MEDSURG PRACTICE TEST
EXAM WITH CORRECT
ANSWERS 2025
A Korean-American client, who speaks very little English, is being discharged
following surgery. Which nurse should the nurse manager assign to provide
the discharge instructions for the client?
A) A graduate registered nurse (RN) with three weeks of experience.
B) The registered nurse (RN) case manager for the unit with 1 year's
experience.
C) A floating registered nurse (RN) with five years of nursing experience.
D) A Korean-American practical nurse (PN) with six years of nursing
experience. ( correct answers ) The RN case manager (B) is the best
qualified nurse to assess and provide discharge educational needs, obtain
resources for the client, enhance coordination of care, and prevent
fragmentation of care. The RN graduate (A) lacks the experience to provide
individualized and complete discharge instructions. The float nurse (C) lacks
case management expertise to advocate adequately for the client,
coordinate care, and provide community resources. It is not in the scope of
practice for the PN (D) to give discharge instructions.
A client who returns to the unit after having a percutaneous transluminal
coronary angioplasty (PTCA) complains of acute chest pain. What action
should the nurse implement next?
GRADED A+
,A) Inform the healthcare provider.
B) Obtain a 12-lead electrocardiogram.
C) Give a sublingual nitroglycerin tablet.
D) Administer prescribed analgesic. ( correct answers ) After a
percutaneous transluminal coronary angioplasty (PTCA), a client who
experiences acute chest pain may be experiencing cardiac ischemia related
to restenosis, stent thrombosis, or acute coronary syndrome involving any
coronary artery. The first action is to administer nitroglycerin (C) to dilate the
coronary arteries and increase myocardial oxygenation. Then, (A, B, and D)
are implemented.
Several hours after surgical repair of an abdominal aortic aneurysm (AAA),
the client
develops left flank pain. The nurse determines the client's urinary output is
20 ml/hr for the past 2 hours. The nurse should conclude that these findings
support which complication?
A) Infection.
B) Hypovolemia.
C) Intestinal ischemia.
D) Renal artery embolization. ( correct answers ) Postoperative
complications of surgical repair of AAA are related to the location of
resection, graft, or stent placement along the abdominal aorta. Embolization
of a fragment of thrombus or plaque from the aorta into a renal artery (D)
can compromise blood flow in one of the renal arteries, resulting in renal
ischemia that precipitates unilateral flank pain. Intraoperative blood loss or
rupture of the aorta anastomosis can cause acute renal failure related to
GRADED A+
, hypovolemia (B), which involves both kidneys and causing bilateral flank
pain. (A
and C) are not associated with these symptoms.
The nurse is caring for a client with human immunodeficiency virus (HIV)
infection who develops Mycobacterium avium complex (MAC). What is the
most significant desired
outcome for this client?
A) Free from injury of drug side effects.
B) Return to pre-illness weight.
C) Adequate oxygenation.
D) Maintenance of intact perineal skin. ( correct answers ) MAC is an
opportunistic infection that presents as a tuberculosis-like pulmonary
process. MAC is a major contributing factor to the development of wasting
syndrome, so the most significant desired outcome is the client's return to a
pre-illness weight (B) using oral, enteral, or parenteral supplementation as
needed. Drug schedules and side effects (A) remain a life long management
problem. Client outcomes for adequate oxygenation (C) are often dependent
on management of anemia, maintenance of activities without fatigue, and
supplemental oxygen to prevent hypoxia. Skin integrity (D) is dependant
upon diarrhea, which is not as significant as optimal nutrition.
A client with a fractured right radius reports severe, diffuse pain that has not
responded to the prescribed analgesics. The pain is greater with passive
movement of the limb than with active movement by the client. The nurse
recognizes that the client is most likely exhibiting symptoms of which
condition?
A) Acute compartment syndrome.
GRADED A+
EXAM WITH CORRECT
ANSWERS 2025
A Korean-American client, who speaks very little English, is being discharged
following surgery. Which nurse should the nurse manager assign to provide
the discharge instructions for the client?
A) A graduate registered nurse (RN) with three weeks of experience.
B) The registered nurse (RN) case manager for the unit with 1 year's
experience.
C) A floating registered nurse (RN) with five years of nursing experience.
D) A Korean-American practical nurse (PN) with six years of nursing
experience. ( correct answers ) The RN case manager (B) is the best
qualified nurse to assess and provide discharge educational needs, obtain
resources for the client, enhance coordination of care, and prevent
fragmentation of care. The RN graduate (A) lacks the experience to provide
individualized and complete discharge instructions. The float nurse (C) lacks
case management expertise to advocate adequately for the client,
coordinate care, and provide community resources. It is not in the scope of
practice for the PN (D) to give discharge instructions.
A client who returns to the unit after having a percutaneous transluminal
coronary angioplasty (PTCA) complains of acute chest pain. What action
should the nurse implement next?
GRADED A+
,A) Inform the healthcare provider.
B) Obtain a 12-lead electrocardiogram.
C) Give a sublingual nitroglycerin tablet.
D) Administer prescribed analgesic. ( correct answers ) After a
percutaneous transluminal coronary angioplasty (PTCA), a client who
experiences acute chest pain may be experiencing cardiac ischemia related
to restenosis, stent thrombosis, or acute coronary syndrome involving any
coronary artery. The first action is to administer nitroglycerin (C) to dilate the
coronary arteries and increase myocardial oxygenation. Then, (A, B, and D)
are implemented.
Several hours after surgical repair of an abdominal aortic aneurysm (AAA),
the client
develops left flank pain. The nurse determines the client's urinary output is
20 ml/hr for the past 2 hours. The nurse should conclude that these findings
support which complication?
A) Infection.
B) Hypovolemia.
C) Intestinal ischemia.
D) Renal artery embolization. ( correct answers ) Postoperative
complications of surgical repair of AAA are related to the location of
resection, graft, or stent placement along the abdominal aorta. Embolization
of a fragment of thrombus or plaque from the aorta into a renal artery (D)
can compromise blood flow in one of the renal arteries, resulting in renal
ischemia that precipitates unilateral flank pain. Intraoperative blood loss or
rupture of the aorta anastomosis can cause acute renal failure related to
GRADED A+
, hypovolemia (B), which involves both kidneys and causing bilateral flank
pain. (A
and C) are not associated with these symptoms.
The nurse is caring for a client with human immunodeficiency virus (HIV)
infection who develops Mycobacterium avium complex (MAC). What is the
most significant desired
outcome for this client?
A) Free from injury of drug side effects.
B) Return to pre-illness weight.
C) Adequate oxygenation.
D) Maintenance of intact perineal skin. ( correct answers ) MAC is an
opportunistic infection that presents as a tuberculosis-like pulmonary
process. MAC is a major contributing factor to the development of wasting
syndrome, so the most significant desired outcome is the client's return to a
pre-illness weight (B) using oral, enteral, or parenteral supplementation as
needed. Drug schedules and side effects (A) remain a life long management
problem. Client outcomes for adequate oxygenation (C) are often dependent
on management of anemia, maintenance of activities without fatigue, and
supplemental oxygen to prevent hypoxia. Skin integrity (D) is dependant
upon diarrhea, which is not as significant as optimal nutrition.
A client with a fractured right radius reports severe, diffuse pain that has not
responded to the prescribed analgesics. The pain is greater with passive
movement of the limb than with active movement by the client. The nurse
recognizes that the client is most likely exhibiting symptoms of which
condition?
A) Acute compartment syndrome.
GRADED A+
