PN MED SURG PROCTORED /ATI PN
MEDICAL SURGICAL EXAM BANK 2024-
2025 ACTUAL EXAM. 180 QUESTIONS
AND CORRECT DETAILED ANSWERS
A nurse is reviewing the medical record of a client who has a prescription for morphine. Which of the
following findings should the nurse report to the provider? ANS: Urinary retention
A nurse is caring for a client who is at risk for developing pressure ulcers. Which of the following actions
should the nurse take? ANS: Position pillows between the bony prominences
A nurse is caring for a client who is postoperative and is receiving an IV infusion of cefazolin. Ten
minutes after beginning the infusion, the client reports intense itching. Which of the following actions
should the nurse take first? ANS: Stop the medication infusion
A nurse is reinforcing teaching with a client who has gonorrhea. Which of the following information
should the nurse include? ANS: You are at risk for infertility with this infection, regardless of treatment
A nurse is examining a clients IV site and notes a red line up his arm. The client reliant a throbbing,
burning pain at the IV site. The nurse should identify that the clients manifestations indicate which of
the following complications? ANS: Thrombophlebitis
A nurse is reinforcing teaching with an adolescent client regarding testicular self examination. Which of
the following statements by the client demonstrates an undertsmdibg of the teaching? ANS: I
understand that testicular cancer is painless
A nurse in a long term care facility is collecting data from a client who reports fullness in the rectum and
abdominal cramping. Which of the following findings should indicate to the nurse that the client might
have a fecal impaction? ANS: Small liquid stools
,A nurse in an oncology is reinforcing teaching about Mohs surgery with a client who has skin cancer.
Which of the following information should the nurse include in the teaching? ANS: Mohs surgery is a
horizontal shaving of thin layers of the tumor
A nurse is reinforcing teaching about GERd with a client. Which of the following statements by the client
indicates an understanding of the teaching? ANS: I should wait at least 2 hours after eating before going
to bed
A nurse is assisting with the care of a care who is reconciled 0.9 % sodium chloride by continuous IV
infusion. The client report pain and swelling at the IV site. In which order should the nurse perform that
following steps? ANS: Check the IV site, stop the infusion, withdraw the IV catheter, elevate the affected
arm, notify the charge nurse
A nurse is contributing to the plan of care for an older adult client who is at risk for osteoporosis. Which
of the following interventions should the nurse include to prevent bone loss? ANS: Encourage weight
bearing exercises
A nurse is assisting with the care of a client who has a cardiac catheterization via the right femoral
artery. Which of the following actions should the nurse take to prevent lost procedure complications?
ANS: Monitor the insertion site for bleeding is correct, maintain the pressure dressing, check the clients
peripheral pulses
A nurse is caring for a client who is 1 day postoperative following a hip arthroplasty. The client is
exhibiting hypotension,tachycardia, and tachypnea. The nurse should recognize these findings indicate
which of the following complications? ANS: Pulmonary embolism
A nurse is reinforcing discharge teaching with a client who has hearing loss. Which of the following
actions should the nurse take when communication with the client? ANS: Rephrase client instructions
when not understood
A nurse is caring for a client who is postoperative and has an epidural infusion. Which of the following
findings should the nurse recognize as the priority? ANS: Dyspnea
, A nurse is preparing to administer phytonadione 7 mg subcutaneously to a client who has an INR of 4.
Available is phytonadione 10 mg/ml. How many ml should the nurse administer? ANS: 0.7
A nurse is reinforcing teaching with a client who has multiple sclerosis and a new prescription for
baclofen. Which of the following instructions should the nurse include in the teaching? ANS: Avoid
stopping this medication suddenly
A nurse is planning to implement droplet precautions for a client who has manifestation of pertussis.
Which of the following interventions should the nurse include when contributing? ANS: Apply a mask on
the client of transport is needed
A nurse is caring for an older adult client who has a reddened area over the sacrum. Which of the
following actions should the nurse take? ANS: Minimize the time the head of the bed is elevated
A nurse is collecting data from a client and noticed several skin lesions. Which of the following findings
should the nurse report as possible melanoma? ANS: Irregular borders
A nurse is reinforcing teaching with a client who is in a low sodium diet and asks about how to improve
the taste of bland food. Which of the following should the nurse recommend? ANS: Lemon juice
A nurse is assisting with the discharge planning for a client who is postoperative following a total hip
arthroplasty. Which of the following instructions should the nurse include in the discharge plan? ANS:
Obtain a raised toilet seat
A nurse is caring for a client who has meningococcal pneumonia. Which of the following personal
protective equipment should the nurse use? ANS: Mask
A nurse is reinforcing teaching with a client who has asthma. Which of the following client statements
indicates an understanding of the use of budensonide and albuterol inhalers? ANS: I never forget to
MEDICAL SURGICAL EXAM BANK 2024-
2025 ACTUAL EXAM. 180 QUESTIONS
AND CORRECT DETAILED ANSWERS
A nurse is reviewing the medical record of a client who has a prescription for morphine. Which of the
following findings should the nurse report to the provider? ANS: Urinary retention
A nurse is caring for a client who is at risk for developing pressure ulcers. Which of the following actions
should the nurse take? ANS: Position pillows between the bony prominences
A nurse is caring for a client who is postoperative and is receiving an IV infusion of cefazolin. Ten
minutes after beginning the infusion, the client reports intense itching. Which of the following actions
should the nurse take first? ANS: Stop the medication infusion
A nurse is reinforcing teaching with a client who has gonorrhea. Which of the following information
should the nurse include? ANS: You are at risk for infertility with this infection, regardless of treatment
A nurse is examining a clients IV site and notes a red line up his arm. The client reliant a throbbing,
burning pain at the IV site. The nurse should identify that the clients manifestations indicate which of
the following complications? ANS: Thrombophlebitis
A nurse is reinforcing teaching with an adolescent client regarding testicular self examination. Which of
the following statements by the client demonstrates an undertsmdibg of the teaching? ANS: I
understand that testicular cancer is painless
A nurse in a long term care facility is collecting data from a client who reports fullness in the rectum and
abdominal cramping. Which of the following findings should indicate to the nurse that the client might
have a fecal impaction? ANS: Small liquid stools
,A nurse in an oncology is reinforcing teaching about Mohs surgery with a client who has skin cancer.
Which of the following information should the nurse include in the teaching? ANS: Mohs surgery is a
horizontal shaving of thin layers of the tumor
A nurse is reinforcing teaching about GERd with a client. Which of the following statements by the client
indicates an understanding of the teaching? ANS: I should wait at least 2 hours after eating before going
to bed
A nurse is assisting with the care of a care who is reconciled 0.9 % sodium chloride by continuous IV
infusion. The client report pain and swelling at the IV site. In which order should the nurse perform that
following steps? ANS: Check the IV site, stop the infusion, withdraw the IV catheter, elevate the affected
arm, notify the charge nurse
A nurse is contributing to the plan of care for an older adult client who is at risk for osteoporosis. Which
of the following interventions should the nurse include to prevent bone loss? ANS: Encourage weight
bearing exercises
A nurse is assisting with the care of a client who has a cardiac catheterization via the right femoral
artery. Which of the following actions should the nurse take to prevent lost procedure complications?
ANS: Monitor the insertion site for bleeding is correct, maintain the pressure dressing, check the clients
peripheral pulses
A nurse is caring for a client who is 1 day postoperative following a hip arthroplasty. The client is
exhibiting hypotension,tachycardia, and tachypnea. The nurse should recognize these findings indicate
which of the following complications? ANS: Pulmonary embolism
A nurse is reinforcing discharge teaching with a client who has hearing loss. Which of the following
actions should the nurse take when communication with the client? ANS: Rephrase client instructions
when not understood
A nurse is caring for a client who is postoperative and has an epidural infusion. Which of the following
findings should the nurse recognize as the priority? ANS: Dyspnea
, A nurse is preparing to administer phytonadione 7 mg subcutaneously to a client who has an INR of 4.
Available is phytonadione 10 mg/ml. How many ml should the nurse administer? ANS: 0.7
A nurse is reinforcing teaching with a client who has multiple sclerosis and a new prescription for
baclofen. Which of the following instructions should the nurse include in the teaching? ANS: Avoid
stopping this medication suddenly
A nurse is planning to implement droplet precautions for a client who has manifestation of pertussis.
Which of the following interventions should the nurse include when contributing? ANS: Apply a mask on
the client of transport is needed
A nurse is caring for an older adult client who has a reddened area over the sacrum. Which of the
following actions should the nurse take? ANS: Minimize the time the head of the bed is elevated
A nurse is collecting data from a client and noticed several skin lesions. Which of the following findings
should the nurse report as possible melanoma? ANS: Irregular borders
A nurse is reinforcing teaching with a client who is in a low sodium diet and asks about how to improve
the taste of bland food. Which of the following should the nurse recommend? ANS: Lemon juice
A nurse is assisting with the discharge planning for a client who is postoperative following a total hip
arthroplasty. Which of the following instructions should the nurse include in the discharge plan? ANS:
Obtain a raised toilet seat
A nurse is caring for a client who has meningococcal pneumonia. Which of the following personal
protective equipment should the nurse use? ANS: Mask
A nurse is reinforcing teaching with a client who has asthma. Which of the following client statements
indicates an understanding of the use of budensonide and albuterol inhalers? ANS: I never forget to
