MEDCAL SURGICAL VOLUME 2 -
2024/2025 VERIFIED QUESTIONS AND
ANSWERS
What information should the nurse include in the teaching plan of a client diagnosed
with GERD?
A. Sleep without pillows
B. Adjust food intake to three full meals per day with no snacks
C. Minimize symptoms by wearing loose comfortable clothing
D. Avoid participation in any aerobic exercise program - correct answers-Minimize
symptoms by wearing loose comfortable clothing
After hospitalization for SIADH, a client develops pontine myelinolysis. Which
intervention should the nurse implement first?
A. Reorient client to room
B. Place a patch on one eye
C. Evaluate clients ability to swallow
D. Perform range of motion exercises - correct answers-Reorient client to room
A male client with heart failure calls the clinic and reports that he cannot put his shoes
on because they are too tight. Which additional information should the nurse obtain?
A. What time did he take his medication?
B. Has his weight changed in the last several days?
C. Is he still able to tighten his belt buckle?
D. How many hours did he sleep last night? - correct answers-Has his weight changed
in the last several days?
An older adult woman with a long history of COPD is admitted with progressive
shortness of breath and a persistent cough, is anxious, and is complaining of dry mouth.
which intervention should the nurse implement?
A. Administer a prescribed sedative
B. Encourage client to drink water
C. Apply a high flow Venturi mask
D. Assist her to an upright position - correct answers-Assist her to an upright position
A client with a history of asthma and bronchitis arrives at the clinic with shortness of
breath, productive cough with thickening mucous and the inability to walk up a flight of
stairs without experiencing breathlessness. Which action is most important for the nurse
to instruct the client about self care?
A. Increase the daily intake of oral fluids to liquify secretions
B. Avoid crowded enclosed areas to reduce pathogens exposure
C. Call the clinic if undesirable side effects or medications - correct answers-Increase
the daily intake of oral fluids to liquify secretions
, A cardiac catherization of a client with heart disease indicates the following blockages:
95% proximal left anterior descending (LAD), 99% proximal circumflex, and 95%
proximal right coronary artery (RCA) the client later asks the nurse "What does all of
that mean for me?" What information should the nurse provide.
B. Three main arteries have major blockages, with only 1-5% of the blood flow getting
through to the heart muscles - correct answers-Three main arteries have major
blockages, with only 1-5% of the blood flow getting through to the heart muscles
The nurse is caring for a client with a lower left lobe pulmonary abscess. what position
should the nurse instruct the client to maintain?
A. Left lateral
B. Supine, knees flexed.
C. Dorsal recumbent
D. Knee-chest - correct answers-Left lateral
A client with Cholelithiasis has a gallstone lodged in the common bile duct and is unable
to eat or drink without becoming nauseous and vomiting. Which finding should the nurse
report to the healthcare provider?
A. Belching
B. Amber urine
C. Yellow sclera
D. Flatulence - correct answers-Yellow sclera
While caring for a client with Amyotrophic lateral sclerosis (ALS) a nurse performs a
neurological assessment every 4 hours. Which assessment finding warrants immediate
intervention by the nurse?
A. Inappropriate laughter
B. Increasing anxiety
C. Weakened cough effort
D. Asymmetrical weakness - correct answers-Asymmetrical weakness
The nurse is providing preoperative education for a Jewish client scheduled to receive a
xenograft to promote burn healing. Which information should the provider this client?
A. Grafting increase the risk for bacterial infections
B. The xenograft is taken from a non-human source.
C. Grafts are later removed by a debriding procedure
D. As the burns heals, the graft permanently - correct answers-The xenograft is taken
from a non-human source
A male client who had colon surgery 3 days ago is anxious and requesting assistance to
reposition. While the nurse is turning him, the wound dehiscences and ulcerates. The
nurse moistens an available sterile dressing and places it over the wound. Which
intervention should the nurse implement next.
A. Bring additional sterile dressing supplies to the room.
B. Prepare the client to return to the OR
C. Obtain a sample of the drainage to send to the lab
D. ausculate the abdomen for bowel sounds - correct answers-Bring additional sterile
dressing supplies to the room
2024/2025 VERIFIED QUESTIONS AND
ANSWERS
What information should the nurse include in the teaching plan of a client diagnosed
with GERD?
A. Sleep without pillows
B. Adjust food intake to three full meals per day with no snacks
C. Minimize symptoms by wearing loose comfortable clothing
D. Avoid participation in any aerobic exercise program - correct answers-Minimize
symptoms by wearing loose comfortable clothing
After hospitalization for SIADH, a client develops pontine myelinolysis. Which
intervention should the nurse implement first?
A. Reorient client to room
B. Place a patch on one eye
C. Evaluate clients ability to swallow
D. Perform range of motion exercises - correct answers-Reorient client to room
A male client with heart failure calls the clinic and reports that he cannot put his shoes
on because they are too tight. Which additional information should the nurse obtain?
A. What time did he take his medication?
B. Has his weight changed in the last several days?
C. Is he still able to tighten his belt buckle?
D. How many hours did he sleep last night? - correct answers-Has his weight changed
in the last several days?
An older adult woman with a long history of COPD is admitted with progressive
shortness of breath and a persistent cough, is anxious, and is complaining of dry mouth.
which intervention should the nurse implement?
A. Administer a prescribed sedative
B. Encourage client to drink water
C. Apply a high flow Venturi mask
D. Assist her to an upright position - correct answers-Assist her to an upright position
A client with a history of asthma and bronchitis arrives at the clinic with shortness of
breath, productive cough with thickening mucous and the inability to walk up a flight of
stairs without experiencing breathlessness. Which action is most important for the nurse
to instruct the client about self care?
A. Increase the daily intake of oral fluids to liquify secretions
B. Avoid crowded enclosed areas to reduce pathogens exposure
C. Call the clinic if undesirable side effects or medications - correct answers-Increase
the daily intake of oral fluids to liquify secretions
, A cardiac catherization of a client with heart disease indicates the following blockages:
95% proximal left anterior descending (LAD), 99% proximal circumflex, and 95%
proximal right coronary artery (RCA) the client later asks the nurse "What does all of
that mean for me?" What information should the nurse provide.
B. Three main arteries have major blockages, with only 1-5% of the blood flow getting
through to the heart muscles - correct answers-Three main arteries have major
blockages, with only 1-5% of the blood flow getting through to the heart muscles
The nurse is caring for a client with a lower left lobe pulmonary abscess. what position
should the nurse instruct the client to maintain?
A. Left lateral
B. Supine, knees flexed.
C. Dorsal recumbent
D. Knee-chest - correct answers-Left lateral
A client with Cholelithiasis has a gallstone lodged in the common bile duct and is unable
to eat or drink without becoming nauseous and vomiting. Which finding should the nurse
report to the healthcare provider?
A. Belching
B. Amber urine
C. Yellow sclera
D. Flatulence - correct answers-Yellow sclera
While caring for a client with Amyotrophic lateral sclerosis (ALS) a nurse performs a
neurological assessment every 4 hours. Which assessment finding warrants immediate
intervention by the nurse?
A. Inappropriate laughter
B. Increasing anxiety
C. Weakened cough effort
D. Asymmetrical weakness - correct answers-Asymmetrical weakness
The nurse is providing preoperative education for a Jewish client scheduled to receive a
xenograft to promote burn healing. Which information should the provider this client?
A. Grafting increase the risk for bacterial infections
B. The xenograft is taken from a non-human source.
C. Grafts are later removed by a debriding procedure
D. As the burns heals, the graft permanently - correct answers-The xenograft is taken
from a non-human source
A male client who had colon surgery 3 days ago is anxious and requesting assistance to
reposition. While the nurse is turning him, the wound dehiscences and ulcerates. The
nurse moistens an available sterile dressing and places it over the wound. Which
intervention should the nurse implement next.
A. Bring additional sterile dressing supplies to the room.
B. Prepare the client to return to the OR
C. Obtain a sample of the drainage to send to the lab
D. ausculate the abdomen for bowel sounds - correct answers-Bring additional sterile
dressing supplies to the room
