Medical Surgical Practice Exam with
Accurate Solutions
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? - correct 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) - correct 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? - correct
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)? - correct Answer-Hoarseness
A client presents with chronic venous insufficiency. Which assessment finding should
the nurse anticipate? - correct 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? - correct Answer-
Assess neurovascular status
Which statement made by a client with chronic pancreatitis indicates that further
education is needed? - correct 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) - correct 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). -
correct 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? -
correct 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? - correct 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? - correct 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? - correct 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? - correct 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? - correct Answer-Jewish European ancestry
Small bowl obstruction is a condition characterized by which finding? - correct Answer-
Severe fluid and electrolyte imbalances
Which client should the nurse recognize as most likely to experience sleep apnea? -
correct Answer-Obese older male client with a short, thick neck
Which milestone indicates to the nurse successful achievement of young adulthood? -
correct Answer-Completes education and becomes self-supporting
Accurate Solutions
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? - correct 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) - correct 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? - correct
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)? - correct Answer-Hoarseness
A client presents with chronic venous insufficiency. Which assessment finding should
the nurse anticipate? - correct 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? - correct Answer-
Assess neurovascular status
Which statement made by a client with chronic pancreatitis indicates that further
education is needed? - correct 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) - correct 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). -
correct 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? -
correct 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? - correct 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? - correct 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? - correct 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? - correct 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? - correct Answer-Jewish European ancestry
Small bowl obstruction is a condition characterized by which finding? - correct Answer-
Severe fluid and electrolyte imbalances
Which client should the nurse recognize as most likely to experience sleep apnea? -
correct Answer-Obese older male client with a short, thick neck
Which milestone indicates to the nurse successful achievement of young adulthood? -
correct Answer-Completes education and becomes self-supporting
