Medical surgical practice exam 2024- 2025 GRADE A 100% VERIFIED
1. 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? - ANS>>
Pulmonary embolism
2. 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) - ANS>> Quality of the pain
Signs of inflammation
Ankle range of motion
Visible deformities of the joint
3. Which description of pain is consistent with a diagnosis of rheumatoid arthritis? - ANS>> Joint pain is worse in the
morning and involves symmetric joints
4. Which physical assessment finding should the nurse anticipate in a client with long-term gastroesophagealreflux
disease (GERD)? - ANS>> Hoarseness
5. A client presents with chronic venous insufficiency. Which assessment finding should the nurse anticipate? - ANS>>
Bilateral lower leg stasis dermatitis
6. 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? - ANS>> Assess neurovascular status
7. Which statement made by a client with chronic pancreatitis indicates that further education is needed? - ANS>> I
will cut back on smoking cigarettes daily
8. 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) - ANS>> Do not leave the
diaphragm in place longer than 8 hours after intercourse
9. Replace the old diaphragm every 3 months
10. 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). - ANS>>
Alcohol consumption can cause erectile dysfunction
11. Low testosterone levels affect sperm production
, 12. Cessation of smoking improves general health and fertility
13. 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? - ANS>> lethargy
14. 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? - ANS>> Ulcerative colitis
15. 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? -
ANS>> Chronic constipation causes weakening of colon wall which results in out pouching sacs
16. 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? - ANS>> Sphygmomanometer
17. 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? -
ANS>> Propose sperm banking before RT then artificial insemination is an option
18. A client's susceptibility to ulcerative colitis is most likely due to which aspect in the client's history? - ANS>> Jewish
European ancestry
19. Small bowl obstruction is a condition characterized by which finding? - ANS>> Severe fluid and electrolyte
imbalances
20. Which client should the nurse recognize as most likely to experience sleep apnea? - ANS>> Obese older male client
with a short, thick neck
21. Which milestone indicates to the nurse successful achievement of young adulthood? - ANS>> Completes education
and becomes self-supporting
22. 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? - ANS>> Initiate continuous cardiac monitoring
23. Which postmenopausal client's complaint should the nurse refer to the HCP? - ANS>> episodes of vaginal bleeding
1. 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? - ANS>>
Pulmonary embolism
2. 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) - ANS>> Quality of the pain
Signs of inflammation
Ankle range of motion
Visible deformities of the joint
3. Which description of pain is consistent with a diagnosis of rheumatoid arthritis? - ANS>> Joint pain is worse in the
morning and involves symmetric joints
4. Which physical assessment finding should the nurse anticipate in a client with long-term gastroesophagealreflux
disease (GERD)? - ANS>> Hoarseness
5. A client presents with chronic venous insufficiency. Which assessment finding should the nurse anticipate? - ANS>>
Bilateral lower leg stasis dermatitis
6. 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? - ANS>> Assess neurovascular status
7. Which statement made by a client with chronic pancreatitis indicates that further education is needed? - ANS>> I
will cut back on smoking cigarettes daily
8. 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) - ANS>> Do not leave the
diaphragm in place longer than 8 hours after intercourse
9. Replace the old diaphragm every 3 months
10. 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). - ANS>>
Alcohol consumption can cause erectile dysfunction
11. Low testosterone levels affect sperm production
, 12. Cessation of smoking improves general health and fertility
13. 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? - ANS>> lethargy
14. 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? - ANS>> Ulcerative colitis
15. 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? -
ANS>> Chronic constipation causes weakening of colon wall which results in out pouching sacs
16. 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? - ANS>> Sphygmomanometer
17. 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? -
ANS>> Propose sperm banking before RT then artificial insemination is an option
18. A client's susceptibility to ulcerative colitis is most likely due to which aspect in the client's history? - ANS>> Jewish
European ancestry
19. Small bowl obstruction is a condition characterized by which finding? - ANS>> Severe fluid and electrolyte
imbalances
20. Which client should the nurse recognize as most likely to experience sleep apnea? - ANS>> Obese older male client
with a short, thick neck
21. Which milestone indicates to the nurse successful achievement of young adulthood? - ANS>> Completes education
and becomes self-supporting
22. 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? - ANS>> Initiate continuous cardiac monitoring
23. Which postmenopausal client's complaint should the nurse refer to the HCP? - ANS>> episodes of vaginal bleeding
