Medical-Surgical Practice Exam With
Verified Answers
Which |client |should |the |practical |nurse |question |a |PRN |prescription |for |sumatriptan |(Imitrex) |for |
migraine |headaches? |- |correct |answer |-C. |50-year-old |with |Prinzmetal's |angina.
The |practical |nurse |(PN) |is |reinforcing |information |to |a |older |male |client |with |a |history |of |coronary |
artery |disease |about |his |prescribed |daily |medication |regimen. |Which |medication |is |most |likely |to |
reduce |the |client's |risk |factors? |- |correct |answer |-D. |A |low-dose |aspirin |given |daily.
An |adult |client |with |otitis |media |has |thick, |yellow |drainage |from |the |right |ear |canal. |What |
additional |findings |should |the |practical |nurse |(PN) |expect |to |identify? |- |correct |answer |-A. |Pain |
relief |after |ear |drainage |begins.
The |practical |nurse |is |caring |for |a |client |who |is |admitted |with |signs |of |possible |acute |brain |attack |
(Stroke) |three |hours |ago. |The |client's |blood |pressure |is |170/96, |regular |radial |pulse |76
|beats/minute, |respirations |are |nonlabored |at |11 |breaths/minute, |and |a |Sp02 |of |99%. |What |action |
is |most |important |for |the |PN |to |implement? |- |correct |answer |-C. |Continue |to |monitor |client's |blood
|pressure.
A |client |who |was |hit |in |the |head |with |a |baseball |is |admitted |to |the |hospital |for |observation. |Which
|finding |requires |the |practical |nurse |(PN) |to |follow-up |with |further |assessment? |- |correct |answer |-D.
|Reports |the |hospital |room |is |an |office.
An |older |female |client |with |osteoporosis |asks |the |practical |nurse |(PN) |to |explain |why |she |is |now |2 |
inches |shorter |than |when |she |was |younger. |What |information |is |best |for |the |practical |nurse |(PN) |
to |provide? |- |correct |answer |-D. |It |is |a |combination |of |wear |and |tear |and |calcium |loss |that |causes |
the |change.
A |practical |nurse |(PN) |is |coordinating |the |care |of |four |clients |on |an |oncology |unit. |Which |
neutrophil |count |should |the |PN |identify |as |a |risk |for |a |life-threatening |infection |in |one |of |the |
clients? |- |correct |answer |-A. |500/mm3.
, An |older |client |who |has |had |a |cataract |in |the |right |eye |for |several |years |tells |the |practical |nurse |
(PN), |"Now |I |have |lost |the |sight |in |my |right |eye |because |I |waited |too |long |for |treatment." |What |
information |should |the |PN |provide? |- |correct |answer |-C. |Surgery |can |restore |vision |with |corrective |
lens |implants |or |glasses.
The |practical |nurse |(PN) |is |visiting |a |male |client |with |diabetes |who |has |a |new |cast |on |his |arm. |The |
client's |fingers |are |pale, |cool, |slightly |swollen, |and |the |radial |pulse |is |strong. |What |should |the |PN |
do |first? |- |correct |answer |-D. |Elevate |the |arm |above |the |level |of |the |heart.
A |client |with |epilepsy |is |having |bilateral |rhythmic |jerking |movements |of |all |extremities. |After |
calling |for |help, |which |action |should |the |practical |nurse |(PN) |do |next? |- |correct |answer |-1. |Maintain
|the |client's |airway
2. |Apply |pads |to |the |bedside |rails.
3. |Avoid |stimulation |during |post-ictal |phase.
4. |Observe |the |client |for |incontinence.
The |practical |nurse |(PN) |should |place |a |client |in |which |position |for |a |thoracentesis? |- |correct |
answer |-B. |Sitting |upright |in |a |tripod |position |leaning |on |an |overbed |table.
Which |action |should |the |practical |nurse |take |when |handling |a |sample |of |cerebrospinal |fluid |(CSF) |
collected |for |diagnostic |testing |from |a |client? |- |correct |answer |-A. |Implement |standard |precautions |
with |the |CSF |specimen.
Which |instruction |should |the |practical |nurse |(PN) |reinforce |with |a |female |client |about |skin |care |
after |her |first |radiotherapy |treatment? |- |correct |answer |-C. |Avoid |using |ice |packs |on |the |exposed |
area.
A |client |with |heart |failure |(HF) |takes |a |daily |tablet |of |furosemide |(Lasix) |and |lisinopril |(Zestril). |
Which |finding |during |the |clinic |visit |should |indicate |to |the |practical |nurse |that |the |client's |condition
|is |worsening? |- |correct |answer |-D. |Sleeps |with |two |additional |pillows.
A |client |who |is |3 |days |postoperative |after |a |laminectomy |is |coughing |up |thick |green |sputum |and |
wheezing. |What |action |is |most |important |for |the |practical |nurse |(PN) |to |implement? |- |correct |
answer |-D. |Report |the |change |in |condition |to |the |healthcare |provider.
Verified Answers
Which |client |should |the |practical |nurse |question |a |PRN |prescription |for |sumatriptan |(Imitrex) |for |
migraine |headaches? |- |correct |answer |-C. |50-year-old |with |Prinzmetal's |angina.
The |practical |nurse |(PN) |is |reinforcing |information |to |a |older |male |client |with |a |history |of |coronary |
artery |disease |about |his |prescribed |daily |medication |regimen. |Which |medication |is |most |likely |to |
reduce |the |client's |risk |factors? |- |correct |answer |-D. |A |low-dose |aspirin |given |daily.
An |adult |client |with |otitis |media |has |thick, |yellow |drainage |from |the |right |ear |canal. |What |
additional |findings |should |the |practical |nurse |(PN) |expect |to |identify? |- |correct |answer |-A. |Pain |
relief |after |ear |drainage |begins.
The |practical |nurse |is |caring |for |a |client |who |is |admitted |with |signs |of |possible |acute |brain |attack |
(Stroke) |three |hours |ago. |The |client's |blood |pressure |is |170/96, |regular |radial |pulse |76
|beats/minute, |respirations |are |nonlabored |at |11 |breaths/minute, |and |a |Sp02 |of |99%. |What |action |
is |most |important |for |the |PN |to |implement? |- |correct |answer |-C. |Continue |to |monitor |client's |blood
|pressure.
A |client |who |was |hit |in |the |head |with |a |baseball |is |admitted |to |the |hospital |for |observation. |Which
|finding |requires |the |practical |nurse |(PN) |to |follow-up |with |further |assessment? |- |correct |answer |-D.
|Reports |the |hospital |room |is |an |office.
An |older |female |client |with |osteoporosis |asks |the |practical |nurse |(PN) |to |explain |why |she |is |now |2 |
inches |shorter |than |when |she |was |younger. |What |information |is |best |for |the |practical |nurse |(PN) |
to |provide? |- |correct |answer |-D. |It |is |a |combination |of |wear |and |tear |and |calcium |loss |that |causes |
the |change.
A |practical |nurse |(PN) |is |coordinating |the |care |of |four |clients |on |an |oncology |unit. |Which |
neutrophil |count |should |the |PN |identify |as |a |risk |for |a |life-threatening |infection |in |one |of |the |
clients? |- |correct |answer |-A. |500/mm3.
, An |older |client |who |has |had |a |cataract |in |the |right |eye |for |several |years |tells |the |practical |nurse |
(PN), |"Now |I |have |lost |the |sight |in |my |right |eye |because |I |waited |too |long |for |treatment." |What |
information |should |the |PN |provide? |- |correct |answer |-C. |Surgery |can |restore |vision |with |corrective |
lens |implants |or |glasses.
The |practical |nurse |(PN) |is |visiting |a |male |client |with |diabetes |who |has |a |new |cast |on |his |arm. |The |
client's |fingers |are |pale, |cool, |slightly |swollen, |and |the |radial |pulse |is |strong. |What |should |the |PN |
do |first? |- |correct |answer |-D. |Elevate |the |arm |above |the |level |of |the |heart.
A |client |with |epilepsy |is |having |bilateral |rhythmic |jerking |movements |of |all |extremities. |After |
calling |for |help, |which |action |should |the |practical |nurse |(PN) |do |next? |- |correct |answer |-1. |Maintain
|the |client's |airway
2. |Apply |pads |to |the |bedside |rails.
3. |Avoid |stimulation |during |post-ictal |phase.
4. |Observe |the |client |for |incontinence.
The |practical |nurse |(PN) |should |place |a |client |in |which |position |for |a |thoracentesis? |- |correct |
answer |-B. |Sitting |upright |in |a |tripod |position |leaning |on |an |overbed |table.
Which |action |should |the |practical |nurse |take |when |handling |a |sample |of |cerebrospinal |fluid |(CSF) |
collected |for |diagnostic |testing |from |a |client? |- |correct |answer |-A. |Implement |standard |precautions |
with |the |CSF |specimen.
Which |instruction |should |the |practical |nurse |(PN) |reinforce |with |a |female |client |about |skin |care |
after |her |first |radiotherapy |treatment? |- |correct |answer |-C. |Avoid |using |ice |packs |on |the |exposed |
area.
A |client |with |heart |failure |(HF) |takes |a |daily |tablet |of |furosemide |(Lasix) |and |lisinopril |(Zestril). |
Which |finding |during |the |clinic |visit |should |indicate |to |the |practical |nurse |that |the |client's |condition
|is |worsening? |- |correct |answer |-D. |Sleeps |with |two |additional |pillows.
A |client |who |is |3 |days |postoperative |after |a |laminectomy |is |coughing |up |thick |green |sputum |and |
wheezing. |What |action |is |most |important |for |the |practical |nurse |(PN) |to |implement? |- |correct |
answer |-D. |Report |the |change |in |condition |to |the |healthcare |provider.
