Adult Medical Surgical Assessment 2025 Question and Answers

Adult Medical Surgical Assessment 2025 Question and
Answers



Question: 1 of 50 t t t




A nurse is caring for a client who is hyperventilating and has the following results: pH 7.50, PaCo2
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t 29mm Hg, and HCO2 25mEq/L. The nurse should recognise that the client has which of the following
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t acid-base imbalance? t




a. Respiratory acidosis t




b. Respiratory alkalosis t




c. Metabolic acidosis t




d. Metabolic alkalosis t




Answer: b t




Question 2 of 50 t t t




A nurse is providing discharge teaching for a client who has COPD about nutrition. Which of the
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t following instructions should the nurse include?
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a. Eat three large meals daily.
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b. Consume high calorie foods. t t t




c. Limit caffeinated drinks to two per day.
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d. Drink fluids during meal time t t t t




Answer: b t




Question 3 of 50 t t t




A nurse is caring for a client who has a right sided pneumothorax. Following chest tube insertion, which
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t of the following findings indicates that the chest drainage system is functioning correctly?
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,a. Circle bubbling in the suction chamber
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b. Crepitus around the insertion site
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c. Constant bubbling in the water seal chamber
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d. Absence of breath sounds on the right side
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Answer: a
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Question 4 of 50
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, A nurse is caring for a client who has a traumatic brain injury. Which of the following findings should
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t indicate to the nurse the need for immediate intervention?
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a. Auxiliary temperature 37.3 degrees Celsius (99 f) t t t t t t




b. Apical pulse 100mm t t




c. Respiratory rate 30/min t t




d. Blood pressure 140/34 mm Hg t t t t




Answer: c t




Question 5 of 50 t t t




A nurse is developing a plan of care for a client who will be placed in halo traction following surgical
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t repair of the cervical spine. Which of the following intervention should he nurse include in the plan?
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a. Inspect the pin site every 48 hr t t t t t t




b. Monitor the client’s skin under the halo vest t t t t t t t




c. Ensure two personnel hold the halo device when repositioning the chest
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d. Apply powder frequently to the cline’s skin under the vest to decrease aching.
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Answer: b t




Question 6 of 50 t t t




A nurse is providing discharge teaching to a client who has heart failure and a prescription for
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t furosemide 20 mg PO two times daily. Which of the following instructions should the nurse include in
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t the teaching?
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a. Monitor for increased blood pressure. t t t t




b. Increase intake of high potassium foods. t t t t t




c. Expect an increase in swelling in the heads and feet.
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d. Take off the second dose at bedtime.
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Answer: b t




Question 7 of 50 t t t