RN ADULT MEDICAL SURGICAL NURSING
FINAL STUDY GUIDE 2026 QUESTIONS
WITH ANSWERS GRADED A+
⩥ A nurse is assessing a client who has pulmonary edema. Which of the
following findings should the nurse expect?
Select all that apply. Answer: 1. Tachypnea
2. Orthopnea
3. Persistent cough
⩥ A nurse is assessing a client who has mitral valve insufficiency. Which
of the following findings should the nurse expect?. Answer: Neck vein
distention
⩥ A nurse is teaching a client who had a placement of a prosthetic heart
valve. Which of the following statements by the client indicates an
understanding of the teaching?
Select all that apply.. Answer: 1. "I might need antibiotics before dental
procedures."
2. "I will need to have my blood work checked on a regular basis."
3. "I will need to limit my intake of foods containing sodium."
,⩥ A nurse is teaching a class about risk factors for inflammatory heart
disease. The nurse should instruct that which of the following conditions
is a risk factor for rheumatic endocarditis?. Answer: Streptococcal
pharyngitis
⩥ A nurse is caring for a client who has pericarditis. Which of the
following findings should the nurse expect?
Select all that apply.. Answer: 1. Chest pain
2. Friction rub
3. Cough
4. JVD
⩥ A nurse is assessing a client who has pericarditis. Which of the
following findings is a manifestation of cardiac tamponade?. Answer:
Paradoxical pulse
⩥ A nurse is assessing a client who has chronic peripheral arterial
disease (PAD). Which of the following findings should the nurse
expect?. Answer: Pallor on elevation of the limbs, and rubor when the
limbs are dependent
⩥ A nurse is teaching a client who has a new prescription for
clopidogrel. Which of the following statements should the nurse make?
Select all that apply.. Answer: 1. "Avoid taking herbal supplements while
taking this medication."
,2. "Monitor for the presence of black, tarry stools."
⩥ A nurse is teaching a client who has a new diagnosis of severe
peripheral arterial disease. Which of the following instructions should
the nurse include?. Answer: Place both legs in a dependent position
while sleeping.
⩥ A nurse is caring for a client who has chronic venous insufficiency
and a prescription for thigh-high compression stockings. Which of the
following actions should the nurse take?. Answer: Apply the stockings to
the client in the morning upon awakening and before getting out of bed.
⩥ A nurse is caring for a client who has a deep-vein thrombosis (DVT)
and has been taking unfractionated heparin for 1 week. Two days ago,
the provider also prescribed warfarin. The client asks the nurse about
receiving both heparin and warfarin at the same time. Which of the
following statements should the nurse make?. Answer: "It takes 3 to 4
days before the therapeutic effects of warfarin are achieved, and then the
heparin can be discontinued."
⩥ A nurse is providing teaching with a client who has hypertension and
received a new prescription for spironolactone. Which of the following
statements by the client indicates an understanding of the teaching?.
Answer: "I should monitor rhythm of my heart rate."
, ⩥ A nurse in the emergency department is admitting a client who has a
blood pressure of 266/147 mm Hg and reports severe headache and
blurred vision. Which of the following actions should the nurse take
first?. Answer: Obtain IV access.
⩥ A nurse in the emergency department is assessing a client who is
being treated for shock. Which of the following manifestations should
the nurse expect to find?
Select all that apply.. Answer: 1. Slowed capillary refill
2. Tachypnea
3. Hypotension
⩥ A nurse is providing teaching to a client who has a new diagnosis of
an aneurysm. The client asks the nurse to explain what causes an
aneurysm to rupture. Which of the following statements should the nurse
give?. Answer: "It is due to hypertension."
⩥ A nurse is assessing a client who has a new diagnosis of a thoracic
aortic aneurysm. Which of the following findings should the nurse
expect?
Select all that apply.. Answer: 1. Cough
2. Altered swallowing
3. Shortness of breath
4. Back pain
FINAL STUDY GUIDE 2026 QUESTIONS
WITH ANSWERS GRADED A+
⩥ A nurse is assessing a client who has pulmonary edema. Which of the
following findings should the nurse expect?
Select all that apply. Answer: 1. Tachypnea
2. Orthopnea
3. Persistent cough
⩥ A nurse is assessing a client who has mitral valve insufficiency. Which
of the following findings should the nurse expect?. Answer: Neck vein
distention
⩥ A nurse is teaching a client who had a placement of a prosthetic heart
valve. Which of the following statements by the client indicates an
understanding of the teaching?
Select all that apply.. Answer: 1. "I might need antibiotics before dental
procedures."
2. "I will need to have my blood work checked on a regular basis."
3. "I will need to limit my intake of foods containing sodium."
,⩥ A nurse is teaching a class about risk factors for inflammatory heart
disease. The nurse should instruct that which of the following conditions
is a risk factor for rheumatic endocarditis?. Answer: Streptococcal
pharyngitis
⩥ A nurse is caring for a client who has pericarditis. Which of the
following findings should the nurse expect?
Select all that apply.. Answer: 1. Chest pain
2. Friction rub
3. Cough
4. JVD
⩥ A nurse is assessing a client who has pericarditis. Which of the
following findings is a manifestation of cardiac tamponade?. Answer:
Paradoxical pulse
⩥ A nurse is assessing a client who has chronic peripheral arterial
disease (PAD). Which of the following findings should the nurse
expect?. Answer: Pallor on elevation of the limbs, and rubor when the
limbs are dependent
⩥ A nurse is teaching a client who has a new prescription for
clopidogrel. Which of the following statements should the nurse make?
Select all that apply.. Answer: 1. "Avoid taking herbal supplements while
taking this medication."
,2. "Monitor for the presence of black, tarry stools."
⩥ A nurse is teaching a client who has a new diagnosis of severe
peripheral arterial disease. Which of the following instructions should
the nurse include?. Answer: Place both legs in a dependent position
while sleeping.
⩥ A nurse is caring for a client who has chronic venous insufficiency
and a prescription for thigh-high compression stockings. Which of the
following actions should the nurse take?. Answer: Apply the stockings to
the client in the morning upon awakening and before getting out of bed.
⩥ A nurse is caring for a client who has a deep-vein thrombosis (DVT)
and has been taking unfractionated heparin for 1 week. Two days ago,
the provider also prescribed warfarin. The client asks the nurse about
receiving both heparin and warfarin at the same time. Which of the
following statements should the nurse make?. Answer: "It takes 3 to 4
days before the therapeutic effects of warfarin are achieved, and then the
heparin can be discontinued."
⩥ A nurse is providing teaching with a client who has hypertension and
received a new prescription for spironolactone. Which of the following
statements by the client indicates an understanding of the teaching?.
Answer: "I should monitor rhythm of my heart rate."
, ⩥ A nurse in the emergency department is admitting a client who has a
blood pressure of 266/147 mm Hg and reports severe headache and
blurred vision. Which of the following actions should the nurse take
first?. Answer: Obtain IV access.
⩥ A nurse in the emergency department is assessing a client who is
being treated for shock. Which of the following manifestations should
the nurse expect to find?
Select all that apply.. Answer: 1. Slowed capillary refill
2. Tachypnea
3. Hypotension
⩥ A nurse is providing teaching to a client who has a new diagnosis of
an aneurysm. The client asks the nurse to explain what causes an
aneurysm to rupture. Which of the following statements should the nurse
give?. Answer: "It is due to hypertension."
⩥ A nurse is assessing a client who has a new diagnosis of a thoracic
aortic aneurysm. Which of the following findings should the nurse
expect?
Select all that apply.. Answer: 1. Cough
2. Altered swallowing
3. Shortness of breath
4. Back pain
