CMS MED SURG PROCTORED EXAM 2 2026
ACTUAL SCRIPT COMPLETE QUESTIONS AND
ANSWERS 100% CORRECT
◉ A nurse is caring for a client who is 2 days postoperative following
a below-the-knee amputation and asks about the purpose of
maintaining an elastic bandage around the residual limb of the
extremity. Which of the following is an appropriate response by the
nurse?
a. the elastic bandage will prevent a post-op wound infection
b. the elastic bandage will prevent excessive edema
c. the elastic bandage will keep the sutures from loosening
d. the elastic bandage will keep you from seeing the surgical site.
Answer: b. the elastic bandage will prevent excessive edema
◉ A nurse is planning care for a client who is 8 hour post-op
following a coronary artery bypass grafting. Which of the following
assessments should the nurse plan to perform first?
a. examine the surgical incision for drainage
b. auscultate breath sounds
c. palpate pulses distal to the graft donor site
d. measure the client's core body temperature. Answer: b. auscultate
breath sounds
,◉ A nurse is providing instructions to a client who has primary
syphilis. Which of the following instructions should the nurse
include in the discharge plan?
a. you will need cryotherapy for 1 to 2 weeks.
b. you will need to take an antiviral medication for 6 months
c. you will need 3 follow-up blood tests within a 24 month period
d. you will need to be monitored for 15 minutes after receiving each
medication dose.. Answer: c. you will need 3 follow-up blood tests
within a 24 month period
◉ A nurse is caring for a client who has hypotension, cool clammy
skin, tachycardia, and tachypnea. In which of the following ositions
should the nurse place the client?
a. reverse trendelenburg
b. feet elevated
c. high-fowlers
d. side lying. Answer: c. high-fowlers
◉ A nurse is teaching a client how to use a quad cane for ambulation
follwing a right-hemisheric stroke. Which of the following client
actions indicates an understanding of the teaching?
a. client takes a step before advancing the cane
b. client holds the cane with the left hand
, c. client moves the cane 2 feet ahead
d. client advances the weaker left forward first. Answer: d. client
advances the weaker left forward first
◉ A nurse is providing discharge teaching for a client who has new
traceostomy. Which of the following statments by the client indicates
an understanding of the teaching?
a. I'll remove the soiled tracheostomy ties prior to cleansing my
stoma
b. I'll cut a slit in a clean gauze pad to use as a stoma dressing
c. I'll insert the oburator after cleaning my stoma
d. I'll cleanse the cannula with half-strength hydrogen peroxide..
Answer: c. I'll insert the oburator after cleaning my stoma
◉ A nurse is preparing to administer furosemide to a client who has
acute heart failure. Which of the following laboratory results should
the nurse identify as contraindications for receiving this
medications?
a. BUN 18 mg/dl
b. Creatinine 0.8 mg/dl
c. Potassium 3.2 mEq/l
d. Sodium 136 mEq/l. Answer: c. Potassium 3.2 mEq/l
ACTUAL SCRIPT COMPLETE QUESTIONS AND
ANSWERS 100% CORRECT
◉ A nurse is caring for a client who is 2 days postoperative following
a below-the-knee amputation and asks about the purpose of
maintaining an elastic bandage around the residual limb of the
extremity. Which of the following is an appropriate response by the
nurse?
a. the elastic bandage will prevent a post-op wound infection
b. the elastic bandage will prevent excessive edema
c. the elastic bandage will keep the sutures from loosening
d. the elastic bandage will keep you from seeing the surgical site.
Answer: b. the elastic bandage will prevent excessive edema
◉ A nurse is planning care for a client who is 8 hour post-op
following a coronary artery bypass grafting. Which of the following
assessments should the nurse plan to perform first?
a. examine the surgical incision for drainage
b. auscultate breath sounds
c. palpate pulses distal to the graft donor site
d. measure the client's core body temperature. Answer: b. auscultate
breath sounds
,◉ A nurse is providing instructions to a client who has primary
syphilis. Which of the following instructions should the nurse
include in the discharge plan?
a. you will need cryotherapy for 1 to 2 weeks.
b. you will need to take an antiviral medication for 6 months
c. you will need 3 follow-up blood tests within a 24 month period
d. you will need to be monitored for 15 minutes after receiving each
medication dose.. Answer: c. you will need 3 follow-up blood tests
within a 24 month period
◉ A nurse is caring for a client who has hypotension, cool clammy
skin, tachycardia, and tachypnea. In which of the following ositions
should the nurse place the client?
a. reverse trendelenburg
b. feet elevated
c. high-fowlers
d. side lying. Answer: c. high-fowlers
◉ A nurse is teaching a client how to use a quad cane for ambulation
follwing a right-hemisheric stroke. Which of the following client
actions indicates an understanding of the teaching?
a. client takes a step before advancing the cane
b. client holds the cane with the left hand
, c. client moves the cane 2 feet ahead
d. client advances the weaker left forward first. Answer: d. client
advances the weaker left forward first
◉ A nurse is providing discharge teaching for a client who has new
traceostomy. Which of the following statments by the client indicates
an understanding of the teaching?
a. I'll remove the soiled tracheostomy ties prior to cleansing my
stoma
b. I'll cut a slit in a clean gauze pad to use as a stoma dressing
c. I'll insert the oburator after cleaning my stoma
d. I'll cleanse the cannula with half-strength hydrogen peroxide..
Answer: c. I'll insert the oburator after cleaning my stoma
◉ A nurse is preparing to administer furosemide to a client who has
acute heart failure. Which of the following laboratory results should
the nurse identify as contraindications for receiving this
medications?
a. BUN 18 mg/dl
b. Creatinine 0.8 mg/dl
c. Potassium 3.2 mEq/l
d. Sodium 136 mEq/l. Answer: c. Potassium 3.2 mEq/l
