Med Surg CMS Proctored Exam| Questions and Verified Answers| 2023/ 2024 New Update

Med Surg CMS Proctored Exam| Questions and Verified Answers| 2023/ 2024 New Update A nurse is assisting with the plan of care for a client who requires contact precautions. Which of the following interventions should the nurse include in the plan? a) Keep a stethoscope at the client's bedside for the duration of her hospital stay. b) Wear an N95 mask when entering the room. c) Use an alcohol swab to clean the temperature probe before removing it from the room. d) Remove personal protective equipment immediately after leaving the client's room. Answer: A. Keep a stethoscope at the client's bedside for the duration of her hospital stay. QUESTION A nurse is caring for a client who has a prescription for propranolol for the treatment of atrial fibrillation. Which of the following actions should the nurse take? a) Request a dosage increase of the apical heart rate is less than 60/min. b) Administer the medication with an antacid. c) Instruct the client to expect increased hair growth. d) Withhold the medication if the systolic blood pressure is less than 90 mm Hg. Answer: D. Withhold the medication if the systolic blood pressure is less than 90 mm Hg. QUESTION A nurse is reinforcing teaching about dietary modifications to help control blood pressure with a client who has hypertension. Which of the following food choices by the client indicates an understanding of the teaching? a) A ham sandwich on rye bread b) Broiled cod with broccoli c) Beef bouillon with crackers d) Pork sausage with sauteed peppers Answer: B. Broiled cod with broccoli QUESTION A nurse is reinforcing teaching with a client about heart disease prevention, which of the following client statements indicates an understanding of the teaching? a) "I will increase my dairy intake by drinking whole milk every meal." b) "I will exercise by walking twice a week for 25 minutes." c) "I will try to maintain my blood pressure around 116/72." d) "I will improve my LDL cholesterol by raising it from 100 to 130." Answer: C. "I will try to maintain my blood pressure around 116/72." QUESTION A nurse is reinforcing teaching about a transcutaneous electrical nerve stimulation (TENS) unit for a client who has a herniated intervertebral disk. Which of the following statements by the client indicates an understanding of the teaching? a) "I will need to charge the TENS unit for 2 hours each day." b) "The TENS unit administers a continuous dose of pain medication." c) "I should adjust the TENS unit until I feel a tingling sensation." d) "The TENS unit should be applied at least 6 inched from the actual site of my pain." Answer: C. "I should adjust the TENS unit until I feel a tingling sensation. QUESTION A nurse is reviewing a client's medical record. Which of the following findings is the priority for the nurse to report? a) Urine output 200 mL/8 hr b) A client's rating of ear pain as 5 on a scale from 0 to 10 c) Potassium level 6.2 mEq/L d) Abnormal hepatoiminodiacetic acid (HIDA) scan Answer: C. Potassium level 6.2 mEq/L QUESTION A nurse is reinforcing teaching about decreasing the risk of osteoporosis to a client who is postmenopausal. Which of the following instructions should the nurse include? a) Limit vitamin D intake. b) Increase daily intake of vitamin E. c) Add a weight-bearing exercise regimen. d) Take calcium carbonate supplements once a day with breakfast. Answer: C. Add a weight-bearing exercise regimen. QUESTION A nurse is caring for a client who has COPD with copious secretions. Which of the following actions should the nurse take? a) Place the client in prone position. b) Administer high-flow oxygen. c) Limit fluid intake. d) Perform postural drainage.