Medical Surgical Practice Actual Exam
2024 | Medical Surgical Practice Exam
Update Latest 2024 Questions and
Correct Answers Rated A+
An adult client who is hospitalized after surgery reports sudden onset
of chest pain and dyspnea. the client appears anxious, restless, and
mildly cyanotic. the nurse should further assess the client for which
condition? -ANSWER-Pulmonary embolism
Which information should the nurse obtain when performing an initial
assessment of a client who presents to the emergency department
with a painful ankle injury? (select all that apply) -ANSWER-Quality of
the pain
Signs of inflammation
Ankle range of motion
Visible deformities of the joint
Which description of pain is consistent with a diagnosis of rheumatoid
arthritis? -ANSWER-Joint pain is worse in the morning and involves
symmetric joints
Which physical assessment finding should the nurse anticipate in a
client with long-term gastroesophagealreflux disease (GERD)? -
ANSWER-Hoarseness
A client presents with chronic venous insufficiency. Which assessment
finding should the nurse anticipate? -ANSWER-Bilateral lower leg
stasis dermatitis
,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? -ANSWER-Assess neurovascular status
Which statement made by a client with chronic pancreatitis indicates
that further education is needed? -ANSWER-I will cut back on
smoking cigarettes daily
The nurse is teaching a female client who uses a contraceptive
diaphragm about reducing the risk for toxic shock syndrome (TSS).
Which information should the nurse include? (Select all that apply) -
ANSWER-Do not leave the diaphragm in place longer than 8 hours
after intercourse
Replace the old diaphragm every 3 months
A male client who smokes two packs of cigarettes a day states he
understands that smoking cigarettes is contributing to the difficulty that
he and his wife are having in getting pregnant and wants to know if
other factors could be contributing to their difficulty. Which information
is best for the nurse to provide? (Select all that apply). -ANSWER-
Alcohol consumption can cause erectile dysfunction
Low testosterone levels affect sperm production
Cessation of smoking improves general health and fertility
Twenty four hours after a client returns from surgical gastric bypass,
the registered nurse (RN) observes large amounts of blood in the
nasogastric tube (NGT) cannister. Which assessment finding should
the RN report as early signs of hypovolemic shock? -ANSWER-
lethargy
,The registered nurse (RN) is assessing a male client who arrives at
the clinic with severe abdominal cramping, pain, tenesmus, and
dehydration. the RN discovers that the client has had 14 to 20 loose
stools with rectal bleeding. When taking the client's medical history,
which information is most for the nurse to obtain? -ANSWER-
Ulcerative colitis
A client is newly diagnosed with diverticulosis. The registered nurse
(RN) is assessing the client's basic knowledge about the disease
process. Which statement by the client conveys an understanding of
the etiology of diverticula? -ANSWER-Chronic constipation causes
weakening of colon wall which results in out pouching sacs
The registered nurse (RN) is assessing a client who was discharged
home after management of chronic hypertension. Which equipment
should the RN instruct the client to use at home? -ANSWER-
Sphygmomanometer
A young adult mail is diagnosed with stage 4 Hodgkin's lymphoma in
the abdominopelvic region and is scheduled for radiation therapy (RT).
The client expresses concern about becoming infertile. How should
the nurse respond? -ANSWER-Propose sperm banking before RT
then artificial insemination is an option
A client's susceptibility to ulcerative colitis is most likely due to which
aspect in the client's history? -ANSWER-Jewish European ancestry
Small bowl obstruction is a condition characterized by which finding? -
ANSWER-Severe fluid and electrolyte imbalances
, Which client should the nurse recognize as most likely to experience
sleep apnea? -ANSWER-Obese older male client with a short, thick
neck
Which milestone indicates to the nurse successful achievement of
young adulthood? -ANSWER-Completes education and becomes self-
supporting
A client who has heart failure is admitted with a serum potassium level
of 2.9 mEq/L (2.9 mmol/L). Which action is most important for the
nurse to implement? -ANSWER-Initiate continuous cardiac monitoring
Which postmenopausal client's complaint should the nurse refer to the
HCP? -ANSWER-episodes of vaginal bleeding
The nurse is teaching a female client about the best time to plan
sexual intercourse in order to conceive. Which information should the
nurse provide? -ANSWER-Two weeks before menstruation
A postmenopausal client asks the nurse why she is experiencing
discomfort during intercourse. Which response is best for the nurse to
provide? -ANSWER-Estrogen deficiency causes the vaginal tissue to
become dry and thinner
Which discharge instruction is most important for a client after a
kidney transplant? -ANSWER-Use daily reminders to take immune
suppressants
The nurse is assessing a client with chronic kidney disease (CKD).
Which finding is most important for the nurse to respond to first? -
ANSWER-Potassium 6.0 mEq
2024 | Medical Surgical Practice Exam
Update Latest 2024 Questions and
Correct Answers Rated A+
An adult client who is hospitalized after surgery reports sudden onset
of chest pain and dyspnea. the client appears anxious, restless, and
mildly cyanotic. the nurse should further assess the client for which
condition? -ANSWER-Pulmonary embolism
Which information should the nurse obtain when performing an initial
assessment of a client who presents to the emergency department
with a painful ankle injury? (select all that apply) -ANSWER-Quality of
the pain
Signs of inflammation
Ankle range of motion
Visible deformities of the joint
Which description of pain is consistent with a diagnosis of rheumatoid
arthritis? -ANSWER-Joint pain is worse in the morning and involves
symmetric joints
Which physical assessment finding should the nurse anticipate in a
client with long-term gastroesophagealreflux disease (GERD)? -
ANSWER-Hoarseness
A client presents with chronic venous insufficiency. Which assessment
finding should the nurse anticipate? -ANSWER-Bilateral lower leg
stasis dermatitis
,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? -ANSWER-Assess neurovascular status
Which statement made by a client with chronic pancreatitis indicates
that further education is needed? -ANSWER-I will cut back on
smoking cigarettes daily
The nurse is teaching a female client who uses a contraceptive
diaphragm about reducing the risk for toxic shock syndrome (TSS).
Which information should the nurse include? (Select all that apply) -
ANSWER-Do not leave the diaphragm in place longer than 8 hours
after intercourse
Replace the old diaphragm every 3 months
A male client who smokes two packs of cigarettes a day states he
understands that smoking cigarettes is contributing to the difficulty that
he and his wife are having in getting pregnant and wants to know if
other factors could be contributing to their difficulty. Which information
is best for the nurse to provide? (Select all that apply). -ANSWER-
Alcohol consumption can cause erectile dysfunction
Low testosterone levels affect sperm production
Cessation of smoking improves general health and fertility
Twenty four hours after a client returns from surgical gastric bypass,
the registered nurse (RN) observes large amounts of blood in the
nasogastric tube (NGT) cannister. Which assessment finding should
the RN report as early signs of hypovolemic shock? -ANSWER-
lethargy
,The registered nurse (RN) is assessing a male client who arrives at
the clinic with severe abdominal cramping, pain, tenesmus, and
dehydration. the RN discovers that the client has had 14 to 20 loose
stools with rectal bleeding. When taking the client's medical history,
which information is most for the nurse to obtain? -ANSWER-
Ulcerative colitis
A client is newly diagnosed with diverticulosis. The registered nurse
(RN) is assessing the client's basic knowledge about the disease
process. Which statement by the client conveys an understanding of
the etiology of diverticula? -ANSWER-Chronic constipation causes
weakening of colon wall which results in out pouching sacs
The registered nurse (RN) is assessing a client who was discharged
home after management of chronic hypertension. Which equipment
should the RN instruct the client to use at home? -ANSWER-
Sphygmomanometer
A young adult mail is diagnosed with stage 4 Hodgkin's lymphoma in
the abdominopelvic region and is scheduled for radiation therapy (RT).
The client expresses concern about becoming infertile. How should
the nurse respond? -ANSWER-Propose sperm banking before RT
then artificial insemination is an option
A client's susceptibility to ulcerative colitis is most likely due to which
aspect in the client's history? -ANSWER-Jewish European ancestry
Small bowl obstruction is a condition characterized by which finding? -
ANSWER-Severe fluid and electrolyte imbalances
, Which client should the nurse recognize as most likely to experience
sleep apnea? -ANSWER-Obese older male client with a short, thick
neck
Which milestone indicates to the nurse successful achievement of
young adulthood? -ANSWER-Completes education and becomes self-
supporting
A client who has heart failure is admitted with a serum potassium level
of 2.9 mEq/L (2.9 mmol/L). Which action is most important for the
nurse to implement? -ANSWER-Initiate continuous cardiac monitoring
Which postmenopausal client's complaint should the nurse refer to the
HCP? -ANSWER-episodes of vaginal bleeding
The nurse is teaching a female client about the best time to plan
sexual intercourse in order to conceive. Which information should the
nurse provide? -ANSWER-Two weeks before menstruation
A postmenopausal client asks the nurse why she is experiencing
discomfort during intercourse. Which response is best for the nurse to
provide? -ANSWER-Estrogen deficiency causes the vaginal tissue to
become dry and thinner
Which discharge instruction is most important for a client after a
kidney transplant? -ANSWER-Use daily reminders to take immune
suppressants
The nurse is assessing a client with chronic kidney disease (CKD).
Which finding is most important for the nurse to respond to first? -
ANSWER-Potassium 6.0 mEq
