Medical-Surgical RN A Prophecy Relias – 2024/2025
160. A nurse is preparing to discharge a patient who has been treated with anticoagulation
therapy. What discharge instruction is essential?
A. "Resume your normal activities."
B. "Avoid all forms of exercise."
C. "Report any signs of unusual bleeding."
D. "You can discontinue the medication if you feel fine." Answer: C. "Report any signs of
unusual bleeding."
161. A patient with chronic pain is being considered for opioid therapy. What is the priority
assessment before initiating treatment?
A. Pain level
B. Current medications
C. Substance abuse history
D. Family medical history
Answer: C. Substance abuse history
162. A nurse is caring for a patient diagnosed with diabetes. What is the most important educational
point to include about foot care? A. "Wear sandals whenever possible."
B. "Inspect your feet daily for any cuts or sores."
C. "Trim your nails in a curved manner."
D. "It’s important to soak your feet in warm water daily."
Answer: B. "Inspect your feet daily for any cuts or sores."
163. A nurse finds a patient unresponsive and not breathing. What is the immediate intervention
required?
A. Call for help
B. Start CPR
C. Check for a pulse
D. Administer oxygen
Answer: B. Start CPR
164. A patient with chronic kidney disease is on a high-protein diet. What is the main concern?
, A. Hypokalemia
B. Hyperphosphatemia
C. Dehydration
D. Hyperglycemia
Answer: B. Hyperphosphatemia
165. A patient presents with an acute asthma attack. What is the priority intervention?
A. Administer a bronchodilator
B. Initiate oxygen therapy
C. Encourage pursed-lip breathing
D. Assess respiratory rate
Answer: A. Administer a bronchodilator
166. When caring for a patient with a history of alcohol use disorder, what is the nursing priority?
A. Promote hydration
B. Assess for withdrawal symptoms
C. Monitor liver function
D. Provide nutritional support
Answer: B. Assess for withdrawal symptoms
167. The healthcare provider orders a CBC for a patient suspected of having an infection.
What specific finding would indicate the presence of infection?
A. Elevated red blood cell count
B. Increased hemoglobin
C. Elevated white blood cell count
D. Decreased platelet count
Answer: C. Elevated white blood cell count
168. Your patient has been diagnosed with a urinary tract infection and has been prescribed
trimethoprim-sulfamethoxazole. What key patient education should you provide?
A. "You should drink plenty of fluids."
B. "Limit your caffeine intake."
, C. "It’s important to take this medication with food." D. "This antibiotic does not have any
side effects." Answer: A. "You should drink plenty of fluids."
169. A healthcare provider has ordered a TSH test for your patient. What does this test
primarily assess? A. Glucose levels
B. Thyroid function
C. Kidney function
D. Liver function
Answer: B. Thyroid function
170. A patient newly diagnosed with hypertension asks why they need to limit their sodium intake.
What is your best response?
A. "Sodium has no effect on blood pressure."
B. "Sodium can cause the body to retain fluid and increase blood pressure."
C. "High sodium levels help lower blood pressure."
D. "There are no dietary restrictions with hypertension."
Answer: B. "Sodium can cause the body to retain fluid and increase blood pressure."
171. Your patient with a hip replacement is at risk for deep vein thrombosis (DVT). What is a crucial
nursing intervention?
A. Keep the patient on total bed rest
B. Administer anticoagulants as prescribed
C. Elevate the legs above the heart
D. Apply heat to the affected limb
Answer: B. Administer anticoagulants as prescribed
172. A patient with a history of asthma is experiencing wheezing and shortness of breath. What
medication should be administered immediately?
A. Corticosteroids
B. Long-acting beta-agonist (LABA)
C. Short-acting beta-agonist (SABA)
D. Anticholinergic
Answer: C. Short-acting beta-agonist (SABA)
173. A patient scheduled for surgery presents with a fever and elevated white blood cell count. What
action should the nurse take? A. Continue with the surgery as planned
, B. Notify the surgeon and hold the surgery
C. Administer antipyretics
D. Document findings for post-op care
Answer: B. Notify the surgeon and hold the surgery
174. Your patient develops a pressure injury while hospitalized. Which intervention is most effective
in reducing the risk of further pressure injuries?
A. Reposition the patient every 4 hours
B. Assess skin every shift
C. Use a pressure-relieving mattress
D. Keep the patient in bed
Answer: C. Use a pressure-relieving mattress
175. In planning discharge for a patient with heart failure, what information should be emphasized?
A. Avoid checking weight
B. Monitor daily weights and report significant changes
C. Encourage increased sodium intake
D. Limit fluid intake completely
Answer: B. Monitor daily weights and report significant changes
176. Which lifestyle change should a nurse encourage to help prevent hypertension?
A. Increase sodium intake
B. Increase physical activity
C. Limit fruits and vegetables
D. Avoid all fats
Answer: B. Increase physical activity
177. A nurse is assessing a patient with bronchitis. What is a common symptom to expect?
A. Dry cough
B. Productive cough with mucus
C. Chest pain
D. Wheezing only
Answer: B. Productive cough with mucus
160. A nurse is preparing to discharge a patient who has been treated with anticoagulation
therapy. What discharge instruction is essential?
A. "Resume your normal activities."
B. "Avoid all forms of exercise."
C. "Report any signs of unusual bleeding."
D. "You can discontinue the medication if you feel fine." Answer: C. "Report any signs of
unusual bleeding."
161. A patient with chronic pain is being considered for opioid therapy. What is the priority
assessment before initiating treatment?
A. Pain level
B. Current medications
C. Substance abuse history
D. Family medical history
Answer: C. Substance abuse history
162. A nurse is caring for a patient diagnosed with diabetes. What is the most important educational
point to include about foot care? A. "Wear sandals whenever possible."
B. "Inspect your feet daily for any cuts or sores."
C. "Trim your nails in a curved manner."
D. "It’s important to soak your feet in warm water daily."
Answer: B. "Inspect your feet daily for any cuts or sores."
163. A nurse finds a patient unresponsive and not breathing. What is the immediate intervention
required?
A. Call for help
B. Start CPR
C. Check for a pulse
D. Administer oxygen
Answer: B. Start CPR
164. A patient with chronic kidney disease is on a high-protein diet. What is the main concern?
, A. Hypokalemia
B. Hyperphosphatemia
C. Dehydration
D. Hyperglycemia
Answer: B. Hyperphosphatemia
165. A patient presents with an acute asthma attack. What is the priority intervention?
A. Administer a bronchodilator
B. Initiate oxygen therapy
C. Encourage pursed-lip breathing
D. Assess respiratory rate
Answer: A. Administer a bronchodilator
166. When caring for a patient with a history of alcohol use disorder, what is the nursing priority?
A. Promote hydration
B. Assess for withdrawal symptoms
C. Monitor liver function
D. Provide nutritional support
Answer: B. Assess for withdrawal symptoms
167. The healthcare provider orders a CBC for a patient suspected of having an infection.
What specific finding would indicate the presence of infection?
A. Elevated red blood cell count
B. Increased hemoglobin
C. Elevated white blood cell count
D. Decreased platelet count
Answer: C. Elevated white blood cell count
168. Your patient has been diagnosed with a urinary tract infection and has been prescribed
trimethoprim-sulfamethoxazole. What key patient education should you provide?
A. "You should drink plenty of fluids."
B. "Limit your caffeine intake."
, C. "It’s important to take this medication with food." D. "This antibiotic does not have any
side effects." Answer: A. "You should drink plenty of fluids."
169. A healthcare provider has ordered a TSH test for your patient. What does this test
primarily assess? A. Glucose levels
B. Thyroid function
C. Kidney function
D. Liver function
Answer: B. Thyroid function
170. A patient newly diagnosed with hypertension asks why they need to limit their sodium intake.
What is your best response?
A. "Sodium has no effect on blood pressure."
B. "Sodium can cause the body to retain fluid and increase blood pressure."
C. "High sodium levels help lower blood pressure."
D. "There are no dietary restrictions with hypertension."
Answer: B. "Sodium can cause the body to retain fluid and increase blood pressure."
171. Your patient with a hip replacement is at risk for deep vein thrombosis (DVT). What is a crucial
nursing intervention?
A. Keep the patient on total bed rest
B. Administer anticoagulants as prescribed
C. Elevate the legs above the heart
D. Apply heat to the affected limb
Answer: B. Administer anticoagulants as prescribed
172. A patient with a history of asthma is experiencing wheezing and shortness of breath. What
medication should be administered immediately?
A. Corticosteroids
B. Long-acting beta-agonist (LABA)
C. Short-acting beta-agonist (SABA)
D. Anticholinergic
Answer: C. Short-acting beta-agonist (SABA)
173. A patient scheduled for surgery presents with a fever and elevated white blood cell count. What
action should the nurse take? A. Continue with the surgery as planned
, B. Notify the surgeon and hold the surgery
C. Administer antipyretics
D. Document findings for post-op care
Answer: B. Notify the surgeon and hold the surgery
174. Your patient develops a pressure injury while hospitalized. Which intervention is most effective
in reducing the risk of further pressure injuries?
A. Reposition the patient every 4 hours
B. Assess skin every shift
C. Use a pressure-relieving mattress
D. Keep the patient in bed
Answer: C. Use a pressure-relieving mattress
175. In planning discharge for a patient with heart failure, what information should be emphasized?
A. Avoid checking weight
B. Monitor daily weights and report significant changes
C. Encourage increased sodium intake
D. Limit fluid intake completely
Answer: B. Monitor daily weights and report significant changes
176. Which lifestyle change should a nurse encourage to help prevent hypertension?
A. Increase sodium intake
B. Increase physical activity
C. Limit fruits and vegetables
D. Avoid all fats
Answer: B. Increase physical activity
177. A nurse is assessing a patient with bronchitis. What is a common symptom to expect?
A. Dry cough
B. Productive cough with mucus
C. Chest pain
D. Wheezing only
Answer: B. Productive cough with mucus
