ADULT MEDICAL SURGICAL NURSING CONTENT
MASTERY SERIES (CMS) EXAM PRACTICE QUESTIONS AND
ANSWERS: THE MOST RECENT AND
COMPREHENSIVE VERSION WITH VERIFIED ANSWERS;
GUARANTEED PASS WITH INSTANT PDF DOWNLOAD.
A nurse is caring for several clients. Which client does the nurse assess most carefully
for hyperkalemia?
a. client with type 2 diabetes taking an oral anti-
diabetic agent
b. client with heart failure using a salt substitute
c. d. client taking a thiazide diuretic for
hypertension
client taking non-steroidal anti-
Many salt substitutes are composed of potassium chloride. Heavy use cna
contribute to the development of hyperkalemia. The client should be taught to read labels
and to choose a salt substitute that does not contain potassium. NSAIDs promote the
retention of sodium but not potassium.
An older adult client presents with signs and symptoms related to dig toxicity. Which
age related change may have contributed to this problem?
a. decreased renal blood flow
b. c. d. increased gastrointestinal
motility
decreased ratio of adipose
tissue to lean body mass
Decreased renal blood flow and reduced glomerular filtration can result in slower
medication excretion time, potentially leading to toxic drug accumulation. Aging
,
,
, results in decreased total body water and gastrointestinal motility and an increase in the
ratio of adipose tissue to lean body mass, but is not related to dig toxicity.
A client is being treated for dehydration. Which statement made by the client
indicates understanding of this condition?
a. b. c. I will use a salt substitute when
making and eating my meals. I
must drink a quart of water or
other liquid each day.
d. I will weigh myself each morning before I ea
or drink. - ANSWER:
Because 1 L of water weighs 1 kg, change in body weight is a good measure of excess
fluid loss or fluid retention. Weight loss greater than 0.5 lb daily is indicative of
excessive fluid loss. The other statements are not indicative of practices that will prevent
dehydration.
The nurse notes that the handgrip of the client with hypokalemia has diminished since the
previous assessment one hour ago. Which intervention by the nurse is the priority?
a. assess the client's respiratory rate, rhythm, an
depth
b. c. d. document findings and
monitor the client
measure the client's pulse
and blood pressure call
In a client with hypokkalemia, progressive skeletal muscle weakness is associated with
increasing severity of hypokalemia. The most lifethreatening complication of hypokalemia
is respiratory insufficiency. It is imperative for the nurse to perform a respiratory assessment
first to make sure that the client is not in immediate
MASTERY SERIES (CMS) EXAM PRACTICE QUESTIONS AND
ANSWERS: THE MOST RECENT AND
COMPREHENSIVE VERSION WITH VERIFIED ANSWERS;
GUARANTEED PASS WITH INSTANT PDF DOWNLOAD.
A nurse is caring for several clients. Which client does the nurse assess most carefully
for hyperkalemia?
a. client with type 2 diabetes taking an oral anti-
diabetic agent
b. client with heart failure using a salt substitute
c. d. client taking a thiazide diuretic for
hypertension
client taking non-steroidal anti-
Many salt substitutes are composed of potassium chloride. Heavy use cna
contribute to the development of hyperkalemia. The client should be taught to read labels
and to choose a salt substitute that does not contain potassium. NSAIDs promote the
retention of sodium but not potassium.
An older adult client presents with signs and symptoms related to dig toxicity. Which
age related change may have contributed to this problem?
a. decreased renal blood flow
b. c. d. increased gastrointestinal
motility
decreased ratio of adipose
tissue to lean body mass
Decreased renal blood flow and reduced glomerular filtration can result in slower
medication excretion time, potentially leading to toxic drug accumulation. Aging
,
,
, results in decreased total body water and gastrointestinal motility and an increase in the
ratio of adipose tissue to lean body mass, but is not related to dig toxicity.
A client is being treated for dehydration. Which statement made by the client
indicates understanding of this condition?
a. b. c. I will use a salt substitute when
making and eating my meals. I
must drink a quart of water or
other liquid each day.
d. I will weigh myself each morning before I ea
or drink. - ANSWER:
Because 1 L of water weighs 1 kg, change in body weight is a good measure of excess
fluid loss or fluid retention. Weight loss greater than 0.5 lb daily is indicative of
excessive fluid loss. The other statements are not indicative of practices that will prevent
dehydration.
The nurse notes that the handgrip of the client with hypokalemia has diminished since the
previous assessment one hour ago. Which intervention by the nurse is the priority?
a. assess the client's respiratory rate, rhythm, an
depth
b. c. d. document findings and
monitor the client
measure the client's pulse
and blood pressure call
In a client with hypokkalemia, progressive skeletal muscle weakness is associated with
increasing severity of hypokalemia. The most lifethreatening complication of hypokalemia
is respiratory insufficiency. It is imperative for the nurse to perform a respiratory assessment
first to make sure that the client is not in immediate
