StudyRN Adult Medical Surgical
Practice B Questions and Answers
A nurse is assessing a client who has peripheral arterial disease. Which of the following findings
should the nurse expect? - <CORRECT ANSWER >>Hair loss on the lower legs
A nurse is providing teaching to a client who has esophageal cancer and is to undergo radiation
therapy. Which of the following statements should the nurse identify as an indication that the
client understands the teaching? - <CORRECT ANSWER >>"I will use my hands rather than a
washcloth to clean the radiation area.
A nurse at a provider's office is caring for a client who is 2 weeks postoperative following a
gastrectomy.
A nurse is providing teaching for the client. Which of the following instructions should the nurse
include?
Select all that apply. - <CORRECT ANSWER >>Avoid drinking fluids with meals
Eat several small meals
Consume high-protein snacks
Avoid highly seasoned foods
A nurse is caring for a client who is scheduled for a right knee arthroplasty.
The nurse provided preoperative teaching to the client. Which of the following statements by
the client indicates an understanding of the teaching?
Select all that apply. - <CORRECT ANSWER >>"I will need to do the breathing exercises every 1
to 2 hours after the surgery"
"I will be sure to ask for pain medication before my knee starts to hurt too bad"
"I will probably be going home with a walker"
,A nurse is planning to provide discharge teaching for the family of an older adult client who has
hemianopsia and is at risk for falls. Which of the
following instructions should the nurse include? - <CORRECT ANSWER >>Remind the client to
scan their complete range of vision during ambulation.
An older adult client is brought to an emergency department by a family member. Which of the
following assessment findings should cause the
nurse to suspect that the client has hypertonic dehydration? - <CORRECT ANSWER >>Urine
specific gravity 1.045
A nurse is assessing a client who is at risk for the development of pernicious anemia resulting
from peptic ulcer disease. Which of the following
images depicts a condition caused by pernicious anemia? - <CORRECT ANSWER >>
A PACU nurse is assessing a client who is postoperative following a right nephrectomy. The
client's initial vital signs were heart rate 80/min, blood
pressure 130/70 mm Hg, respiratory rate 16/min, and temperature 36° C (96.8° F). Which of the
following vital sign changes should alert the nurse
that the client might be hemorrhaging? - <CORRECT ANSWER >>Heart rate 110/min.
A nurse is caring for a client who is 4 hr postoperative following a total
vaginal hysterectomy.
Click to highlight the findings the nurse should report to the provider
immediately. - <CORRECT ANSWER >>Perineal pad saturated with blood, large clots present
Change of blood pressure, heart rate of 102/min
A nurse is caring for a client who has HIV. Which of the following findings indicates a positive
response to the prescribed HIV treatment? - <CORRECT ANSWER >>Decreased viral load
, A nurse is providing discharge teaching to a client who has heart failure and a new prescription
for a potassium-sparing diuretic. Which of the
following information should the nurse include in the teaching? - <CORRECT ANSWER >>Try to
walk at least three times per week for exercise.
A nurse is conducting an admission history for a client who is to undergo a CT scan with an IV
contrast agent. The nurse should identify that which
of the following findings requires further assessment? - <CORRECT ANSWER >>History of
asthma
A nurse is planning teaching for a client who has bladder cancer and is to undergo a cutaneous
diversion procedure to establish a ureterostomy.
Which of the following statements should the nurse include in the teaching? - <CORRECT
ANSWER >>"You should cut the opening of the skin barrier one-eighth inch wider than the
stoma."
A nurse is providing discharge instructions to a client who has active tuberculosis (TB). Which of
the following information should the nurse
include in the instructions? - <CORRECT ANSWER >>Sputum specimens are necessary every 2 to
4 weeks until there are three negative cultures.
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? - <CORRECT ANSWER >>Pain that increases with passive
movement
A nurse is caring for a client who is 8 hr postoperative following a total hip arthroplasty. The
client is unable to void on the bedpan. Which of the
following actions should the nurse take first? - <CORRECT ANSWER >>Scan the bladder with a
portable ultrasound.
Practice B Questions and Answers
A nurse is assessing a client who has peripheral arterial disease. Which of the following findings
should the nurse expect? - <CORRECT ANSWER >>Hair loss on the lower legs
A nurse is providing teaching to a client who has esophageal cancer and is to undergo radiation
therapy. Which of the following statements should the nurse identify as an indication that the
client understands the teaching? - <CORRECT ANSWER >>"I will use my hands rather than a
washcloth to clean the radiation area.
A nurse at a provider's office is caring for a client who is 2 weeks postoperative following a
gastrectomy.
A nurse is providing teaching for the client. Which of the following instructions should the nurse
include?
Select all that apply. - <CORRECT ANSWER >>Avoid drinking fluids with meals
Eat several small meals
Consume high-protein snacks
Avoid highly seasoned foods
A nurse is caring for a client who is scheduled for a right knee arthroplasty.
The nurse provided preoperative teaching to the client. Which of the following statements by
the client indicates an understanding of the teaching?
Select all that apply. - <CORRECT ANSWER >>"I will need to do the breathing exercises every 1
to 2 hours after the surgery"
"I will be sure to ask for pain medication before my knee starts to hurt too bad"
"I will probably be going home with a walker"
,A nurse is planning to provide discharge teaching for the family of an older adult client who has
hemianopsia and is at risk for falls. Which of the
following instructions should the nurse include? - <CORRECT ANSWER >>Remind the client to
scan their complete range of vision during ambulation.
An older adult client is brought to an emergency department by a family member. Which of the
following assessment findings should cause the
nurse to suspect that the client has hypertonic dehydration? - <CORRECT ANSWER >>Urine
specific gravity 1.045
A nurse is assessing a client who is at risk for the development of pernicious anemia resulting
from peptic ulcer disease. Which of the following
images depicts a condition caused by pernicious anemia? - <CORRECT ANSWER >>
A PACU nurse is assessing a client who is postoperative following a right nephrectomy. The
client's initial vital signs were heart rate 80/min, blood
pressure 130/70 mm Hg, respiratory rate 16/min, and temperature 36° C (96.8° F). Which of the
following vital sign changes should alert the nurse
that the client might be hemorrhaging? - <CORRECT ANSWER >>Heart rate 110/min.
A nurse is caring for a client who is 4 hr postoperative following a total
vaginal hysterectomy.
Click to highlight the findings the nurse should report to the provider
immediately. - <CORRECT ANSWER >>Perineal pad saturated with blood, large clots present
Change of blood pressure, heart rate of 102/min
A nurse is caring for a client who has HIV. Which of the following findings indicates a positive
response to the prescribed HIV treatment? - <CORRECT ANSWER >>Decreased viral load
, A nurse is providing discharge teaching to a client who has heart failure and a new prescription
for a potassium-sparing diuretic. Which of the
following information should the nurse include in the teaching? - <CORRECT ANSWER >>Try to
walk at least three times per week for exercise.
A nurse is conducting an admission history for a client who is to undergo a CT scan with an IV
contrast agent. The nurse should identify that which
of the following findings requires further assessment? - <CORRECT ANSWER >>History of
asthma
A nurse is planning teaching for a client who has bladder cancer and is to undergo a cutaneous
diversion procedure to establish a ureterostomy.
Which of the following statements should the nurse include in the teaching? - <CORRECT
ANSWER >>"You should cut the opening of the skin barrier one-eighth inch wider than the
stoma."
A nurse is providing discharge instructions to a client who has active tuberculosis (TB). Which of
the following information should the nurse
include in the instructions? - <CORRECT ANSWER >>Sputum specimens are necessary every 2 to
4 weeks until there are three negative cultures.
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? - <CORRECT ANSWER >>Pain that increases with passive
movement
A nurse is caring for a client who is 8 hr postoperative following a total hip arthroplasty. The
client is unable to void on the bedpan. Which of the
following actions should the nurse take first? - <CORRECT ANSWER >>Scan the bladder with a
portable ultrasound.
