RN Adult Medical Surgical Online
Practice 2025 B (Latest Update 2025 /
2026) Questions with 100% Correct
Verified Answers [ Grade A]-
Chamberlain
A nurse is providing discharge teaching about infection prevention to a client who is
receiving chemotherapy. Which of the following statements by the client indicates
understanding of the teaching?
A. "I will avoid eating raw fruits and vegetables."
B. "I can ask a friend to change my cats litter box."
C. "I will use a mild soap when washing my genital area."
D. "I can sip on a glass of juice for at least 2 hours before I should discard it." - correct
answer Answer: B. "I can ask a friend to change my cats litter box."
- Changing a pet's litter box increases the client's risk of being exposed to
toxoplasmosis. Therefore, the client should wear gloves or avoid changing the pet's
litter box.
,Rationale:
A - The nurse should instruct the client to wash raw fruits and vegetables thoroughly
prior to eating them, because uncleaned fruits and vegetables can contain micro-
organisms and place the client at risk for an infection.
C - The nurse should instruct the client to wash genital area twice a day with anti-
microbial soap to prevent bacterial and fungal infections.
D - The nurse should instruct the client to avoid drinking any liquids that have been
out for more than 1 hr. Beverages left out for extended periods of time could expose
the client to micro-organisms and place them at risk for an infection.
A nurse is caring for a client who has a new diagnosis of hyperthyroidism. Which of
the following is the priority assessment finding that the nurse should report to the
provider?
A.Restlessness
B. T3 level 215 ng/dL (40 to 180 ng/dL)
C. Blood pressure 170/80 mm Hg
D. Decreased weight - correct answer Answer: C. Blood pressure 170/80 mm Hg
,- Using the urgent vs. nonurgent approach to client care, the nurse should determine
that the priority finding is a systolic blood pressure of 170 mm Hg, which indicates
that the client is at risk for thyroid storm.
Rationale:
A - Restlessness is nonurgent because it is an expected finding for a client who has
hyperthyroidism. Therefore, there is another finding that is the priority to report.
B - An elevated T3 level is nonurgent because it is an expected finding for a client
who has hyperthyroidism. Therefore, there is another finding that is the priority to
report.
D - Decreased weight is nonurgent because it is an expected finding for a client who
has hyperthyroidism. Therefore, there is another finding that is the priority to report.
A nurse is assessing for compartment syndrome in a client who has a short leg cast.
Which of the following findings should the nurse identify as a manifestation of this
condition?
A. Bounding pedal pulse
B. Capillary refill less than 2 seconds
C. Pain that increases with passive movement
, D. Areas of warmth on the cast - correct answer Answer: C. Pain that increases with
passive movement
- The nurse should identify that a client who has compartment syndrome experiences
pain that increases with passive movement. Compartment syndrome results from a
decrease in blood flow in the extremity caused by a decrease in the muscle
compartment size due to a cast that is too tight.
Rationale:
A - The nurse should expect a client who has compartment syndrome to have a
diminished pulse or pulselessness in the affected extremity due to lack of distal
perfusion caused by a decrease in the muscle compartment size.
B - The nurse should expect a client who has compartment syndrome to have
capillary refill greater than 2 seconds in the affected extremity due to a lack of distal
perfusion and venous congestion caused by a decrease in the muscle compartment
size.
D - A client who has a short leg cast can exhibit areas of warmth on the cast, which
can indicate an infection of the underlying tissue, not compartment syndrome.
Client presents with upper abdominal pain that radiates to the right shoulder. Client
rates pain as 7/ 10. Client also reports N/V and dyspepsia.
Practice 2025 B (Latest Update 2025 /
2026) Questions with 100% Correct
Verified Answers [ Grade A]-
Chamberlain
A nurse is providing discharge teaching about infection prevention to a client who is
receiving chemotherapy. Which of the following statements by the client indicates
understanding of the teaching?
A. "I will avoid eating raw fruits and vegetables."
B. "I can ask a friend to change my cats litter box."
C. "I will use a mild soap when washing my genital area."
D. "I can sip on a glass of juice for at least 2 hours before I should discard it." - correct
answer Answer: B. "I can ask a friend to change my cats litter box."
- Changing a pet's litter box increases the client's risk of being exposed to
toxoplasmosis. Therefore, the client should wear gloves or avoid changing the pet's
litter box.
,Rationale:
A - The nurse should instruct the client to wash raw fruits and vegetables thoroughly
prior to eating them, because uncleaned fruits and vegetables can contain micro-
organisms and place the client at risk for an infection.
C - The nurse should instruct the client to wash genital area twice a day with anti-
microbial soap to prevent bacterial and fungal infections.
D - The nurse should instruct the client to avoid drinking any liquids that have been
out for more than 1 hr. Beverages left out for extended periods of time could expose
the client to micro-organisms and place them at risk for an infection.
A nurse is caring for a client who has a new diagnosis of hyperthyroidism. Which of
the following is the priority assessment finding that the nurse should report to the
provider?
A.Restlessness
B. T3 level 215 ng/dL (40 to 180 ng/dL)
C. Blood pressure 170/80 mm Hg
D. Decreased weight - correct answer Answer: C. Blood pressure 170/80 mm Hg
,- Using the urgent vs. nonurgent approach to client care, the nurse should determine
that the priority finding is a systolic blood pressure of 170 mm Hg, which indicates
that the client is at risk for thyroid storm.
Rationale:
A - Restlessness is nonurgent because it is an expected finding for a client who has
hyperthyroidism. Therefore, there is another finding that is the priority to report.
B - An elevated T3 level is nonurgent because it is an expected finding for a client
who has hyperthyroidism. Therefore, there is another finding that is the priority to
report.
D - Decreased weight is nonurgent because it is an expected finding for a client who
has hyperthyroidism. Therefore, there is another finding that is the priority to report.
A nurse is assessing for compartment syndrome in a client who has a short leg cast.
Which of the following findings should the nurse identify as a manifestation of this
condition?
A. Bounding pedal pulse
B. Capillary refill less than 2 seconds
C. Pain that increases with passive movement
, D. Areas of warmth on the cast - correct answer Answer: C. Pain that increases with
passive movement
- The nurse should identify that a client who has compartment syndrome experiences
pain that increases with passive movement. Compartment syndrome results from a
decrease in blood flow in the extremity caused by a decrease in the muscle
compartment size due to a cast that is too tight.
Rationale:
A - The nurse should expect a client who has compartment syndrome to have a
diminished pulse or pulselessness in the affected extremity due to lack of distal
perfusion caused by a decrease in the muscle compartment size.
B - The nurse should expect a client who has compartment syndrome to have
capillary refill greater than 2 seconds in the affected extremity due to a lack of distal
perfusion and venous congestion caused by a decrease in the muscle compartment
size.
D - A client who has a short leg cast can exhibit areas of warmth on the cast, which
can indicate an infection of the underlying tissue, not compartment syndrome.
Client presents with upper abdominal pain that radiates to the right shoulder. Client
rates pain as 7/ 10. Client also reports N/V and dyspepsia.
