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PN
PN MEDICAL-SURGICAL NURSING FINAL EXAM
DEWITT 3RD EDITION QUESTIONS AND ANSWERS
UPDATED (2024/2025) (VERIFIED ANSWERS)
The nurse is caring for a post-myocardial infarction (MI) patient who has been
started on daily simvastatin (Zocor) and a low-fat diet. Which statement best
indicates the nurse's teaching has been successful?
A. "I will need to have blood work every month while taking Zocor."
B. "I should take Zocor with grapefruit juice to help absorption."
C. " I should call my doctor if I experience unexplained muscle pain."
D. "I should take Zocor an hour before my biggest meal of the day." Answer:
C. "I should call my doctor if I experience unexplained muscle pain."
Which area is the major focus of Healthy People 2020 and the primary
mechanism through which to improve the health of Americans in the second
decade of the century?
A. Research funding
B. Health information distribution
C. Healthy lifestyle encouragement
D. Health improvement program designs Answer:
C. Healthy lifestyle encouragement
A 79-year-old patient with bacterial pneumonia becomes increasingly restless,
confused, and agitated. The patient's temperature is 100 F, and his pulse, blood
PN MEDICAL
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pressure, and respirations are elevated since the last assessment 6 hours ago.
What action should the nurse take first?
A. Auscultate the patient's lungs
B. Assess the patient's oxygen saturation
C. Administer the mild sedative as ordered
D. Administer an ordered analgesic for discomfort Answer:
B. Assess the patient's oxygen saturation
When caring for a 10-hour post-abdominal surgery patient, which finding should
the nurse report to the charge nurse?
A. 20mL of clear-green emesis
B. Pain level of 5/10
C. No urine output since surgery
D. A weak cough ability Answer:
C. No urine output since surgery
The nurse is caring for a blind patient. Which action is most appropriate when
entering the patient's room?
A. Touch the patient before speaking to allow her to locate the nurse's position.
B. Speak to the patient by name when entering the room to avoid startling her.
C. Speak to the patient only when at the bedside to increase orientation.
D. Walk about the room, carrying on conversation. Answer:
B. Speak to the patient by name when entering the room to avoid startling her.
PN MEDICAL
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PN
An 86-year-old patient asks why her ankles have a brownish discoloration and
the skin looks thick. Which response best addresses the patient's concern?
A. "The valves in the vessels in your legs aren't working as well as they used to,
which causes the discoloration and thickening of your skin."
B. "You probably aren't getting enough iron in your diet. We should talk to your
doctor about adding an iron supplement."
C. "How many years have you smoked? Nicotine will cause these changes in your
skin."
D. "These are just normal changes seen in most older people." Answer:
A. "The valves in the vessels in your legs aren't working as well as they used to,
which causes the discoloration and thickening of your skin."
The nurse is caring for a patient with anemia who has a medical history of
diabetes, hypertension, chronic kidney disease, and acid reflux. The nurse is
aware the patient's anemia is likely related to which condition?
A. Diabetes
B. Hypertension
C. Chronic kidney disease
D. Acid reflux Answer:
C. Chronic kidney disease
The nurse is discussing the post-operative period with a patient scheduled for a
corneal transplant. Which statement indicates that the patient displays realistic
expectations about vision improvement?
A. "I will have my full vision restored within 48 to 72 hours."
PN MEDICAL
PN
PN MEDICAL-SURGICAL NURSING FINAL EXAM
DEWITT 3RD EDITION QUESTIONS AND ANSWERS
UPDATED (2024/2025) (VERIFIED ANSWERS)
The nurse is caring for a post-myocardial infarction (MI) patient who has been
started on daily simvastatin (Zocor) and a low-fat diet. Which statement best
indicates the nurse's teaching has been successful?
A. "I will need to have blood work every month while taking Zocor."
B. "I should take Zocor with grapefruit juice to help absorption."
C. " I should call my doctor if I experience unexplained muscle pain."
D. "I should take Zocor an hour before my biggest meal of the day." Answer:
C. "I should call my doctor if I experience unexplained muscle pain."
Which area is the major focus of Healthy People 2020 and the primary
mechanism through which to improve the health of Americans in the second
decade of the century?
A. Research funding
B. Health information distribution
C. Healthy lifestyle encouragement
D. Health improvement program designs Answer:
C. Healthy lifestyle encouragement
A 79-year-old patient with bacterial pneumonia becomes increasingly restless,
confused, and agitated. The patient's temperature is 100 F, and his pulse, blood
PN MEDICAL
, 2
PN
pressure, and respirations are elevated since the last assessment 6 hours ago.
What action should the nurse take first?
A. Auscultate the patient's lungs
B. Assess the patient's oxygen saturation
C. Administer the mild sedative as ordered
D. Administer an ordered analgesic for discomfort Answer:
B. Assess the patient's oxygen saturation
When caring for a 10-hour post-abdominal surgery patient, which finding should
the nurse report to the charge nurse?
A. 20mL of clear-green emesis
B. Pain level of 5/10
C. No urine output since surgery
D. A weak cough ability Answer:
C. No urine output since surgery
The nurse is caring for a blind patient. Which action is most appropriate when
entering the patient's room?
A. Touch the patient before speaking to allow her to locate the nurse's position.
B. Speak to the patient by name when entering the room to avoid startling her.
C. Speak to the patient only when at the bedside to increase orientation.
D. Walk about the room, carrying on conversation. Answer:
B. Speak to the patient by name when entering the room to avoid startling her.
PN MEDICAL
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PN
An 86-year-old patient asks why her ankles have a brownish discoloration and
the skin looks thick. Which response best addresses the patient's concern?
A. "The valves in the vessels in your legs aren't working as well as they used to,
which causes the discoloration and thickening of your skin."
B. "You probably aren't getting enough iron in your diet. We should talk to your
doctor about adding an iron supplement."
C. "How many years have you smoked? Nicotine will cause these changes in your
skin."
D. "These are just normal changes seen in most older people." Answer:
A. "The valves in the vessels in your legs aren't working as well as they used to,
which causes the discoloration and thickening of your skin."
The nurse is caring for a patient with anemia who has a medical history of
diabetes, hypertension, chronic kidney disease, and acid reflux. The nurse is
aware the patient's anemia is likely related to which condition?
A. Diabetes
B. Hypertension
C. Chronic kidney disease
D. Acid reflux Answer:
C. Chronic kidney disease
The nurse is discussing the post-operative period with a patient scheduled for a
corneal transplant. Which statement indicates that the patient displays realistic
expectations about vision improvement?
A. "I will have my full vision restored within 48 to 72 hours."
PN MEDICAL
