PN ADULT MEDICAL SURGICAL CORE TIPS ANSWERS
AND QUESTIONS SET A+
✔✔A nurse is assisting in the care of a client who is receiving a continuous tube feeding
of 60 mL/hr at 1.2 cal/mL. How many calories will the client receive in 12 hr? (Round the
answer to the nearest whole number. Use a leading zero if it applies. Do not use a
trailing zero.) - ✔✔864 cal
✔✔A nurse is reinforcing teaching with a client who has diabetes mellitus and a new
prescription for regular and NPH insulin. Which of the following instructions on preparing
the insulins should the nurse include?
Withdraw both types of insulin and then add 0.2 mL of air to the syringe.
Gently shake the NPH insulin prior to withdrawing the dose.
Withdraw the regular insulin before withdrawing the NPH insulin.
inject air into the NPH vial after withdrawing regular insulin. - ✔✔Withdraw the regular
insulin before withdrawing the NPH insulin.
✔✔A nurse is preparing to assist a client out of bed 4 hr following a laparoscopic
cholecystectomy. Which of the following actions should the nurse take first?
Place the client in Fowler's position.
Obtain the client's blood pressure.
Dangle the client's legs at the bedside.
Apply nonskid slippers. - ✔✔Obtain the client's blood pressure.
✔✔A nurse is assisting with the care for a client who has age-related macular
degeneration. Which of the following findings should the nurse expect?
Seeing halos around artificial lights
Distorted central vision of the eyes
Colored spots before the visual fields
Spontaneous tearing of the eyes - ✔✔Distorted central vision of the eyes
✔✔A nurse is reinforcing teaching with a client who is on a low-sodium diet and asks
about how to improve the taste of bland food. Which of the following foods should the
nurse recommend?
,Ketchup
Mayonnaise
Soy sauce
Lemon juice - ✔✔Lemon juice
✔✔A nurse is preparing to assist with the insertion of a double-lumen gastric sump tube
for a client who has peptic ulcer disease and has developed gastrointestinal bleeding.
Which of the following images depicts the tube that the nurse should select? - ✔✔clear
with blue tube
✔✔A nurse is contributing to the plan of care for a client who has tuberculosis (TB).
Which of the following interventions should the nurse include?
Place a "no visitors" sign on the client's door.
Have the client wear an N95 respiratory mask during transport.
Initiate droplet precautions for the client.
Place the client in a negative-pressure airflow room. - ✔✔Place the client in a negative-
pressure airflow room.
✔✔A nurse is contributing to the plan of care for a client who had a stroke. For which of
the following interprofessional team members should the nurse recommend a referral
prior to initiating oral intake for the client?
Occupational therapist
Speech-language pathologist
Physical therapist
Case manager - ✔✔Speech-language pathologist
✔✔A nurse is reviewing the medical record of a client who is postoperative. Which of
the following findings should the nurse identify as a complication of surgery?
Serous drainage from the incision
WBC count of 15,000/mm3 (5,000 to 10,000/mm3)
Temperature of 37.2° C (99° F)
Urine output of 400 mL over the past 8 hr - ✔✔WBC count of 15,000/mm3
✔✔A nurse is reinforcing teaching about pursed-lip breathing with a client who has a
new diagnosis of COPD. The nurse should identify that which of the following client
statements indicates an understanding of the teaching?
"I should perform pursed-lip breathing exercises before going to bed.".
"When I'm fatigued, I should inhale slowly through pursed lips."
"Pursed-lip breathing works best for activities like walking up stairs."
"I will exhale through my nose after breathing in through pursed lips." - ✔✔"Pursed-lip
breathing works best for activities like walking up stairs."
✔✔A nurse is reinforcing teaching about joint protection with a client who has an acute
exacerbation of rheumatoid arthritis. Which of the following information should the nurse
include in the teaching?
, Apply cold packs to the inflamed joints.
Participate in high-impact exercise.
Carry a hand purse rather than a shoulder bag.
Sleep on a soft foam mattress. - ✔✔Apply cold packs to the inflamed joints.
✔✔A nurse is reinforcing teaching with a client who has mitral valve disease. Which of
the following statements by the client indicates an understanding of the disease
process?
"I should call my doctor if I get a headache."
"I might develop gastric reflux."
"I might develop excessive bruising."
"I should call my doctor if my ankles swell."| - ✔✔"I should call my doctor if my ankles
swell."
✔✔A nurse is reinforcing teaching with a client who has asthma and a new prescription
for a corticosteroid. Which of the following findings should the nurse include as an
adverse effect of the medication?
Frequent colds
Vitamin deficiency
Increased urination I
Orthostatic hypotension - ✔✔Orthostatic hypotension
✔✔A nurse is collecting data from a 55-year-old female client who reports vaginal
dryness and hot flashes. The client is interested in trying hormone replacement therapy
(HRT). Which of the following should the nurse recognize as a contraindication to HRT?
Five-year history of menopause manifestations
History of treatment for blood clots
Topiramate use for migraine headaches
Increased serum cholesterol levels - ✔✔History of treatment for blood clots
✔✔A nurse is contributing to the plan of care for a client who has COPD and is
dyspneic. Which of the following interventions should the nurse include in the plan?
Encourage abdominal breathing.
Direct the client to inhale with pursed lips.
Set the oxygen therapy at 5 L/min.
Direct the client to lean back when coughing. - ✔✔Encourage abdominal breathing.
✔✔A nurse is assisting with the care for a client who has a history of breast cancer. The
client asks the nurse about birth control. Which of the following methods of birth control
is contraindicated for this client?
Intrauterine device
Latex condom
Combination oral contraceptives
Contraceptive sponge - ✔✔Combination oral contraceptives
AND QUESTIONS SET A+
✔✔A nurse is assisting in the care of a client who is receiving a continuous tube feeding
of 60 mL/hr at 1.2 cal/mL. How many calories will the client receive in 12 hr? (Round the
answer to the nearest whole number. Use a leading zero if it applies. Do not use a
trailing zero.) - ✔✔864 cal
✔✔A nurse is reinforcing teaching with a client who has diabetes mellitus and a new
prescription for regular and NPH insulin. Which of the following instructions on preparing
the insulins should the nurse include?
Withdraw both types of insulin and then add 0.2 mL of air to the syringe.
Gently shake the NPH insulin prior to withdrawing the dose.
Withdraw the regular insulin before withdrawing the NPH insulin.
inject air into the NPH vial after withdrawing regular insulin. - ✔✔Withdraw the regular
insulin before withdrawing the NPH insulin.
✔✔A nurse is preparing to assist a client out of bed 4 hr following a laparoscopic
cholecystectomy. Which of the following actions should the nurse take first?
Place the client in Fowler's position.
Obtain the client's blood pressure.
Dangle the client's legs at the bedside.
Apply nonskid slippers. - ✔✔Obtain the client's blood pressure.
✔✔A nurse is assisting with the care for a client who has age-related macular
degeneration. Which of the following findings should the nurse expect?
Seeing halos around artificial lights
Distorted central vision of the eyes
Colored spots before the visual fields
Spontaneous tearing of the eyes - ✔✔Distorted central vision of the eyes
✔✔A nurse is reinforcing teaching with a client who is on a low-sodium diet and asks
about how to improve the taste of bland food. Which of the following foods should the
nurse recommend?
,Ketchup
Mayonnaise
Soy sauce
Lemon juice - ✔✔Lemon juice
✔✔A nurse is preparing to assist with the insertion of a double-lumen gastric sump tube
for a client who has peptic ulcer disease and has developed gastrointestinal bleeding.
Which of the following images depicts the tube that the nurse should select? - ✔✔clear
with blue tube
✔✔A nurse is contributing to the plan of care for a client who has tuberculosis (TB).
Which of the following interventions should the nurse include?
Place a "no visitors" sign on the client's door.
Have the client wear an N95 respiratory mask during transport.
Initiate droplet precautions for the client.
Place the client in a negative-pressure airflow room. - ✔✔Place the client in a negative-
pressure airflow room.
✔✔A nurse is contributing to the plan of care for a client who had a stroke. For which of
the following interprofessional team members should the nurse recommend a referral
prior to initiating oral intake for the client?
Occupational therapist
Speech-language pathologist
Physical therapist
Case manager - ✔✔Speech-language pathologist
✔✔A nurse is reviewing the medical record of a client who is postoperative. Which of
the following findings should the nurse identify as a complication of surgery?
Serous drainage from the incision
WBC count of 15,000/mm3 (5,000 to 10,000/mm3)
Temperature of 37.2° C (99° F)
Urine output of 400 mL over the past 8 hr - ✔✔WBC count of 15,000/mm3
✔✔A nurse is reinforcing teaching about pursed-lip breathing with a client who has a
new diagnosis of COPD. The nurse should identify that which of the following client
statements indicates an understanding of the teaching?
"I should perform pursed-lip breathing exercises before going to bed.".
"When I'm fatigued, I should inhale slowly through pursed lips."
"Pursed-lip breathing works best for activities like walking up stairs."
"I will exhale through my nose after breathing in through pursed lips." - ✔✔"Pursed-lip
breathing works best for activities like walking up stairs."
✔✔A nurse is reinforcing teaching about joint protection with a client who has an acute
exacerbation of rheumatoid arthritis. Which of the following information should the nurse
include in the teaching?
, Apply cold packs to the inflamed joints.
Participate in high-impact exercise.
Carry a hand purse rather than a shoulder bag.
Sleep on a soft foam mattress. - ✔✔Apply cold packs to the inflamed joints.
✔✔A nurse is reinforcing teaching with a client who has mitral valve disease. Which of
the following statements by the client indicates an understanding of the disease
process?
"I should call my doctor if I get a headache."
"I might develop gastric reflux."
"I might develop excessive bruising."
"I should call my doctor if my ankles swell."| - ✔✔"I should call my doctor if my ankles
swell."
✔✔A nurse is reinforcing teaching with a client who has asthma and a new prescription
for a corticosteroid. Which of the following findings should the nurse include as an
adverse effect of the medication?
Frequent colds
Vitamin deficiency
Increased urination I
Orthostatic hypotension - ✔✔Orthostatic hypotension
✔✔A nurse is collecting data from a 55-year-old female client who reports vaginal
dryness and hot flashes. The client is interested in trying hormone replacement therapy
(HRT). Which of the following should the nurse recognize as a contraindication to HRT?
Five-year history of menopause manifestations
History of treatment for blood clots
Topiramate use for migraine headaches
Increased serum cholesterol levels - ✔✔History of treatment for blood clots
✔✔A nurse is contributing to the plan of care for a client who has COPD and is
dyspneic. Which of the following interventions should the nurse include in the plan?
Encourage abdominal breathing.
Direct the client to inhale with pursed lips.
Set the oxygen therapy at 5 L/min.
Direct the client to lean back when coughing. - ✔✔Encourage abdominal breathing.
✔✔A nurse is assisting with the care for a client who has a history of breast cancer. The
client asks the nurse about birth control. Which of the following methods of birth control
is contraindicated for this client?
Intrauterine device
Latex condom
Combination oral contraceptives
Contraceptive sponge - ✔✔Combination oral contraceptives
