MEDSURG EXAM 4 2024/2025 WITH
100% PASSED ANSWERS
,MEDSURG EXAM 4 2024/2025 WITH
100% PASSED ANSWERS
A 46-year-old male patient with dermatomyositis is receiving long-term prednisone (Deltasone) therapy.
Which assessment finding by the nurse is most important to report to the health care provider? -
CORRECT ANSWERSThe patient has painful hematuria.
Which patient seen by the nurse in the outpatient clinic is most likely to require teaching about ways to
reduce risk for osteoarthritis (OA)? - CORRECT ANSWERSA 56-year-old woman who works on an
automotive assembly line
Which action will the nurse include in the plan of care for a 40-year-old with newly diagnosed ankylosing
spondylitis? - CORRECT ANSWERSAdvise the patient to sleep on the back with a flat pillow.
After the nurse has taught a 28-year-old with fibromyalgia, which statement by the patient indicates a
good understanding of effective self-management? - CORRECT ANSWERSI will need to stop drinking so
much coffee and soda.
Which information about an 80-year-old man at the senior center is of most concern to the nurse? -
CORRECT ANSWERSUnintended weight loss
A 62-year-old man reports chronic constipation. To promote bowel evacuation, the nurse will suggest
that the patient attempt defecation. - CORRECT ANSWERSAfter eating breakfast
When caring for a patient with a history of a total gastrectomy, the nurse will monitor for - CORRECT
ANSWERSCobalamin (vitamin B12) deficiency
The nurse will plan to monitor a patient with an obstructed common bile duct for - CORRECT
ANSWERSSteatorrhea
The nurse receives the following information about a 51-year-old woman who is scheduled for a
colonoscopy. Which information should be communicated to the health care provider before sending
,the patient for the procedure? - CORRECT ANSWERSThe patient refused to drink the ordered
polyethylene glycol (GoLYTELY)
Which statement to the nurse from a patient with jaundice indicates a need for teaching? - CORRECT
ANSWERSI use acetaminophen (Tylenol) q4 hr for back pain
To palpate the liver during a head-to-toe physical assessment, the nurse - CORRECT ANSWERSPlaces one
hand on the patient's back and presses upward and inward with the other hand below the patient's right
costal margin
Which finding by the nurse during abdominal auscultation indicates a need for a focused abdominal
assessment? - CORRECT ANSWERSAbsent bowel sounds
After assisting with a needle biopsy of the liver at a patient's bedside, the nurse should - CORRECT
ANSWERSPlace the patient on the right side with the bed flat
A 42-year-old woman is admitted to the outpatient testing area for an ultrasound of the gallbladder.
Which information obtained by the nurse indicates that the ultrasound may need to be rescheduled? -
CORRECT ANSWERSThe patient ate a low-fat bagel 4 hours ago for breakfast
The nurse is assessing an alert and independent 78-year-old woman for malnutrition risk. The most
appropriate initial questions is which of the following? - CORRECT ANSWERSCan you tell me the food
you ate yesterday?
A 54-year-old man has just arrived in the recovery area after an upper endoscopy. Which information
collected by the nurse is most important to communicate to the health care provider? - CORRECT
ANSWERSThe oral temperature is 101.6˚F
A 30-year-old man is being admitted to the hospital for elective knee surgery. Which assessment finding
is most important to report to the health care provider? - CORRECT ANSWERSLiver edge 3cm below the
costal margin
, A 58-year-old woman has just returned to the nursing unit after an EGD. Which action by unlicensed
assistive personnel (UAP) requires that the RN intervene? - CORRECT ANSWERSOffering the patient a
drink of water
A patient is being scheduled for ERCP as soon as possible. Which actions from the agency policy for ERCP
should the nurse take first? - CORRECT ANSWERSPlace the patient on NPO status
While interviewing a 30-year-old man, the nurse learns that the patient has a family history of familial
adenomatous polyposis (FAP). The nurse will plan to assess the patient's knowledge about - CORRECT
ANSWERSRisk for developing colorectal cancer
Which finding for a 19-year-old female who is a vegan may indicate the need for cobalamin
supplementation? - CORRECT ANSWERSParesthesias
A 76-year-old woman with a BMI of 17 and a low serum albumin level is being admitted by the nurse.
Which assessment finding will the nurse expect to find? - CORRECT ANSWERSPitting edema
Which menu choice indicates that the patient is implementing plans to choose high-calorie, high-protein
foods? - CORRECT ANSWERSFried chicken with potatoes and gravy
A 48-year-old woman has a BMI of 31, a normal C-reactive protein level, and how serum transferrin and
albumin levels. The nurse will plan patient teaching to increase the patient's intake of foods that are
high in - CORRECT ANSWERSProtein
A 48-year-old man who has just been started on tube feedings of full-strength formula at 100 mL/hr has
6 diarrhea stools the first day. Which action should the nurse plan to take? - CORRECT ANSWERSSlow
the infusion rate of the tube feeding
A 20-year-old man with extensive facial injuries from a motor vehicle crash is receiving tube feedings
through a percutaneous endoscopic gastrostomy (PEG). Which action will the nurse include in the plan
of care? - CORRECT ANSWERSCheck the gastric residual volume q4-6hr
A malnourished patient is receiving a parenteral nutrition infusion containing amino acids and dextrose
from a bag that was hung 24 hr ago. The nurse observes that about 50mL remain in the PN container.
100% PASSED ANSWERS
,MEDSURG EXAM 4 2024/2025 WITH
100% PASSED ANSWERS
A 46-year-old male patient with dermatomyositis is receiving long-term prednisone (Deltasone) therapy.
Which assessment finding by the nurse is most important to report to the health care provider? -
CORRECT ANSWERSThe patient has painful hematuria.
Which patient seen by the nurse in the outpatient clinic is most likely to require teaching about ways to
reduce risk for osteoarthritis (OA)? - CORRECT ANSWERSA 56-year-old woman who works on an
automotive assembly line
Which action will the nurse include in the plan of care for a 40-year-old with newly diagnosed ankylosing
spondylitis? - CORRECT ANSWERSAdvise the patient to sleep on the back with a flat pillow.
After the nurse has taught a 28-year-old with fibromyalgia, which statement by the patient indicates a
good understanding of effective self-management? - CORRECT ANSWERSI will need to stop drinking so
much coffee and soda.
Which information about an 80-year-old man at the senior center is of most concern to the nurse? -
CORRECT ANSWERSUnintended weight loss
A 62-year-old man reports chronic constipation. To promote bowel evacuation, the nurse will suggest
that the patient attempt defecation. - CORRECT ANSWERSAfter eating breakfast
When caring for a patient with a history of a total gastrectomy, the nurse will monitor for - CORRECT
ANSWERSCobalamin (vitamin B12) deficiency
The nurse will plan to monitor a patient with an obstructed common bile duct for - CORRECT
ANSWERSSteatorrhea
The nurse receives the following information about a 51-year-old woman who is scheduled for a
colonoscopy. Which information should be communicated to the health care provider before sending
,the patient for the procedure? - CORRECT ANSWERSThe patient refused to drink the ordered
polyethylene glycol (GoLYTELY)
Which statement to the nurse from a patient with jaundice indicates a need for teaching? - CORRECT
ANSWERSI use acetaminophen (Tylenol) q4 hr for back pain
To palpate the liver during a head-to-toe physical assessment, the nurse - CORRECT ANSWERSPlaces one
hand on the patient's back and presses upward and inward with the other hand below the patient's right
costal margin
Which finding by the nurse during abdominal auscultation indicates a need for a focused abdominal
assessment? - CORRECT ANSWERSAbsent bowel sounds
After assisting with a needle biopsy of the liver at a patient's bedside, the nurse should - CORRECT
ANSWERSPlace the patient on the right side with the bed flat
A 42-year-old woman is admitted to the outpatient testing area for an ultrasound of the gallbladder.
Which information obtained by the nurse indicates that the ultrasound may need to be rescheduled? -
CORRECT ANSWERSThe patient ate a low-fat bagel 4 hours ago for breakfast
The nurse is assessing an alert and independent 78-year-old woman for malnutrition risk. The most
appropriate initial questions is which of the following? - CORRECT ANSWERSCan you tell me the food
you ate yesterday?
A 54-year-old man has just arrived in the recovery area after an upper endoscopy. Which information
collected by the nurse is most important to communicate to the health care provider? - CORRECT
ANSWERSThe oral temperature is 101.6˚F
A 30-year-old man is being admitted to the hospital for elective knee surgery. Which assessment finding
is most important to report to the health care provider? - CORRECT ANSWERSLiver edge 3cm below the
costal margin
, A 58-year-old woman has just returned to the nursing unit after an EGD. Which action by unlicensed
assistive personnel (UAP) requires that the RN intervene? - CORRECT ANSWERSOffering the patient a
drink of water
A patient is being scheduled for ERCP as soon as possible. Which actions from the agency policy for ERCP
should the nurse take first? - CORRECT ANSWERSPlace the patient on NPO status
While interviewing a 30-year-old man, the nurse learns that the patient has a family history of familial
adenomatous polyposis (FAP). The nurse will plan to assess the patient's knowledge about - CORRECT
ANSWERSRisk for developing colorectal cancer
Which finding for a 19-year-old female who is a vegan may indicate the need for cobalamin
supplementation? - CORRECT ANSWERSParesthesias
A 76-year-old woman with a BMI of 17 and a low serum albumin level is being admitted by the nurse.
Which assessment finding will the nurse expect to find? - CORRECT ANSWERSPitting edema
Which menu choice indicates that the patient is implementing plans to choose high-calorie, high-protein
foods? - CORRECT ANSWERSFried chicken with potatoes and gravy
A 48-year-old woman has a BMI of 31, a normal C-reactive protein level, and how serum transferrin and
albumin levels. The nurse will plan patient teaching to increase the patient's intake of foods that are
high in - CORRECT ANSWERSProtein
A 48-year-old man who has just been started on tube feedings of full-strength formula at 100 mL/hr has
6 diarrhea stools the first day. Which action should the nurse plan to take? - CORRECT ANSWERSSlow
the infusion rate of the tube feeding
A 20-year-old man with extensive facial injuries from a motor vehicle crash is receiving tube feedings
through a percutaneous endoscopic gastrostomy (PEG). Which action will the nurse include in the plan
of care? - CORRECT ANSWERSCheck the gastric residual volume q4-6hr
A malnourished patient is receiving a parenteral nutrition infusion containing amino acids and dextrose
from a bag that was hung 24 hr ago. The nurse observes that about 50mL remain in the PN container.
