Medical surgical practice exam with
correct answers
20 year old female client calls the nurse to report a lump she found in her breast. Which
response is the best for the nurse to provide? - CORRECT ANSWERS-Most lumps are
benign, but it is always best to come in form an examination.
A 32 year old female client complains of severe abdominal pain each month before her
menstrual period, painful intercourse, and painful defecation. Which additional history
should the nurse obtain that is consistent with the client's complaints? - CORRECT
ANSWERS-Inability to get pregnant
A 46 year old female client is admitted for acute renal failure secondary to diabetes and
hypertension. Which test is the best indicator of adequate glomerular filtration? -
CORRECT ANSWERS-Serum creatinine
A 49 year old female client arrives at the clinic for an annual exam and asks the nurse
why she becomes excessively diaphoretic and feels warm during nighttime. What is the
nurse's best response? - CORRECT ANSWERS-Discuss perimenopause and related
comfort measures
A 51 year old truck driver who smokes two packs of cigarettes a day and is 30 pounds
overweight is diagnosed with having a gastric ulcer. Which content is most important for
the nurse to include in the discharge teaching for this client? - CORRECT ANSWERS-
Information about smoking cessation
A 57 year old male client is scheduled to have a stress thallium test the following
morning and is NPO after midnight. At 0130, he is agitated because he cannot eat and
is demanding food. Which response is best for the nurse to provide to this client? -
CORRECT ANSWERS-The test you are having tomorrow requires that you have
nothing by mouth tonight
A 58 year old client who has been post menopausal for five years is concerned about
the risk of osteoporosis because her mother has the condition. Which information
, should the nurse offer? - CORRECT ANSWERS-Calcium loss from bones can be
slowed by increasing calcium intake and exercise
A 58 year old client, who has no health problems, asks the nurse about the Pneumovax
vaccine. The nurse's response to the client should be based on which information? -
CORRECT ANSWERS-The immunization is administered once to older adults or
persons with a history of chronic illness
A 67 year old woman who lives alone tripped on a rug in her home and fractured her
hip. Which predisposing factor probably led to the fracture in the proximal end of her
femur? - CORRECT ANSWERS-Osteoporosis resulting from hormonal changes
A 77 year old female client is admitted to the hospital. She is confused, has no appetite,
is nauseated and vomiting, and is complaining of a headache. Her pulse rate is 43
beats per minute. It is most important for the nurse to assess for which finding? -
CORRECT ANSWERS-Takes digitalis
A client experiencing uncontrolled atrial fibrillation is admitted to the telemetry unit. What
initial medication should the nurse anticipate administering to the client? - CORRECT
ANSWERS-Digoxin
A client has a staging procedure for cancer of the breast and ask the nurse which type
of breast cancer has the poorest prognosis. Which information should the nurse offer
the client? - CORRECT ANSWERS-Inflammatory with peau d'orange
A client has been hospitalized with a femur fracture and is being treated with traction.
which action by the nurse is the priority when caring for this client? - CORRECT
ANSWERS-Assess neurovascular status
A client has been taking oral corticosteroids for the past five days because of seasonal
allergies. Which assessment finding is of most concern to the nurse? - CORRECT
ANSWERS-Purulent sputum
A client has taken steroids for 12 years to help manage chronic obstructive pulmonary
disease (COPD). When making a home visit, which nursing function is of greatest
importance to this client? Assess the client's - CORRECT ANSWERS-temperature
A client has undergone insertion of a permanent pacemaker. When developing a
discharge teaching plan, the nurse writes a goal of, "The client will verbalize symptoms
of pacemaker failure." Which symptoms are most important to teach the client? -
CORRECT ANSWERS-Feelings of dizziness
A client is admitted for further testing to confirm sarcoidosis Which diagnostic test
provides definitive information that the nurse should report to the HCP? - CORRECT
ANSWERS-Lung tissue biopsy
correct answers
20 year old female client calls the nurse to report a lump she found in her breast. Which
response is the best for the nurse to provide? - CORRECT ANSWERS-Most lumps are
benign, but it is always best to come in form an examination.
A 32 year old female client complains of severe abdominal pain each month before her
menstrual period, painful intercourse, and painful defecation. Which additional history
should the nurse obtain that is consistent with the client's complaints? - CORRECT
ANSWERS-Inability to get pregnant
A 46 year old female client is admitted for acute renal failure secondary to diabetes and
hypertension. Which test is the best indicator of adequate glomerular filtration? -
CORRECT ANSWERS-Serum creatinine
A 49 year old female client arrives at the clinic for an annual exam and asks the nurse
why she becomes excessively diaphoretic and feels warm during nighttime. What is the
nurse's best response? - CORRECT ANSWERS-Discuss perimenopause and related
comfort measures
A 51 year old truck driver who smokes two packs of cigarettes a day and is 30 pounds
overweight is diagnosed with having a gastric ulcer. Which content is most important for
the nurse to include in the discharge teaching for this client? - CORRECT ANSWERS-
Information about smoking cessation
A 57 year old male client is scheduled to have a stress thallium test the following
morning and is NPO after midnight. At 0130, he is agitated because he cannot eat and
is demanding food. Which response is best for the nurse to provide to this client? -
CORRECT ANSWERS-The test you are having tomorrow requires that you have
nothing by mouth tonight
A 58 year old client who has been post menopausal for five years is concerned about
the risk of osteoporosis because her mother has the condition. Which information
, should the nurse offer? - CORRECT ANSWERS-Calcium loss from bones can be
slowed by increasing calcium intake and exercise
A 58 year old client, who has no health problems, asks the nurse about the Pneumovax
vaccine. The nurse's response to the client should be based on which information? -
CORRECT ANSWERS-The immunization is administered once to older adults or
persons with a history of chronic illness
A 67 year old woman who lives alone tripped on a rug in her home and fractured her
hip. Which predisposing factor probably led to the fracture in the proximal end of her
femur? - CORRECT ANSWERS-Osteoporosis resulting from hormonal changes
A 77 year old female client is admitted to the hospital. She is confused, has no appetite,
is nauseated and vomiting, and is complaining of a headache. Her pulse rate is 43
beats per minute. It is most important for the nurse to assess for which finding? -
CORRECT ANSWERS-Takes digitalis
A client experiencing uncontrolled atrial fibrillation is admitted to the telemetry unit. What
initial medication should the nurse anticipate administering to the client? - CORRECT
ANSWERS-Digoxin
A client has a staging procedure for cancer of the breast and ask the nurse which type
of breast cancer has the poorest prognosis. Which information should the nurse offer
the client? - CORRECT ANSWERS-Inflammatory with peau d'orange
A client has been hospitalized with a femur fracture and is being treated with traction.
which action by the nurse is the priority when caring for this client? - CORRECT
ANSWERS-Assess neurovascular status
A client has been taking oral corticosteroids for the past five days because of seasonal
allergies. Which assessment finding is of most concern to the nurse? - CORRECT
ANSWERS-Purulent sputum
A client has taken steroids for 12 years to help manage chronic obstructive pulmonary
disease (COPD). When making a home visit, which nursing function is of greatest
importance to this client? Assess the client's - CORRECT ANSWERS-temperature
A client has undergone insertion of a permanent pacemaker. When developing a
discharge teaching plan, the nurse writes a goal of, "The client will verbalize symptoms
of pacemaker failure." Which symptoms are most important to teach the client? -
CORRECT ANSWERS-Feelings of dizziness
A client is admitted for further testing to confirm sarcoidosis Which diagnostic test
provides definitive information that the nurse should report to the HCP? - CORRECT
ANSWERS-Lung tissue biopsy
