MODULE 9 EXAM COMPREHENSIVE EXAM WITH
QUESTIONS AND WELL DETAILED ANSWERS
(GRADED A+) LATEST UPDATE 2025/26
A client who has undergone abdominal surgery calls the nurse and reports that she just
felt "something give way" in the abdominal incision. The nurse checks the incision and
notes the presence of wound dehiscence. The nurse immediately takes which action? -
CORRECT ANSWER Covers the abdominal wound with a sterile dressing moistened
with sterile saline solution
A client who just returned from the recovery room after a tonsillectomy and
adenoidectomy is restless and her pulse rate is increased. As the nurse continues the
assessment, the client begins to vomit a copious amount of bright-red blood. Which is
the immediate nursing action? -CORRECT ANSWER Notify the surgeon
A client who has just undergone surgery suddenly experiences chest pain, dyspnea,
and tachypnea. The nurse suspects that the client has a pulmonary embolism and
immediately takes which action? -CORRECT ANSWER Administering oxygen by way of
nasal cannula
A nurse is assessing a client who has a closed chest tube drainage system. The nurse
notes constant bubbling in the water seal chamber. What actions should the nurse
,take? Select all that apply. -CORRECT ANSWER Assessing the system for an external
air leak
Documenting assessment findings, actions taken, and client response
A nurse is helping a client with a closed chest tube drainage system get out of bed and
into a chair. During the transfer, the chest tube is caught on the leg of the chair and
dislodged from the insertion site. The immediate priority on the part of the nurse is
which action? -CORRECT ANSWER Covering the insertion site with a sterile occlusive
dressing
A nurse performing nasopharyngeal suctioning and suddenly notes the presence of
bloody secretions. The nurse should take which action first? -CORRECT ANSWER
Check the degree of suction being applied.
A nurse is suctioning a client through a tracheostomy tube. During the procedure, the
client begins to cough, and the nurse hears a wheeze. The nurse tries to remove the
suction catheter from the client's trachea but is unable to do so. The nurse would take
which action first? -CORRECT ANSWER Disconnect the suction source from the
catheter.
A nurse assesses the closed chest tube drainage system of a client who underwent
lobectomy 24 hours ago. The nurse notes that there has been no chest tube drainage
, for the past hour. The nurse first performs which action? -CORRECT ANSWER Checks
for kinks in the drainage system
A nurse is monitoring a postoperative client on an hourly basis. The nurse notes that the
client's urine output for the past hour was 25 mL. On the basis of this finding, the nurse
takes which action first? -CORRECT ANSWER Checks the client's overall intake and
output record
A nurse is getting a client out of bed for the first time since surgery. The nurse raises the
head of the bed, and the client complains of dizziness. Which action should the nurse
take first? -CORRECT ANSWER Lowering the head of the bed slowly until the
dizziness is relieved
A nurse is preparing for intershift report when a nurse's aide pulls an emergency call
light in a client's room. Upon CORRECT ANSWERing the light, the nurse finds a client
who returned from surgery earlier in the day experiencing tachycardia and tachypnea.
Which action should the nurse take first? -CORRECT ANSWER Administering oxygen
at the prescribed rate
A nurse is monitoring the chest tube drainage system of a postoperative client who has
undergone a right upper lobectomy. The closed drainage system contains 300 mL of
bloody drainage, and the nurse notes intermittent bubbling in the water seal chamber.
One hour after the initial assessment, the nurse notes that the bubbling in the water seal
QUESTIONS AND WELL DETAILED ANSWERS
(GRADED A+) LATEST UPDATE 2025/26
A client who has undergone abdominal surgery calls the nurse and reports that she just
felt "something give way" in the abdominal incision. The nurse checks the incision and
notes the presence of wound dehiscence. The nurse immediately takes which action? -
CORRECT ANSWER Covers the abdominal wound with a sterile dressing moistened
with sterile saline solution
A client who just returned from the recovery room after a tonsillectomy and
adenoidectomy is restless and her pulse rate is increased. As the nurse continues the
assessment, the client begins to vomit a copious amount of bright-red blood. Which is
the immediate nursing action? -CORRECT ANSWER Notify the surgeon
A client who has just undergone surgery suddenly experiences chest pain, dyspnea,
and tachypnea. The nurse suspects that the client has a pulmonary embolism and
immediately takes which action? -CORRECT ANSWER Administering oxygen by way of
nasal cannula
A nurse is assessing a client who has a closed chest tube drainage system. The nurse
notes constant bubbling in the water seal chamber. What actions should the nurse
,take? Select all that apply. -CORRECT ANSWER Assessing the system for an external
air leak
Documenting assessment findings, actions taken, and client response
A nurse is helping a client with a closed chest tube drainage system get out of bed and
into a chair. During the transfer, the chest tube is caught on the leg of the chair and
dislodged from the insertion site. The immediate priority on the part of the nurse is
which action? -CORRECT ANSWER Covering the insertion site with a sterile occlusive
dressing
A nurse performing nasopharyngeal suctioning and suddenly notes the presence of
bloody secretions. The nurse should take which action first? -CORRECT ANSWER
Check the degree of suction being applied.
A nurse is suctioning a client through a tracheostomy tube. During the procedure, the
client begins to cough, and the nurse hears a wheeze. The nurse tries to remove the
suction catheter from the client's trachea but is unable to do so. The nurse would take
which action first? -CORRECT ANSWER Disconnect the suction source from the
catheter.
A nurse assesses the closed chest tube drainage system of a client who underwent
lobectomy 24 hours ago. The nurse notes that there has been no chest tube drainage
, for the past hour. The nurse first performs which action? -CORRECT ANSWER Checks
for kinks in the drainage system
A nurse is monitoring a postoperative client on an hourly basis. The nurse notes that the
client's urine output for the past hour was 25 mL. On the basis of this finding, the nurse
takes which action first? -CORRECT ANSWER Checks the client's overall intake and
output record
A nurse is getting a client out of bed for the first time since surgery. The nurse raises the
head of the bed, and the client complains of dizziness. Which action should the nurse
take first? -CORRECT ANSWER Lowering the head of the bed slowly until the
dizziness is relieved
A nurse is preparing for intershift report when a nurse's aide pulls an emergency call
light in a client's room. Upon CORRECT ANSWERing the light, the nurse finds a client
who returned from surgery earlier in the day experiencing tachycardia and tachypnea.
Which action should the nurse take first? -CORRECT ANSWER Administering oxygen
at the prescribed rate
A nurse is monitoring the chest tube drainage system of a postoperative client who has
undergone a right upper lobectomy. The closed drainage system contains 300 mL of
bloody drainage, and the nurse notes intermittent bubbling in the water seal chamber.
One hour after the initial assessment, the nurse notes that the bubbling in the water seal
