Medical-Surgical Exam Questions with
Verified Answers
a nurse is planning care for a client who has - ANS-
A nurse is monitoring a client following a thyroidectomy. Which of the following findings
should the nurse identify as an indication of hypoparathyroidism? - ANS-Involuntary
muscle spasms
(occurs if the parathyroid glands are damaged or removed during a thyroidectomy.
Muscle twitching and paresthesias can result due to decreased parathyroid hormone
levels and calcium deficiency.)
A nurse is reinforcing discharge teaching with a client who has a new permanent
pacemaker. Which of the following statements by the client indicates an understanding
of the teaching? - ANS-"I should check my heart rate each day."•
A nurse is reinforcing discharge teaching about improving gas exchange with a client
who has emphysema. Which of the following information should the nurse include in the
teaching? - ANS-Use pursed-lip breathing during periods of dyspnea.
A nurse is reinforcing teaching with a client who has a new diagnosis of multiple
sclerosis (MS). The client asks the nurse about the usual course of MS. Which of the
following responses should the nurse make? - ANS-"Acute episodes are usually
followed by remissions, which can last varying lengths of time."
a nurse in an emergency department is caring for a client who reports developing
severe right eye pain with a gritty sensation while sawing wood. Whats priority? - ANS-
Ask the client about first aid performed at the scene
A nurse is preparing to administer timolol eye drops for a client who has glaucoma.
When instilling the medication, which of the following actions should the nurse take? -
ANS-Apply pressure to puncta after instillation of the medication.
A nurse is caring for a client who has a stage III pressure ulcer on his heel. When
preparing to irrigate the wound, which of the following actions should the nurse take rst?
- ANS-Check the client's pain level
, A nurse is caring for a client who begins having a tonic-clonic seizure while sitting in a
chair at the bedside. Which of the following actions should the nurse take first? - ANS-
Lower the client to the floor.
A nurse is caring for a client who has type 1 diabetes mellitus and a capillary blood
glucose reading of 48 mg/dL. Which of the following findings should the nurse expect? -
ANS-Diaphoresis
A client who has a blood glucose level below 70 mg/dL to exhibit indications of
hypoglycemia. Including weakness, hunger, diaphoresis, nausea, shakiness, and
confusion.
A nurse is reinforcing teaching with a client who is scheduled for a sigmoid colon
resection with colostomy. Which of the following statements by the client indicates a
need for further teaching? - ANS-"My diet will have to change to a soft diet after
surgery."•
( After surgery, the client's diet quickly returns to a regular diet and there are not any
food restrictions.)
A nurse is reviewing a client's laboratory report. The client's ABG levels are pH 7.5,
PaCO 32 mm HG, and HCO 24 mEq/L. The nurse should determine that the client has
which of the following acid-base imbalances? - ANS-Respiratory alkalosis
(The nurse should identify that the client's pH is elevated above the expected reference
range of 7.35 to 7.45, indicating alkalosis. The nurse should then identify that the client's
PaCO is low, below the expected reference range of 35 to 45 mm Hg, which indicates a
respiratory origin. The nurse should conclude that the client's elevated pH and
decreased PaCO indicate respiratory alkalosis.)
A nurse in an urgent care clinic is collecting data from a client who sustained a fall.
Which of the following findings should the nurse identify as an indication of a skull
fracture? - ANS-Clear fluid coming from the nares.
(cerebrospinal fluid)
A nurse is reinforcing teaching with a client about preventing the transmission of
hepatitis A. The nurse should identify that hepatitis A is transmitted by which of the
following routes? - ANS-Fecal-oral contamination
A nurse is reinforcing teaching with a client who has tuberculosis (TB) and a
prescription for isoniazid. Which of the following instructions should the nurse include? -
ANS-"Your provider will monitor your liver function while you are taking this medication."
A nurse is collecting data from a client who develops a fruity breath odor, dry mouth,
and extreme thirst. Which of the following additional data should the nurse collect? -
ANS-Blood glucose using a glucometer
Verified Answers
a nurse is planning care for a client who has - ANS-
A nurse is monitoring a client following a thyroidectomy. Which of the following findings
should the nurse identify as an indication of hypoparathyroidism? - ANS-Involuntary
muscle spasms
(occurs if the parathyroid glands are damaged or removed during a thyroidectomy.
Muscle twitching and paresthesias can result due to decreased parathyroid hormone
levels and calcium deficiency.)
A nurse is reinforcing discharge teaching with a client who has a new permanent
pacemaker. Which of the following statements by the client indicates an understanding
of the teaching? - ANS-"I should check my heart rate each day."•
A nurse is reinforcing discharge teaching about improving gas exchange with a client
who has emphysema. Which of the following information should the nurse include in the
teaching? - ANS-Use pursed-lip breathing during periods of dyspnea.
A nurse is reinforcing teaching with a client who has a new diagnosis of multiple
sclerosis (MS). The client asks the nurse about the usual course of MS. Which of the
following responses should the nurse make? - ANS-"Acute episodes are usually
followed by remissions, which can last varying lengths of time."
a nurse in an emergency department is caring for a client who reports developing
severe right eye pain with a gritty sensation while sawing wood. Whats priority? - ANS-
Ask the client about first aid performed at the scene
A nurse is preparing to administer timolol eye drops for a client who has glaucoma.
When instilling the medication, which of the following actions should the nurse take? -
ANS-Apply pressure to puncta after instillation of the medication.
A nurse is caring for a client who has a stage III pressure ulcer on his heel. When
preparing to irrigate the wound, which of the following actions should the nurse take rst?
- ANS-Check the client's pain level
, A nurse is caring for a client who begins having a tonic-clonic seizure while sitting in a
chair at the bedside. Which of the following actions should the nurse take first? - ANS-
Lower the client to the floor.
A nurse is caring for a client who has type 1 diabetes mellitus and a capillary blood
glucose reading of 48 mg/dL. Which of the following findings should the nurse expect? -
ANS-Diaphoresis
A client who has a blood glucose level below 70 mg/dL to exhibit indications of
hypoglycemia. Including weakness, hunger, diaphoresis, nausea, shakiness, and
confusion.
A nurse is reinforcing teaching with a client who is scheduled for a sigmoid colon
resection with colostomy. Which of the following statements by the client indicates a
need for further teaching? - ANS-"My diet will have to change to a soft diet after
surgery."•
( After surgery, the client's diet quickly returns to a regular diet and there are not any
food restrictions.)
A nurse is reviewing a client's laboratory report. The client's ABG levels are pH 7.5,
PaCO 32 mm HG, and HCO 24 mEq/L. The nurse should determine that the client has
which of the following acid-base imbalances? - ANS-Respiratory alkalosis
(The nurse should identify that the client's pH is elevated above the expected reference
range of 7.35 to 7.45, indicating alkalosis. The nurse should then identify that the client's
PaCO is low, below the expected reference range of 35 to 45 mm Hg, which indicates a
respiratory origin. The nurse should conclude that the client's elevated pH and
decreased PaCO indicate respiratory alkalosis.)
A nurse in an urgent care clinic is collecting data from a client who sustained a fall.
Which of the following findings should the nurse identify as an indication of a skull
fracture? - ANS-Clear fluid coming from the nares.
(cerebrospinal fluid)
A nurse is reinforcing teaching with a client about preventing the transmission of
hepatitis A. The nurse should identify that hepatitis A is transmitted by which of the
following routes? - ANS-Fecal-oral contamination
A nurse is reinforcing teaching with a client who has tuberculosis (TB) and a
prescription for isoniazid. Which of the following instructions should the nurse include? -
ANS-"Your provider will monitor your liver function while you are taking this medication."
A nurse is collecting data from a client who develops a fruity breath odor, dry mouth,
and extreme thirst. Which of the following additional data should the nurse collect? -
ANS-Blood glucose using a glucometer
