COMPLETE SOLUTIONS FOR
MEDICAL SURGICAL NURSING
CONCEPTS FOR
INTERPROFESSIONAL
COLLABORATIVE CARE EXAM
QUESTIONS AND ANSWERS
What Information should the nurse include in the teaching plan of a client diagnosed with GERD?
A. Sleep without pillows
B. Adjust food intake to three full meals per day with no snacks
C. Minimize symptoms by wearing loose, comfortable clothing
D. Avoid Participation in any aerobic exercise program - CORRECT ANSWER -C. Minimize symptoms by
wearing loose, comfortable clothing
After a hospitalization for SIADH, a client develops pontine myelinolysis. Which Intervention should the nurse
implement first?
A. Reorient client to room
B. Place a patch on one eye
C. Evaluate clients ability to swallow
D. Perform range of motion exercises - CORRECT ANSWER -A. Reorient client to room
A male client with heart failure calls the clinic and reports that he cannot put his shoes on because they are too
tight. Which additional information should the nurse obtain?
A. What time did he take his medication?
,B. Has his weight changed in the last several days?
C. Is he still able to tighten his belt buckle?
D. How many hours did he sleep last night? - CORRECT ANSWER -B. Has his weight changed over the last
several days?
An older adult woman with a long history of COPD is admitted with progressive shortness of breath and a
persistent cough, is anxious, and is complaining of dry mouth. Which intervention should the nurse
implement?
A. Administer a prescribed sedative
B. Encourage client to drink water
C. Apply a high flow venturi mask
D. Assist her to an upright position - CORRECT ANSWER -D. Assist her to an upright position
A client with a history of asthma and bronchitis arrives at the clinic with shortness of breath, productive cough
with thickening mucous and the inability to walk up a flight of stairs without experiencing breathlessness.
Which action is most important for the nurse to instruct the client about self care?
A. Increase the daily intake of oral fluids to liquify secretions
B. Avoid crowded enclosed areas to reduce pathogen exposure
C. Call the clinic if undesirable side effects or medications occur
D. Teach anxiety reduction methods for feelings of suffocation - CORRECT ANSWER -A. Increase the daily
intake of oral fluids to liquify secretions
A cardiac catheterization of a client with heart disease indicates the following blockages: 95% proximal left
anterior descending (LAD), 99% proximal circumflex, and 95% proximal right coronary artery( RCA). The client
later asks the nurse "What does all of that mean for me?" What information should the nurse provide?
A. Blood supply to the heart is diminished by atherosclerotic lesions which necessitate life style changes.
, B. Blood vessels supplying the pumping chamber have blockages indicating a past heart attack.
C. Three main arteries have major blockages, with only 1-5% of the blood flow getting through to the heart
muscle
D. The heart is not receiving enough blood, so there is a risk of heart failure and fluid retention - CORRECT
ANSWER -C. Three main arteries have major blockages with only 1-5% of the blood flow getting through to
the heart muscle
A client who weighs 175 lbs is receiving an IV bolus dose of Heparin 80 units/kg. The Heparin is available in a 2
ml vial, labeled 10,000 units/ml. How many ml should the nurse administer? (enter numeric value only. If
rounding is permitted, round to the nearest tenth) - CORRECT ANSWER -0.6ml
The nurse is caring for a client with a lower left lobe pulmonary abscess. What position should the nurse
instruct the client to maintain?
A. Left lateral
B. Supine, knees flexed.
C. Dorsal recumbent
D. Knee-chest - CORRECT ANSWER -A. Left Lateral
A client with cholelithiasis has a gallstone lodged in the common bile duct and is unable to eat or drink without
becoming nauseous and vomiting. Which finding should the nurse report to the healthcare provider?
A. Belching
B. Amber urine
C. Yellow sclera
D. Flatulence - CORRECT ANSWER -C. Yellow Sclera
While caring for a client with Amyotrophic Lateral Sclerosis (ALS), a nurse performs a neurological assessment
every 4 hours. Which assessment finding warrants immediate intervention by the nurse?
MEDICAL SURGICAL NURSING
CONCEPTS FOR
INTERPROFESSIONAL
COLLABORATIVE CARE EXAM
QUESTIONS AND ANSWERS
What Information should the nurse include in the teaching plan of a client diagnosed with GERD?
A. Sleep without pillows
B. Adjust food intake to three full meals per day with no snacks
C. Minimize symptoms by wearing loose, comfortable clothing
D. Avoid Participation in any aerobic exercise program - CORRECT ANSWER -C. Minimize symptoms by
wearing loose, comfortable clothing
After a hospitalization for SIADH, a client develops pontine myelinolysis. Which Intervention should the nurse
implement first?
A. Reorient client to room
B. Place a patch on one eye
C. Evaluate clients ability to swallow
D. Perform range of motion exercises - CORRECT ANSWER -A. Reorient client to room
A male client with heart failure calls the clinic and reports that he cannot put his shoes on because they are too
tight. Which additional information should the nurse obtain?
A. What time did he take his medication?
,B. Has his weight changed in the last several days?
C. Is he still able to tighten his belt buckle?
D. How many hours did he sleep last night? - CORRECT ANSWER -B. Has his weight changed over the last
several days?
An older adult woman with a long history of COPD is admitted with progressive shortness of breath and a
persistent cough, is anxious, and is complaining of dry mouth. Which intervention should the nurse
implement?
A. Administer a prescribed sedative
B. Encourage client to drink water
C. Apply a high flow venturi mask
D. Assist her to an upright position - CORRECT ANSWER -D. Assist her to an upright position
A client with a history of asthma and bronchitis arrives at the clinic with shortness of breath, productive cough
with thickening mucous and the inability to walk up a flight of stairs without experiencing breathlessness.
Which action is most important for the nurse to instruct the client about self care?
A. Increase the daily intake of oral fluids to liquify secretions
B. Avoid crowded enclosed areas to reduce pathogen exposure
C. Call the clinic if undesirable side effects or medications occur
D. Teach anxiety reduction methods for feelings of suffocation - CORRECT ANSWER -A. Increase the daily
intake of oral fluids to liquify secretions
A cardiac catheterization of a client with heart disease indicates the following blockages: 95% proximal left
anterior descending (LAD), 99% proximal circumflex, and 95% proximal right coronary artery( RCA). The client
later asks the nurse "What does all of that mean for me?" What information should the nurse provide?
A. Blood supply to the heart is diminished by atherosclerotic lesions which necessitate life style changes.
, B. Blood vessels supplying the pumping chamber have blockages indicating a past heart attack.
C. Three main arteries have major blockages, with only 1-5% of the blood flow getting through to the heart
muscle
D. The heart is not receiving enough blood, so there is a risk of heart failure and fluid retention - CORRECT
ANSWER -C. Three main arteries have major blockages with only 1-5% of the blood flow getting through to
the heart muscle
A client who weighs 175 lbs is receiving an IV bolus dose of Heparin 80 units/kg. The Heparin is available in a 2
ml vial, labeled 10,000 units/ml. How many ml should the nurse administer? (enter numeric value only. If
rounding is permitted, round to the nearest tenth) - CORRECT ANSWER -0.6ml
The nurse is caring for a client with a lower left lobe pulmonary abscess. What position should the nurse
instruct the client to maintain?
A. Left lateral
B. Supine, knees flexed.
C. Dorsal recumbent
D. Knee-chest - CORRECT ANSWER -A. Left Lateral
A client with cholelithiasis has a gallstone lodged in the common bile duct and is unable to eat or drink without
becoming nauseous and vomiting. Which finding should the nurse report to the healthcare provider?
A. Belching
B. Amber urine
C. Yellow sclera
D. Flatulence - CORRECT ANSWER -C. Yellow Sclera
While caring for a client with Amyotrophic Lateral Sclerosis (ALS), a nurse performs a neurological assessment
every 4 hours. Which assessment finding warrants immediate intervention by the nurse?
