ADULT MEDICAL SURGICAL PRACTICE A EXAM
QUESTIONS AND ANSWERS 100% CORRECT!!!!
, A nurse is reviewing the medical record of a client who has systemic lupus
erythematosus. Which of the following findings should the nurse expect? - ANSWER
Facial butterfly rash.
R: A butterfly rash is a manifestation of SLE. It appears as a dry red rash on the clients
cheeks and nose and can disappear during times of remission.
A nurse is caring for a client who is receiving plasmapheresis through a venous access
site. Which of the following actions should the nurse take? - ANSWER Check electrolyte
levels before and after therapy.
R: Plasmapheresis can cause citrate induced hypocalcemia. Therefore the nurse should
monitor the clients electrolyte levels before and after therapy.
A nurse is assessing a client who has Graves disease. Which of the following images
should indicate to the nurse that the client has exophthalmos? - ANSWER The nurse
should identify an outward protrusion of the eyes is exophthalmos a common finding of
graves disease. An overproduction of the thyroid hormone causes edema of the
extraocular muscle and increases fatty tissue behind the eye which results in the eyes
protruding outward. Exophthalmos can cause the client to experience problems with
vision including focusing on objects as well as pressure on the optic nerve.
A nurse is performing a cardiac assessment for a client who had a myocardial infarction
2 days ago. Which of the following actions should the nurse take first after hearing the
following sound? - ANSWER Listen with the client on his left side. When providing
nursing care the nurse should first use the least invasive intervention. Therefore after
auscultating a murmur the first action the nurse should take is to place the client on his
left side and listen to his heart again.
A nurse is providing teaching to an older adult female client who has stress
incontinence and a BMI of 32. Which of the following statements by the client indicates
an understanding of the teaching question mark - ANSWER I am dieting to lose weight.
Excess weight cut creates increased abdominal pressure that can result in stress
incontinence.
A nurse is reviewing the ABG results of a client who has advanced COPD. Which of the
following results should the nurse expect? - ANSWER Paco2 of 56. A client who has
COPD retains paco2 due to the weakening and the collapse of the alveolar sacs which
decreases the area and lungs for gas exchange and causes the paco2 to increase
above the expected reference range.
QUESTIONS AND ANSWERS 100% CORRECT!!!!
, A nurse is reviewing the medical record of a client who has systemic lupus
erythematosus. Which of the following findings should the nurse expect? - ANSWER
Facial butterfly rash.
R: A butterfly rash is a manifestation of SLE. It appears as a dry red rash on the clients
cheeks and nose and can disappear during times of remission.
A nurse is caring for a client who is receiving plasmapheresis through a venous access
site. Which of the following actions should the nurse take? - ANSWER Check electrolyte
levels before and after therapy.
R: Plasmapheresis can cause citrate induced hypocalcemia. Therefore the nurse should
monitor the clients electrolyte levels before and after therapy.
A nurse is assessing a client who has Graves disease. Which of the following images
should indicate to the nurse that the client has exophthalmos? - ANSWER The nurse
should identify an outward protrusion of the eyes is exophthalmos a common finding of
graves disease. An overproduction of the thyroid hormone causes edema of the
extraocular muscle and increases fatty tissue behind the eye which results in the eyes
protruding outward. Exophthalmos can cause the client to experience problems with
vision including focusing on objects as well as pressure on the optic nerve.
A nurse is performing a cardiac assessment for a client who had a myocardial infarction
2 days ago. Which of the following actions should the nurse take first after hearing the
following sound? - ANSWER Listen with the client on his left side. When providing
nursing care the nurse should first use the least invasive intervention. Therefore after
auscultating a murmur the first action the nurse should take is to place the client on his
left side and listen to his heart again.
A nurse is providing teaching to an older adult female client who has stress
incontinence and a BMI of 32. Which of the following statements by the client indicates
an understanding of the teaching question mark - ANSWER I am dieting to lose weight.
Excess weight cut creates increased abdominal pressure that can result in stress
incontinence.
A nurse is reviewing the ABG results of a client who has advanced COPD. Which of the
following results should the nurse expect? - ANSWER Paco2 of 56. A client who has
COPD retains paco2 due to the weakening and the collapse of the alveolar sacs which
decreases the area and lungs for gas exchange and causes the paco2 to increase
above the expected reference range.
