NSG 1211 RN Adult Medical Surgical Online Practice
2023 B | Verified Questions and Correct Answers plus
Rationale | New Update 2026/27 | Graded A+
A nurse is caring for a client who presents to a clinic for a 1-week follow-up visit
after hospitalization for heart failure. Based on the information in the client's
chart, which of the following findings should the nurse report to the provider?
(Click on the "Exhibit" button for additional information about the client. There
are three tabs that contain separate categories of data.)
A. Heart rate 55/min
B. Blood pressure 120/80 mm Hg
C. Respiratory rate 18/min
D. Weight gain of 1 lb
Correct Answer: A. Heart rate 55/min
Rational: The client's heart rate of 55/min is a decrease from the client's baseline
of 74/min, and it can indicate the development of digoxin toxicity. The nurse
should report this finding to the provider.
A nurse is teaching a client about the use of transcutaneous electrical nerve
stimulation (TENS) for the management of bone cancer pain. The nurse should
explain that applying a TENS unit to the painful area has which of the following
effects?
A. A tingling sensation replacing the pain
B. Complete elimination of all pain sensations
,C. Numbness in the affected area
D. Muscle relaxation in the painful area
Correct Answer: A. A tingling sensation replacing the pain
Rational: A TENS unit applies small electric currents to the painful area, with the
client increasing the current until the "pins and needles" sensation overrides the
pain.
A nurse in an ICU is assessing a client who has a traumatic brain injury. Which of
the following findings should the nurse identify as a component of Cushing's
triad?
A. Bradycardia
B. Tachycardia
C. Hypotension
D. Fever
Correct Answer: A. Bradycardia
Rational: A client who has increased intracranial pressure from a traumatic brain
injury can develop bradycardia, which is one component of Cushing's triad. The
other components of Cushing's triad are severe hypertension and a widened pulse
pressure.
A nurse is teaching a family about the care of a parent who has a new diagnosis of
Alzheimer's disease. Which of the following information should the nurse include
in the teaching?
,A. Create complete outfits and allow the client to select one each day.
B. Allow the client to choose individual clothing items from the closet.
C. Lay out multiple outfit options for the client to choose from.
D. Dress the client without offering choices to avoid confusion.
Correct Answer: A. Create complete outfits and allow the client to select one
each day.
Rational: The family should place completed outfits on hangers and allow the
client to select which one to wear each day.
A nurse is planning care for a client who has extensive burn injuries and is
immunocompromised. Which of the following precautions should the nurse
include in the plan of care to prevent a Pseudomonas aeruginosa infection?
A. Avoid placing plants or flowers in the client's room.
B. Place the client in a positive-pressure room.
C. Administer prophylactic antibiotics.
D. Restrict visitors from entering the client's room.
Correct Answer: A. Avoid placing plants or flowers in the client's room.
Rational: Live plants can harbor P. aeruginosa, and this bacterium can infect burn
wounds and cause life-threatening complications. The nurse should ensure no one
brings live plants or flowers into the client's room.
A nurse is providing teaching to a client who has irritable bowel syndrome (IBS).
Which of the following instructions should the nurse include in the teaching?
, A. Increase fiber intake to at least 30 g per day.
B. Decrease fiber intake to 10 g per day.
C. Avoid all dairy products.
D. Increase caffeine intake to stimulate bowel movements.
Correct Answer: A. Increase fiber intake to at least 30 g per day.
Rational: Dietary fiber helps produce bulky, soft stools and establish regular
bowel patterns.
A nurse is assessing a client who has diabetes insipidus. Which of the following
findings should the nurse expect?
A. Low urine specific gravity
B. High urine specific gravity
C. High urine glucose
D. Low urine protein
Correct Answer: A. Low urine specific gravity
Rational: An expected finding for a client who has diabetes insipidus is a urine
specific gravity between 1.001 and 1.005. Decreased water reabsorption by the
renal tubules is caused by an alteration in antidiuretic hormone release or the
kidneys' responsiveness to the hormone.
A nurse is caring for a client who has a new prescription for total parenteral
nutrition (TPN). The client is to receive 2,000 kcal per day. The TPN solution has
2023 B | Verified Questions and Correct Answers plus
Rationale | New Update 2026/27 | Graded A+
A nurse is caring for a client who presents to a clinic for a 1-week follow-up visit
after hospitalization for heart failure. Based on the information in the client's
chart, which of the following findings should the nurse report to the provider?
(Click on the "Exhibit" button for additional information about the client. There
are three tabs that contain separate categories of data.)
A. Heart rate 55/min
B. Blood pressure 120/80 mm Hg
C. Respiratory rate 18/min
D. Weight gain of 1 lb
Correct Answer: A. Heart rate 55/min
Rational: The client's heart rate of 55/min is a decrease from the client's baseline
of 74/min, and it can indicate the development of digoxin toxicity. The nurse
should report this finding to the provider.
A nurse is teaching a client about the use of transcutaneous electrical nerve
stimulation (TENS) for the management of bone cancer pain. The nurse should
explain that applying a TENS unit to the painful area has which of the following
effects?
A. A tingling sensation replacing the pain
B. Complete elimination of all pain sensations
,C. Numbness in the affected area
D. Muscle relaxation in the painful area
Correct Answer: A. A tingling sensation replacing the pain
Rational: A TENS unit applies small electric currents to the painful area, with the
client increasing the current until the "pins and needles" sensation overrides the
pain.
A nurse in an ICU is assessing a client who has a traumatic brain injury. Which of
the following findings should the nurse identify as a component of Cushing's
triad?
A. Bradycardia
B. Tachycardia
C. Hypotension
D. Fever
Correct Answer: A. Bradycardia
Rational: A client who has increased intracranial pressure from a traumatic brain
injury can develop bradycardia, which is one component of Cushing's triad. The
other components of Cushing's triad are severe hypertension and a widened pulse
pressure.
A nurse is teaching a family about the care of a parent who has a new diagnosis of
Alzheimer's disease. Which of the following information should the nurse include
in the teaching?
,A. Create complete outfits and allow the client to select one each day.
B. Allow the client to choose individual clothing items from the closet.
C. Lay out multiple outfit options for the client to choose from.
D. Dress the client without offering choices to avoid confusion.
Correct Answer: A. Create complete outfits and allow the client to select one
each day.
Rational: The family should place completed outfits on hangers and allow the
client to select which one to wear each day.
A nurse is planning care for a client who has extensive burn injuries and is
immunocompromised. Which of the following precautions should the nurse
include in the plan of care to prevent a Pseudomonas aeruginosa infection?
A. Avoid placing plants or flowers in the client's room.
B. Place the client in a positive-pressure room.
C. Administer prophylactic antibiotics.
D. Restrict visitors from entering the client's room.
Correct Answer: A. Avoid placing plants or flowers in the client's room.
Rational: Live plants can harbor P. aeruginosa, and this bacterium can infect burn
wounds and cause life-threatening complications. The nurse should ensure no one
brings live plants or flowers into the client's room.
A nurse is providing teaching to a client who has irritable bowel syndrome (IBS).
Which of the following instructions should the nurse include in the teaching?
, A. Increase fiber intake to at least 30 g per day.
B. Decrease fiber intake to 10 g per day.
C. Avoid all dairy products.
D. Increase caffeine intake to stimulate bowel movements.
Correct Answer: A. Increase fiber intake to at least 30 g per day.
Rational: Dietary fiber helps produce bulky, soft stools and establish regular
bowel patterns.
A nurse is assessing a client who has diabetes insipidus. Which of the following
findings should the nurse expect?
A. Low urine specific gravity
B. High urine specific gravity
C. High urine glucose
D. Low urine protein
Correct Answer: A. Low urine specific gravity
Rational: An expected finding for a client who has diabetes insipidus is a urine
specific gravity between 1.001 and 1.005. Decreased water reabsorption by the
renal tubules is caused by an alteration in antidiuretic hormone release or the
kidneys' responsiveness to the hormone.
A nurse is caring for a client who has a new prescription for total parenteral
nutrition (TPN). The client is to receive 2,000 kcal per day. The TPN solution has
