Medical-Surgical: Final Practice (50
questions) 2024-2025
A community health nurse is reinforcing teaching about melanoma with a group of clients.
Which of the following characteristics of lesions associated with melanoma should the nurse
include in the teaching? -- Correct Answer --An irregular border.
A home health nurse enters a client's home and finds a used insulin syringe, without a cap, on
the table. Which of the following actions should the nurse take? -- Correct Answer --Place the
syringe in a puncture-proof disposal container.
A nurse in a provider's office is caring for a client who has blepharitis. Which of the
following actions should the nurse take first? -- Correct Answer --Inspect the eyes for
drainage or redness.
( blepharitis-inflammation of the eyelid)
a nurse in an emergency department is caring for a client who reports developing severe right
eye pain with a gritty sensation while sawing wood. Whats priority? -- Correct Answer --Ask
the client about first aid performed at the scene
A nurse in an urgent care clinic is collecting data from a client who has extensive burns,
including on her face. Which of the following data should the nurse collect first? -- Correct
Answer --Characteristics o cough and sputum
A nurse in an urgent care clinic is collecting data from a client who sustained a fall. Which of
the following findings should the nurse identify as an indication of a skull fracture? -- Correct
Answer --Clear fluid coming from the nares.
(cerebrospinal fluid)
, A nurse is assisting with the care of a client who has a chest tube in place following a
thoracotomy. Which of the following actions should the nurse take? -- Correct Answer --
Place the drainage unit below the client's chest level.
A nurse is assisting with the care of a client who is to receive a transfusion of packed red
blood cells (RBCs). Which of the following actions should the nurse take? (Select all that
apply.) -- Correct Answer --1) Check and document the client's vital signs is correct.
2) Verify that the blood type and Rh of the packed RBCs are checked by two nurses is
correct.
3) Provide the RN with IV tubing that has a filter is correct.
A nurse is caring for a client following a hip arthroplasty. The nurse should place an
abduction pillow on the client for which of the following purposes? -- Correct Answer --
Preventing dislocation of the hip during position changes or movement.
A nurse is caring for a client who begins having a tonic-clonic seizure while sitting in a chair
at the bedside. Which of the following actions should the nurse take first? -- Correct Answer -
-Lower the client to the floor.
A nurse is caring for a client who has a stage III pressure ulcer on his heel. When preparing to
irrigate the wound, which of the following actions should the nurse take rst? -- Correct
Answer --Check the client's pain level
A nurse is caring for a client who has continuous bladder irrigation following a transurethral
resection of the prostate (TURP). Which of the following actions should the nurse take? --
Correct Answer --Report viscous drainage with clots to the provider.
questions) 2024-2025
A community health nurse is reinforcing teaching about melanoma with a group of clients.
Which of the following characteristics of lesions associated with melanoma should the nurse
include in the teaching? -- Correct Answer --An irregular border.
A home health nurse enters a client's home and finds a used insulin syringe, without a cap, on
the table. Which of the following actions should the nurse take? -- Correct Answer --Place the
syringe in a puncture-proof disposal container.
A nurse in a provider's office is caring for a client who has blepharitis. Which of the
following actions should the nurse take first? -- Correct Answer --Inspect the eyes for
drainage or redness.
( blepharitis-inflammation of the eyelid)
a nurse in an emergency department is caring for a client who reports developing severe right
eye pain with a gritty sensation while sawing wood. Whats priority? -- Correct Answer --Ask
the client about first aid performed at the scene
A nurse in an urgent care clinic is collecting data from a client who has extensive burns,
including on her face. Which of the following data should the nurse collect first? -- Correct
Answer --Characteristics o cough and sputum
A nurse in an urgent care clinic is collecting data from a client who sustained a fall. Which of
the following findings should the nurse identify as an indication of a skull fracture? -- Correct
Answer --Clear fluid coming from the nares.
(cerebrospinal fluid)
, A nurse is assisting with the care of a client who has a chest tube in place following a
thoracotomy. Which of the following actions should the nurse take? -- Correct Answer --
Place the drainage unit below the client's chest level.
A nurse is assisting with the care of a client who is to receive a transfusion of packed red
blood cells (RBCs). Which of the following actions should the nurse take? (Select all that
apply.) -- Correct Answer --1) Check and document the client's vital signs is correct.
2) Verify that the blood type and Rh of the packed RBCs are checked by two nurses is
correct.
3) Provide the RN with IV tubing that has a filter is correct.
A nurse is caring for a client following a hip arthroplasty. The nurse should place an
abduction pillow on the client for which of the following purposes? -- Correct Answer --
Preventing dislocation of the hip during position changes or movement.
A nurse is caring for a client who begins having a tonic-clonic seizure while sitting in a chair
at the bedside. Which of the following actions should the nurse take first? -- Correct Answer -
-Lower the client to the floor.
A nurse is caring for a client who has a stage III pressure ulcer on his heel. When preparing to
irrigate the wound, which of the following actions should the nurse take rst? -- Correct
Answer --Check the client's pain level
A nurse is caring for a client who has continuous bladder irrigation following a transurethral
resection of the prostate (TURP). Which of the following actions should the nurse take? --
Correct Answer --Report viscous drainage with clots to the provider.
