Adult Medical-Surgical
AdultNursing
Medical-Surgical
Practice
AdultQuestions
Nursing
Medical-Surgical
Practice
and Answers
Questions
Nursing
(Practice
Practice
and Answers
Set
Questions
B).pdf
(Practice
and Answers
Set B).pdf
(Practice Set B).pdf
Adult Medical-Surgical Nursing Practice
Questions and Answers (Practice Set B)
Question 1
A nurse is caring for a client who returns to the clinic 1 week after hospitalization for heart
failure. Which finding should the nurse report to the provider?
Answer: Heart rate 55/min
Rationale:
A heart rate of 55/min is lower than the client's baseline and may indicate digoxin toxicity,
especially in clients receiving digoxin therapy for heart failure.
Question 2
A nurse is teaching a client about transcutaneous electrical nerve stimulation (TENS) for
bone cancer pain. What effect should the nurse explain?
Answer: A tingling sensation replacing the pain
Rationale:
TENS units deliver small electrical impulses that produce a tingling sensation which
interferes with pain signal transmission.
Question 3
A nurse is assessing a client with traumatic brain injury. Which finding is part of Cushing’s
triad?
Answer: Bradycardia
Rationale:
Cushing’s triad indicates increased intracranial pressure and includes:
Adult Medical-Surgical
AdultNursing
Medical-Surgical
Practice
AdultQuestions
Nursing
Medical-Surgical
Practice
and Answers
Questions
Nursing
(Practice
Practice
and Answers
Set
Questions
B).pdf
(Practice
and Answers
Set B).pdf
(Practice Set B).pdf
,Adult Medical-Surgical
AdultNursing
Medical-Surgical
Practice
AdultQuestions
Nursing
Medical-Surgical
Practice
and Answers
Questions
Nursing
(Practice
Practice
and Answers
Set
Questions
B).pdf
(Practice
and Answers
Set B).pdf
(Practice Set B).pdf
● Bradycardia
● Severe hypertension
● Widened pulse pressure
Question 4
A nurse is teaching a family caring for a client with Alzheimer’s disease. Which instruction
should the nurse include?
Answer: Provide several complete outfits and allow the client to select one daily.
Rationale:
Providing limited choices helps maintain independence while preventing confusion.
Question 5
A nurse is planning care for an immunocompromised burn client. Which precaution should
be implemented to prevent Pseudomonas infection?
Answer: Do not allow plants or flowers in the room.
Rationale:
Plants can harbor Pseudomonas aeruginosa, which can infect burn wounds.
Question 6
A nurse is teaching a client with irritable bowel syndrome (IBS). Which instruction is
appropriate?
Answer: Increase fiber intake to at least 30 g/day.
Rationale:
Fiber promotes regular bowel movements and softer stools.
Question 7
Adult Medical-Surgical
AdultNursing
Medical-Surgical
Practice
AdultQuestions
Nursing
Medical-Surgical
Practice
and Answers
Questions
Nursing
(Practice
Practice
and Answers
Set
Questions
B).pdf
(Practice
and Answers
Set B).pdf
(Practice Set B).pdf
,Adult Medical-Surgical
AdultNursing
Medical-Surgical
Practice
AdultQuestions
Nursing
Medical-Surgical
Practice
and Answers
Questions
Nursing
(Practice
Practice
and Answers
Set
Questions
B).pdf
(Practice
and Answers
Set B).pdf
(Practice Set B).pdf
Which finding should the nurse expect in a client with diabetes insipidus?
Answer: Low urine specific gravity
Rationale:
Diabetes insipidus causes decreased ADH activity, resulting in large amounts of dilute
urine.
Question 8
A client is prescribed total parenteral nutrition (TPN) providing 2,000 kcal/day. The solution
contains 500 kcal/L. What IV rate should the nurse set?
Answer: 167 mL/hr
Calculation:
2000 ÷ 500 = 4 L/day
4,000 mL ÷ 24 hr = 167 mL/hr
Question 9
A client 4 hours after vaginal hysterectomy has which findings that require immediate
reporting?
Answer:
● Saturated perineal pad with large clots
● Blood pressure change
● Heart rate 102/min
Rationale:
These findings indicate postoperative hemorrhage.
Question 10
A client with dysphagia is admitted. Which equipment should be placed at the bedside?
Answer: Suction machine
Adult Medical-Surgical
AdultNursing
Medical-Surgical
Practice
AdultQuestions
Nursing
Medical-Surgical
Practice
and Answers
Questions
Nursing
(Practice
Practice
and Answers
Set
Questions
B).pdf
(Practice
and Answers
Set B).pdf
(Practice Set B).pdf
, Adult Medical-Surgical
AdultNursing
Medical-Surgical
Practice
AdultQuestions
Nursing
Medical-Surgical
Practice
and Answers
Questions
Nursing
(Practice
Practice
and Answers
Set
Questions
B).pdf
(Practice
and Answers
Set B).pdf
(Practice Set B).pdf
Rationale:
Clients with dysphagia are at high risk for aspiration.
Question 11
Which statement shows understanding of infection prevention during chemotherapy?
Answer: “I will ask someone else to change my cat’s litter box.”
Rationale:
Chemotherapy suppresses immunity, increasing infection risk.
Question 12
A client had a cast applied 2 hours ago. What should the nurse check?
Answer: Ensure one finger fits between the cast and the limb.
Rationale:
This ensures the cast is not too tight and circulation is maintained.
Question 13
Which food allergy may indicate a latex allergy?
Answer: Avocados
Rationale:
Latex cross-reactivity occurs with:
● Avocados
● Bananas
● Kiwis
● Chestnuts
Question 14
Adult Medical-Surgical
AdultNursing
Medical-Surgical
Practice
AdultQuestions
Nursing
Medical-Surgical
Practice
and Answers
Questions
Nursing
(Practice
Practice
and Answers
Set
Questions
B).pdf
(Practice
and Answers
Set B).pdf
(Practice Set B).pdf
AdultNursing
Medical-Surgical
Practice
AdultQuestions
Nursing
Medical-Surgical
Practice
and Answers
Questions
Nursing
(Practice
Practice
and Answers
Set
Questions
B).pdf
(Practice
and Answers
Set B).pdf
(Practice Set B).pdf
Adult Medical-Surgical Nursing Practice
Questions and Answers (Practice Set B)
Question 1
A nurse is caring for a client who returns to the clinic 1 week after hospitalization for heart
failure. Which finding should the nurse report to the provider?
Answer: Heart rate 55/min
Rationale:
A heart rate of 55/min is lower than the client's baseline and may indicate digoxin toxicity,
especially in clients receiving digoxin therapy for heart failure.
Question 2
A nurse is teaching a client about transcutaneous electrical nerve stimulation (TENS) for
bone cancer pain. What effect should the nurse explain?
Answer: A tingling sensation replacing the pain
Rationale:
TENS units deliver small electrical impulses that produce a tingling sensation which
interferes with pain signal transmission.
Question 3
A nurse is assessing a client with traumatic brain injury. Which finding is part of Cushing’s
triad?
Answer: Bradycardia
Rationale:
Cushing’s triad indicates increased intracranial pressure and includes:
Adult Medical-Surgical
AdultNursing
Medical-Surgical
Practice
AdultQuestions
Nursing
Medical-Surgical
Practice
and Answers
Questions
Nursing
(Practice
Practice
and Answers
Set
Questions
B).pdf
(Practice
and Answers
Set B).pdf
(Practice Set B).pdf
,Adult Medical-Surgical
AdultNursing
Medical-Surgical
Practice
AdultQuestions
Nursing
Medical-Surgical
Practice
and Answers
Questions
Nursing
(Practice
Practice
and Answers
Set
Questions
B).pdf
(Practice
and Answers
Set B).pdf
(Practice Set B).pdf
● Bradycardia
● Severe hypertension
● Widened pulse pressure
Question 4
A nurse is teaching a family caring for a client with Alzheimer’s disease. Which instruction
should the nurse include?
Answer: Provide several complete outfits and allow the client to select one daily.
Rationale:
Providing limited choices helps maintain independence while preventing confusion.
Question 5
A nurse is planning care for an immunocompromised burn client. Which precaution should
be implemented to prevent Pseudomonas infection?
Answer: Do not allow plants or flowers in the room.
Rationale:
Plants can harbor Pseudomonas aeruginosa, which can infect burn wounds.
Question 6
A nurse is teaching a client with irritable bowel syndrome (IBS). Which instruction is
appropriate?
Answer: Increase fiber intake to at least 30 g/day.
Rationale:
Fiber promotes regular bowel movements and softer stools.
Question 7
Adult Medical-Surgical
AdultNursing
Medical-Surgical
Practice
AdultQuestions
Nursing
Medical-Surgical
Practice
and Answers
Questions
Nursing
(Practice
Practice
and Answers
Set
Questions
B).pdf
(Practice
and Answers
Set B).pdf
(Practice Set B).pdf
,Adult Medical-Surgical
AdultNursing
Medical-Surgical
Practice
AdultQuestions
Nursing
Medical-Surgical
Practice
and Answers
Questions
Nursing
(Practice
Practice
and Answers
Set
Questions
B).pdf
(Practice
and Answers
Set B).pdf
(Practice Set B).pdf
Which finding should the nurse expect in a client with diabetes insipidus?
Answer: Low urine specific gravity
Rationale:
Diabetes insipidus causes decreased ADH activity, resulting in large amounts of dilute
urine.
Question 8
A client is prescribed total parenteral nutrition (TPN) providing 2,000 kcal/day. The solution
contains 500 kcal/L. What IV rate should the nurse set?
Answer: 167 mL/hr
Calculation:
2000 ÷ 500 = 4 L/day
4,000 mL ÷ 24 hr = 167 mL/hr
Question 9
A client 4 hours after vaginal hysterectomy has which findings that require immediate
reporting?
Answer:
● Saturated perineal pad with large clots
● Blood pressure change
● Heart rate 102/min
Rationale:
These findings indicate postoperative hemorrhage.
Question 10
A client with dysphagia is admitted. Which equipment should be placed at the bedside?
Answer: Suction machine
Adult Medical-Surgical
AdultNursing
Medical-Surgical
Practice
AdultQuestions
Nursing
Medical-Surgical
Practice
and Answers
Questions
Nursing
(Practice
Practice
and Answers
Set
Questions
B).pdf
(Practice
and Answers
Set B).pdf
(Practice Set B).pdf
, Adult Medical-Surgical
AdultNursing
Medical-Surgical
Practice
AdultQuestions
Nursing
Medical-Surgical
Practice
and Answers
Questions
Nursing
(Practice
Practice
and Answers
Set
Questions
B).pdf
(Practice
and Answers
Set B).pdf
(Practice Set B).pdf
Rationale:
Clients with dysphagia are at high risk for aspiration.
Question 11
Which statement shows understanding of infection prevention during chemotherapy?
Answer: “I will ask someone else to change my cat’s litter box.”
Rationale:
Chemotherapy suppresses immunity, increasing infection risk.
Question 12
A client had a cast applied 2 hours ago. What should the nurse check?
Answer: Ensure one finger fits between the cast and the limb.
Rationale:
This ensures the cast is not too tight and circulation is maintained.
Question 13
Which food allergy may indicate a latex allergy?
Answer: Avocados
Rationale:
Latex cross-reactivity occurs with:
● Avocados
● Bananas
● Kiwis
● Chestnuts
Question 14
Adult Medical-Surgical
AdultNursing
Medical-Surgical
Practice
AdultQuestions
Nursing
Medical-Surgical
Practice
and Answers
Questions
Nursing
(Practice
Practice
and Answers
Set
Questions
B).pdf
(Practice
and Answers
Set B).pdf
(Practice Set B).pdf
