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Comprehensive PN Adult Medical-Surgical Content Mastery
Series (CMS) Exam (Verified Questions And Answers) ||Sure
Exams||Quick Pass!!!
A nurse in a long-term care unit is assisting in the care of a
client who has Alzheimer's disease. Which of the following
actions should the nurse take?
A. Alternate the client's daily routine
B. Keep the lights dimmed.
C. Raise the four side rails on the client's bed.
D. Participate in reminiscence therapy with the client. -
ANSWER-D. Participate in reminiscence therapy with the client.
TEST
A nurse is reinforcing teaching with a client who is taking
oxybutynin. The nurse should tell the client that the medication
will have which of the following effects?
a) Relaxes the muscles of the bladder
b) Increases venous return to the heart
c) Relaxes the muscles of the colon
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d) Increases tissue perfusion in the lungs - ANSWER-A. Relaxes
the muscles of the bladder.
Rationale:
Oxybutynin relaxes the bladder muscles to decrease the urge of
constant urination.
Option B does not increase or promote venous return.
Option C the bladder is the target organ not the colon.
Option D not associated with increased blood flow and
perfusion to lungs.
TEST
A nurse is reviewing the laboratory report of a client who has
cancer and is experiencing anorexia. Which of the following
laboratory values should indicate to the nurse that the client is
experiencing malnutrition?
a) Prealbumin 10.5 mg/dL
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b) Hematocrit 45%
c) WBC count 6,000/mm3
d) BUN 15 mg/dL - ANSWER-A. Prealbumin 10.5 mg/dL
Rationale:
Prealbumin normal range is 15-36mg/dL. Prealbumin helps in
the thyroid hormone and Vitamin A circulation in our
bloodstream. It also helps in regulation of how the body uses
energy. Below normal prealbumin is indicative of malnutrition.
A charge nurse is observing a newly licensed nurse care for a
client who is at risk for falls. Which of the following findings
should the nurse identify as a risk factor for falls?
a) Instructs the client to wear their own socks to
the bathroom
b) Keeps the client's bed in the low position
c) Positions the bedside table close to the client
d) Attaches the call light to the side rail of the
client's bed - ANSWER-A. Instructs the client to wear their own
socks to the
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bathroom
Rationale:
Bathroom floor can be slippery -> If wearing socks -> patient
might slip (increased risk for falls)
Option B patient will not likely be injured if fall occurs since bed
is close to floor due to its low position and patient does not
have to step far off from bed to stand up -> decreasing risk for
falls.
Option C patient does not need to get up to get things from
bedside table, decreasing risk for falls.
Option D since call light is close to patient, little mobility is
needed, decreasing risk for falls.
A nurse in a long-term care facility is providing care for a client
who has Alzheimer's disease and is agitated. Which of the
following interventions should the nurse implement?
Comprehensive PN Adult Medical-Surgical Content Mastery
Series (CMS) Exam (Verified Questions And Answers) ||Sure
Exams||Quick Pass!!!
A nurse in a long-term care unit is assisting in the care of a
client who has Alzheimer's disease. Which of the following
actions should the nurse take?
A. Alternate the client's daily routine
B. Keep the lights dimmed.
C. Raise the four side rails on the client's bed.
D. Participate in reminiscence therapy with the client. -
ANSWER-D. Participate in reminiscence therapy with the client.
TEST
A nurse is reinforcing teaching with a client who is taking
oxybutynin. The nurse should tell the client that the medication
will have which of the following effects?
a) Relaxes the muscles of the bladder
b) Increases venous return to the heart
c) Relaxes the muscles of the colon
,2|Page
d) Increases tissue perfusion in the lungs - ANSWER-A. Relaxes
the muscles of the bladder.
Rationale:
Oxybutynin relaxes the bladder muscles to decrease the urge of
constant urination.
Option B does not increase or promote venous return.
Option C the bladder is the target organ not the colon.
Option D not associated with increased blood flow and
perfusion to lungs.
TEST
A nurse is reviewing the laboratory report of a client who has
cancer and is experiencing anorexia. Which of the following
laboratory values should indicate to the nurse that the client is
experiencing malnutrition?
a) Prealbumin 10.5 mg/dL
,3|Page
b) Hematocrit 45%
c) WBC count 6,000/mm3
d) BUN 15 mg/dL - ANSWER-A. Prealbumin 10.5 mg/dL
Rationale:
Prealbumin normal range is 15-36mg/dL. Prealbumin helps in
the thyroid hormone and Vitamin A circulation in our
bloodstream. It also helps in regulation of how the body uses
energy. Below normal prealbumin is indicative of malnutrition.
A charge nurse is observing a newly licensed nurse care for a
client who is at risk for falls. Which of the following findings
should the nurse identify as a risk factor for falls?
a) Instructs the client to wear their own socks to
the bathroom
b) Keeps the client's bed in the low position
c) Positions the bedside table close to the client
d) Attaches the call light to the side rail of the
client's bed - ANSWER-A. Instructs the client to wear their own
socks to the
, 4|Page
bathroom
Rationale:
Bathroom floor can be slippery -> If wearing socks -> patient
might slip (increased risk for falls)
Option B patient will not likely be injured if fall occurs since bed
is close to floor due to its low position and patient does not
have to step far off from bed to stand up -> decreasing risk for
falls.
Option C patient does not need to get up to get things from
bedside table, decreasing risk for falls.
Option D since call light is close to patient, little mobility is
needed, decreasing risk for falls.
A nurse in a long-term care facility is providing care for a client
who has Alzheimer's disease and is agitated. Which of the
following interventions should the nurse implement?
