ADULT MEDICAL SURGICAL ASSESSMENT
2 ACTUAL EXAM 50 QUESTIONS WITH
100% CORRECT ANSWERS /A+ GRADE
ASSURED
Question: 1 of 50
A nurse is caring for a client who is hyperventilating and has the following results: pH 7.50,
PaCo2 29mm Hg, and HCO2 25mEq/L. The nurse should recognize that the client has which of
the following acid-base imbalance?
• Respiratory acidosis
• Respiratory alkalosis
• Metabolic acidosis
• Metabolic alkalosis Answer: b
Question 2 of 50
A nurse is providing discharge teaching for a client who has COPD about nutrition. Which of the
following instructions should the nurse include?
• Eat three large meals daily.
• Consume high calorie foods.
• Limit caffeinated drinks to two per day.
• Drink fluids during meal time Answer: b
Question 3 of 50
A nurse is caring for a client who has a right sided pneumothorax. Following chest tube insertion,
which of the following findings indicates that the chest drainage system is functioning correctly?
,• Circle bubbling in the suction chamber
• Crepitus around the insertion site
• Constant bubbling in the water seal chamber
• Absence of breath sounds on the right side
Answer: a
Question 4 of 50
A nurse is caring for a client who has a traumatic brain injury. Which of the following findings
should indicate to the nurse the need for immediate intervention?
• Auxiliary temperature 37.3 degrees Celsius (99 f)
• Apical pulse 100mm
• Respiratory rate 30/min
• Blood pressure 140/34 mm Hg Answer: c
Question 5 of 50
A nurse is developing a plan of care for a client who will be placed in halo traction following
surgical repair of the cervical spine. Which of the following intervention should he nurse include
in the plan?
• Inspect the pin site every 48 hr
• Monitor the client’s skin under the halo vest
• Ensure two personnel hold the halo device when repositioning the chest
• Apply powder frequently to the cline’s skin under the vest to decrease aching.
Answer: b
Question 6 of 50
, A nurse is providing discharge teaching to a client who has heart failure and a prescription for
furosemide 20 mg PO two times daily. Which of the following instructions should the nurse
include in the teaching?
• Monitor for increased blood pressure.
• Increase intake of high potassium foods.
• Expect an increase in swelling in the heads and feet.
• Take off the second dose at bedtime.
Answer: b
Question 7 of 50
A nurse is teaching a client about feral occult blood testing (FOBT) for the screening of
colorectal cancer. Which of the following statements should the nurse include in the teaching?
• “Your provider will use stool from your digital rectal examination to perform the test.”
• “Your provider will prescribe a stimulant laxative prior to the procedure to evacuate the
bowel.”
• “You should begin annual decal occult blood testing for colorectal cancer screening at 40
years old.”
• “You should avoid taking corticosteroids prior to testing.” Answer: d
Question 9 of 50
A nurse is assessing a client who has meningitis. The nurse should identify which of the
following findings as a positive Kerning’s sign?
• After striking the literal area of the foot, the client’s toes contract and draw together.
• After hip flexion, the cline tis unable to extend their leg completely without pain
• The client’s voluntary movement is not coordinated.
• The Clint reports pain and stiffness when flexing their neck.
Answer: b Question 10 of 50
2 ACTUAL EXAM 50 QUESTIONS WITH
100% CORRECT ANSWERS /A+ GRADE
ASSURED
Question: 1 of 50
A nurse is caring for a client who is hyperventilating and has the following results: pH 7.50,
PaCo2 29mm Hg, and HCO2 25mEq/L. The nurse should recognize that the client has which of
the following acid-base imbalance?
• Respiratory acidosis
• Respiratory alkalosis
• Metabolic acidosis
• Metabolic alkalosis Answer: b
Question 2 of 50
A nurse is providing discharge teaching for a client who has COPD about nutrition. Which of the
following instructions should the nurse include?
• Eat three large meals daily.
• Consume high calorie foods.
• Limit caffeinated drinks to two per day.
• Drink fluids during meal time Answer: b
Question 3 of 50
A nurse is caring for a client who has a right sided pneumothorax. Following chest tube insertion,
which of the following findings indicates that the chest drainage system is functioning correctly?
,• Circle bubbling in the suction chamber
• Crepitus around the insertion site
• Constant bubbling in the water seal chamber
• Absence of breath sounds on the right side
Answer: a
Question 4 of 50
A nurse is caring for a client who has a traumatic brain injury. Which of the following findings
should indicate to the nurse the need for immediate intervention?
• Auxiliary temperature 37.3 degrees Celsius (99 f)
• Apical pulse 100mm
• Respiratory rate 30/min
• Blood pressure 140/34 mm Hg Answer: c
Question 5 of 50
A nurse is developing a plan of care for a client who will be placed in halo traction following
surgical repair of the cervical spine. Which of the following intervention should he nurse include
in the plan?
• Inspect the pin site every 48 hr
• Monitor the client’s skin under the halo vest
• Ensure two personnel hold the halo device when repositioning the chest
• Apply powder frequently to the cline’s skin under the vest to decrease aching.
Answer: b
Question 6 of 50
, A nurse is providing discharge teaching to a client who has heart failure and a prescription for
furosemide 20 mg PO two times daily. Which of the following instructions should the nurse
include in the teaching?
• Monitor for increased blood pressure.
• Increase intake of high potassium foods.
• Expect an increase in swelling in the heads and feet.
• Take off the second dose at bedtime.
Answer: b
Question 7 of 50
A nurse is teaching a client about feral occult blood testing (FOBT) for the screening of
colorectal cancer. Which of the following statements should the nurse include in the teaching?
• “Your provider will use stool from your digital rectal examination to perform the test.”
• “Your provider will prescribe a stimulant laxative prior to the procedure to evacuate the
bowel.”
• “You should begin annual decal occult blood testing for colorectal cancer screening at 40
years old.”
• “You should avoid taking corticosteroids prior to testing.” Answer: d
Question 9 of 50
A nurse is assessing a client who has meningitis. The nurse should identify which of the
following findings as a positive Kerning’s sign?
• After striking the literal area of the foot, the client’s toes contract and draw together.
• After hip flexion, the cline tis unable to extend their leg completely without pain
• The client’s voluntary movement is not coordinated.
• The Clint reports pain and stiffness when flexing their neck.
Answer: b Question 10 of 50
