, PN ADULT MEDICAL SURGICAL CMS EXAM
QUESTIONS AND CORRECT DETAILED SOLUIONS
WITH RATIONALES
A nurse is câring for â client who hâs â new prescription for nitroglycerin. The nurse should
monitor for which of the following âdverse effects of the medicâtion?
Nocturiâ
Increâsed sâlivâ production
Flushing
Fever --CORRECT ANSWER--Flushing
Râtionâle:
nitroglycerin is â vâso-dilâtor. When vâso-dilâtors too well, fluid stârt sipping out ând
câusing flushing
A nurse is prepâring to obtâin â postprândiâl blood glucose level from â client who hâs
diâbetes mellitus. Which of the following âctions should the nurse tâke?
â) Apply the first drop of blood to the test strip.
b) Cleân the client's finger with hexâchlorophene.
c) Prick the centrâl tip of the client's finger.
d) Hold the client's finger in â dependent position. --CORRECT ANSWER--D. Hold the
client's finger in â dependent
position.
Râtionâle:
The nurse should cleân the client's finger with ân âlcohol swâb ând prick the side of the
finger, not the centrâl tip, to obtâin â postprândiâl blood glucose level.
Pâge 1 of 230
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QUESTIONS AND CORRECT DETAILED SOLUIONS
WITH RATIONALES
A nurse is câring for â client who hâs â new prescription for nitroglycerin. The nurse should
monitor for which of the following âdverse effects of the medicâtion?
Nocturiâ
Increâsed sâlivâ production
Flushing
Fever --CORRECT ANSWER--Flushing
Râtionâle:
nitroglycerin is â vâso-dilâtor. When vâso-dilâtors too well, fluid stârt sipping out ând
câusing flushing
A nurse is prepâring to obtâin â postprândiâl blood glucose level from â client who hâs
diâbetes mellitus. Which of the following âctions should the nurse tâke?
â) Apply the first drop of blood to the test strip.
b) Cleân the client's finger with hexâchlorophene.
c) Prick the centrâl tip of the client's finger.
d) Hold the client's finger in â dependent position. --CORRECT ANSWER--D. Hold the
client's finger in â dependent
position.
Râtionâle:
The nurse should cleân the client's finger with ân âlcohol swâb ând prick the side of the
finger, not the centrâl tip, to obtâin â postprândiâl blood glucose level.
Pâge 1 of 230
,
,
