RN Adult Medical Surgical Nursing Content Mastery Series (CMS)
Exams STUDY GUIDE ACTUAL EXAM QUESTIONS AND WELL
ELABORATED ANSWERS (MOST TESTED QUESTIONS WITH VERIFIED
ANSWERS) LATEST UPDATES 2025 |ALREADY GRADED A+ (REVISED
EXAM)
A nurse is caring for a client who displays manifestations of stage III
Parkinson's disease. Which of the following actions should the nurse
include?
A. Recommend a community support group
B. Integrate a daily exercise routine
C. Provide a walker for ambulating
D. Perform ADLs for the client - CORRECT ANSWER C. Provide a
walker for ambulating
A nurse is developing a plan of care for the nutritional needs of a client
who has stage IV Parkinson's disease. Which of the following actions
should the nurse include? (SATA)
A. Provide three large balanced meals daily
B. Record diet and fluid intake daily
C. Document weight every other week
D. Offer cold fluids such as milkshakes
E. Offer nutritional supplements between meals - CORRECT ANSWER
B. Record diet and fluid intake daily
D. Offer cold fluids such as milkshakes
E. Offer nutritional supplements between meals
A nurse is reinforcing teaching with a client who has Parkinson's
disease and has a new prescription for bromocriptine. Which of the
following instructions should the nurse include?
,A. Rise slowly when standing
B. Expect urine to become dark-colored
C. Avoid foods containing tyramine
D. Report any skin discoloration - CORRECT ANSWER A. Rise slowly
when standing
A nurse is assessing a client for manifestations of Parkinson's disease.
Which of the following are expected findings? (SATA)
A. Decreased vision
B. Pill-rolling tremor of the fingers
C. Shuffling gait
D. Drooling
E. Bilateral ankle edema
F. Lack of facial expression - CORRECT ANSWER B. Pill-rolling tremor
of the fingers
C. Shuffling gait
D. Drooling
F. Lack of facial expression
A nurse is caring for a client who has Parkinson's disease and is
starting to display bradykinesia. Which of the following is an
appropriate action by the nurse?
A. Teach the client to walk more quickly when ambulating
B. Complete passive range-of-motion exercises daily
C. Place the client on a low-protein, low-calorie diet
D. Give the client extra time to perform activities - CORRECT ANSWER
D. Give the client extra time to perform activities
A nurse is providing teaching to the partner of a client who has
Alzheimer's disease and has a new prescription for donepezil. Which of
the following statements by the partner indicates the teaching was
effective?
A. "This medication should increase my husband's appetite."
B. "This medication should help my husband sleep better."
C. "This medication should help my husband's daily function."
,D. "This medication should increase my husband's energy level." -
CORRECT ANSWER C. "This medication should help my husband's
daily function."
A nurse working in a long-term care facility is planning care for a
client who has moderate Alzheimer's (mild or moderate stage). Which
of the following interventions should be included in the plan of care?
A. Use a gait belt for ambulation
B. Thicken all liquids
C. Provide protective undergarments
D. Reorient the client to self and current events - CORRECT ANSWER
D. Reorient the client to self and current events
A nurse is making a home visit to a client who has AD. The client's
partner states that the client is often disoriented to time and place, is
unsteady, and has a history of wandering. Which of the following
safety measures should the nurse review with the partner? (SATA)
A. Remove floor rugs
B. Have door locks that can be easily opened
C. Provide increased lighting in stairwells
D. Install handrails in the bathroom
E. Place the mattress on the floor - CORRECT ANSWER A. Remove
floor rugs
C. Provide increased lighting in stairwells
D. Install handrails in the bathroom
E. Place the mattress on the floor
A nurse is caring for a client who has AD and falls frequently. Which of
the following actions should the nurse take first to keep the client
safe?
A.Keep the call light near the client
B.Place the client in a room close to the nurses' station
C.Encourage the client to ask for assistance
D.Remind the client to walk with someone for support - CORRECT
ANSWER B. Place the client in a room close to the nurses' station
, A nurse is caring for a client who has Alzheimer's disease. A family
member of the client asks the nurse about risk factors for the disease.
Which of the following should be included in the nurses's response?
(SATA)
A. Exposure to metal waste products
B. Long-term estrogen therapy
C. Sustained use of vitamin E
D. Previous head injury
E. History of herpes infection - CORRECT ANSWER A. Exposure to
metal wast products
D. Previous head injury
E. History of herpes infection
A nurse is caring for a client who is having surgery for the removal of
an encapsulated acoustic tumor. Which of the following potential
complications should the nurse monitor for postoperatively? (SATA)
A. Increased intracranial pressure
B. Hemorrhagic shock
C. Hydrocephalus
D. Hypoglycemia
E. Seizures - CORRECT ANSWER A. Increased intracranial pressure
C. Hydrocephalus
E. Seizures
A nurse is caring for a client who has just undergone a craniotomy for.
A supratentorial tumor and has a respiratory rate of 12. Which of the
following postoperative prescriptions should the nurse clarify with the
provider?
A. Dexamethasone 30 mg IV bolus BID
B. Morphine sulfate 2 mg IV bolus PRN every 2 hr for pain
C. Ondansetron 4 mg IV bolus PRN every 4 to 6 hr for nausea
D. Phenytoin 100 mg IV bolus TID - CORRECT ANSWER B. Morphine
sulfate 2 mg bolus PRN every 2 hr for pain
Exams STUDY GUIDE ACTUAL EXAM QUESTIONS AND WELL
ELABORATED ANSWERS (MOST TESTED QUESTIONS WITH VERIFIED
ANSWERS) LATEST UPDATES 2025 |ALREADY GRADED A+ (REVISED
EXAM)
A nurse is caring for a client who displays manifestations of stage III
Parkinson's disease. Which of the following actions should the nurse
include?
A. Recommend a community support group
B. Integrate a daily exercise routine
C. Provide a walker for ambulating
D. Perform ADLs for the client - CORRECT ANSWER C. Provide a
walker for ambulating
A nurse is developing a plan of care for the nutritional needs of a client
who has stage IV Parkinson's disease. Which of the following actions
should the nurse include? (SATA)
A. Provide three large balanced meals daily
B. Record diet and fluid intake daily
C. Document weight every other week
D. Offer cold fluids such as milkshakes
E. Offer nutritional supplements between meals - CORRECT ANSWER
B. Record diet and fluid intake daily
D. Offer cold fluids such as milkshakes
E. Offer nutritional supplements between meals
A nurse is reinforcing teaching with a client who has Parkinson's
disease and has a new prescription for bromocriptine. Which of the
following instructions should the nurse include?
,A. Rise slowly when standing
B. Expect urine to become dark-colored
C. Avoid foods containing tyramine
D. Report any skin discoloration - CORRECT ANSWER A. Rise slowly
when standing
A nurse is assessing a client for manifestations of Parkinson's disease.
Which of the following are expected findings? (SATA)
A. Decreased vision
B. Pill-rolling tremor of the fingers
C. Shuffling gait
D. Drooling
E. Bilateral ankle edema
F. Lack of facial expression - CORRECT ANSWER B. Pill-rolling tremor
of the fingers
C. Shuffling gait
D. Drooling
F. Lack of facial expression
A nurse is caring for a client who has Parkinson's disease and is
starting to display bradykinesia. Which of the following is an
appropriate action by the nurse?
A. Teach the client to walk more quickly when ambulating
B. Complete passive range-of-motion exercises daily
C. Place the client on a low-protein, low-calorie diet
D. Give the client extra time to perform activities - CORRECT ANSWER
D. Give the client extra time to perform activities
A nurse is providing teaching to the partner of a client who has
Alzheimer's disease and has a new prescription for donepezil. Which of
the following statements by the partner indicates the teaching was
effective?
A. "This medication should increase my husband's appetite."
B. "This medication should help my husband sleep better."
C. "This medication should help my husband's daily function."
,D. "This medication should increase my husband's energy level." -
CORRECT ANSWER C. "This medication should help my husband's
daily function."
A nurse working in a long-term care facility is planning care for a
client who has moderate Alzheimer's (mild or moderate stage). Which
of the following interventions should be included in the plan of care?
A. Use a gait belt for ambulation
B. Thicken all liquids
C. Provide protective undergarments
D. Reorient the client to self and current events - CORRECT ANSWER
D. Reorient the client to self and current events
A nurse is making a home visit to a client who has AD. The client's
partner states that the client is often disoriented to time and place, is
unsteady, and has a history of wandering. Which of the following
safety measures should the nurse review with the partner? (SATA)
A. Remove floor rugs
B. Have door locks that can be easily opened
C. Provide increased lighting in stairwells
D. Install handrails in the bathroom
E. Place the mattress on the floor - CORRECT ANSWER A. Remove
floor rugs
C. Provide increased lighting in stairwells
D. Install handrails in the bathroom
E. Place the mattress on the floor
A nurse is caring for a client who has AD and falls frequently. Which of
the following actions should the nurse take first to keep the client
safe?
A.Keep the call light near the client
B.Place the client in a room close to the nurses' station
C.Encourage the client to ask for assistance
D.Remind the client to walk with someone for support - CORRECT
ANSWER B. Place the client in a room close to the nurses' station
, A nurse is caring for a client who has Alzheimer's disease. A family
member of the client asks the nurse about risk factors for the disease.
Which of the following should be included in the nurses's response?
(SATA)
A. Exposure to metal waste products
B. Long-term estrogen therapy
C. Sustained use of vitamin E
D. Previous head injury
E. History of herpes infection - CORRECT ANSWER A. Exposure to
metal wast products
D. Previous head injury
E. History of herpes infection
A nurse is caring for a client who is having surgery for the removal of
an encapsulated acoustic tumor. Which of the following potential
complications should the nurse monitor for postoperatively? (SATA)
A. Increased intracranial pressure
B. Hemorrhagic shock
C. Hydrocephalus
D. Hypoglycemia
E. Seizures - CORRECT ANSWER A. Increased intracranial pressure
C. Hydrocephalus
E. Seizures
A nurse is caring for a client who has just undergone a craniotomy for.
A supratentorial tumor and has a respiratory rate of 12. Which of the
following postoperative prescriptions should the nurse clarify with the
provider?
A. Dexamethasone 30 mg IV bolus BID
B. Morphine sulfate 2 mg IV bolus PRN every 2 hr for pain
C. Ondansetron 4 mg IV bolus PRN every 4 to 6 hr for nausea
D. Phenytoin 100 mg IV bolus TID - CORRECT ANSWER B. Morphine
sulfate 2 mg bolus PRN every 2 hr for pain
