MED SURG 1 CJE UPDATED SCRIPT 2026
PRACTICE SOLUTIONS GRADED A+
● The catheter-associated urinary tract infection (CAUTI) rate is up in
the hospital and the quality committee is meeting to devise a plan aimed
at decreasing the rate. Nurses are assessing all clients in the hospital with
urinary drainage catheters to determine which catheters can be
discontinued.
Which client should have the catheter removed? Answer: C. The client
with generalized weakness who is incontinent of bowel and bladder.
● A client is in the observation unit of the emergency department with
lightheadedness upon standing, dry mouth, and a headache. The client
reports running a marathon two days ago and has been feeling unwell
since then.
Blood pressure is 92/60, temperature 101.1 °F (38.3 °C), respiratory rate
22, heart rate 112, and oxygen saturation 94%. Serum laboratory tests
reveal hyponatremia and hyperkalemia. The client is asked to give a
urine sample for urinalysis and is only able to urinate 30 mL of very
dark urine.
What does the nurse anticipate will be in the client's immediate plan of
care? Select all that apply. Answer: A. Monitor intake and output - Yes,
this is critical for assessing fluid balance in a potentially dehydrated
client.
C. Intravenous fluid replacement - Yes, this is essential to correct
hypovolemia, electrolyte imbalances, and prevent further complications.
, D. Bedrest - Yes, indicated due to hypotension and risk of falls or further
complications.
● The nurse cares for two clients with diabetes on the 0700-1900 shift.
The nurse receives handoff report to begin the shift. The breakfast trays
are due to arrive soon. After reviewing the vital signs obtained by
assistive personnel and determining the priority nursing tasks for the
day, which task should the nurse prepare to implement first?
Click to highlight the task the nurse should implement first Answer: H.
Peterson:
• Point of care glucose before meals and at bedtime
• Regular insulin sliding scale before meals and at bedtime (see MAR)
• Administer pain medication 30 minutes before physical therapy
• Remove staples from LLE incision and apply nonadherent sterile
dressing
B. Rau:
• Metoprolol 100 mg PO every morning
• Teach insulin self-administration.
• Insulin glargine 0.2 units/kg subcutaneous BID!
• Betaxolol opthalmic 0.25% one drop in each eye BID
PRACTICE SOLUTIONS GRADED A+
● The catheter-associated urinary tract infection (CAUTI) rate is up in
the hospital and the quality committee is meeting to devise a plan aimed
at decreasing the rate. Nurses are assessing all clients in the hospital with
urinary drainage catheters to determine which catheters can be
discontinued.
Which client should have the catheter removed? Answer: C. The client
with generalized weakness who is incontinent of bowel and bladder.
● A client is in the observation unit of the emergency department with
lightheadedness upon standing, dry mouth, and a headache. The client
reports running a marathon two days ago and has been feeling unwell
since then.
Blood pressure is 92/60, temperature 101.1 °F (38.3 °C), respiratory rate
22, heart rate 112, and oxygen saturation 94%. Serum laboratory tests
reveal hyponatremia and hyperkalemia. The client is asked to give a
urine sample for urinalysis and is only able to urinate 30 mL of very
dark urine.
What does the nurse anticipate will be in the client's immediate plan of
care? Select all that apply. Answer: A. Monitor intake and output - Yes,
this is critical for assessing fluid balance in a potentially dehydrated
client.
C. Intravenous fluid replacement - Yes, this is essential to correct
hypovolemia, electrolyte imbalances, and prevent further complications.
, D. Bedrest - Yes, indicated due to hypotension and risk of falls or further
complications.
● The nurse cares for two clients with diabetes on the 0700-1900 shift.
The nurse receives handoff report to begin the shift. The breakfast trays
are due to arrive soon. After reviewing the vital signs obtained by
assistive personnel and determining the priority nursing tasks for the
day, which task should the nurse prepare to implement first?
Click to highlight the task the nurse should implement first Answer: H.
Peterson:
• Point of care glucose before meals and at bedtime
• Regular insulin sliding scale before meals and at bedtime (see MAR)
• Administer pain medication 30 minutes before physical therapy
• Remove staples from LLE incision and apply nonadherent sterile
dressing
B. Rau:
• Metoprolol 100 mg PO every morning
• Teach insulin self-administration.
• Insulin glargine 0.2 units/kg subcutaneous BID!
• Betaxolol opthalmic 0.25% one drop in each eye BID
