RN ADULT MEDICAL
SURGICAL ONLINE PRACTICE
2025 B
[Document subtitle]
[DATE]
[COMPANY NAME]
[Company address]
, Q1: A nurse is caring for a client who presents to a clinic for a 1-week follow-up visit
after hospitalization for heart failure. Based on the client's chart, which finding
should the nurse report to the provider?
A: The nurse should report the client's heart rate of 55/min. This is a decrease from the
baseline of 74/min and may indicate digoxin toxicity.
Q2: A nurse is teaching a client about the use of transcutaneous electrical nerve
stimulation (TENS) for managing bone cancer pain. What effect should the nurse
explain?
A: The nurse should explain that applying a TENS unit to the painful area creates a
tingling sensation that replaces the pain.
Q3: A nurse in an ICU is assessing a client with a traumatic brain injury. Which
finding should the nurse identify as a component of Cushing's triad?
A: The nurse should identify bradycardia as a component of Cushing's triad, along with
severe hypertension and widened pulse pressure.
Q4: A nurse is teaching a family about caring for a parent with Alzheimer's disease.
What information should the nurse include?
A: The nurse should instruct the family to create complete outfits and allow the client to
select one each day.
Q5: A nurse is planning care for a client with extensive burn injuries who is
immunocompromised. Which precaution should the nurse include to prevent a
Pseudomonas aeruginosa infection?
A: The nurse should avoid placing plants or flowers in the client's room, as they can
harbor P. aeruginosa.
Q6: A nurse is providing teaching to a client with irritable bowel syndrome (IBS).
Which instruction should the nurse include?
A: The nurse should instruct the client to increase fiber intake to at least 30 g per day.
Q7: A nurse is assessing a client with diabetes insipidus. Which finding should the
nurse expect?
SURGICAL ONLINE PRACTICE
2025 B
[Document subtitle]
[DATE]
[COMPANY NAME]
[Company address]
, Q1: A nurse is caring for a client who presents to a clinic for a 1-week follow-up visit
after hospitalization for heart failure. Based on the client's chart, which finding
should the nurse report to the provider?
A: The nurse should report the client's heart rate of 55/min. This is a decrease from the
baseline of 74/min and may indicate digoxin toxicity.
Q2: A nurse is teaching a client about the use of transcutaneous electrical nerve
stimulation (TENS) for managing bone cancer pain. What effect should the nurse
explain?
A: The nurse should explain that applying a TENS unit to the painful area creates a
tingling sensation that replaces the pain.
Q3: A nurse in an ICU is assessing a client with a traumatic brain injury. Which
finding should the nurse identify as a component of Cushing's triad?
A: The nurse should identify bradycardia as a component of Cushing's triad, along with
severe hypertension and widened pulse pressure.
Q4: A nurse is teaching a family about caring for a parent with Alzheimer's disease.
What information should the nurse include?
A: The nurse should instruct the family to create complete outfits and allow the client to
select one each day.
Q5: A nurse is planning care for a client with extensive burn injuries who is
immunocompromised. Which precaution should the nurse include to prevent a
Pseudomonas aeruginosa infection?
A: The nurse should avoid placing plants or flowers in the client's room, as they can
harbor P. aeruginosa.
Q6: A nurse is providing teaching to a client with irritable bowel syndrome (IBS).
Which instruction should the nurse include?
A: The nurse should instruct the client to increase fiber intake to at least 30 g per day.
Q7: A nurse is assessing a client with diabetes insipidus. Which finding should the
nurse expect?
