without immediate treatment, can cause nerve damage and necrosis.
4
SUCCESS!
