ADULT MED SURG COMPREHENSIVE PREDICTOR
EXAM TEST BANK 2025 ACTUAL 500+ EXAM
QUESTIONS AND CORRECT ANSWERS ACTUAL|
ALREADY GRADED A+
After obtaining a blood specimen from a client's peripherally
inserted central catheter (PICC), which of the following actions
should the nurse take next?
-Solution
Flush with 20 mL 0.9% sodium chloride.
What mL syringe is used for flushing a PICC line?
-Solution
10 mL
How often do we flush a PICC line?
-Solution
Before, between, and after medication
How much force to do you apply if met with resistance while
flushing a PICC line?
-Solution
None.
Never apply force if met resistance
A client is admitted to the telemetry unit for a sustained
paroxysmal supraventricular tachycardia. Which of the following
medications should the nurse prepare to administer?
-Solution
Adenosine
-Adenosine 6mg rapid IVP (over 1-2 seconds) is given to convert
paroxysmal supraventricular tachycardia (PSVT) to a normal sinus
rhythm.
A nurse provides care for a client who is diagnosed with syndrome
of inappropriate antidiuretic hormone (SIADH). Which of the
following laboratory values would be expected? (Select all that
apply)
-Solution
Sodium 128
1
,Urine specific gravity 1.035
-Clients who have SIADH RETAIN fluid. This results in the
dilutional hyponatremia and increased urine specific gravity.
A nurse provides care for a client who was just admitted to the
emergency department reporting chest pain. Which of the following
diagnostic tests should the nurse provide?
-Solution
Electrocardiogram
-An ECG is one of the first diagnostic tests performed for the client
experiencing chest pain because it is a fast, noninvasive test to
provide immediate information. The ECG graphically shows
cardiac electrical activity and cardiac ischemia
A nurse provides care for a client who has a Jackson-Pratt (JP)
drain. Which of the following actions will ensure proper function?
-Solution
Keep bulb compressed
-A JP drain is an evacuator unit that exerts constant low pressure
as long as the bulb of the device is fully compressed
A nurse plans care for a client who requires continuous ambulatory
peritoneal dialysis. Which of the following actions is appropriate?
(Select all that apply)
a. Notify provider of cloudy or opaque effluent
b. Prepare client for exchange of two our three times weekly
c. Apply mask to client during system connect and disconnect
d. Require client to remain in reclining position during exchange
e. Warm dialysis bag by applying heating pad prior to installation
-Solution
a.
c.
e.
- cloudy or opaque effluent can be indicative of an infection.
peritonitis is the major cause for discontinuous
- Surgical asepsis (sterile technique) is employed during
connection and disconnection. Infection is the most common
complication
- The dialysis should be warmed by wrapping a heating pad
around the solution
2
,A nurse is reviewing the medical record of a client who has a
prescription for liraglutide. Which of the following findings should
the nurse identify as a contraindication to this medication?
-Solution
History of thyroid cancer
- The nurse should identify a personal or family history of thyroid
cancer as a contraindication to taking liraglutide and notify the
provider. Other contraindications to receiving this medication can
include type 1 diabetes mellitus, diabetic ketoacidosis, and a
history of suicidal thoughts or attempts.
A nurse is monitoring a client who has a prescription for
ciprofloxacin 400 mg IV every 12 hr. Which of the following
manifestations should the nurse identify as an adverse effect of
this medication?
-Solution
Myalgia
- The nurse should identify that myalgia is an adverse effect of
ciprofloxacin and can be an indication that the client might be
experiencing tendonitis, which could lead to tendon rupture. Other
adverse effects can include dizziness, agitation, and confusion.
A nurse is preparing to administer a unit of fresh frozen plasma
(FFP) to a client. Which of the followingactions should the nurse
plan to take prior to the transfusion?
-Solution
Confirm the plasma compatibility with another nurse.
- The nurse should confirm the plasma ABO compatibility with
another nurse by verifying the client's identity and comparing the
bag of FFP to the medical record to prevent an adverse reaction.
The nurse should also check the expiration time on the FFP.
- Blood products can ONLY be mixed with 0.9% sodium chloride
solution if necessary. The nurse is not required to initiate a
continuous IV infusion when administering plasma
- Rh compatibility is not required for FFP transfusion. ABO
compatibility is required for transfusion of plasma because donor
antibodies could react with the recipient's antigens.
- Liver function testing is not indicated for a plasma infusion;
however, the nurse should review the client's PT or PTT prior to
the transfusion.
Normal range for PT
-Solution
3
, 11-13.5
Normal range for INR
-Solution
0.8-1.1
A nurse is preparing to administer an IV bolus medication for a
client who has an implanted port. Which of the following actions
should the nurse take?
-Solution
Check for blood return
- before infusion a medication through an implanted port, the nurse
should check for blood return. If there is no blood return, the
medication should be withheld until patency can be established
and needle placement is confirmed
- The nurse should flush the catheter using a 10 mL syringe with 5
mL heparin 10 units/mL or 0.9% sodium chloride after each use
and at least once per month.
- The nurse only needs to cleanse the implanted port insertion site
with dressing changes and should use chlorhexidine gluconate
solution rather than alcohol
-The nurse should place the client supine or in Trendelenburg
position when changing the admin set or connectors of a central
line to prevent air emboli.
A nurse is caring for a client who is receiving the first dose of IV
ampicillin and develops a rash and flushed skin and begins
wheezing. Which of the following actions should the nurse take
first?
-Solution
Stop the infusion
- the first action the nurse should take when using the airway,
breathing, and circulation approach to client care is to stop the
infusion. However, the nurse should keep the IV open and infuse
0.9% sodium chloride until epinephrine is available to administer.
-The nurse should notify the rapid response team to prepare to
intubate the client if needed; however, there is another action
-The nurse should give oxygen via a nonrebreather facemask to a
client experiencing anaphylaxis due to their inability to breathe and
risk for hypoxemia. However, there is another action the nurse
should take
4
EXAM TEST BANK 2025 ACTUAL 500+ EXAM
QUESTIONS AND CORRECT ANSWERS ACTUAL|
ALREADY GRADED A+
After obtaining a blood specimen from a client's peripherally
inserted central catheter (PICC), which of the following actions
should the nurse take next?
-Solution
Flush with 20 mL 0.9% sodium chloride.
What mL syringe is used for flushing a PICC line?
-Solution
10 mL
How often do we flush a PICC line?
-Solution
Before, between, and after medication
How much force to do you apply if met with resistance while
flushing a PICC line?
-Solution
None.
Never apply force if met resistance
A client is admitted to the telemetry unit for a sustained
paroxysmal supraventricular tachycardia. Which of the following
medications should the nurse prepare to administer?
-Solution
Adenosine
-Adenosine 6mg rapid IVP (over 1-2 seconds) is given to convert
paroxysmal supraventricular tachycardia (PSVT) to a normal sinus
rhythm.
A nurse provides care for a client who is diagnosed with syndrome
of inappropriate antidiuretic hormone (SIADH). Which of the
following laboratory values would be expected? (Select all that
apply)
-Solution
Sodium 128
1
,Urine specific gravity 1.035
-Clients who have SIADH RETAIN fluid. This results in the
dilutional hyponatremia and increased urine specific gravity.
A nurse provides care for a client who was just admitted to the
emergency department reporting chest pain. Which of the following
diagnostic tests should the nurse provide?
-Solution
Electrocardiogram
-An ECG is one of the first diagnostic tests performed for the client
experiencing chest pain because it is a fast, noninvasive test to
provide immediate information. The ECG graphically shows
cardiac electrical activity and cardiac ischemia
A nurse provides care for a client who has a Jackson-Pratt (JP)
drain. Which of the following actions will ensure proper function?
-Solution
Keep bulb compressed
-A JP drain is an evacuator unit that exerts constant low pressure
as long as the bulb of the device is fully compressed
A nurse plans care for a client who requires continuous ambulatory
peritoneal dialysis. Which of the following actions is appropriate?
(Select all that apply)
a. Notify provider of cloudy or opaque effluent
b. Prepare client for exchange of two our three times weekly
c. Apply mask to client during system connect and disconnect
d. Require client to remain in reclining position during exchange
e. Warm dialysis bag by applying heating pad prior to installation
-Solution
a.
c.
e.
- cloudy or opaque effluent can be indicative of an infection.
peritonitis is the major cause for discontinuous
- Surgical asepsis (sterile technique) is employed during
connection and disconnection. Infection is the most common
complication
- The dialysis should be warmed by wrapping a heating pad
around the solution
2
,A nurse is reviewing the medical record of a client who has a
prescription for liraglutide. Which of the following findings should
the nurse identify as a contraindication to this medication?
-Solution
History of thyroid cancer
- The nurse should identify a personal or family history of thyroid
cancer as a contraindication to taking liraglutide and notify the
provider. Other contraindications to receiving this medication can
include type 1 diabetes mellitus, diabetic ketoacidosis, and a
history of suicidal thoughts or attempts.
A nurse is monitoring a client who has a prescription for
ciprofloxacin 400 mg IV every 12 hr. Which of the following
manifestations should the nurse identify as an adverse effect of
this medication?
-Solution
Myalgia
- The nurse should identify that myalgia is an adverse effect of
ciprofloxacin and can be an indication that the client might be
experiencing tendonitis, which could lead to tendon rupture. Other
adverse effects can include dizziness, agitation, and confusion.
A nurse is preparing to administer a unit of fresh frozen plasma
(FFP) to a client. Which of the followingactions should the nurse
plan to take prior to the transfusion?
-Solution
Confirm the plasma compatibility with another nurse.
- The nurse should confirm the plasma ABO compatibility with
another nurse by verifying the client's identity and comparing the
bag of FFP to the medical record to prevent an adverse reaction.
The nurse should also check the expiration time on the FFP.
- Blood products can ONLY be mixed with 0.9% sodium chloride
solution if necessary. The nurse is not required to initiate a
continuous IV infusion when administering plasma
- Rh compatibility is not required for FFP transfusion. ABO
compatibility is required for transfusion of plasma because donor
antibodies could react with the recipient's antigens.
- Liver function testing is not indicated for a plasma infusion;
however, the nurse should review the client's PT or PTT prior to
the transfusion.
Normal range for PT
-Solution
3
, 11-13.5
Normal range for INR
-Solution
0.8-1.1
A nurse is preparing to administer an IV bolus medication for a
client who has an implanted port. Which of the following actions
should the nurse take?
-Solution
Check for blood return
- before infusion a medication through an implanted port, the nurse
should check for blood return. If there is no blood return, the
medication should be withheld until patency can be established
and needle placement is confirmed
- The nurse should flush the catheter using a 10 mL syringe with 5
mL heparin 10 units/mL or 0.9% sodium chloride after each use
and at least once per month.
- The nurse only needs to cleanse the implanted port insertion site
with dressing changes and should use chlorhexidine gluconate
solution rather than alcohol
-The nurse should place the client supine or in Trendelenburg
position when changing the admin set or connectors of a central
line to prevent air emboli.
A nurse is caring for a client who is receiving the first dose of IV
ampicillin and develops a rash and flushed skin and begins
wheezing. Which of the following actions should the nurse take
first?
-Solution
Stop the infusion
- the first action the nurse should take when using the airway,
breathing, and circulation approach to client care is to stop the
infusion. However, the nurse should keep the IV open and infuse
0.9% sodium chloride until epinephrine is available to administer.
-The nurse should notify the rapid response team to prepare to
intubate the client if needed; however, there is another action
-The nurse should give oxygen via a nonrebreather facemask to a
client experiencing anaphylaxis due to their inability to breathe and
risk for hypoxemia. However, there is another action the nurse
should take
4
