MEDICAL SURGICAL PRACTICE EXAM
QUESTIONS WITH COMPLETE
SOLUTIONS
Andadultdclientdwhodisdhospitalizeddafterdsurgerydreportsdsuddendonsetdofdchestdpaindanddd
yspnea.dthedclientdappearsdanxious,drestless,danddmildlydcyanotic.dthednursedshoulddfurthe
rdassessdthedclientdfordwhichdcondition?d-dans✔✔Pulmonarydembolism
whichdinformationdshoulddthednursedobtaindwhendperformingdandinitialdassessmentdofdadclie
ntdwhodpresentsdtodthedemergencyddepartmentdwithdadpainfuldankledinjury?
d(selectdalldthatdapply)d-dans✔✔Qualitydofdthedpaind
Signsdofdinflammation
Ankledrangedofdmotion
Visibleddeformitiesdofdthedjoint
Whichddescriptiondofdpaindisdconsistentdwithdaddiagnosisdofdrheumatoiddarthritis?d-
dans✔✔Jointdpaindisdworsedindthedmorningdanddinvolvesdsymmetricdjoints
Whichdphysicaldassessmentdfindingdshoulddthednursedanticipatedindadclientdwithdlong-
termdgastroesophagealrefluxddiseased(GERD)?d-dans✔✔Hoarseness
Adclientdpresentsdwithdchronicdvenousdinsufficiency.dWhichdassessmentdfindingdshoulddthed
nursedanticipate?d-dans✔✔Bilateraldlowerdlegdstasisddermatitis
Adclientdhasdbeendhospitalizeddwithdadfemurdfracturedanddisdbeingdtreateddwithdtraction.dwhi
chdactiondbydthednursedisdthedprioritydwhendcaringdfordthisdclient?d-
dans✔✔Assessdneurovasculardstatus
Whichdstatementdmadedbydadclientdwithdchronicdpancreatitisdindicatesdthatdfurtherdeducatio
ndisdneeded?d-dans✔✔Idwilldcutdbackdondsmokingdcigarettesddaily
Thednursedisdteachingdadfemaledclientdwhodusesdadcontraceptiveddiaphragmdaboutdreducin
gdthedriskdfordtoxicdshockdsyndromed(TSS).dWhichdinformationdshoulddthednursedinclude?
d(Selectdalldthatdapply)d-
dans✔✔Dodnotdleavedtheddiaphragmdindplacedlongerdthand8dhoursdafterdintercoursed
Replacedthedoldddiaphragmdeveryd3dmonths
, Admaledclientdwhodsmokesdtwodpacksdofdcigarettesdaddaydstatesdhedunderstandsdthatdsmok
ingdcigarettesdisdcontributingdtodtheddifficultydthatdhedanddhisdwifedaredhavingdindgettingdpreg
nantdanddwantsdtodknowdifdotherdfactorsdcoulddbedcontributingdtodtheirddifficulty.dWhichdinfor
mationdisdbestdfordthednursedtodprovide?d(Selectdalldthatdapply).d-
dans✔✔Alcoholdconsumptiondcandcausederectileddysfunctiond
Lowdtestosteronedlevelsdaffectdspermdproductiond
Cessationdofdsmokingdimprovesdgeneraldhealthdanddfertility
Twentydfourdhoursdafterdadclientdreturnsdfromdsurgicaldgastricdbypass,dthedregistereddnursed
(RN)dobservesdlargedamountsdofdblooddindthednasogastricdtubed(NGT)dcannister.dWhichdas
sessmentdfindingdshoulddthedRNdreportdasdearlydsignsdofdhypovolemicdshock?d-
dans✔✔lethargy
thedregistereddnursed(RN)disdassessingdadmaledclientdwhodarrivesdatdthedclinicdwithdsevered
abdominaldcramping,dpain,dtenesmus,dandddehydration.dthedRNddiscoversdthatdthedclientdh
asdhadd14dtod20dloosedstoolsdwithdrectaldbleeding.dWhendtakingdthedclient'sdmedicaldhistory,
dwhichdinformationdisdmostdfordthednursedtodobtain?d-dans✔✔Ulcerativedcolitis
Adclientdisdnewlyddiagnoseddwithddiverticulosis.dThedregistereddnursed(RN)disdassessingdth
edclient'sdbasicdknowledgedaboutdtheddiseasedprocess.dWhichdstatementdbydthedclientdconv
eysdandunderstandingdofdthedetiologydofddiverticula?d-
dans✔✔Chronicdconstipationdcausesdweakeningdofdcolondwalldwhichdresultsdindoutdpouchin
gdsacs
Thedregistereddnursed(RN)disdassessingdadclientdwhodwasddischargeddhomedafterdmanage
mentdofdchronicdhypertension.dWhichdequipmentdshoulddthedRNdinstructdthedclientdtoduseda
tdhome?d-dans✔✔Sphygmomanometer
Adyoungdadultdmaildisddiagnoseddwithdstaged4dHodgkin'sdlymphomadindthedabdominopelvicd
regiondanddisdscheduleddfordradiationdtherapyd(RT).dThedclientdexpressesdconcerndaboutdb
ecomingdinfertile.dHowdshoulddthednursedrespond?d-
dans✔✔ProposedspermdbankingdbeforedRTdthendartificialdinseminationdisdandoption
Adclient'sdsusceptibilitydtodulcerativedcolitisdisdmostdlikelydduedtodwhichdaspectdindthedclient's
dhistory?d-dans✔✔JewishdEuropeandancestry
Smalldbowldobstructiondisdadconditiondcharacterizeddbydwhichdfinding?d-
dans✔✔Severedfluiddanddelectrolytedimbalances
Whichdclientdshoulddthednursedrecognizedasdmostdlikelydtodexperiencedsleepdapnea?d-
dans✔✔Obesedolderdmaledclientdwithdadshort,dthickdneck
Whichdmilestonedindicatesdtodthednursedsuccessfuldachievementdofdyoungdadulthood?d-
dans✔✔Completesdeducationdanddbecomesdself-supporting
QUESTIONS WITH COMPLETE
SOLUTIONS
Andadultdclientdwhodisdhospitalizeddafterdsurgerydreportsdsuddendonsetdofdchestdpaindanddd
yspnea.dthedclientdappearsdanxious,drestless,danddmildlydcyanotic.dthednursedshoulddfurthe
rdassessdthedclientdfordwhichdcondition?d-dans✔✔Pulmonarydembolism
whichdinformationdshoulddthednursedobtaindwhendperformingdandinitialdassessmentdofdadclie
ntdwhodpresentsdtodthedemergencyddepartmentdwithdadpainfuldankledinjury?
d(selectdalldthatdapply)d-dans✔✔Qualitydofdthedpaind
Signsdofdinflammation
Ankledrangedofdmotion
Visibleddeformitiesdofdthedjoint
Whichddescriptiondofdpaindisdconsistentdwithdaddiagnosisdofdrheumatoiddarthritis?d-
dans✔✔Jointdpaindisdworsedindthedmorningdanddinvolvesdsymmetricdjoints
Whichdphysicaldassessmentdfindingdshoulddthednursedanticipatedindadclientdwithdlong-
termdgastroesophagealrefluxddiseased(GERD)?d-dans✔✔Hoarseness
Adclientdpresentsdwithdchronicdvenousdinsufficiency.dWhichdassessmentdfindingdshoulddthed
nursedanticipate?d-dans✔✔Bilateraldlowerdlegdstasisddermatitis
Adclientdhasdbeendhospitalizeddwithdadfemurdfracturedanddisdbeingdtreateddwithdtraction.dwhi
chdactiondbydthednursedisdthedprioritydwhendcaringdfordthisdclient?d-
dans✔✔Assessdneurovasculardstatus
Whichdstatementdmadedbydadclientdwithdchronicdpancreatitisdindicatesdthatdfurtherdeducatio
ndisdneeded?d-dans✔✔Idwilldcutdbackdondsmokingdcigarettesddaily
Thednursedisdteachingdadfemaledclientdwhodusesdadcontraceptiveddiaphragmdaboutdreducin
gdthedriskdfordtoxicdshockdsyndromed(TSS).dWhichdinformationdshoulddthednursedinclude?
d(Selectdalldthatdapply)d-
dans✔✔Dodnotdleavedtheddiaphragmdindplacedlongerdthand8dhoursdafterdintercoursed
Replacedthedoldddiaphragmdeveryd3dmonths
, Admaledclientdwhodsmokesdtwodpacksdofdcigarettesdaddaydstatesdhedunderstandsdthatdsmok
ingdcigarettesdisdcontributingdtodtheddifficultydthatdhedanddhisdwifedaredhavingdindgettingdpreg
nantdanddwantsdtodknowdifdotherdfactorsdcoulddbedcontributingdtodtheirddifficulty.dWhichdinfor
mationdisdbestdfordthednursedtodprovide?d(Selectdalldthatdapply).d-
dans✔✔Alcoholdconsumptiondcandcausederectileddysfunctiond
Lowdtestosteronedlevelsdaffectdspermdproductiond
Cessationdofdsmokingdimprovesdgeneraldhealthdanddfertility
Twentydfourdhoursdafterdadclientdreturnsdfromdsurgicaldgastricdbypass,dthedregistereddnursed
(RN)dobservesdlargedamountsdofdblooddindthednasogastricdtubed(NGT)dcannister.dWhichdas
sessmentdfindingdshoulddthedRNdreportdasdearlydsignsdofdhypovolemicdshock?d-
dans✔✔lethargy
thedregistereddnursed(RN)disdassessingdadmaledclientdwhodarrivesdatdthedclinicdwithdsevered
abdominaldcramping,dpain,dtenesmus,dandddehydration.dthedRNddiscoversdthatdthedclientdh
asdhadd14dtod20dloosedstoolsdwithdrectaldbleeding.dWhendtakingdthedclient'sdmedicaldhistory,
dwhichdinformationdisdmostdfordthednursedtodobtain?d-dans✔✔Ulcerativedcolitis
Adclientdisdnewlyddiagnoseddwithddiverticulosis.dThedregistereddnursed(RN)disdassessingdth
edclient'sdbasicdknowledgedaboutdtheddiseasedprocess.dWhichdstatementdbydthedclientdconv
eysdandunderstandingdofdthedetiologydofddiverticula?d-
dans✔✔Chronicdconstipationdcausesdweakeningdofdcolondwalldwhichdresultsdindoutdpouchin
gdsacs
Thedregistereddnursed(RN)disdassessingdadclientdwhodwasddischargeddhomedafterdmanage
mentdofdchronicdhypertension.dWhichdequipmentdshoulddthedRNdinstructdthedclientdtoduseda
tdhome?d-dans✔✔Sphygmomanometer
Adyoungdadultdmaildisddiagnoseddwithdstaged4dHodgkin'sdlymphomadindthedabdominopelvicd
regiondanddisdscheduleddfordradiationdtherapyd(RT).dThedclientdexpressesdconcerndaboutdb
ecomingdinfertile.dHowdshoulddthednursedrespond?d-
dans✔✔ProposedspermdbankingdbeforedRTdthendartificialdinseminationdisdandoption
Adclient'sdsusceptibilitydtodulcerativedcolitisdisdmostdlikelydduedtodwhichdaspectdindthedclient's
dhistory?d-dans✔✔JewishdEuropeandancestry
Smalldbowldobstructiondisdadconditiondcharacterizeddbydwhichdfinding?d-
dans✔✔Severedfluiddanddelectrolytedimbalances
Whichdclientdshoulddthednursedrecognizedasdmostdlikelydtodexperiencedsleepdapnea?d-
dans✔✔Obesedolderdmaledclientdwithdadshort,dthickdneck
Whichdmilestonedindicatesdtodthednursedsuccessfuldachievementdofdyoungdadulthood?d-
dans✔✔Completesdeducationdanddbecomesdself-supporting
