Med surge CMS
1.A nurse is caring for a client who is taking lithium and reports
persistent nausea and vomiting for 2
days. Which of the following laboratory values should the nurse report to the
provider?: D. Sodium 132 mEq/L
2.A nurse is caring for a client who has cancer and has a WBC count
of 4,000/mm3. Which of the following
actions should the nurse take?: A. Cleanse the client's toothbrush with
hydrogen peroxide.
3.A nurse enters a client's room and sees smoke coming from the
bathroom. Which of the following actions should the nurse take first?: C.
Assist the client to a nearby common area.
4.A nurse is contributing to the plan of care for a client who reports
difficulty eating due to chronic arthritis. Which of the following interventions
,should the nurse include in the plan?: A. Apply foam handles to the
client's eating utensils.
5.A nurse is obtaining a medication history from a client who is to start
taking nitroglycerin for chest discomfort with activity. Which of the
following medications should the nurse instruct the client to avoid taking
within 24 hr of using nitroglycerin?: C. Sildenafil
6.A nurse is preparing to obtain a postprandial blood glucose level from a
client who has diabetes mellitus. Which of the following actions should
the nurse take?: D. Hold the client's finger in a dependent position.
7.A nurse is reinforcing teaching with a client about breast self-
examinations. Which of the following statements by the client indicates an
understanding of the teaching?: A. "It is common for one breast to be
larger than the other."
8.A nurse is reinforcing teaching with a client who has a new ileostomy.
Which of the following statements by the client indicates an understanding
, of the teaching?: C. "I will use a skin sealant before I apply the bag."
9.A nurse is assisting in the plan of care for a client who is dehydrated and
is receiving IV fluid replacement. Which of the following interventions
should the nurse contribute to the plan of care?: B. Check for neck vein
distention.
10.A nurse is caring for a young adult client who has testicular cancer and
expresses concern about their sexual function following an orchiectomy of
the involved testicle. Which of the following responses should the nurse
make?: D. "The removal of a single testicle will not prevent you from
having an erection."
11.A nurse is collecting data from a client who has hyperthyroidism and
is taking propylthiouracil. Which of the following statements by the
client indicates the medication is effective?: A. "I no longer feel
nervous."
12.A nurse is planning care for a client who is receiving radiation therapy
1.A nurse is caring for a client who is taking lithium and reports
persistent nausea and vomiting for 2
days. Which of the following laboratory values should the nurse report to the
provider?: D. Sodium 132 mEq/L
2.A nurse is caring for a client who has cancer and has a WBC count
of 4,000/mm3. Which of the following
actions should the nurse take?: A. Cleanse the client's toothbrush with
hydrogen peroxide.
3.A nurse enters a client's room and sees smoke coming from the
bathroom. Which of the following actions should the nurse take first?: C.
Assist the client to a nearby common area.
4.A nurse is contributing to the plan of care for a client who reports
difficulty eating due to chronic arthritis. Which of the following interventions
,should the nurse include in the plan?: A. Apply foam handles to the
client's eating utensils.
5.A nurse is obtaining a medication history from a client who is to start
taking nitroglycerin for chest discomfort with activity. Which of the
following medications should the nurse instruct the client to avoid taking
within 24 hr of using nitroglycerin?: C. Sildenafil
6.A nurse is preparing to obtain a postprandial blood glucose level from a
client who has diabetes mellitus. Which of the following actions should
the nurse take?: D. Hold the client's finger in a dependent position.
7.A nurse is reinforcing teaching with a client about breast self-
examinations. Which of the following statements by the client indicates an
understanding of the teaching?: A. "It is common for one breast to be
larger than the other."
8.A nurse is reinforcing teaching with a client who has a new ileostomy.
Which of the following statements by the client indicates an understanding
, of the teaching?: C. "I will use a skin sealant before I apply the bag."
9.A nurse is assisting in the plan of care for a client who is dehydrated and
is receiving IV fluid replacement. Which of the following interventions
should the nurse contribute to the plan of care?: B. Check for neck vein
distention.
10.A nurse is caring for a young adult client who has testicular cancer and
expresses concern about their sexual function following an orchiectomy of
the involved testicle. Which of the following responses should the nurse
make?: D. "The removal of a single testicle will not prevent you from
having an erection."
11.A nurse is collecting data from a client who has hyperthyroidism and
is taking propylthiouracil. Which of the following statements by the
client indicates the medication is effective?: A. "I no longer feel
nervous."
12.A nurse is planning care for a client who is receiving radiation therapy
