2025 MED SURG RN FINAL EXAM | ACTUAL EXAM
BANK WITH CORRECT VERIFIED ANSWERS.
GUARANTEED EXAM EXCELLENCE.
An adult male client is admitted for Pneumocystis carinal pneumonia (PCP) secondary to AIDSs. While
hospitalized, he receives IV pentamidine isethionate therapy. In preparing this client for discharge, what
important aspect regarding his medication therapy should the nurse explain?
It will be necessary to continue prophylactic doses of IV or aerosol pentamidine every month
A male client with bilateral carpal tunnel syndrome reports to the nurse that the pain and tingling he is
experiencing worsens at night. What client teaching should the nurse provide?
Wear braces as both writs during the night
An adult female client is diagnosed with restless leg syndrome and is referred to the sleep clinic. The
healthcare provider prescribes ferrous sulfate (Feosol) 325 mg PO daily. Which laboratory values should
the nurse monitor?
Serum iron and ferritin
The nurse is evaluating a male client understanding of diet teaching about the DASH (Dietary
Approaches to Stop Hypertension) eating plan. Which behavior indicates that the client is adhering to
the eating plan?
Carefully cleans and peels all fresh fruit and vegetables
Two days after a nephrectomy, the client reports abdominal pressure and nausea, which assessment
should the nurse implement?
Auscultate bowels sounds.
,An adult client is admitted with diabetic ketoacidosis (DKA) and a urinary tract infection (UTI).
Prescriptions for intravenous antibiotics and an insulin infusion are initiated. Which serum laboratory
value warrants the most immediate intervention by the nurse?
Potassium of 2.5 mEq/L
An older female client with long term type 2 diabetes mellitus (DM) is seen in the clinic for a routine
health assessment. To determine if the client is experiencing any long-term complication of DM, which
assessments should the nurse obtain? (select all that apply)
Serum creatinine and blood urea nitrogen (BUN).
sensation in feet and legs.
Skin condition of lower extremities.
Visual acuity.
A client with acute renal injury (AKI) who weighs 50 kg and has potassium level of 6.7 mEq/L (6.7
mmol/l) is admitted to the hospital. Which prescribed medication should the nurse administer first
Sodium polystyrene (Kayexalate) 15 grams PO
A hospitalized client with chemotherapy-induced stomatitis complains of mouth pain. What is the best
initial nursing action?
Administer a topical analgesic per PRN protocol.
The nurse is preparing a client for discharge who recently diagnosed with Addison's disease. Which
instruction is most important for the nurse to include in the client's discharge teaching plan?
,Increase daily intake of sodium in diet
To reduce the risk for pulmonary complication for a client with Amyotrophic Lateral Sclerosis (ALS), what
interventions should the nurse implement? (Select all that apply)
Teach the client breathing exercises.
Perform chest physiotherapy.
Encourage use of incentive spirometer.
A male client who reports feeling chronically fatigued has a hemoglobin of 11.0 grams/dl (110mmol/L),
hematocrit of 34%, and microcytic and hypochromic red blood cells (RBCs). Based on these findings,
which dinner selection should the nurse suggest to the client?
Beef steak with steamed broccoli and orange slices
A client who suffered an electrical injury with the entrance site on the left hand and the exit site on the
left foot is admitted to the burn unit. Which intervention is most important for the nurse to include in
this client plan of care?
Continuous cardiac monitoring.
An adult female with multiple sclerosis (MS) fells while walking to the bathroom. On transfer to the
intensive care unit, she is confused and has had projectile vomiting twice. Which intervention should the
nurse implement first?
Complete head to toe neurological assessment.
A client who has a history of long-standing back pain treated with methadone (Dolophines), is admitted
to the surgical unit following urological surgery. Which modifications in the plan of care should the nurse
make for this client's pain management during the postoperative period?
Maintain client's methadone, and medicate surgical pain based on pain rating
, When planning care for a client with rheumatoid arthritis, which intervention is most important for the
nurse to include in the plan of care?
Teach coping skills for living with a chronic illness
Nurse is caring for a client who is receiving a blood transfusion. The client becomes restless, dyspneic
and has crackles noted to lung bases. Which of the following actions should the nurse anticipate taking?
Slow the infusion rate
A nurse is caring for a client who is 4 hr postoperative following an open reduction internal fixation of rt
ankle. Which of the following assessment findings should the nurse report to the provider.
Extremity cool upon palpation
A nurse is caring for a client who has increased ICP and is receiving mannitol. The nurse should rport
which of the following adverse effects of this medication
Crackles heard on ausclultation
A nurse is teaching a client who has a cardiac dysrhythmia about the purpose of undergoing continuous
telemitry monitoring. Which of the follwing statements refelcts understanding of the teaching
This identifies if the pacemaker cells of my heart are working properly.
A nurse is caring for a client who has a potassium level of 3. Which of the following assessment findings
should the nurse expect?
Hypoactive bowel sounds
BANK WITH CORRECT VERIFIED ANSWERS.
GUARANTEED EXAM EXCELLENCE.
An adult male client is admitted for Pneumocystis carinal pneumonia (PCP) secondary to AIDSs. While
hospitalized, he receives IV pentamidine isethionate therapy. In preparing this client for discharge, what
important aspect regarding his medication therapy should the nurse explain?
It will be necessary to continue prophylactic doses of IV or aerosol pentamidine every month
A male client with bilateral carpal tunnel syndrome reports to the nurse that the pain and tingling he is
experiencing worsens at night. What client teaching should the nurse provide?
Wear braces as both writs during the night
An adult female client is diagnosed with restless leg syndrome and is referred to the sleep clinic. The
healthcare provider prescribes ferrous sulfate (Feosol) 325 mg PO daily. Which laboratory values should
the nurse monitor?
Serum iron and ferritin
The nurse is evaluating a male client understanding of diet teaching about the DASH (Dietary
Approaches to Stop Hypertension) eating plan. Which behavior indicates that the client is adhering to
the eating plan?
Carefully cleans and peels all fresh fruit and vegetables
Two days after a nephrectomy, the client reports abdominal pressure and nausea, which assessment
should the nurse implement?
Auscultate bowels sounds.
,An adult client is admitted with diabetic ketoacidosis (DKA) and a urinary tract infection (UTI).
Prescriptions for intravenous antibiotics and an insulin infusion are initiated. Which serum laboratory
value warrants the most immediate intervention by the nurse?
Potassium of 2.5 mEq/L
An older female client with long term type 2 diabetes mellitus (DM) is seen in the clinic for a routine
health assessment. To determine if the client is experiencing any long-term complication of DM, which
assessments should the nurse obtain? (select all that apply)
Serum creatinine and blood urea nitrogen (BUN).
sensation in feet and legs.
Skin condition of lower extremities.
Visual acuity.
A client with acute renal injury (AKI) who weighs 50 kg and has potassium level of 6.7 mEq/L (6.7
mmol/l) is admitted to the hospital. Which prescribed medication should the nurse administer first
Sodium polystyrene (Kayexalate) 15 grams PO
A hospitalized client with chemotherapy-induced stomatitis complains of mouth pain. What is the best
initial nursing action?
Administer a topical analgesic per PRN protocol.
The nurse is preparing a client for discharge who recently diagnosed with Addison's disease. Which
instruction is most important for the nurse to include in the client's discharge teaching plan?
,Increase daily intake of sodium in diet
To reduce the risk for pulmonary complication for a client with Amyotrophic Lateral Sclerosis (ALS), what
interventions should the nurse implement? (Select all that apply)
Teach the client breathing exercises.
Perform chest physiotherapy.
Encourage use of incentive spirometer.
A male client who reports feeling chronically fatigued has a hemoglobin of 11.0 grams/dl (110mmol/L),
hematocrit of 34%, and microcytic and hypochromic red blood cells (RBCs). Based on these findings,
which dinner selection should the nurse suggest to the client?
Beef steak with steamed broccoli and orange slices
A client who suffered an electrical injury with the entrance site on the left hand and the exit site on the
left foot is admitted to the burn unit. Which intervention is most important for the nurse to include in
this client plan of care?
Continuous cardiac monitoring.
An adult female with multiple sclerosis (MS) fells while walking to the bathroom. On transfer to the
intensive care unit, she is confused and has had projectile vomiting twice. Which intervention should the
nurse implement first?
Complete head to toe neurological assessment.
A client who has a history of long-standing back pain treated with methadone (Dolophines), is admitted
to the surgical unit following urological surgery. Which modifications in the plan of care should the nurse
make for this client's pain management during the postoperative period?
Maintain client's methadone, and medicate surgical pain based on pain rating
, When planning care for a client with rheumatoid arthritis, which intervention is most important for the
nurse to include in the plan of care?
Teach coping skills for living with a chronic illness
Nurse is caring for a client who is receiving a blood transfusion. The client becomes restless, dyspneic
and has crackles noted to lung bases. Which of the following actions should the nurse anticipate taking?
Slow the infusion rate
A nurse is caring for a client who is 4 hr postoperative following an open reduction internal fixation of rt
ankle. Which of the following assessment findings should the nurse report to the provider.
Extremity cool upon palpation
A nurse is caring for a client who has increased ICP and is receiving mannitol. The nurse should rport
which of the following adverse effects of this medication
Crackles heard on ausclultation
A nurse is teaching a client who has a cardiac dysrhythmia about the purpose of undergoing continuous
telemitry monitoring. Which of the follwing statements refelcts understanding of the teaching
This identifies if the pacemaker cells of my heart are working properly.
A nurse is caring for a client who has a potassium level of 3. Which of the following assessment findings
should the nurse expect?
Hypoactive bowel sounds
