Medical surgical practice exam 2025
Questions and Answers 100% Pass
An adult client who is hospitalized after surgery reports sudden onset of chest pain
and dyspnea. the client appears anxious, restless, and mildly cyanotic. the nurse
should further assess the client for which condition? - ✔✔Pulmonary embolism
which information should the nurse obtain when performing an initial assessment of
a client who presents to the emergency department with a painful ankle injury?
(select all that apply) - ✔✔Quality of the pain
Signs of inflammation
Ankle range of motion
Visible deformities of the joint
Which description of pain is consistent with a diagnosis of rheumatoid arthritis? -
✔✔Joint pain is worse in the morning and involves symmetric joints
Which physical assessment finding should the nurse anticipate in a client with long-
term gastroesophagealreflux disease (GERD)? - ✔✔Hoarseness
A client presents with chronic venous insufficiency. Which assessment finding
should the nurse anticipate? - ✔✔Bilateral lower leg stasis dermatitis
A client has been hospitalized with a femur fracture and is being treated with
traction. which action by the nurse is the priority when caring for this client? -
✔✔Assess neurovascular status
COPYRIGHT © 2025 BY SOPHIA BENNETT, ALL RIGHTS RESERVED 1
,Which statement made by a client with chronic pancreatitis indicates that further
education is needed? - ✔✔I will cut back on smoking cigarettes daily
The nurse is teaching a female client who uses a contraceptive diaphragm about
reducing the risk for toxic shock syndrome (TSS). Which information should the
nurse include? (Select all that apply) - ✔✔Do not leave the diaphragm in place
longer than 8 hours after intercourse
Replace the old diaphragm every 3 months
A male client who smokes two packs of cigarettes a day states he understands that
smoking cigarettes is contributing to the difficulty that he and his wife are having in
getting pregnant and wants to know if other factors could be contributing to their
difficulty. Which information is best for the nurse to provide? (Select all that apply). -
✔✔Alcohol consumption can cause erectile dysfunction
Low testosterone levels affect sperm production
Cessation of smoking improves general health and fertility
Twenty four hours after a client returns from surgical gastric bypass, the registered
nurse (RN) observes large amounts of blood in the nasogastric tube (NGT) cannister.
Which assessment finding should the RN report as early signs of hypovolemic
shock? - ✔✔lethargy
the registered nurse (RN) is assessing a male client who arrives at the clinic with
severe abdominal cramping, pain, tenesmus, and dehydration. the RN discovers that
the client has had 14 to 20 loose stools with rectal bleeding. When taking the client's
medical history, which information is most for the nurse to obtain? - ✔✔Ulcerative
colitis
COPYRIGHT © 2025 BY SOPHIA BENNETT, ALL RIGHTS RESERVED 2
, A client is newly diagnosed with diverticulosis. The registered nurse (RN) is
assessing the client's basic knowledge about the disease process. Which statement by
the client conveys an understanding of the etiology of diverticula? - ✔✔Chronic
constipation causes weakening of colon wall which results in out pouching sacs
The registered nurse (RN) is assessing a client who was discharged home after
management of chronic hypertension. Which equipment should the RN instruct the
client to use at home? - ✔✔Sphygmomanometer
A young adult mail is diagnosed with stage 4 Hodgkin's lymphoma in the
abdominopelvic region and is scheduled for radiation therapy (RT). The client
expresses concern about becoming infertile. How should the nurse respond? -
✔✔Propose sperm banking before RT then artificial insemination is an option
A client's susceptibility to ulcerative colitis is most likely due to which aspect in the
client's history? - ✔✔Jewish European ancestry
Small bowl obstruction is a condition characterized by which finding? - ✔✔Severe
fluid and electrolyte imbalances
Which client should the nurse recognize as most likely to experience sleep apnea? -
✔✔Obese older male client with a short, thick neck
Which milestone indicates to the nurse successful achievement of young adulthood?
- ✔✔Completes education and becomes self-supporting
A client who has heart failure is admitted with a serum potassium level of 2.9
mEq/L (2.9 mmol/L). Which action is most important for the nurse to implement? -
✔✔Initiate continuous cardiac monitoring
Which postmenopausal client's complaint should the nurse refer to the HCP? -
✔✔episodes of vaginal bleeding
The nurse is teaching a female client about the best time to plan sexual intercourse in
order to conceive. Which information should the nurse provide? - ✔✔Two weeks
before menstruation
COPYRIGHT © 2025 BY SOPHIA BENNETT, ALL RIGHTS RESERVED 3
Questions and Answers 100% Pass
An adult client who is hospitalized after surgery reports sudden onset of chest pain
and dyspnea. the client appears anxious, restless, and mildly cyanotic. the nurse
should further assess the client for which condition? - ✔✔Pulmonary embolism
which information should the nurse obtain when performing an initial assessment of
a client who presents to the emergency department with a painful ankle injury?
(select all that apply) - ✔✔Quality of the pain
Signs of inflammation
Ankle range of motion
Visible deformities of the joint
Which description of pain is consistent with a diagnosis of rheumatoid arthritis? -
✔✔Joint pain is worse in the morning and involves symmetric joints
Which physical assessment finding should the nurse anticipate in a client with long-
term gastroesophagealreflux disease (GERD)? - ✔✔Hoarseness
A client presents with chronic venous insufficiency. Which assessment finding
should the nurse anticipate? - ✔✔Bilateral lower leg stasis dermatitis
A client has been hospitalized with a femur fracture and is being treated with
traction. which action by the nurse is the priority when caring for this client? -
✔✔Assess neurovascular status
COPYRIGHT © 2025 BY SOPHIA BENNETT, ALL RIGHTS RESERVED 1
,Which statement made by a client with chronic pancreatitis indicates that further
education is needed? - ✔✔I will cut back on smoking cigarettes daily
The nurse is teaching a female client who uses a contraceptive diaphragm about
reducing the risk for toxic shock syndrome (TSS). Which information should the
nurse include? (Select all that apply) - ✔✔Do not leave the diaphragm in place
longer than 8 hours after intercourse
Replace the old diaphragm every 3 months
A male client who smokes two packs of cigarettes a day states he understands that
smoking cigarettes is contributing to the difficulty that he and his wife are having in
getting pregnant and wants to know if other factors could be contributing to their
difficulty. Which information is best for the nurse to provide? (Select all that apply). -
✔✔Alcohol consumption can cause erectile dysfunction
Low testosterone levels affect sperm production
Cessation of smoking improves general health and fertility
Twenty four hours after a client returns from surgical gastric bypass, the registered
nurse (RN) observes large amounts of blood in the nasogastric tube (NGT) cannister.
Which assessment finding should the RN report as early signs of hypovolemic
shock? - ✔✔lethargy
the registered nurse (RN) is assessing a male client who arrives at the clinic with
severe abdominal cramping, pain, tenesmus, and dehydration. the RN discovers that
the client has had 14 to 20 loose stools with rectal bleeding. When taking the client's
medical history, which information is most for the nurse to obtain? - ✔✔Ulcerative
colitis
COPYRIGHT © 2025 BY SOPHIA BENNETT, ALL RIGHTS RESERVED 2
, A client is newly diagnosed with diverticulosis. The registered nurse (RN) is
assessing the client's basic knowledge about the disease process. Which statement by
the client conveys an understanding of the etiology of diverticula? - ✔✔Chronic
constipation causes weakening of colon wall which results in out pouching sacs
The registered nurse (RN) is assessing a client who was discharged home after
management of chronic hypertension. Which equipment should the RN instruct the
client to use at home? - ✔✔Sphygmomanometer
A young adult mail is diagnosed with stage 4 Hodgkin's lymphoma in the
abdominopelvic region and is scheduled for radiation therapy (RT). The client
expresses concern about becoming infertile. How should the nurse respond? -
✔✔Propose sperm banking before RT then artificial insemination is an option
A client's susceptibility to ulcerative colitis is most likely due to which aspect in the
client's history? - ✔✔Jewish European ancestry
Small bowl obstruction is a condition characterized by which finding? - ✔✔Severe
fluid and electrolyte imbalances
Which client should the nurse recognize as most likely to experience sleep apnea? -
✔✔Obese older male client with a short, thick neck
Which milestone indicates to the nurse successful achievement of young adulthood?
- ✔✔Completes education and becomes self-supporting
A client who has heart failure is admitted with a serum potassium level of 2.9
mEq/L (2.9 mmol/L). Which action is most important for the nurse to implement? -
✔✔Initiate continuous cardiac monitoring
Which postmenopausal client's complaint should the nurse refer to the HCP? -
✔✔episodes of vaginal bleeding
The nurse is teaching a female client about the best time to plan sexual intercourse in
order to conceive. Which information should the nurse provide? - ✔✔Two weeks
before menstruation
COPYRIGHT © 2025 BY SOPHIA BENNETT, ALL RIGHTS RESERVED 3
