MEDICAL SURGICAL ASSESSMENT
EXAMS WITH CORRECT ANSWERS
/GUARANTEED PASS /GRADED A+
1. A home health nurse is reinforcing teaching with a client about
preventing complications of peripheral vascular disease. Which of the
following statements indicates that the client is adhering to the nurse's
instructions?
A) "I apply rubbing alcohol to my feet every day to prevent
infection"
B) "I will wear clean, knee-high wool socks everyday to help
improve my circulation"
C) "I use hot water bottles to keep my feet warm at night"
D) "I don't cross my legs anymore" - ANSWER-D) "I don't cross my
legs anymore"
2. Clients who have peripheral vascular disease should not cross their
legs because it can impede circulation.
3. A nurse enters the room of a client whose transfusion of packed RBCs
was initiated 15 min ago by the RN. The client reports dyspnea and
urticaria. Which of the following actions should the nurse perform first?
A) Count the client's respiratory rate
B) Ask the client if chest pain is present
C) Stop the infusion
D) Administer an antihistamine - ANSWER-C) Stop the infusion
,4. Evidence-based practice indicates the nurse should stop the infusion of
the blood product as soon as manifestations occur because they can
indicate a transfusion reaction.
5. A nurse in a long-term care facility is collecting data from a client who
reports fullness in the rectum and abdominal cramping. Which of the
following findings should indicate to the nurse that the client might
have a fecal impaction?
A) Halitosis
B) Hemorrhoids
C) Rebound tenderness
D) Small liquid stools - ANSWER-D) Small liquid stools
6. Small liquid stools can be the result of fecal material being expelled
around an impaction.
7. A nurse in an oncology clinic is reinforcing teaching about Mohs
surgery with a client who has skin cancer. Which of the following
information should the nurse include in the teaching?
A) Mohs surgery is a horizontal shaving of thin layers of the tumor.
B) Mohs surgery uses liquid nitrogen to destroy the cancerous
tissue.
C) Mohs surgery is the preferred treatment for melanoma skin
cancer.
D) Mohs surgery is a palliative treatment for metastatic skin cancer.
- ANSWER-A) Mohs surgery is a horizontal shaving of thin layers
of the tumor.
8. Mohs surgery is performed to treat basal and squamous cell carcinoma.
The procedure, which involves a horizontal shaving of thin layers of a
tumor, has a high treatment rate.
,9. A nurse is assisting a client who reports difficulty falling asleep. Which
of the following activities should the nurse recommend to promote
sleep?
A) Get out of bed if unable to fall asleep within 60 min.
B) Take a brisk walk before sleeping.
C) Listen to soft music before sleeping.
D) Drink adequate amounts of fluids before sleeping. - ANSWER-C)
Listen to soft music before sleeping.
10. Listening to soft music can help the client to relax and reduces
environmental stressors.
11. A nurse is assisting in the care of a client who has manifestations
of sepsis. Which of the following provider prescriptions should the
nurse implement first?
A) Collect a sputum culture
B) Administer ceftriaxone by intermittent IV bolus
C) Initiate oxygen at 4 L/min via nasal cannula
D) Obtain blood cultures - ANSWER-C) Initiate oxygen at 4 L/min via
nasal cannula
12. When using the airway, breathing, circulation approach to client
care, the first action the nurse should take is to initiate oxygen. Clients
who have manifestations of sepsis are often hypoxic, tachypneic, or
have a PaCO2 level less than 32 mm Hg. The nurse should provide
supplemental oxygen to keep the client's oxygen saturation levels at
95% or greater, which will maximize the ability of the hemoglobin to
support the oxygen needs of the body.
, 13. A nurse is assisting in the plan of care regarding bowel retraining
for a client who has a cervical spinal cord injury. Which of the following
interventions should the nurse plan to implement first?
A) Determine the client's daily elimination habits.
B) Administer a suppository to the client 30 min prior to defecation
time.
C) Offer the client 4 oz of warm prune juice to promote elimination.
D) Provide dietary bulk to the client to ease the passage of stool. -
ANSWER-A) Determine the client's daily elimination habits.
14. The first action the nurse should take using the nursing process
is to collect data on the client's daily bowel elimination habits to
establish a routine defecation time.
15. A nurse is assisting the charge nurse with developing an in-
service about caring for clients who have internal sealed radiation
implants. Which of the following information should the nurse include?
A) Restrict the time pregnant women are allowed in the client's
room to 15 min
B) Pick up a radiation implant with a double-gloved hand if it
becomes dislodged
C) Limit time spent in the client's room to 2 hr during an 8 hr shift
D) Dispose of radiation implants in a lead container - ANSWER-D)
Dispose of radiation implants in a lead container
16. Lead impairs the emission of radiation. Therefore, the nurse
should dispose of radiation implants in a lead container in accordance
with facility protocol.
17. A nurse is assisting with the care of a client who had a cardiac
catheterization via the right femoral artery. Which of the following
EXAMS WITH CORRECT ANSWERS
/GUARANTEED PASS /GRADED A+
1. A home health nurse is reinforcing teaching with a client about
preventing complications of peripheral vascular disease. Which of the
following statements indicates that the client is adhering to the nurse's
instructions?
A) "I apply rubbing alcohol to my feet every day to prevent
infection"
B) "I will wear clean, knee-high wool socks everyday to help
improve my circulation"
C) "I use hot water bottles to keep my feet warm at night"
D) "I don't cross my legs anymore" - ANSWER-D) "I don't cross my
legs anymore"
2. Clients who have peripheral vascular disease should not cross their
legs because it can impede circulation.
3. A nurse enters the room of a client whose transfusion of packed RBCs
was initiated 15 min ago by the RN. The client reports dyspnea and
urticaria. Which of the following actions should the nurse perform first?
A) Count the client's respiratory rate
B) Ask the client if chest pain is present
C) Stop the infusion
D) Administer an antihistamine - ANSWER-C) Stop the infusion
,4. Evidence-based practice indicates the nurse should stop the infusion of
the blood product as soon as manifestations occur because they can
indicate a transfusion reaction.
5. A nurse in a long-term care facility is collecting data from a client who
reports fullness in the rectum and abdominal cramping. Which of the
following findings should indicate to the nurse that the client might
have a fecal impaction?
A) Halitosis
B) Hemorrhoids
C) Rebound tenderness
D) Small liquid stools - ANSWER-D) Small liquid stools
6. Small liquid stools can be the result of fecal material being expelled
around an impaction.
7. A nurse in an oncology clinic is reinforcing teaching about Mohs
surgery with a client who has skin cancer. Which of the following
information should the nurse include in the teaching?
A) Mohs surgery is a horizontal shaving of thin layers of the tumor.
B) Mohs surgery uses liquid nitrogen to destroy the cancerous
tissue.
C) Mohs surgery is the preferred treatment for melanoma skin
cancer.
D) Mohs surgery is a palliative treatment for metastatic skin cancer.
- ANSWER-A) Mohs surgery is a horizontal shaving of thin layers
of the tumor.
8. Mohs surgery is performed to treat basal and squamous cell carcinoma.
The procedure, which involves a horizontal shaving of thin layers of a
tumor, has a high treatment rate.
,9. A nurse is assisting a client who reports difficulty falling asleep. Which
of the following activities should the nurse recommend to promote
sleep?
A) Get out of bed if unable to fall asleep within 60 min.
B) Take a brisk walk before sleeping.
C) Listen to soft music before sleeping.
D) Drink adequate amounts of fluids before sleeping. - ANSWER-C)
Listen to soft music before sleeping.
10. Listening to soft music can help the client to relax and reduces
environmental stressors.
11. A nurse is assisting in the care of a client who has manifestations
of sepsis. Which of the following provider prescriptions should the
nurse implement first?
A) Collect a sputum culture
B) Administer ceftriaxone by intermittent IV bolus
C) Initiate oxygen at 4 L/min via nasal cannula
D) Obtain blood cultures - ANSWER-C) Initiate oxygen at 4 L/min via
nasal cannula
12. When using the airway, breathing, circulation approach to client
care, the first action the nurse should take is to initiate oxygen. Clients
who have manifestations of sepsis are often hypoxic, tachypneic, or
have a PaCO2 level less than 32 mm Hg. The nurse should provide
supplemental oxygen to keep the client's oxygen saturation levels at
95% or greater, which will maximize the ability of the hemoglobin to
support the oxygen needs of the body.
, 13. A nurse is assisting in the plan of care regarding bowel retraining
for a client who has a cervical spinal cord injury. Which of the following
interventions should the nurse plan to implement first?
A) Determine the client's daily elimination habits.
B) Administer a suppository to the client 30 min prior to defecation
time.
C) Offer the client 4 oz of warm prune juice to promote elimination.
D) Provide dietary bulk to the client to ease the passage of stool. -
ANSWER-A) Determine the client's daily elimination habits.
14. The first action the nurse should take using the nursing process
is to collect data on the client's daily bowel elimination habits to
establish a routine defecation time.
15. A nurse is assisting the charge nurse with developing an in-
service about caring for clients who have internal sealed radiation
implants. Which of the following information should the nurse include?
A) Restrict the time pregnant women are allowed in the client's
room to 15 min
B) Pick up a radiation implant with a double-gloved hand if it
becomes dislodged
C) Limit time spent in the client's room to 2 hr during an 8 hr shift
D) Dispose of radiation implants in a lead container - ANSWER-D)
Dispose of radiation implants in a lead container
16. Lead impairs the emission of radiation. Therefore, the nurse
should dispose of radiation implants in a lead container in accordance
with facility protocol.
17. A nurse is assisting with the care of a client who had a cardiac
catheterization via the right femoral artery. Which of the following
