Med Surg PROCTORED Exam Questions and Answers 100 Verified 2024

Med Surg PROCTORED Exam Questions and Answers 100% Verified 2024 A nurse is reinforcing teaching about lowering fat & cholesterol in diet with a client who has atherosclerosis. Which of the following responses by the client indicates an understanding of the teaching? a.) I will list baked good to those containing trans fat. b.) I will limit meat portion to 3 ounces per meal. c.) I will use palm oil in my cooking. d.) I will increase my consumption of 2 percent milk. A nurse is collecting data from a client who has hyperthyroidism & is taking propylthiouracil. Which of the following statements by the client indicates the medication is effective? a.) "I have less oily skin". b.) "I no longer take a stool softener". c.) "No longer feel nervous". d.) "I continue to lose weight". A nurse is inserting an indwelling catheter for a client. The client reports pain when the nurse attempts to inflate the balloon. Which of the following actions should the nurse take? a.) Continue to slowly inflate the balloon. b.) Aspirate the fluid before advancing the catheter. c.) Gently pull on the catheter to check for resistance. d.) Instruct the client to bear down as if to void. A nurse is caring for a client who has Parkinson's disease. The client displays difficulty using utensils while eating mealtime. For which of the following inter disciplinary team members should the nurse recommend a referral? a.) Occupational therapist. b.) Physical therapist. c.) Recreational therapist. d.) Speech therapist. A nurse is reinforcing teaching with a client who is scheduled for colonoscopy. Which of the following client statements indicates an understanding of the procedure? a.) I will need arrangements for a ride home. b.) I should call the doctor if I feel bloated after the procedure. c.) I plan to eat light breakfast the morning of the procedure. d.) I can expect to have a sore throat from the breathing tube. A nurse is preparing to enter the room of a client who has tuberculosis. Which of the following personal protective equipment should the nurse wear? a.) No breather mask. b.) Surgical mask. c.) Respirator mask. d.) Venturi mask. A nurse is caring for an older adult client who has constipation. Which of the following actions should the nurse take? a.) Instruct the client to limit activity. b.) Encourage a low residue diet. c.) Provide a glass of warm water before breakfast. d.) Offer foods high in potassium. A nurse is collecting data from a client who has been admitted with suspected appendicitis. Which of the following findings is the nurse's priority to report to the provider? a.) WBC count 15,000/mm3 b.) Loss of appetite. c.) Rigid board like abdomen. d.) Temperature of 37.8 c. A nurse is collecting data from a female client during an initial health assessment. Which of the following findings should the nurse identify as a risk fact for osteoporosis? a.) Uses a beclomethason inhaler. b.) Applies an estrogen vaginal cream daily. c.) Walks 30 mins per day. d.) Includes canned sardines in her diet. A nurse is collecting data from a client who began taking catopril 2 days ago. Which of the following findings should the nurse report to the provider immediately? a.) Dizziness. b.) Joint aches. c.) Metallic taste. d.) Lip swelling. A nurse is caring for an older adult client who has heart failure. Which of the following findings should the nurse report to the provider? a.) Chest X-ray showing cardiomegaly. b.) Potassium level 4.5 mEq/L. c.) Urinary output of 1,000 mL in 12 hr. d.) PaCO2 55 mmHg. An assistive personnel checks the blood glucose level of a client who has diabetes mellitus & reports a blood glucose level of 42 mm/dL to a nurse. Which of the following actions should the nurse take first? a.) Validate when the client received the last dose a hypoglycemic medication. b.) Check the client's blood pressure. c.) Review the client's previous meal intake. d.) Determine if the client is able to swallow. A nurse is caring for a client who is at risk for anaphylaxis due to bee stings. When reinforcing teaching about the use of automatic epinephrine injection, Which of the following actions is the priority. a.) Have a client perform the return demonstration of the equipment. b.) Instruct the client to store the injector at room temperature. c.) Inform the client to seek medical attention following administration of the injection. d.) Review the signs of anaphylaxis with the client. A nurse is reinforcing discharge teaching with a client who has a new permanent pacemaker. Which of the following statements by the client indicates an understanding of the teaching? A nurse in a long-term care facility is assigning tasks to assistive personnel. Which of the following tasks should the nurse delegate to the AP? a.) Taking a phone prescription rom a provider. b.) Providing postmortem care. c.) Determining a client's need for PRN pain medication. d.) Instructing a client about the use of incentive spirometry. A nurse is collecting data from an older adult client who has cystitis. Which of the following findings should the nurse anticipate? a.) Orange-colored urine. b.) Referred pain in the right shoulder. c.) Confusion. d.) Hypothermia. A nurse is performing tracheostomy's care for a client who has a chronic tracheostomy. Which of the following actions should the nurse take? a.) Suction the client for 20 seconds with each pass. b.) Allow space for one finger to be placed under the tube ties. c.) Apply suction pressure while inserting the catheter into the trachea. d.) Sanitize around the stoma with povidone iodine. A nurse is reinforcing teaching with a client who is scheduled for cardiac cauterization. Which of the following should the nurse tell the client? a.) Numbness in the fingertips. b.) Feeling of heat. c.) Urge to urinate. d.) Pain in the jawline. A nurse is assisting in teaching a group of nurses about pain management for older adult clients. Which of the following information should the nurse include in the teaching? a.) Reassess the effectiveness of pain relief measures every 3 hrs. b.) Recognize that a cognitively impaired older adult client can identify the intensity of pain. c.) Withhold pain medication until the client reports a pain level of 6 or higher on a scale from 0 to 10. d.) Use non pharmacological measures as a substitute for pain medication. A nurse is receiving change of shift report for a client who had an open reduction internal fixation of the right femur 8 hrs. ago. Which of the following information should the nurse report to the provider? a.) Tingling distal to the fracture. b.) A temperature of 37.8 C. c.) A capillary refill of 4 seconds. d.) Sanguineous drainage of 30 mL in the surgical drain at the incisional site. A nurse is reinforcing teaching with a client who has a new diagnosis of celiac disease a prescription from a gluten-free diet. Which of the following food choices should the nurse recommend in the teaching? a.) Vegetable barley soup. b.) Baked chicken with brown rice. c.) Spaghetti made with wheat pasta. d.) Corn beef on rye bread. A nurse is checking the laboratory result of a client who has a gastrointestinal bleed. Which of the following findings should the nurse report to the provider? a.) Hematocrit 21%. b.) pH 7.35. c.) Potassium 4.0 mL. d.) Calcium 10 mg/dL. A nurse is caring for a client who has a below-the-knee amputation. The client tells the nurse, "I don't know how I"m going to take care of myself now". Which of the following responses by the nurse is appropriate? a.) "Once you begin your rehabilitation, those fears will be allayed". b.) "Perhaps you should discuss this with your provider". c.) "You don't need to worry about that now. Just focus on getting better". d.) "Other clients have found it helpful to set realistic goals for each day". A nurse is reinforcing teaching with a client who is to begin taking lansoprazole. Which of the following statements by the client indicates an understanding of the teaching? a.) "I should expect the medication to cause indigestion". b.) "I should report episodes of diarrhea". c.) "I should take the medication following a meal". d.) "I should chew the capsule thoroughly". A nurse working the night shift is caring for an older adult client who has dementia & is at risk for falls. Which of the following actions should the nurse take? a.) Leave the television on in the client's room. b.) Apply a motion sensor mat to the client's bed. c.) Move the overbed table away from the bed. d.) Raise all four side rails when the client is in bed. A nurse is caring for a client who has a sulfa allergy. Which of the following prescription should the nurse clarify with the provider? a.) Atorvastatin. b.) Celecoxib. c.) Prednisone. d.) Digoxin. A nurse is reviewing the results of a client's fecal occult blood test screening test. Which of the following findings from the client's history should the nurse identify as potentially causing a false-positive result? a.) The client takes ibuprofen for headaches. b.) The client has a history of breast cancer. c.) The client has a hemorhoidectomy 1 year ago. d.) The client consumed citrus juice 3 days before the test. A nurse is caring for a client who has a double-lumen NG tube set to low continuous suction as a treatment for small bowel obstruction. The client reports nausea. Which of the following actions should the nurse take? a.) Place the client in the lateral Sims' position. b.) Set the pressure gauge on the suction apparatus at 140 mmHg. c.) Verify the patency of the tube. d.) Clamp the anti reflux valve of the tube. A nurse is preparing to administer ceftriaxone using the Z-track technique to a client who has gonnorrhea. After performing hand hygiene & reconstituting the medication. What order should the nurse use to administer the medication? (Move the steps into the box on the right, placing them in order of performance). -Remove the needle & release the tissue. -Aspirate by pulling back on the plunger & inject the medication. -Use the non dominant hand to pull the skin & subcutaneous tissue 2.5 cm (1 in) laterally. -Insert the needle into the muscle. -Put on gloves & cleanse the site with antiseptic swab. A nurse is reinforcing teaching with a female client about expected body changes during menopause. Which of the following statements by the client indicates an understanding of the teaching? a.) The use of herbal supplements will decrease vaginal bleeding. b.) "I should expect to have an increased risk for breast cancer". c.) "I will need hormone replacement therapy for the rest of my life". d.) "I should use a vaginal douche to prevent dryness".