CMS MED SURG PROCTORED EXAM| Questions and Verified Answers| 2023/ 2024 New Update

CMS MED SURG PROCTORED EXAM| Questions and Verified Answers| 2023/ 2024 New Update A nurse is assisting with discharge teaching for a client who requires oropharyngeal suctioning at home. The nurse should ensure that which of the following equipment is available for use at home? A. Yankauer catheter B. Sterile gloves C. Oropharyngeal airway D. Water-soluble lubricant Answer: A. Yankauer catheter QUESTION A nurse is contributing to the plan of care for a client who has disuse syndrome following cast removal from a lower extremity. Which of the following referrals should the nurse include in the plan of care? A. Social worker B. Herbalist C. occupational therapist D. Dietitian Answer: C. occupational therapist QUESTION A nurse is reinforcing teaching about foot care with a client who has diabetes mellitus. Which of the following client statements indicates understanding of the teaching? A. "I should put lotion between my toes every day to prevent dryness and cracking." B. "I should use my wrist to test the temperature of the water before bathing." C. "I should round the corners of my toenails with a nail file to prevent ingrown nails." D. "I should apply a heating pad to my feet every night to help with circulation." Answer: B. "I should use my wrist to test the temperature of the water before bathing." QUESTION A nurse is caring for a client who is 2 days postoperative following abdominal surgery. The nurse auscultates hypoactive bowel sounds, and the client reports cramping abdominal pain. Which of the following actions should the nurse take first? A. Request the client to be NPO. B. Administer a glycerine suppository. C. Ambulate the client in the hallway. D. Offer an analgesic medication Answer: A. Request the client to be NPO. QUESTION A nurse is caring for a client who had a colon resection 2 days ago. When entering the client's room, the nurse sees a protrusion of tissue from the incision. Which of the following is the appropriate nursing intervention? A. Cover the wound with a dry. sterile dressing. B. cover the site with a sterile, saline-soaked dressing. C. Place the client on her left side. D. Place the client in the Trendelenburg position. Answer: B. cover the site with a sterile, saline-soaked dressing. QUESTION A nurse is reinforcing teaching with a client who has oral candidiasis and is to begin therapy with nystatin oral suspension. The nurse should tell the client to take which of the following actions? A. Gargle with a commercial mouthwash before administering the medication. B. Retain the medication in the mouth before swallowing C. Scrape off white patches on the tongue using a swab prior to medication administration. D. Take the medication 1 hr before meals. Answer: B. Retain the medication in the mouth before swallowing QUESTION A nurse is reinforcing teaching with a client who is prescribed levothyroxine for a thyroid disorder. Which of the following information should the nurse include in the teaching? A. Administer the medication 1 hr before breakfast. B. Expect to discontinue the medication after 1 month. C. Take the medication with an aluminum-containing antacid. D. Notify the provider if the resting pulse is less than 80/min. Answer: A. Administer the medication 1 hr before breakfast. QUESTION A nurse is interpreting the results of a tuberculin skin test for a group of clients who received the test 48 hr ago. Which of the following clients should the nurse identify as having a positive test result? A. A client whose injection site has an elevated area measuring 15 mm B. A client whose injection site is ecchymotic C. A client whose injection site is scabbed D. A client whose injection site is firm and measures 3 mm Answer: A. A client whose injection site has an elevated area measuring 15 mm