Med surg ati Proctored exam Comprehensive
Questions And answer latest upload 2024/ 2025 with
100% verified solutions
A nurse is teaching about measures to prevent recurring urinary tract infections with a female
client. Which of the following information should the nurse include in the teaching? Select
All That Apply
a. Take a warm bubble bath daily
b. Void every 6 hour during the day
c. Drink low-fructose cranberry juice
d. Wipe the perineal area from front to back after urinating
e. Drink 3L of fluids daily - ANSWER-c. Drink low-fructose cranberry juice
d. Wipe the perineal area from front to back after urinating
e. Drink 3L of fluids daily
A nurse is caring for a client following a cardiac catheterization who has hives and urticaria
following administration of IV contrast dye. Which of the following medications should the
nurse plan to administer?
a. Spironolactone
b. Desmopressin
c. Metoclopramide
d. Diphenhydramine - ANSWER-d. Diphenhydramine
A home care nurse is planning to use nonpharmacological pain relief measures for an older
adult client who has severe chronic back pain. Which of the following guidelines should the
nurse use?
a. Discontinue opioids before trying nonpharmacological methods of pain relief
b. Use imagery with clients who have difficulty with focus and concentration
c. Distraction changes the client's perception of pain, but does not affect the cause
d. Pain relief from the use of heat and cold continues for several hours after removal of the
stimulus - ANSWER-c. Distraction changes the client's perception of pain, but does not affect
the cause
,A nurse is caring for a female client who is receiving total parental nutrition without fat
emulsion. Which of the following findings should the nurse report?
a. Crackles in the bilateral lung bases
b. Weight gain of 1.3 kg (3lb) over the past 7 days
c. Triglyceride 110 mg/dl
d. Bowel sounds absent in lower quadrants - ANSWER-a. Crackles in the bilateral lung bases
A nurse in an emergency department is preparing to perform an ocular irrigation for a client.
Which of the following actions should the nurse plan to take?
a. Assess the client's visual acuity prior to irrigation
b. Have the client turn their head toward the unaffected eye
c. Hold the irrigator syringe 3.81 cm (1.5 in) above the eye
d. Perform the irrigation with sterile water for irrigation - ANSWER-d. Perform the irrigation
with sterile water for irrigation
A nurse is preparing to administer lactated ringer's via continuous IV infusion at 200 ml/hr.
The IV tubing has a drop factor of 10 drops/ml. How many gtt/min should the nurse set the
IV pump to administer? Round to near whole number - ANSWER-33 gtt/min
A nurse is providing discharge teaching to a client who has a new prescription for sublingual
nitroglycerin. Which of the following client statements indicates an understanding of the
teaching?
a. I can keep my medications for 1 year before replacing it
b. I should lie down when I take this medication
c. I should discontinue this medication if I develop a headache
d. I can take up to five tablets in 15 minutes before seeking medical attention - ANSWER-b. I
should lie down when I take this medication
A nurse is providing discharge teaching to an older adult client following a left total hip
arthroplasty. Which of the following instructions should the nurse include in the teaching?
a. Clean the incision daily with hydrogen peroxide
b. You can cross your legs the ankles when sitting down
c. You should use an incentive spirometer every 8 hours
, d. Install a raised toilet seat in your bathroom - ANSWER-d. Install a raised toilet seat in your
bathroom
A nurse is planning care for a client following a cardiac catheterization. Which of the
following actions should the nurse take?
a. Keep the client on bed rest for 24 hours
b. Limit the client's fluid intake to 1 l per day
c. Maintain the client's affected extremity in extension
d. Change the client's dressing every 8 hour - ANSWER-c. Maintain the client's affected
extremity in extension
A nurse is caring for a client who has a lower extremity fracture and a prescription for
crutches. Which of the following client statements indicates that the client is adapting to their
role change?
a. I will need to have my partner take over shopping for groceries and cooking the meals for
us
b. These crutches will make it impossible to care for my child
c. I feel bad that I have to ask my partner to keep the house clean
d. Its going to be difficult to tell my parents I cant take them to their appointments anymore -
ANSWER-a. I will need to have my partner take over shopping for groceries and cooking the
meals for us
A nurse is caring for a client who has gastroenteritis. Which of the following assessment
findings should the nurse recognize as an indication that the client is experiencing
dehydration?
a. Pitting, dependent edema
b. Distended jugular veins
c. Increased BP
d. Decreased BP - ANSWER-d. Decreased BP
A nurse is caring for a client who has a contusion of the brainstem and reports thirst. The
client's urinary output was 4,000 ml over the past 24 hour. The nurse should anticipate a
prescription for which of the following IV medication?
a. Desmopressin
b. Epinephrine
Questions And answer latest upload 2024/ 2025 with
100% verified solutions
A nurse is teaching about measures to prevent recurring urinary tract infections with a female
client. Which of the following information should the nurse include in the teaching? Select
All That Apply
a. Take a warm bubble bath daily
b. Void every 6 hour during the day
c. Drink low-fructose cranberry juice
d. Wipe the perineal area from front to back after urinating
e. Drink 3L of fluids daily - ANSWER-c. Drink low-fructose cranberry juice
d. Wipe the perineal area from front to back after urinating
e. Drink 3L of fluids daily
A nurse is caring for a client following a cardiac catheterization who has hives and urticaria
following administration of IV contrast dye. Which of the following medications should the
nurse plan to administer?
a. Spironolactone
b. Desmopressin
c. Metoclopramide
d. Diphenhydramine - ANSWER-d. Diphenhydramine
A home care nurse is planning to use nonpharmacological pain relief measures for an older
adult client who has severe chronic back pain. Which of the following guidelines should the
nurse use?
a. Discontinue opioids before trying nonpharmacological methods of pain relief
b. Use imagery with clients who have difficulty with focus and concentration
c. Distraction changes the client's perception of pain, but does not affect the cause
d. Pain relief from the use of heat and cold continues for several hours after removal of the
stimulus - ANSWER-c. Distraction changes the client's perception of pain, but does not affect
the cause
,A nurse is caring for a female client who is receiving total parental nutrition without fat
emulsion. Which of the following findings should the nurse report?
a. Crackles in the bilateral lung bases
b. Weight gain of 1.3 kg (3lb) over the past 7 days
c. Triglyceride 110 mg/dl
d. Bowel sounds absent in lower quadrants - ANSWER-a. Crackles in the bilateral lung bases
A nurse in an emergency department is preparing to perform an ocular irrigation for a client.
Which of the following actions should the nurse plan to take?
a. Assess the client's visual acuity prior to irrigation
b. Have the client turn their head toward the unaffected eye
c. Hold the irrigator syringe 3.81 cm (1.5 in) above the eye
d. Perform the irrigation with sterile water for irrigation - ANSWER-d. Perform the irrigation
with sterile water for irrigation
A nurse is preparing to administer lactated ringer's via continuous IV infusion at 200 ml/hr.
The IV tubing has a drop factor of 10 drops/ml. How many gtt/min should the nurse set the
IV pump to administer? Round to near whole number - ANSWER-33 gtt/min
A nurse is providing discharge teaching to a client who has a new prescription for sublingual
nitroglycerin. Which of the following client statements indicates an understanding of the
teaching?
a. I can keep my medications for 1 year before replacing it
b. I should lie down when I take this medication
c. I should discontinue this medication if I develop a headache
d. I can take up to five tablets in 15 minutes before seeking medical attention - ANSWER-b. I
should lie down when I take this medication
A nurse is providing discharge teaching to an older adult client following a left total hip
arthroplasty. Which of the following instructions should the nurse include in the teaching?
a. Clean the incision daily with hydrogen peroxide
b. You can cross your legs the ankles when sitting down
c. You should use an incentive spirometer every 8 hours
, d. Install a raised toilet seat in your bathroom - ANSWER-d. Install a raised toilet seat in your
bathroom
A nurse is planning care for a client following a cardiac catheterization. Which of the
following actions should the nurse take?
a. Keep the client on bed rest for 24 hours
b. Limit the client's fluid intake to 1 l per day
c. Maintain the client's affected extremity in extension
d. Change the client's dressing every 8 hour - ANSWER-c. Maintain the client's affected
extremity in extension
A nurse is caring for a client who has a lower extremity fracture and a prescription for
crutches. Which of the following client statements indicates that the client is adapting to their
role change?
a. I will need to have my partner take over shopping for groceries and cooking the meals for
us
b. These crutches will make it impossible to care for my child
c. I feel bad that I have to ask my partner to keep the house clean
d. Its going to be difficult to tell my parents I cant take them to their appointments anymore -
ANSWER-a. I will need to have my partner take over shopping for groceries and cooking the
meals for us
A nurse is caring for a client who has gastroenteritis. Which of the following assessment
findings should the nurse recognize as an indication that the client is experiencing
dehydration?
a. Pitting, dependent edema
b. Distended jugular veins
c. Increased BP
d. Decreased BP - ANSWER-d. Decreased BP
A nurse is caring for a client who has a contusion of the brainstem and reports thirst. The
client's urinary output was 4,000 ml over the past 24 hour. The nurse should anticipate a
prescription for which of the following IV medication?
a. Desmopressin
b. Epinephrine
