1
RN ADULT MEDICAL SURGICAL 2019
1. A nurse is assessing a client who has a diagnosis on colon cancer whichof the
following should the nurse expect?
a) Statorrhea
b) Elevated hemoglobin
c) Hematochezia
d) Weight gain
2. A nurse is assessing a client admitted with peripheral vascular disease,.Which
of the following findings indicates a venous vascular disorder?
a) An ulcer at the tip of a toe
b) Hair loss distal to the clients calves
c) Leg pain at rest
d) Edema of the ankle
3. A nurse is assessing a client who has pericarditis. In which of the following areas of
the client’s chest should the nurse place the stethoscope to best hear apericardial
,2
friction rub? (select HOT spot)
,3
Answer: D
4. A nurse is caring for a client who has a chest tube. The client asks whythe
fluid in the water -seal chamber rises and falls. Which of the following statements
should the nurse make?
a) “ this means your lung is fully expanded “
b) “ this indicates a possible leak”
c) “ suction pressure that is too high causes this”
d) “ Your breathing pattern causes this”
5. A community health nurse is reviewing home care instructions with an older
adult client who has a new diagnosis of heart failure. Which of the followingis the
priority topic for the nurse to review with the client?
, 4
a) Daily sodium restriction
b) Daily exercise routine
c) Changes in weight
d) Fluid intake record
RN ADULT MEDICAL SURGICAL 2019
1. A nurse is assessing a client who has a diagnosis on colon cancer whichof the
following should the nurse expect?
a) Statorrhea
b) Elevated hemoglobin
c) Hematochezia
d) Weight gain
2. A nurse is assessing a client admitted with peripheral vascular disease,.Which
of the following findings indicates a venous vascular disorder?
a) An ulcer at the tip of a toe
b) Hair loss distal to the clients calves
c) Leg pain at rest
d) Edema of the ankle
3. A nurse is assessing a client who has pericarditis. In which of the following areas of
the client’s chest should the nurse place the stethoscope to best hear apericardial
,2
friction rub? (select HOT spot)
,3
Answer: D
4. A nurse is caring for a client who has a chest tube. The client asks whythe
fluid in the water -seal chamber rises and falls. Which of the following statements
should the nurse make?
a) “ this means your lung is fully expanded “
b) “ this indicates a possible leak”
c) “ suction pressure that is too high causes this”
d) “ Your breathing pattern causes this”
5. A community health nurse is reviewing home care instructions with an older
adult client who has a new diagnosis of heart failure. Which of the followingis the
priority topic for the nurse to review with the client?
, 4
a) Daily sodium restriction
b) Daily exercise routine
c) Changes in weight
d) Fluid intake record
