MEDICAL SURGICAL PRACTICE EXAM
QUESTIONS WITH COMPLETE
SOLUTIONS
Anaadultaclientawhoaisahospitalizedaafterasurgeryareportsasuddenaonsetaofachestapainaanda
dyspnea.atheaclientaappearsaanxious,arestless,aandamildlyacyanotic.atheanurseashouldafurt
heraassessatheaclientaforawhichacondition?a-aans--Pulmonaryaembolism
whichainformationashouldatheanurseaobtainawhenaperformingaanainitialaassessmentaofaaacli
entawhoapresentsatoatheaemergencyadepartmentawithaaapainfulaankleainjury?a(selectaallath
ataapply)a-aans--Qualityaofatheapaina
Signsaofainflammation
Anklearangeaofamotion
Visibleadeformitiesaofatheajoint
Whichadescriptionaofapainaisaconsistentawithaaadiagnosisaofarheumatoidaarthritis?a-aans--
Jointapainaisaworseainatheamorningaandainvolvesasymmetricajoints
Whichaphysicalaassessmentafindingashouldatheanurseaanticipateainaaaclientawithalong-
termagastroesophagealrefluxadiseasea(GERD)?a-aans--Hoarseness
Aaclientapresentsawithachronicavenousainsufficiency.aWhichaassessmentafindingashouldath
eanurseaanticipate?a-aans--Bilateralaloweralegastasisadermatitis
Aaclientahasabeenahospitalizedawithaaafemurafractureaandaisabeingatreatedawithatraction.aw
hichaactionabyatheanurseaisatheapriorityawhenacaringaforathisaclient?a-aans--
Assessaneurovascularastatus
Whichastatementamadeabyaaaclientawithachronicapancreatitisaindicatesathatafurtheraeducati
onaisaneeded?a-aans--Iawillacutabackaonasmokingacigarettesadaily
Theanurseaisateachingaaafemaleaclientawhoausesaaacontraceptiveadiaphragmaaboutareduci
ngatheariskaforatoxicashockasyndromea(TSS).aWhichainformationashouldatheanurseainclude
?a(Selectaallathataapply)a-aans--
Doanotaleaveatheadiaphragmainaplacealongerathana8ahoursaafteraintercoursea
Replaceatheaoldadiaphragmaeverya3amonths
Aamaleaclientawhoasmokesatwoapacksaofacigarettesaaadayastatesaheaunderstandsathatasmo
kingacigarettesaisacontributingatoatheadifficultyathataheaandahisawifeaareahavingainagettingapr
, egnantaandawantsatoaknowaifaotherafactorsacouldabeacontributingatoatheiradifficulty.aWhichai
nformationaisabestaforatheanurseatoaprovide?a(Selectaallathataapply).a-aans--
Alcoholaconsumptionacanacauseaerectileadysfunctiona
Lowatestosteronealevelsaaffectaspermaproductiona
Cessationaofasmokingaimprovesageneralahealthaandafertility
Twentyafourahoursaafteraaaclientareturnsafromasurgicalagastricabypass,athearegisteredanurs
ea(RN)aobservesalargeaamountsaofabloodainatheanasogastricatubea(NGT)acannister.aWhich
aassessmentafindingashouldatheaRNareportaasaearlyasignsaofahypovolemicashock?a-aans--
lethargy
thearegisteredanursea(RN)aisaassessingaaamaleaclientawhoaarrivesaatatheaclinicawithasevere
aabdominalacramping,apain,atenesmus,aandadehydration.atheaRNadiscoversathatatheaclient
ahasahada14atoa20alooseastoolsawitharectalableeding.aWhenatakingatheaclient'samedicalahist
ory,awhichainformationaisamostaforatheanurseatoaobtain?a-aans--Ulcerativeacolitis
Aaclientaisanewlyadiagnosedawithadiverticulosis.aThearegisteredanursea(RN)aisaassessingat
heaclient'sabasicaknowledgeaaboutatheadiseaseaprocess.aWhichastatementabyatheaclientaco
nveysaanaunderstandingaofatheaetiologyaofadiverticula?a-aans--
Chronicaconstipationacausesaweakeningaofacolonawallawhicharesultsainaoutapouchingasacs
Thearegisteredanursea(RN)aisaassessingaaaclientawhoawasadischargedahomeaafteramanag
ementaofachronicahypertension.aWhichaequipmentashouldatheaRNainstructatheaclientatoaus
eaatahome?a-aans--Sphygmomanometer
Aayoungaadultamailaisadiagnosedawithastagea4aHodgkin'salymphomaainatheaabdominopelvi
caregionaandaisascheduledaforaradiationatherapya(RT).aTheaclientaexpressesaconcernaabou
tabecomingainfertile.aHowashouldatheanursearespond?a-aans--
ProposeaspermabankingabeforeaRTathenaartificialainseminationaisaanaoption
Aaclient'sasusceptibilityatoaulcerativeacolitisaisamostalikelyadueatoawhichaaspectainatheaclient'
sahistory?a-aans--JewishaEuropeanaancestry
Smallabowlaobstructionaisaaaconditionacharacterizedabyawhichafinding?a-aans--
Severeafluidaandaelectrolyteaimbalances
Whichaclientashouldatheanursearecognizeaasamostalikelyatoaexperienceasleepaapnea?a-
aans--Obeseaolderamaleaclientawithaaashort,athickaneck
Whichamilestoneaindicatesatoatheanurseasuccessfulaachievementaofayoungaadulthood?a-
aans--Completesaeducationaandabecomesaself-supporting
QUESTIONS WITH COMPLETE
SOLUTIONS
Anaadultaclientawhoaisahospitalizedaafterasurgeryareportsasuddenaonsetaofachestapainaanda
dyspnea.atheaclientaappearsaanxious,arestless,aandamildlyacyanotic.atheanurseashouldafurt
heraassessatheaclientaforawhichacondition?a-aans--Pulmonaryaembolism
whichainformationashouldatheanurseaobtainawhenaperformingaanainitialaassessmentaofaaacli
entawhoapresentsatoatheaemergencyadepartmentawithaaapainfulaankleainjury?a(selectaallath
ataapply)a-aans--Qualityaofatheapaina
Signsaofainflammation
Anklearangeaofamotion
Visibleadeformitiesaofatheajoint
Whichadescriptionaofapainaisaconsistentawithaaadiagnosisaofarheumatoidaarthritis?a-aans--
Jointapainaisaworseainatheamorningaandainvolvesasymmetricajoints
Whichaphysicalaassessmentafindingashouldatheanurseaanticipateainaaaclientawithalong-
termagastroesophagealrefluxadiseasea(GERD)?a-aans--Hoarseness
Aaclientapresentsawithachronicavenousainsufficiency.aWhichaassessmentafindingashouldath
eanurseaanticipate?a-aans--Bilateralaloweralegastasisadermatitis
Aaclientahasabeenahospitalizedawithaaafemurafractureaandaisabeingatreatedawithatraction.aw
hichaactionabyatheanurseaisatheapriorityawhenacaringaforathisaclient?a-aans--
Assessaneurovascularastatus
Whichastatementamadeabyaaaclientawithachronicapancreatitisaindicatesathatafurtheraeducati
onaisaneeded?a-aans--Iawillacutabackaonasmokingacigarettesadaily
Theanurseaisateachingaaafemaleaclientawhoausesaaacontraceptiveadiaphragmaaboutareduci
ngatheariskaforatoxicashockasyndromea(TSS).aWhichainformationashouldatheanurseainclude
?a(Selectaallathataapply)a-aans--
Doanotaleaveatheadiaphragmainaplacealongerathana8ahoursaafteraintercoursea
Replaceatheaoldadiaphragmaeverya3amonths
Aamaleaclientawhoasmokesatwoapacksaofacigarettesaaadayastatesaheaunderstandsathatasmo
kingacigarettesaisacontributingatoatheadifficultyathataheaandahisawifeaareahavingainagettingapr
, egnantaandawantsatoaknowaifaotherafactorsacouldabeacontributingatoatheiradifficulty.aWhichai
nformationaisabestaforatheanurseatoaprovide?a(Selectaallathataapply).a-aans--
Alcoholaconsumptionacanacauseaerectileadysfunctiona
Lowatestosteronealevelsaaffectaspermaproductiona
Cessationaofasmokingaimprovesageneralahealthaandafertility
Twentyafourahoursaafteraaaclientareturnsafromasurgicalagastricabypass,athearegisteredanurs
ea(RN)aobservesalargeaamountsaofabloodainatheanasogastricatubea(NGT)acannister.aWhich
aassessmentafindingashouldatheaRNareportaasaearlyasignsaofahypovolemicashock?a-aans--
lethargy
thearegisteredanursea(RN)aisaassessingaaamaleaclientawhoaarrivesaatatheaclinicawithasevere
aabdominalacramping,apain,atenesmus,aandadehydration.atheaRNadiscoversathatatheaclient
ahasahada14atoa20alooseastoolsawitharectalableeding.aWhenatakingatheaclient'samedicalahist
ory,awhichainformationaisamostaforatheanurseatoaobtain?a-aans--Ulcerativeacolitis
Aaclientaisanewlyadiagnosedawithadiverticulosis.aThearegisteredanursea(RN)aisaassessingat
heaclient'sabasicaknowledgeaaboutatheadiseaseaprocess.aWhichastatementabyatheaclientaco
nveysaanaunderstandingaofatheaetiologyaofadiverticula?a-aans--
Chronicaconstipationacausesaweakeningaofacolonawallawhicharesultsainaoutapouchingasacs
Thearegisteredanursea(RN)aisaassessingaaaclientawhoawasadischargedahomeaafteramanag
ementaofachronicahypertension.aWhichaequipmentashouldatheaRNainstructatheaclientatoaus
eaatahome?a-aans--Sphygmomanometer
Aayoungaadultamailaisadiagnosedawithastagea4aHodgkin'salymphomaainatheaabdominopelvi
caregionaandaisascheduledaforaradiationatherapya(RT).aTheaclientaexpressesaconcernaabou
tabecomingainfertile.aHowashouldatheanursearespond?a-aans--
ProposeaspermabankingabeforeaRTathenaartificialainseminationaisaanaoption
Aaclient'sasusceptibilityatoaulcerativeacolitisaisamostalikelyadueatoawhichaaspectainatheaclient'
sahistory?a-aans--JewishaEuropeanaancestry
Smallabowlaobstructionaisaaaconditionacharacterizedabyawhichafinding?a-aans--
Severeafluidaandaelectrolyteaimbalances
Whichaclientashouldatheanursearecognizeaasamostalikelyatoaexperienceasleepaapnea?a-
aans--Obeseaolderamaleaclientawithaaashort,athickaneck
Whichamilestoneaindicatesatoatheanurseasuccessfulaachievementaofayoungaadulthood?a-
aans--Completesaeducationaandabecomesaself-supporting
