RN Adult Medical Surgical Nursing
Edition 11
1. A nurse is assessing a client who has peripheral arterial disease. Which of the following
findings should the nurse expect? Hair loss on the lower legs
2. A nurse is providing teaching to a client who has esophageal cancer and is to undergo
radiation therapy. Which of the following statements should the nurse identify as an
indication that the client understands the teaching? "I will use my hands rather than a
washcloth to clean the radiation area."
3. A nurse at a provider's office is caring for a client who is 2 weeks postoperative
following a gastrectomy. Which of the following instructions should the nurse include?
Select all that apply. Avoid drinking fluids with meals, Eat several small meals,
Consume high-protein snacks, Avoid highly seasoned foods
4. A nurse is caring for a client who is scheduled for a right knee arthroplasty. The nurse
provided preoperative teaching to the client. Which of the following statements by the
client indicates an understanding of the teaching? Select all that apply. "I will need to
do the breathing exercises every 1 to 2 hours after the surgery", "I will be sure to
ask for pain medication before my knee starts to hurt too bad", "I will probably be
going home with a walker"
5. A nurse is planning to provide discharge teaching for the family of an older adult client
who has hemianopsia and is at risk for falls. Which of the following instructions should
, the nurse include? Remind the client to scan their complete range of vision during
ambulation.
6. An older adult client is brought to an emergency department by a family member. Which
of the following assessment findings should cause the nurse to suspect that the client
has hypertonic dehydration? Urine specific gravity 1.045
7. A nurse is assessing a client who is at risk for the development of pernicious anemia
resulting from peptic ulcer disease. Which of the following images depicts a condition
caused by pernicious anemia? (Image of a condition related to pernicious anemia)
8. A PACU nurse is assessing a client who is postoperative following a right nephrectomy.
The client's initial vital signs were heart rate 80/min, blood pressure 130/70 mm Hg,
respiratory rate 16/min, and temperature 36° C (96.8° F). Which of the following vital
sign changes should alert the nurse that the client might be hemorrhaging? Heart rate
110/min.
9. A nurse is caring for a client who is 4 hr postoperative following a total vaginal
hysterectomy. Click to highlight the findings the nurse should report to the provider
immediately. Perineal pad saturated with blood, large clots present, Change of
blood pressure, heart rate of 102/min
10. A nurse is caring for a client who has HIV. Which of the following findings indicates a
positive response to the prescribed HIV treatment? Decreased viral load
11. A nurse is providing discharge teaching to a client who has heart failure and a new
prescription for a potassium-sparing diuretic. Which of the following information should
, the nurse include in the teaching? Try to walk at least three times per week for
exercise.
12. A nurse is conducting an admission history for a client who is to undergo a CT scan with
an IV contrast agent. The nurse should identify that which of the following findings
requires further assessment? History of asthma
13. A nurse is planning teaching for a client who has bladder cancer and is to undergo a
cutaneous diversion procedure to establish a ureterostomy. Which of the following
statements should the nurse include in the teaching? "You should cut the opening of
the skin barrier one-eighth inch wider than the stoma."
14. A nurse is providing discharge instructions to a client who has active tuberculosis (TB).
Which of the following information should the nurse include in the instructions? Sputum
specimens are necessary every 2 to 4 weeks until there are three negative
cultures.
15. A nurse is assessing for compartment syndrome in a client who has a short leg cast.
Which of the following findings should the nurse identify as a manifestation of this
condition? Pain that increases with passive movement
16. A nurse is caring for a client who is 8 hr postoperative following a total hip arthroplasty.
The client is unable to void on the bedpan. Which of the following actions should the
nurse take first? Scan the bladder with a portable ultrasound.
17. A nurse is providing teaching to a client who has AIDS. Which of the following
statements by the client indicates an understanding of the teaching? "I will take my
temperature once a day."
Edition 11
1. A nurse is assessing a client who has peripheral arterial disease. Which of the following
findings should the nurse expect? Hair loss on the lower legs
2. A nurse is providing teaching to a client who has esophageal cancer and is to undergo
radiation therapy. Which of the following statements should the nurse identify as an
indication that the client understands the teaching? "I will use my hands rather than a
washcloth to clean the radiation area."
3. A nurse at a provider's office is caring for a client who is 2 weeks postoperative
following a gastrectomy. Which of the following instructions should the nurse include?
Select all that apply. Avoid drinking fluids with meals, Eat several small meals,
Consume high-protein snacks, Avoid highly seasoned foods
4. A nurse is caring for a client who is scheduled for a right knee arthroplasty. The nurse
provided preoperative teaching to the client. Which of the following statements by the
client indicates an understanding of the teaching? Select all that apply. "I will need to
do the breathing exercises every 1 to 2 hours after the surgery", "I will be sure to
ask for pain medication before my knee starts to hurt too bad", "I will probably be
going home with a walker"
5. A nurse is planning to provide discharge teaching for the family of an older adult client
who has hemianopsia and is at risk for falls. Which of the following instructions should
, the nurse include? Remind the client to scan their complete range of vision during
ambulation.
6. An older adult client is brought to an emergency department by a family member. Which
of the following assessment findings should cause the nurse to suspect that the client
has hypertonic dehydration? Urine specific gravity 1.045
7. A nurse is assessing a client who is at risk for the development of pernicious anemia
resulting from peptic ulcer disease. Which of the following images depicts a condition
caused by pernicious anemia? (Image of a condition related to pernicious anemia)
8. A PACU nurse is assessing a client who is postoperative following a right nephrectomy.
The client's initial vital signs were heart rate 80/min, blood pressure 130/70 mm Hg,
respiratory rate 16/min, and temperature 36° C (96.8° F). Which of the following vital
sign changes should alert the nurse that the client might be hemorrhaging? Heart rate
110/min.
9. A nurse is caring for a client who is 4 hr postoperative following a total vaginal
hysterectomy. Click to highlight the findings the nurse should report to the provider
immediately. Perineal pad saturated with blood, large clots present, Change of
blood pressure, heart rate of 102/min
10. A nurse is caring for a client who has HIV. Which of the following findings indicates a
positive response to the prescribed HIV treatment? Decreased viral load
11. A nurse is providing discharge teaching to a client who has heart failure and a new
prescription for a potassium-sparing diuretic. Which of the following information should
, the nurse include in the teaching? Try to walk at least three times per week for
exercise.
12. A nurse is conducting an admission history for a client who is to undergo a CT scan with
an IV contrast agent. The nurse should identify that which of the following findings
requires further assessment? History of asthma
13. A nurse is planning teaching for a client who has bladder cancer and is to undergo a
cutaneous diversion procedure to establish a ureterostomy. Which of the following
statements should the nurse include in the teaching? "You should cut the opening of
the skin barrier one-eighth inch wider than the stoma."
14. A nurse is providing discharge instructions to a client who has active tuberculosis (TB).
Which of the following information should the nurse include in the instructions? Sputum
specimens are necessary every 2 to 4 weeks until there are three negative
cultures.
15. A nurse is assessing for compartment syndrome in a client who has a short leg cast.
Which of the following findings should the nurse identify as a manifestation of this
condition? Pain that increases with passive movement
16. A nurse is caring for a client who is 8 hr postoperative following a total hip arthroplasty.
The client is unable to void on the bedpan. Which of the following actions should the
nurse take first? Scan the bladder with a portable ultrasound.
17. A nurse is providing teaching to a client who has AIDS. Which of the following
statements by the client indicates an understanding of the teaching? "I will take my
temperature once a day."
