MED SURG PROCTORED EXAM 2 2026 PATIENT
MANAGEMENT AND NURSING INTERVENTIONS
WORKBOOK SOLVED QUESTIONS
COMPILATION
◉ A nurse in a clinic receives a phone call from a client who recently
started therapy with an ACE inhibitor and reports a nagging dry
cough. Which of the following responses by the nurse is
appropriate?
a. "your cough may require that you stop or change your medication"
b. "Increasing your daily fluid intake may eliminate your cough"
c. "sucking on lozenge may reduce the frequency of your cough"
d. You cough should go away in time".
Answer: a. "your cough may require that you stop or change your
medication"
◉ A nurse is taking an admission history from a client who reports
Raynaud's disease. Which of the following assessment findings
should the nurse identify as a potential trigger for exacerbations
of Raynaud's?
a. Eating a strict vegetarian diet
b. A history of herpes zoster
c. Taking amiodipine for hypertension
,d. Using a nicotine transdermal patch.
Answer: d. Using a nicotine transdermal patch
◉ A nurse is caring for a client who has a central venous access
device and notes the tubing has become disconnected. The client
develops dyspnea and tachycardia. Which of the following
actions should the nurse take first?
a. Perform an ECG
b. Obtain ABG values
c. Turn the client to his left side
d. Clamp the catheter.
Answer: d. Clamp the catheter
◉ A nurse is completing an assessment of an older adult client and
notes reddened areas over the bony prominences, but the client's
skin is intact. Which of the following interventions should the nurse
include in the plan of care?
a. Turn and reposition the client every 4 hr
b. Apply an occlusive dressing
c. Support bony prominences with pillows
d. Massage the reddened areas three times a day.
Answer: c. Support bony prominences with pillows
,◉ A home health nurse is making an initial visit to a client who has
multiple sclerosis. Which of the following actions is the priority for
the nurse to take?
a. Discuss recommendations for eating and swallowing techniques
b. List strategies for family coping when dealing with possible role
changes
c. Review the use of adaptive grooming devices to promote client
independence
d. Give the client information about the local national multiple
sclerosis society.
Answer: a. Discuss recommendations for eating and swallowing
techniques
◉ A nurse in the emergency department is assessing a client. Which
of the following actions should the nurse take first? Exhibit
a. Obtain a sputum sample for culture
b. Administer ondansetron
c. Initiate airborne precautions
d. Prepare the client for a chest x-ray.
Answer: c. Initiate airborne precautions
◉ A nurse is reviewing the medical record of a client to identify risk
factors for colorectal cancer. The nurse should identify which of the
following findings as increasing the client's risk?
, a. History of Crohn's disease
b. BMI of 24
c. Diet high in fiber
d. Age 46 years.
Answer: a. History of Crohn's disease
◉ A nurse is caring for a client who is scheduled for a mastectomy.
The client tells the nurse, "I'm not sure I want to have a mastectomy."
Which of the following statements should the nurse make?
a. "I can give you a list of other people who had the same procedure"
b. "You will be cancer-free if you have the procedure"
c. "I can give you additional information about the procedure"
d. "You should should get a second opinion regarding the
procedure".
Answer: c. "I can give you additional information about the
procedure"
◉ A nurse is preparing to administer a unit of packed RBCs to a
client who is anemic. Identify the sequence of steps the nurse should
follow.
e. Remain with the client for the first 15 to 30 min of the infusion
a. Obtain venous access using 19-gauge needle
c. Verify blood compatibility with another nurse
MANAGEMENT AND NURSING INTERVENTIONS
WORKBOOK SOLVED QUESTIONS
COMPILATION
◉ A nurse in a clinic receives a phone call from a client who recently
started therapy with an ACE inhibitor and reports a nagging dry
cough. Which of the following responses by the nurse is
appropriate?
a. "your cough may require that you stop or change your medication"
b. "Increasing your daily fluid intake may eliminate your cough"
c. "sucking on lozenge may reduce the frequency of your cough"
d. You cough should go away in time".
Answer: a. "your cough may require that you stop or change your
medication"
◉ A nurse is taking an admission history from a client who reports
Raynaud's disease. Which of the following assessment findings
should the nurse identify as a potential trigger for exacerbations
of Raynaud's?
a. Eating a strict vegetarian diet
b. A history of herpes zoster
c. Taking amiodipine for hypertension
,d. Using a nicotine transdermal patch.
Answer: d. Using a nicotine transdermal patch
◉ A nurse is caring for a client who has a central venous access
device and notes the tubing has become disconnected. The client
develops dyspnea and tachycardia. Which of the following
actions should the nurse take first?
a. Perform an ECG
b. Obtain ABG values
c. Turn the client to his left side
d. Clamp the catheter.
Answer: d. Clamp the catheter
◉ A nurse is completing an assessment of an older adult client and
notes reddened areas over the bony prominences, but the client's
skin is intact. Which of the following interventions should the nurse
include in the plan of care?
a. Turn and reposition the client every 4 hr
b. Apply an occlusive dressing
c. Support bony prominences with pillows
d. Massage the reddened areas three times a day.
Answer: c. Support bony prominences with pillows
,◉ A home health nurse is making an initial visit to a client who has
multiple sclerosis. Which of the following actions is the priority for
the nurse to take?
a. Discuss recommendations for eating and swallowing techniques
b. List strategies for family coping when dealing with possible role
changes
c. Review the use of adaptive grooming devices to promote client
independence
d. Give the client information about the local national multiple
sclerosis society.
Answer: a. Discuss recommendations for eating and swallowing
techniques
◉ A nurse in the emergency department is assessing a client. Which
of the following actions should the nurse take first? Exhibit
a. Obtain a sputum sample for culture
b. Administer ondansetron
c. Initiate airborne precautions
d. Prepare the client for a chest x-ray.
Answer: c. Initiate airborne precautions
◉ A nurse is reviewing the medical record of a client to identify risk
factors for colorectal cancer. The nurse should identify which of the
following findings as increasing the client's risk?
, a. History of Crohn's disease
b. BMI of 24
c. Diet high in fiber
d. Age 46 years.
Answer: a. History of Crohn's disease
◉ A nurse is caring for a client who is scheduled for a mastectomy.
The client tells the nurse, "I'm not sure I want to have a mastectomy."
Which of the following statements should the nurse make?
a. "I can give you a list of other people who had the same procedure"
b. "You will be cancer-free if you have the procedure"
c. "I can give you additional information about the procedure"
d. "You should should get a second opinion regarding the
procedure".
Answer: c. "I can give you additional information about the
procedure"
◉ A nurse is preparing to administer a unit of packed RBCs to a
client who is anemic. Identify the sequence of steps the nurse should
follow.
e. Remain with the client for the first 15 to 30 min of the infusion
a. Obtain venous access using 19-gauge needle
c. Verify blood compatibility with another nurse
