MED SURG CMS EXIT EXAMS
WITH NGN 2023/2025
,A home health nurse is caring for a child who has Lyme
disease. Which of the following is an appropriate action for
the nurse to take? - CORRECT ANSWER-Ensure the
state health department has been notified
A nurse is caring for a client who has a vented NG tube
set to low intermittent suction and has vomited. Which of
the following actions should the nurse perform first? -
CORRECT ANSWER-Evaluate functioning of the suction
device
While performing a routine assessment, a nurse notices
fraying on the electrical cord of a client's continuous
passive motion device. Which of the following actions
should the nurse take first? - CORRECT ANSWER-
Remove the device from the room
A nurse is setting up a sterile field to perform wound
irrigation for a client. Which of the following actions should
the nurse take when pouring the sterile solution? -
CORRECT ANSWER-Remove the cap and place it sterile
side up on a CLEAN surface
,A nurse is creating a plan of care for a female client who
has recurrent UTIs. Which of the following interventions
should the nurse include in the plan? - CORRECT
ANSWER-Wear loose fitting underwear
A nurse is caring for an infant who has gastroenteritis.
Which of the following assessment findings should the
nurse report to the provider? - CORRECT ANSWER-
Sunken fontanels and dry mucous membranes
A nurse is conducting health promotion education
regarding contraindications to combination oral
contraceptives use to a group of women. Which of the
following conditions should the nurse include in the
teaching? - CORRECT ANSWER-Hypertension
A nurse is providing teaching to a client who has a
depressive disorder and a new prescription for
amitriptyline. Which of the following statements by the
client indicates an understanding of the teaching? -
CORRECT ANSWER-"I know it will be a couple of weeks
before the medication helps me feel better."
A nurse is caring for a client who is immobile. Which of the
following interventions is appropriate to prevent
, contracture? - CORRECT ANSWER-Apply an orthotic to
the client's foot.
A nurse is assessing a client who is postoperative
following abdominal surgery and has an indwelling urinary
catheter that is draining dark yellow urine at 25mL/hr.
Which of the following interventions should the nurse
anticipate? - CORRECT ANSWER-Obtain a urine
specimen for culture and sensitivity
A nurse is reporting a client's laboratory tests to the
provider to obtain a prescription for the client's daily
warfarin. Which of the following laboratory tests should the
nurse plan to report to obtain the prescriptions for the
warfarin? - CORRECT ANSWER-INR
A nurse is assessing a client who is taking haloperidol and
is experiencing pseudo parkinsonism. Which of the
following findings should the nurse document as a
manifestation of pseudo parkinsonism? - CORRECT
ANSWER-Shuffling gait
A nurse is caring for a client who is experiencing
expressive aphasia and right hemiparesis following a
stroke. Which of the following actions by the nurse best
promotes communication among staff caring for the client?