Medical Surgical |Questions with
Detailed Answers Graded A+ New
Edition 2025
_____________________________________________________________________________________
The nurse teaches a class about muscle movement to a group of patients who have neuromuscular
disorders. What will the best plan of the nurse include?
a. Body movement depends on an intact spinal cord
b. Body movement depends on proper functioning of muscles
c. Body movement depends on intact nerves
d. Body movement depends on proper endocrine functioning
e. Body movement depends on the level of consciousness
b,c
The patient is started on a medication to treat a neuromuscular disorder. What does the nurse teach
as the primary therapeutic goal of the medication?
a. To stop the pt's muscle spasms
b. To improve the pt's appearance
c. To promote exercise in the pt
d. To allow the pt increased independance
d
Which change is a common adverse effect of cyclobenzaprine (Flexeril)?
a. Alopecia
b. Tongue swelling
c. Drowsiness
d. Hypotension
c
The nurse would plan to most closely observe which patients for the development of liver toxicity
after dantrolene (Dantrium) is initiated?
a. A 49-yr-old woman who has a history of esophagitis
b. An 18-yr-old who injured his leg playing soccer
c. A 60-yr-old man with pneumonia
d. A 26-yr-old woman who has an ostomy
e. A 38-yr-old woman who has type 2 diabetes
a,e
,The nurse suspects that a patient is developing malignant hyperthermia. Arrange these interventions
in the correct order of priority.
a. Discontinue medication that may cause malignant hyperthermia
b. Maintain IV dantrolene
c. Identify any s/s that support this suspicion
d. Start detrolene therapy
e. Control associated symptoms
c-a-d-e-b
A nurse is caring for a client who has peptic ulcer disease. The nurse should monitor the client for
which of the following findings as an indication of gastrointestinal perforation?
a. Hyperactive bowel sounds
b. Sudden abdominal pain
c. Increased BP
d. Bradycardia
b
A nurse is assessing a client who has peptic ulcer disease. Which of the following findings should the
nurse identify as the priority?
a. Left upper epigastrium pain
b. Dyspepsia
c. Epigastric discomfort
d. Hematemesis
d
A nurse is reviewing the medical record of a client who has a peptic ulcer. Which of the following
findings should the nurse recognize as a risk factor for this condition?
a. History of bulimia
b. History of NSAID use
c. Drinks chamomile tea
d. Has a glass of wine with dinner a couple times a week
b
A nurse is assessing a client who is on long term omeprazole therapy. Which of the following findings
should indicate to the nurse the medication is effective?
a. Increased appetite
b. Regular bowel movements
c. Absence of headache
d. Reduced dyspepsia
d
A nurse is teaching a client who has a new prescription for omeprazole to manage his GERD. Which of
the following statements by the client indicates an understanding of the teaching?
a. "I won't pass gas as often now that I am taking this med"
,b. "I will take this med each morning with my breakfast
c. "I have an increased risk of getting pneumonia while taking this med"
d. "I will need to take a daily stool softener while taking this med"
c
A nurse is providing teaching to a client who has gastroesophageal reflux disease and a new
prescription for omeprazole. Which of the following instructions should the nurse provide?
a. Take NSAIDs if headaches occur
b. Decrease intake of vitamin D
c. Expect muscle cramps for several weeks
d. Report diarrhea to the provider
d
A nurse is teaching a client who has a new prescription for ranitidine to treat peptic ulcer disease.
Which of the following statements by the client indicates an understanding of the teaching? (select all
that apply)
a. "I can take this med with or without food"
b. "I will take this med in the morning"
c. "I should expect my stools to turn black"
d. "I will take this med with an antacid"
e. "I will take this med when I need it for pain"
f. "I will eat 5 small meals each day"
a,f
A nurse is providing teaching to a client who has renal failure and an elevated phosphorus level. The
provider instructed the client to take aluminum hydroxide 300 mg PO three times daily. For which of
the following adverse effects should the nurse inform the client?
a. Constipation
b. Metallic taste
c. Headache
d. Muscle spasms
a
A nurse is caring for a client who has chronic kidney disease (CKD) and states she has heartburn. The
provider prescribes aluminum hydroxide. The client asks, "Why can't I just take the antacid
magaldrate my husband has at home?" The nurse explains to the client that aluminum hydroxide is
the preferred antacid because it lowers which of the following?
a. Serum phosphorus levels
b. Serum K levels
c. Serum Mg levels
d. Serum Ca levels
a
, A nurse is teaching a client who has a new prescription for aluminum hydroxide to treat heartburn.
The nurse should instruct the client to monitor for and report which of the following adverse
reactions?
a. Constipation
b. Flatulence
c. Palpitations
d. Headache
a
A nurse is administering sucralfate to a client who has a gastric ulcer. Which of the following actions
should the nurse take?
a. Instruct the pt to chew the sucralfate for fasting absorption
b. Admin the med without food or fluids
c. Limit the pt's fluids while on sucralfate therapy
d. Admin sucralfate with an antacid
b
The nurse teaches a class on pregnancy to the client in their first trimester. The nurse evaluates that
learning has occurred when the clients make which statements? (select all that apply)
a. "Ovulation is caused by a surge of HcG"
b. "Ovulation is caused by a surge of LH"
c. "The pituitary gland secretes GnRH"
d. "Ovulation occurs on approximately day 21 of the ovarian cycle"
e. "FSH causes ovarian follicles to develop"
b,e
The client plans to use an estrogen/progestin oral contraceptive for birth control. Which client
behavior would the nurse be most concerned about?
a. The pt smokes 1/2 pack of cigarettes per day
b. The pt has several sexual partners
c. The pt drinks 2 glasses of wine per day
d. The pt is being treated for bipolar disorder
a
A client calls the clinic and tells the nurse that she has missed taking several of her contraceptive pills
during the current cycle. What is the best instruction for the nurse to give the client?
a. "Please come into the clinic immediately to have a pregnancy test done"
b. "You might consider another form of birth control if you keep missing your pills."
c. "You should use an alternative form of birth control for the rest of this cycle."
d. "If you have missed fewer than 3 of your pills, you do not need to worry"
c
An adolescent client will receive Depo-Provera as a method of birth control. She asks the nurse how
long the drug will be effective. What is the best response by the nurse?
Detailed Answers Graded A+ New
Edition 2025
_____________________________________________________________________________________
The nurse teaches a class about muscle movement to a group of patients who have neuromuscular
disorders. What will the best plan of the nurse include?
a. Body movement depends on an intact spinal cord
b. Body movement depends on proper functioning of muscles
c. Body movement depends on intact nerves
d. Body movement depends on proper endocrine functioning
e. Body movement depends on the level of consciousness
b,c
The patient is started on a medication to treat a neuromuscular disorder. What does the nurse teach
as the primary therapeutic goal of the medication?
a. To stop the pt's muscle spasms
b. To improve the pt's appearance
c. To promote exercise in the pt
d. To allow the pt increased independance
d
Which change is a common adverse effect of cyclobenzaprine (Flexeril)?
a. Alopecia
b. Tongue swelling
c. Drowsiness
d. Hypotension
c
The nurse would plan to most closely observe which patients for the development of liver toxicity
after dantrolene (Dantrium) is initiated?
a. A 49-yr-old woman who has a history of esophagitis
b. An 18-yr-old who injured his leg playing soccer
c. A 60-yr-old man with pneumonia
d. A 26-yr-old woman who has an ostomy
e. A 38-yr-old woman who has type 2 diabetes
a,e
,The nurse suspects that a patient is developing malignant hyperthermia. Arrange these interventions
in the correct order of priority.
a. Discontinue medication that may cause malignant hyperthermia
b. Maintain IV dantrolene
c. Identify any s/s that support this suspicion
d. Start detrolene therapy
e. Control associated symptoms
c-a-d-e-b
A nurse is caring for a client who has peptic ulcer disease. The nurse should monitor the client for
which of the following findings as an indication of gastrointestinal perforation?
a. Hyperactive bowel sounds
b. Sudden abdominal pain
c. Increased BP
d. Bradycardia
b
A nurse is assessing a client who has peptic ulcer disease. Which of the following findings should the
nurse identify as the priority?
a. Left upper epigastrium pain
b. Dyspepsia
c. Epigastric discomfort
d. Hematemesis
d
A nurse is reviewing the medical record of a client who has a peptic ulcer. Which of the following
findings should the nurse recognize as a risk factor for this condition?
a. History of bulimia
b. History of NSAID use
c. Drinks chamomile tea
d. Has a glass of wine with dinner a couple times a week
b
A nurse is assessing a client who is on long term omeprazole therapy. Which of the following findings
should indicate to the nurse the medication is effective?
a. Increased appetite
b. Regular bowel movements
c. Absence of headache
d. Reduced dyspepsia
d
A nurse is teaching a client who has a new prescription for omeprazole to manage his GERD. Which of
the following statements by the client indicates an understanding of the teaching?
a. "I won't pass gas as often now that I am taking this med"
,b. "I will take this med each morning with my breakfast
c. "I have an increased risk of getting pneumonia while taking this med"
d. "I will need to take a daily stool softener while taking this med"
c
A nurse is providing teaching to a client who has gastroesophageal reflux disease and a new
prescription for omeprazole. Which of the following instructions should the nurse provide?
a. Take NSAIDs if headaches occur
b. Decrease intake of vitamin D
c. Expect muscle cramps for several weeks
d. Report diarrhea to the provider
d
A nurse is teaching a client who has a new prescription for ranitidine to treat peptic ulcer disease.
Which of the following statements by the client indicates an understanding of the teaching? (select all
that apply)
a. "I can take this med with or without food"
b. "I will take this med in the morning"
c. "I should expect my stools to turn black"
d. "I will take this med with an antacid"
e. "I will take this med when I need it for pain"
f. "I will eat 5 small meals each day"
a,f
A nurse is providing teaching to a client who has renal failure and an elevated phosphorus level. The
provider instructed the client to take aluminum hydroxide 300 mg PO three times daily. For which of
the following adverse effects should the nurse inform the client?
a. Constipation
b. Metallic taste
c. Headache
d. Muscle spasms
a
A nurse is caring for a client who has chronic kidney disease (CKD) and states she has heartburn. The
provider prescribes aluminum hydroxide. The client asks, "Why can't I just take the antacid
magaldrate my husband has at home?" The nurse explains to the client that aluminum hydroxide is
the preferred antacid because it lowers which of the following?
a. Serum phosphorus levels
b. Serum K levels
c. Serum Mg levels
d. Serum Ca levels
a
, A nurse is teaching a client who has a new prescription for aluminum hydroxide to treat heartburn.
The nurse should instruct the client to monitor for and report which of the following adverse
reactions?
a. Constipation
b. Flatulence
c. Palpitations
d. Headache
a
A nurse is administering sucralfate to a client who has a gastric ulcer. Which of the following actions
should the nurse take?
a. Instruct the pt to chew the sucralfate for fasting absorption
b. Admin the med without food or fluids
c. Limit the pt's fluids while on sucralfate therapy
d. Admin sucralfate with an antacid
b
The nurse teaches a class on pregnancy to the client in their first trimester. The nurse evaluates that
learning has occurred when the clients make which statements? (select all that apply)
a. "Ovulation is caused by a surge of HcG"
b. "Ovulation is caused by a surge of LH"
c. "The pituitary gland secretes GnRH"
d. "Ovulation occurs on approximately day 21 of the ovarian cycle"
e. "FSH causes ovarian follicles to develop"
b,e
The client plans to use an estrogen/progestin oral contraceptive for birth control. Which client
behavior would the nurse be most concerned about?
a. The pt smokes 1/2 pack of cigarettes per day
b. The pt has several sexual partners
c. The pt drinks 2 glasses of wine per day
d. The pt is being treated for bipolar disorder
a
A client calls the clinic and tells the nurse that she has missed taking several of her contraceptive pills
during the current cycle. What is the best instruction for the nurse to give the client?
a. "Please come into the clinic immediately to have a pregnancy test done"
b. "You might consider another form of birth control if you keep missing your pills."
c. "You should use an alternative form of birth control for the rest of this cycle."
d. "If you have missed fewer than 3 of your pills, you do not need to worry"
c
An adolescent client will receive Depo-Provera as a method of birth control. She asks the nurse how
long the drug will be effective. What is the best response by the nurse?
