Test Bank for RN Adult Medical Surgical Exam
Page |1
Test Bank 3 for RN Adult Medical Surgical
Nursing: Content Mastery Series Edition 12.0
by Alissa Althoff | All Chapters Questions and
Answers | Latest 2026/2027
A nurse reviews the client's arterial blood gas results: pH 7.48, PaCO2 44 mmHg, HCO3 35 mEq/L.
Which of the following acid-base imbalances is present?
A. Uncompensated metabolic alkalosis
B. Uncompensated respiratory acidosis
C. Fully compensated respiratory alkalosis
D. Partially compensated metabolic acidosis –
Correct Answer :A
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, Test Bank for RN Adult Medical Surgical Exam
Page |2
In an uncompensated acid-base imbalance, the pH and one other value will be abnormal. In this
analysis, the increased pH determines this client is alkalotic, and the increased HCO3 and normal
PaCO2 show this is a metabolic issue.
A client in the emergency department develops the following cardiac rhythm. The nurse performs an
immediate assessment and finds the client unresponsive and pulseless. Which of the following actions
is considered the priority of care? (v-tach)
A. Defibrillation
B. Chest compressions
C. Assess breath sounds
D. Administration of amiodarone –
Correct Answer :A
A client experiencing ventricular tachycardia who does not have a pulse should receive immediate
defibrillation. Client s who are defibrillated within one minute of onset of VT have a 90% chance of
being converted to a more stable rhythm.
A nurse assesses a client who has acute pyelonephritis. Which of the following findings would be
expected? (Select all that apply.)
A. Fever
B. Flank pain
C. Tachycardia
D. Cough and dyspnea
E. Nausea and vomiting –
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, Test Bank for RN Adult Medical Surgical Exam
Page |3
Correct Answer :A, B, C, E
Fever and chills are manifestations of pyelonephritis related to inflammatory responses. Flank and
back pain are manifestations related to inflammation and and infection. Tachycardia and tachypnea
are manifestations related to fever and/or pain. Nausea and vomiting are manifestations related to the
infectious process.
A nurse provides care to a client who has a fractured femur after falling from a ladder. Which of the
following actions may reduce the incidence of fat emboli?
A. Immobilize the extremity.
B. Provide supplemental oxygen.
C. Maintain a semi-Fowler's position.
D. Administer subcutaneous heparin. –
Correct Answer :A
Immediate immobilization of the fracture in addition to early surgical fixation may reduce the
incidence of fat embolism.
A client who is newly diagnosed with type 2 diabetes mellitus states, "I feel really dizzy and shaky."
Which of the following actions should the nurse perform?
A. Administer glucagon.
B. Give 10 units of lispro.
C. Check urine for ketones.
D. Provide 8 oz of milk. –
Correct Answer :D
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, Test Bank for RN Adult Medical Surgical Exam
Page |4
The nurse should recognize signs and symptoms of hypoglycemia and administer 15 g of carbohydrate
(e.g., 8 oz of milk; 4 oz of orange juice).
A nurse explains what to expect during a thoracentesis. Which client statement validates teaching was
effective?
A. "I need to be still during the procedure."
B. "It will be difficult to swallow for a few hours."
C. "A cough may develop during aspiration of fluid."
D. "My breathing may be labored for several minutes." –
Correct Answer :A
The nurse should instruct the client to remain still and refrain from talking unless instructed by the
provider.
A client's wound eviscerates following bariatric surgery. Which of the following actions should the
nurse implement? (Select all that apply.)
A. Call for help.
B. Obtain vital signs.
C. Reinsert protruding organs.
D. Place in high-Fowlers position.
E. Cover wound with moist sterile dressing. –
Correct Answer :A, B, E
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Page |1
Test Bank 3 for RN Adult Medical Surgical
Nursing: Content Mastery Series Edition 12.0
by Alissa Althoff | All Chapters Questions and
Answers | Latest 2026/2027
A nurse reviews the client's arterial blood gas results: pH 7.48, PaCO2 44 mmHg, HCO3 35 mEq/L.
Which of the following acid-base imbalances is present?
A. Uncompensated metabolic alkalosis
B. Uncompensated respiratory acidosis
C. Fully compensated respiratory alkalosis
D. Partially compensated metabolic acidosis –
Correct Answer :A
P a g e 1 | 114
, Test Bank for RN Adult Medical Surgical Exam
Page |2
In an uncompensated acid-base imbalance, the pH and one other value will be abnormal. In this
analysis, the increased pH determines this client is alkalotic, and the increased HCO3 and normal
PaCO2 show this is a metabolic issue.
A client in the emergency department develops the following cardiac rhythm. The nurse performs an
immediate assessment and finds the client unresponsive and pulseless. Which of the following actions
is considered the priority of care? (v-tach)
A. Defibrillation
B. Chest compressions
C. Assess breath sounds
D. Administration of amiodarone –
Correct Answer :A
A client experiencing ventricular tachycardia who does not have a pulse should receive immediate
defibrillation. Client s who are defibrillated within one minute of onset of VT have a 90% chance of
being converted to a more stable rhythm.
A nurse assesses a client who has acute pyelonephritis. Which of the following findings would be
expected? (Select all that apply.)
A. Fever
B. Flank pain
C. Tachycardia
D. Cough and dyspnea
E. Nausea and vomiting –
P a g e 2 | 114
, Test Bank for RN Adult Medical Surgical Exam
Page |3
Correct Answer :A, B, C, E
Fever and chills are manifestations of pyelonephritis related to inflammatory responses. Flank and
back pain are manifestations related to inflammation and and infection. Tachycardia and tachypnea
are manifestations related to fever and/or pain. Nausea and vomiting are manifestations related to the
infectious process.
A nurse provides care to a client who has a fractured femur after falling from a ladder. Which of the
following actions may reduce the incidence of fat emboli?
A. Immobilize the extremity.
B. Provide supplemental oxygen.
C. Maintain a semi-Fowler's position.
D. Administer subcutaneous heparin. –
Correct Answer :A
Immediate immobilization of the fracture in addition to early surgical fixation may reduce the
incidence of fat embolism.
A client who is newly diagnosed with type 2 diabetes mellitus states, "I feel really dizzy and shaky."
Which of the following actions should the nurse perform?
A. Administer glucagon.
B. Give 10 units of lispro.
C. Check urine for ketones.
D. Provide 8 oz of milk. –
Correct Answer :D
P a g e 3 | 114
, Test Bank for RN Adult Medical Surgical Exam
Page |4
The nurse should recognize signs and symptoms of hypoglycemia and administer 15 g of carbohydrate
(e.g., 8 oz of milk; 4 oz of orange juice).
A nurse explains what to expect during a thoracentesis. Which client statement validates teaching was
effective?
A. "I need to be still during the procedure."
B. "It will be difficult to swallow for a few hours."
C. "A cough may develop during aspiration of fluid."
D. "My breathing may be labored for several minutes." –
Correct Answer :A
The nurse should instruct the client to remain still and refrain from talking unless instructed by the
provider.
A client's wound eviscerates following bariatric surgery. Which of the following actions should the
nurse implement? (Select all that apply.)
A. Call for help.
B. Obtain vital signs.
C. Reinsert protruding organs.
D. Place in high-Fowlers position.
E. Cover wound with moist sterile dressing. –
Correct Answer :A, B, E
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