GNRS 555, Medical Surgical Care of the Adult and Geriatric Patient
GNRS 555 WEEKS 1-5 ACTUAL EXAM 2025 FALL SESSION
GRADED A COMPLETELY SOLVED MED/SURG CARE
ADULT/GERIATRIC APU
Pressure injuries form primary as a result of:
Tissue Ischemia
The nurse notes a client's skin is reddened with a small abrasion and serous fluid present. The nurse
should classify this stage of pressure injury formation as:
Stage II
Define Abdominal distention
Bloating and swelling of abdominal area; may be indicative of internal bleeding following abdominal
surgery
The client had surgery in the morning that involved the right femoral artery. To assess the client's
circulation status to the right leg, the nurse will make sure to check the pulse at the:
a. radial artery
b. ulnar artery
c. brachial artery
d. dorsalis pedis artery
,GNRS 555, Medical Surgical Care of the Adult and Geriatric Patient
d. dorsalis pedis artery
A client who is scheduled for surgery is found to have thrombocytopenia. A specific postoperative
concern for the nurse for this client is:
a. hemorrhage
b. wound infection
c. fluid imbalance
d. respiratory depression
a. hemorrhage
The perioperative nurse realizes that the most effective means of evaluating the client's understanding
of previous teaching is to:
a. provide written material on the subject to be reviewed after discharge
b. reinforce the material with family as the procedure is being performed
c. discuss it with the client and family in the immediate preoperative period
d. offer to answer any questions that the client or family may have just before discharge
c. discuss it with the client and family in the immediate preoperative period
Which of the following preoperative assessment findings would most likely delay a planned procedure
requiring general anesthetic?
,GNRS 555, Medical Surgical Care of the Adult and Geriatric Patient
a. a cough and low-grade fever
b. the pulse oximetry reading of 97% on room air
c. a BP that is 5 systolic points higher than baseline
d. the client's report of "being so nervous about this procedure"
a. a cough and low-grade fever
A 74-year-old is accompanied by his daughter to the ambulatory surgery department for the surgical
removal of a suspicious skin lesion. The client has experienced dysphasia since a cerebral vascular
accident 3 years ago. The most effective way for the nurse to secure the necessary preoperative
interview information is to:
a. question the client's daughter
b. review the client's past medical record
c. present the questions in a simple format
d. counting the respirations per minute
a. question the client's daughter
Define dysphasia
A language disorder that affects a person's ability to communicate
A client who has type 2 diabetes is scheduled for the removal of a skin lesion on his right shoulder at an
ambulatory surgery unit. The nursing diagnosis the client is at greatest risk for postoperatively is:
, GNRS 555, Medical Surgical Care of the Adult and Geriatric Patient
a. risk for injury
b. risk for infection
c. impaired wound healing
d. imbalanced nutrition: less than body requirements
c. impaired wound healing (why? the remaining options are not of primary concern bc steps can be
taken to minimize the risk. Impaired wound healing is not as easily managed).
A client scheduled for an ambulatory surgery procedure requiring anesthetics arrives with a low-grade
fever and a productive cough. The postponement of the procedure is most likely a result of the:
a. client's increased risk for a respiratory tract infection
b. possibility of a respiratory complication during anesthesia
c. increased risk for the client's infecting staff and other clients
d. client's impaired resistance as a result of a respiratory tract infection
b. possibility of a respiratory complication during anesthesia (why? while the others aren't wrong, it's
asking for the most likely risk factor that would result in cancellation of procedure)
Which of the following goals is most appropriate for a preoperative client with a nursing diagnosis of
deficient knowledge regarding preoperative requirements related to lack of exposure to information?
a. client will understand the need for scheduled surgery before leaving provider's office
b. client will understand preoperative routines of surgical care before leaving provider's office
c. client will present for drawing of preoperative lab blood at least 48 hours before scheduled surgery
GNRS 555 WEEKS 1-5 ACTUAL EXAM 2025 FALL SESSION
GRADED A COMPLETELY SOLVED MED/SURG CARE
ADULT/GERIATRIC APU
Pressure injuries form primary as a result of:
Tissue Ischemia
The nurse notes a client's skin is reddened with a small abrasion and serous fluid present. The nurse
should classify this stage of pressure injury formation as:
Stage II
Define Abdominal distention
Bloating and swelling of abdominal area; may be indicative of internal bleeding following abdominal
surgery
The client had surgery in the morning that involved the right femoral artery. To assess the client's
circulation status to the right leg, the nurse will make sure to check the pulse at the:
a. radial artery
b. ulnar artery
c. brachial artery
d. dorsalis pedis artery
,GNRS 555, Medical Surgical Care of the Adult and Geriatric Patient
d. dorsalis pedis artery
A client who is scheduled for surgery is found to have thrombocytopenia. A specific postoperative
concern for the nurse for this client is:
a. hemorrhage
b. wound infection
c. fluid imbalance
d. respiratory depression
a. hemorrhage
The perioperative nurse realizes that the most effective means of evaluating the client's understanding
of previous teaching is to:
a. provide written material on the subject to be reviewed after discharge
b. reinforce the material with family as the procedure is being performed
c. discuss it with the client and family in the immediate preoperative period
d. offer to answer any questions that the client or family may have just before discharge
c. discuss it with the client and family in the immediate preoperative period
Which of the following preoperative assessment findings would most likely delay a planned procedure
requiring general anesthetic?
,GNRS 555, Medical Surgical Care of the Adult and Geriatric Patient
a. a cough and low-grade fever
b. the pulse oximetry reading of 97% on room air
c. a BP that is 5 systolic points higher than baseline
d. the client's report of "being so nervous about this procedure"
a. a cough and low-grade fever
A 74-year-old is accompanied by his daughter to the ambulatory surgery department for the surgical
removal of a suspicious skin lesion. The client has experienced dysphasia since a cerebral vascular
accident 3 years ago. The most effective way for the nurse to secure the necessary preoperative
interview information is to:
a. question the client's daughter
b. review the client's past medical record
c. present the questions in a simple format
d. counting the respirations per minute
a. question the client's daughter
Define dysphasia
A language disorder that affects a person's ability to communicate
A client who has type 2 diabetes is scheduled for the removal of a skin lesion on his right shoulder at an
ambulatory surgery unit. The nursing diagnosis the client is at greatest risk for postoperatively is:
, GNRS 555, Medical Surgical Care of the Adult and Geriatric Patient
a. risk for injury
b. risk for infection
c. impaired wound healing
d. imbalanced nutrition: less than body requirements
c. impaired wound healing (why? the remaining options are not of primary concern bc steps can be
taken to minimize the risk. Impaired wound healing is not as easily managed).
A client scheduled for an ambulatory surgery procedure requiring anesthetics arrives with a low-grade
fever and a productive cough. The postponement of the procedure is most likely a result of the:
a. client's increased risk for a respiratory tract infection
b. possibility of a respiratory complication during anesthesia
c. increased risk for the client's infecting staff and other clients
d. client's impaired resistance as a result of a respiratory tract infection
b. possibility of a respiratory complication during anesthesia (why? while the others aren't wrong, it's
asking for the most likely risk factor that would result in cancellation of procedure)
Which of the following goals is most appropriate for a preoperative client with a nursing diagnosis of
deficient knowledge regarding preoperative requirements related to lack of exposure to information?
a. client will understand the need for scheduled surgery before leaving provider's office
b. client will understand preoperative routines of surgical care before leaving provider's office
c. client will present for drawing of preoperative lab blood at least 48 hours before scheduled surgery
