Pn Med Surg Proctored /Ati Pn Medical Surgical
Exam Bank
2024-2025 Actual Exam Complete Questions And
Correct Detailed Answers
A nurse is reviewing the medical record of a client who has a prescription for
morphine. Which of the following findings should the nurse report to the
provider? - DETAILED ANSWER -Urinary retention
A nurse is caring for a client who is at risk for developing pressure ulcers. Which
of the following actions should the nurse take? - DETAILED ANSWER -Position
pillows between the bony prominences
A nurse is caring for a client who is postoperative and is receiving an IV infusion
of cefazolin. Ten minutes after beginning the infusion, the client reports intense
itching. Which of the following actions should the nurse take first? - DETAILED
ANSWER -Stop the medication infusion
A nurse is reinforcing teaching with a client who has gonorrhea. Which of the
following information should the nurse include? - CORRECT
ANSWER-You are at risk for infertility with this infection, regardless of treatment
,A nurse is examining a clients IV site and notes a red line up his arm. The client
reliant a throbbing, burning pain at the IV site. The nurse should identify that the
clients manifestations indicate which of the following complications? - DETAILED
ANSWER -Thrombophlebitis
A nurse is reinforcing teaching with an adolescent client regarding testicular self
examination. Which of the following statements by the client demonstrates an
undertsmdibg of the teaching? - DETAILED ANSWER -I understand that testicular
cancer is painless
A nurse in a long term care facility is collecting data from a client who reports
fullness in the rectum and abdominal cramping. Which of the following findings
should indicate to the nurse that the client might have a fecal impaction? -
DETAILED ANSWER -Small liquid stools
A nurse in an oncology is reinforcing teaching about Mohs surgery with a client
who has skin cancer. Which of the following information should the nurse include
in the teaching? - DETAILED ANSWER -Mohs surgery is a horizontal shaving of thin
layers of the tumor
A nurse is reinforcing teaching about GERd with a client. Which of the following
statements by the client indicates an understanding of the teaching? - DETAILED
ANSWER -I should wait at least 2 hours after eating before going to bed
A nurse is assisting with the care of a care who is reconciled 0.9 % sodium
chloride by continuous IV infusion. The client report pain and swelling at the IV
site. In which order should the nurse perform that following steps? - DETAILED
,ANSWER -Check the IV site, stop the infusion, withdraw the IV catheter, elevate
the affected arm, notify the charge nurse
A nurse is contributing to the plan of care for an older adult client who is at risk
for osteoporosis. Which of the following interventions should the nurse include
to prevent bone loss? - DETAILED ANSWER -Encourage weight bearing exercises
A nurse is assisting with the care of a client who has a cardiac catheterization via
the right femoral artery. Which of the following actions should the nurse take to
prevent lost procedure complications? - DETAILED ANSWER -Monitor the insertion
site for bleeding is correct, maintain the pressure dressing, check the clients
peripheral pulses
A nurse is caring for a client who is 1 day postoperative following a hip
arthroplasty. The client is exhibiting hypotension,tachycardia, and tachypnea.
The nurse should recognize these findings indicate which of the following
complications? - DETAILED ANSWER -Pulmonary embolism
A nurse is reinforcing discharge teaching with a client who has hearing loss.
Which of the following actions should the nurse take when communication with
the client? - DETAILED ANSWER -Rephrase client instructions when not
understood
A nurse is caring for a client who is postoperative and has an epidural infusion.
Which of the following findings should the nurse recognize as the priority? -
DETAILED ANSWER -Dyspnea
, A nurse is preparing to administer phytonadione 7 mg subcutaneously to a client
who has an INR of 4. Available is phytonadione 10 mg/ml.
How many ml should the nurse administer? - DETAILED ANSWER -0.7
A nurse is reinforcing teaching with a client who has multiple sclerosis and a new
prescription for baclofen. Which of the following instructions should the nurse
include in the teaching? - DETAILED ANSWER -Avoid stopping this medication
suddenly
A nurse is planning to implement droplet precautions for a client who has
manifestation of pertussis. Which of the following interventions should the nurse
include when contributing? - DETAILED ANSWER -Apply a mask on the client of
transport is needed
A nurse is caring for an older adult client who has a reddened area over the
sacrum. Which of the following actions should the nurse take? - DETAILED
ANSWER -Minimize the time the head of the bed is elevated
A nurse is collecting data from a client and noticed several skin lesions. Which of
the following findings should the nurse report as possible melanoma? - DETAILED
ANSWER -Irregular borders
A nurse is reinforcing teaching with a client who is in a low sodium diet and asks
about how to improve the taste of bland food. Which of the following should the
nurse recommend? - DETAILED ANSWER -Lemon juice
A nurse is assisting with the discharge planning for a client who is postoperative
following a total hip arthroplasty. Which of the following instructions should the
Exam Bank
2024-2025 Actual Exam Complete Questions And
Correct Detailed Answers
A nurse is reviewing the medical record of a client who has a prescription for
morphine. Which of the following findings should the nurse report to the
provider? - DETAILED ANSWER -Urinary retention
A nurse is caring for a client who is at risk for developing pressure ulcers. Which
of the following actions should the nurse take? - DETAILED ANSWER -Position
pillows between the bony prominences
A nurse is caring for a client who is postoperative and is receiving an IV infusion
of cefazolin. Ten minutes after beginning the infusion, the client reports intense
itching. Which of the following actions should the nurse take first? - DETAILED
ANSWER -Stop the medication infusion
A nurse is reinforcing teaching with a client who has gonorrhea. Which of the
following information should the nurse include? - CORRECT
ANSWER-You are at risk for infertility with this infection, regardless of treatment
,A nurse is examining a clients IV site and notes a red line up his arm. The client
reliant a throbbing, burning pain at the IV site. The nurse should identify that the
clients manifestations indicate which of the following complications? - DETAILED
ANSWER -Thrombophlebitis
A nurse is reinforcing teaching with an adolescent client regarding testicular self
examination. Which of the following statements by the client demonstrates an
undertsmdibg of the teaching? - DETAILED ANSWER -I understand that testicular
cancer is painless
A nurse in a long term care facility is collecting data from a client who reports
fullness in the rectum and abdominal cramping. Which of the following findings
should indicate to the nurse that the client might have a fecal impaction? -
DETAILED ANSWER -Small liquid stools
A nurse in an oncology is reinforcing teaching about Mohs surgery with a client
who has skin cancer. Which of the following information should the nurse include
in the teaching? - DETAILED ANSWER -Mohs surgery is a horizontal shaving of thin
layers of the tumor
A nurse is reinforcing teaching about GERd with a client. Which of the following
statements by the client indicates an understanding of the teaching? - DETAILED
ANSWER -I should wait at least 2 hours after eating before going to bed
A nurse is assisting with the care of a care who is reconciled 0.9 % sodium
chloride by continuous IV infusion. The client report pain and swelling at the IV
site. In which order should the nurse perform that following steps? - DETAILED
,ANSWER -Check the IV site, stop the infusion, withdraw the IV catheter, elevate
the affected arm, notify the charge nurse
A nurse is contributing to the plan of care for an older adult client who is at risk
for osteoporosis. Which of the following interventions should the nurse include
to prevent bone loss? - DETAILED ANSWER -Encourage weight bearing exercises
A nurse is assisting with the care of a client who has a cardiac catheterization via
the right femoral artery. Which of the following actions should the nurse take to
prevent lost procedure complications? - DETAILED ANSWER -Monitor the insertion
site for bleeding is correct, maintain the pressure dressing, check the clients
peripheral pulses
A nurse is caring for a client who is 1 day postoperative following a hip
arthroplasty. The client is exhibiting hypotension,tachycardia, and tachypnea.
The nurse should recognize these findings indicate which of the following
complications? - DETAILED ANSWER -Pulmonary embolism
A nurse is reinforcing discharge teaching with a client who has hearing loss.
Which of the following actions should the nurse take when communication with
the client? - DETAILED ANSWER -Rephrase client instructions when not
understood
A nurse is caring for a client who is postoperative and has an epidural infusion.
Which of the following findings should the nurse recognize as the priority? -
DETAILED ANSWER -Dyspnea
, A nurse is preparing to administer phytonadione 7 mg subcutaneously to a client
who has an INR of 4. Available is phytonadione 10 mg/ml.
How many ml should the nurse administer? - DETAILED ANSWER -0.7
A nurse is reinforcing teaching with a client who has multiple sclerosis and a new
prescription for baclofen. Which of the following instructions should the nurse
include in the teaching? - DETAILED ANSWER -Avoid stopping this medication
suddenly
A nurse is planning to implement droplet precautions for a client who has
manifestation of pertussis. Which of the following interventions should the nurse
include when contributing? - DETAILED ANSWER -Apply a mask on the client of
transport is needed
A nurse is caring for an older adult client who has a reddened area over the
sacrum. Which of the following actions should the nurse take? - DETAILED
ANSWER -Minimize the time the head of the bed is elevated
A nurse is collecting data from a client and noticed several skin lesions. Which of
the following findings should the nurse report as possible melanoma? - DETAILED
ANSWER -Irregular borders
A nurse is reinforcing teaching with a client who is in a low sodium diet and asks
about how to improve the taste of bland food. Which of the following should the
nurse recommend? - DETAILED ANSWER -Lemon juice
A nurse is assisting with the discharge planning for a client who is postoperative
following a total hip arthroplasty. Which of the following instructions should the
