Medical surgical practice exam
Study online at https://quizlet.com/_7vme6d
1. An adult client who is hospitalized after surgery reports sudden onset
of chest pain and dyspnea. the client appears anxious, restless, and mildly
cyanotic. the nurse should further assess the client for which condition?: Pul-
monary embolism
2. 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? (select all that apply): Quality of the pain
Signs of inflammation
Ankle range of motion
Visible deformities of the joint
3. Which description of pain is consistent with a diagnosis of rheumatoid
arthritis?: Joint pain is worse in the morning and involves symmetric joints
4. Which physical assessment finding should the nurse anticipate in a client
with long-term gastroesophagealreflux disease (GERD)?: Hoarseness
5. A client presents with chronic venous insufficiency. Which assessment
finding should the nurse anticipate?: Bilateral lower leg stasis dermatitis
6. A client has been hospitalized with a femur fracture and is being treated
with traction. which action by the nurse is the priority when caring for this
client?: Assess neurovascular status
7. Which statement made by a client with chronic pancreatitis indicates that
further education is needed?: I will cut back on smoking cigarettes daily
8. The nurse is teaching a female client who uses a contraceptive diaphragm
about reducing the risk for toxic shock syndrome (TSS). Which information
should the nurse include? (Select all that apply): Do not leave the diaphragm in
place longer than 8 hours after intercourse
Replace the old diaphragm every 3 months
9. A male client who smokes two packs of cigarettes a day states he under-
stands 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. Which information is best for the
nurse to provide? (Select all that apply).: Alcohol consumption can cause erectile
dysfunction
Low testosterone levels affect sperm production
Cessation of smoking improves general health and fertility
10. Twenty four hours after a client returns from surgical gastric bypass, the
registered nurse (RN) observes large amounts of blood in the nasogastric
, Medical surgical practice exam
Study online at https://quizlet.com/_7vme6d
tube (NGT) cannister. Which assessment finding should the RN report as early
signs of hypovolemic shock?: lethargy
11. the registered nurse (RN) is assessing a male client who arrives at the
clinic with severe abdominal cramping, pain, tenesmus, and dehydration. the
RN discovers that the client has had 14 to 20 loose stools with rectal bleeding.
When taking the client's medical history, which information is most for the
nurse to obtain?: Ulcerative colitis
12. 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 diver-
ticula?: Chronic constipation causes weakening of colon wall which results in out
pouching sacs
13. The registered nurse (RN) is assessing a client who was discharged home
after management of chronic hypertension. Which equipment should the RN
instruct the client to use at home?: Sphygmomanometer
14. A young adult mail is diagnosed with stage 4 Hodgkin's lymphoma in
the abdominopelvic region and is scheduled for radiation therapy (RT). The
client expresses concern about becoming infertile. How should the nurse
respond?: Propose sperm banking before RT then artificial insemination is an
option
15. A client's susceptibility to ulcerative colitis is most likely due to which
aspect in the client's history?: Jewish European ancestry
16. Small bowl obstruction is a condition characterized by which finding?: Se-
vere fluid and electrolyte imbalances
17. Which client should the nurse recognize as most likely to experience sleep
apnea?: Obese older male client with a short, thick neck
18. Which milestone indicates to the nurse successful achievement of young
adulthood?: Completes education and becomes self-supporting
19. 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
20. Which postmenopausal client's complaint should the nurse refer to the
HCP?: episodes of vaginal bleeding
21. The nurse is teaching a female client about the best time to plan sexual
intercourse in order to conceive. Which information should the nurse pro-
vide?: Two weeks before menstruation
22. A postmenopausal client asks the nurse why she is experiencing discom-
fort during intercourse. Which response is best for the nurse to provide?: Es-
trogen deficiency causes the vaginal tissue to become dry and thinner
Study online at https://quizlet.com/_7vme6d
1. An adult client who is hospitalized after surgery reports sudden onset
of chest pain and dyspnea. the client appears anxious, restless, and mildly
cyanotic. the nurse should further assess the client for which condition?: Pul-
monary embolism
2. 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? (select all that apply): Quality of the pain
Signs of inflammation
Ankle range of motion
Visible deformities of the joint
3. Which description of pain is consistent with a diagnosis of rheumatoid
arthritis?: Joint pain is worse in the morning and involves symmetric joints
4. Which physical assessment finding should the nurse anticipate in a client
with long-term gastroesophagealreflux disease (GERD)?: Hoarseness
5. A client presents with chronic venous insufficiency. Which assessment
finding should the nurse anticipate?: Bilateral lower leg stasis dermatitis
6. A client has been hospitalized with a femur fracture and is being treated
with traction. which action by the nurse is the priority when caring for this
client?: Assess neurovascular status
7. Which statement made by a client with chronic pancreatitis indicates that
further education is needed?: I will cut back on smoking cigarettes daily
8. The nurse is teaching a female client who uses a contraceptive diaphragm
about reducing the risk for toxic shock syndrome (TSS). Which information
should the nurse include? (Select all that apply): Do not leave the diaphragm in
place longer than 8 hours after intercourse
Replace the old diaphragm every 3 months
9. A male client who smokes two packs of cigarettes a day states he under-
stands 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. Which information is best for the
nurse to provide? (Select all that apply).: Alcohol consumption can cause erectile
dysfunction
Low testosterone levels affect sperm production
Cessation of smoking improves general health and fertility
10. Twenty four hours after a client returns from surgical gastric bypass, the
registered nurse (RN) observes large amounts of blood in the nasogastric
, Medical surgical practice exam
Study online at https://quizlet.com/_7vme6d
tube (NGT) cannister. Which assessment finding should the RN report as early
signs of hypovolemic shock?: lethargy
11. the registered nurse (RN) is assessing a male client who arrives at the
clinic with severe abdominal cramping, pain, tenesmus, and dehydration. the
RN discovers that the client has had 14 to 20 loose stools with rectal bleeding.
When taking the client's medical history, which information is most for the
nurse to obtain?: Ulcerative colitis
12. 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 diver-
ticula?: Chronic constipation causes weakening of colon wall which results in out
pouching sacs
13. The registered nurse (RN) is assessing a client who was discharged home
after management of chronic hypertension. Which equipment should the RN
instruct the client to use at home?: Sphygmomanometer
14. A young adult mail is diagnosed with stage 4 Hodgkin's lymphoma in
the abdominopelvic region and is scheduled for radiation therapy (RT). The
client expresses concern about becoming infertile. How should the nurse
respond?: Propose sperm banking before RT then artificial insemination is an
option
15. A client's susceptibility to ulcerative colitis is most likely due to which
aspect in the client's history?: Jewish European ancestry
16. Small bowl obstruction is a condition characterized by which finding?: Se-
vere fluid and electrolyte imbalances
17. Which client should the nurse recognize as most likely to experience sleep
apnea?: Obese older male client with a short, thick neck
18. Which milestone indicates to the nurse successful achievement of young
adulthood?: Completes education and becomes self-supporting
19. 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
20. Which postmenopausal client's complaint should the nurse refer to the
HCP?: episodes of vaginal bleeding
21. The nurse is teaching a female client about the best time to plan sexual
intercourse in order to conceive. Which information should the nurse pro-
vide?: Two weeks before menstruation
22. A postmenopausal client asks the nurse why she is experiencing discom-
fort during intercourse. Which response is best for the nurse to provide?: Es-
trogen deficiency causes the vaginal tissue to become dry and thinner
