Med Surg Exam 4 2025 Questions and
Answers 100% Pass
A nurse assesses clients on a medical-surgical unit. Which client should the nurse
identify as having the greatest risk for cardiovascular disease
A An 86-year-old man with a history of asthma
B A 32-year-old Asian-American man with colorectal cancer
C A 45-year-old American Indian woman with diabetes mellitus
D A 53-year-old postmenopausal woman who is on hormone therapy - ✔✔C
A nurse assesses an older adult client who is experiencing a myocardial infarction.
Which clinical manifestation should the nurse expect
A Excruciating pain on inspiration
B Left lateral chest wall pain
C Disorientation and confusion
D Numbness and tingling of the arm - ✔✔C
A nurse assesses a client who is scheduled for a cardiac catheterization. Which
assessment should the nurse complete prior to this procedure
A Client's level of anxiety
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,B Ability to turn self in bed
C Cardiac rhythm and heart rate
D Allergies to iodine-based agents - ✔✔D
A nurse cares for a client who has an 80% blockage of the right coronary artery
(RCA) and is scheduled for bypass surgery. Which intervention should the nurse be
prepared to implement while this client waits for surgery
A Administration of IV furosemide (Lasix)
B Initiation of an external pacemaker
C Assistance with endotracheal intubation
D Placement of central venous access - ✔✔C
A nurse teaches a client with diabetes mellitus and a body mass index of 42 who is at
high risk for coronary artery disease. Which statement related to nutrition should the
nurse include in this client's teaching
A "The best way to lose weight is a high-protein, low-carbohydrate diet."
B "You should balance weight loss with consuming necessary nutrients."
C "A nutritionist will provide you with information about your new diet."
D "If you exercise more frequently, you won't need to change your diet." - ✔✔B
A nurse cares for a client who has advanced cardiac disease and states, "I am having
trouble sleeping at night." How should the nurse respond
A "I will consult the provider to prescribe a sleep study to determine the problem."
B "You become hypoxic while sleeping; oxygen therapy via nasal cannula will help."
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, C "A continuous positive airway pressure, or CPAP, breathing mask will help you
breathe at night."
D "Use pillows to elevate your head and chest while you are sleeping." - ✔✔D
A nurse cares for a client who is recovering from a myocardial infarction. The client
states, "I will need to stop eating so much chili to keep that indigestion pain from
returning." How should the nurse respond
A "Chili is high in fat and calories; it would be a good idea to stop eating it."
B "The provider has prescribed an antacid for you to take every morning."
C "What do you understand about what happened to you"
D "When did you start experiencing this indigestion" - ✔✔C
An emergency department nurse triages clients who present with chest discomfort.
Which client should the nurse plan to assess first
A A 42-year-old female who describes her pain as a dull ache with numbness in her
fingers
B A 49-year-old male who reports moderate pain that is worse on inspiration
C A 53-year-old female who reports substernal pain that radiates to her abdomen
D A 58-year-old male who describes his pain as intense stabbing that spreads across
his chest - ✔✔D
A nurse is caring for a client with a history of renal insufficiency who is scheduled
for a cardiac catheterization. Which actions should the nurse take prior to the
catheterization (Select all that apply.)
A Assess for allergies to iodine.
COPYRIGHT © 2025 BY SOPHIA BENNETT, ALL RIGHTS RESERVED 3
Answers 100% Pass
A nurse assesses clients on a medical-surgical unit. Which client should the nurse
identify as having the greatest risk for cardiovascular disease
A An 86-year-old man with a history of asthma
B A 32-year-old Asian-American man with colorectal cancer
C A 45-year-old American Indian woman with diabetes mellitus
D A 53-year-old postmenopausal woman who is on hormone therapy - ✔✔C
A nurse assesses an older adult client who is experiencing a myocardial infarction.
Which clinical manifestation should the nurse expect
A Excruciating pain on inspiration
B Left lateral chest wall pain
C Disorientation and confusion
D Numbness and tingling of the arm - ✔✔C
A nurse assesses a client who is scheduled for a cardiac catheterization. Which
assessment should the nurse complete prior to this procedure
A Client's level of anxiety
COPYRIGHT © 2025 BY SOPHIA BENNETT, ALL RIGHTS RESERVED 1
,B Ability to turn self in bed
C Cardiac rhythm and heart rate
D Allergies to iodine-based agents - ✔✔D
A nurse cares for a client who has an 80% blockage of the right coronary artery
(RCA) and is scheduled for bypass surgery. Which intervention should the nurse be
prepared to implement while this client waits for surgery
A Administration of IV furosemide (Lasix)
B Initiation of an external pacemaker
C Assistance with endotracheal intubation
D Placement of central venous access - ✔✔C
A nurse teaches a client with diabetes mellitus and a body mass index of 42 who is at
high risk for coronary artery disease. Which statement related to nutrition should the
nurse include in this client's teaching
A "The best way to lose weight is a high-protein, low-carbohydrate diet."
B "You should balance weight loss with consuming necessary nutrients."
C "A nutritionist will provide you with information about your new diet."
D "If you exercise more frequently, you won't need to change your diet." - ✔✔B
A nurse cares for a client who has advanced cardiac disease and states, "I am having
trouble sleeping at night." How should the nurse respond
A "I will consult the provider to prescribe a sleep study to determine the problem."
B "You become hypoxic while sleeping; oxygen therapy via nasal cannula will help."
COPYRIGHT © 2025 BY SOPHIA BENNETT, ALL RIGHTS RESERVED 2
, C "A continuous positive airway pressure, or CPAP, breathing mask will help you
breathe at night."
D "Use pillows to elevate your head and chest while you are sleeping." - ✔✔D
A nurse cares for a client who is recovering from a myocardial infarction. The client
states, "I will need to stop eating so much chili to keep that indigestion pain from
returning." How should the nurse respond
A "Chili is high in fat and calories; it would be a good idea to stop eating it."
B "The provider has prescribed an antacid for you to take every morning."
C "What do you understand about what happened to you"
D "When did you start experiencing this indigestion" - ✔✔C
An emergency department nurse triages clients who present with chest discomfort.
Which client should the nurse plan to assess first
A A 42-year-old female who describes her pain as a dull ache with numbness in her
fingers
B A 49-year-old male who reports moderate pain that is worse on inspiration
C A 53-year-old female who reports substernal pain that radiates to her abdomen
D A 58-year-old male who describes his pain as intense stabbing that spreads across
his chest - ✔✔D
A nurse is caring for a client with a history of renal insufficiency who is scheduled
for a cardiac catheterization. Which actions should the nurse take prior to the
catheterization (Select all that apply.)
A Assess for allergies to iodine.
COPYRIGHT © 2025 BY SOPHIA BENNETT, ALL RIGHTS RESERVED 3
