PN ADULT MEDICAL SURGICAL
ONLINE PRACTICE 2025 B
QUESTIONS AND ANSWERS
A nurse in a telemetry unit is collecting data from a client who has a newly-
inserted permanent pacemaker. Which of the following findings should the nurse
report to the provider?
The client experiences hiccups when sitting.
The client's pulse rate is 5/min faster than the preset pacemaker rate.
There is the presence of a pacing spike before the P-wave on the ECG rhythm
strip.
The dressing over the insertion site is dry and intact. - ....ANSWER ...-The
client experiences hiccups when sitting.
Click to highlight the findings the nurse should report to the charge nurse
immediately. To deselect a finding, click on the finding again. -
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 1
,....ANSWER ...-• Perineal pad is saturated with blood, and large clots are
present is correct. The presence of vaginal bleeding and blood clots is a
manifestation of vaginal hemorrhage.
Therefore, the nurse should report this finding to the charge nurse.
• Blood pressure 98/56 mm Hg is correct. Decreased
blood pressure is a manifestation of vaginal hemorrhage.
Therefore, the nurse should report this finding to the charge nurse.
• Heart rate 102/min is correct, Tachycardia is a manifestation of vaginal
hemorrhage. Therefore, the nurse should report this finding to the charge nurse.
A nurse is assisting with the care for a client who reports shortness of breath and
has an oxygen saturation
90%. Which of the following actions should the nurse take? -
....ANSWER ...-Administer oxygen via nasal cannula
R: The nurse should administer oxygen via nasal cannula to a client who reports
shortness of breath and has an oxygen saturation below the expected reference
range. The nurse should continue to monitor the client and adjust the oxygen flow
rate as needed.
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 2
,A nurse is reinforcing teaching with the caregiver of a client who is terminally ill
about manifestations of impending death. Which of the following manifestations
should the nurse include? - ....ANSWER ...-Incontinence of the bowel and
bladder.
Rationale:The nurse should inform the caregiver that incontinence of the bowel
and bladder is a manifestation of impending death. Other manifestations include
hypotension, bradycardia, restlessness, and coolness of the skin.
A nurse in a clinic is collecting data from a client who has hyperthyroidism and has
been taking methimazole for 4 weeks. Which of the following statements by the
client indicates a therapeutic response to the medication? - ....ANSWER ...-
"I have gained 3 lbs since my last appointment"
R: Hyperthyroidism can cause weight loss. Therefore, the nurse should identify
weight gain as an indication that the methimazole therapy has been effective
A nurse is contributing to the plan of care for a client who is postoperative
following a total knee arthroplasty.
The client is using a continuous passive motion (CPM) machine. Which of the
following interventions should the nurse recommend for the plan of care? -
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 3
, ....ANSWER ...-Keep a sheepskin pad between the client's extremity and the
CPM machine.
R: The nurse should plan to keep a sheepskin pad between the dient's extremity
and the cOM madhune to protect the client's skin. The nurse should check the
client's skin condition frequendy wile the cient is using the CPM machine.
A nurse is reinforcing teaching with a client about testicular self-examination.
Which of the following instructions should the nurse include in the teaching? -
....ANSWER ...-"Perform testicular self-examination after taking a warm
shower."
Rationale: The nurse should instruct the client to perform testicular self-
examination after taking a warm shower or bath. This causes relaxation of the
scrotal skin, which allows for better palpation of the testes.
A nurse is reinforcing discharge teaching for the caregivers of a client who has
Parkinson's disease. Which of the following information should the nurse include
in the teaching? - ....ANSWER ...-Remind the client to avoid watching their
feet when walking.
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 4
ONLINE PRACTICE 2025 B
QUESTIONS AND ANSWERS
A nurse in a telemetry unit is collecting data from a client who has a newly-
inserted permanent pacemaker. Which of the following findings should the nurse
report to the provider?
The client experiences hiccups when sitting.
The client's pulse rate is 5/min faster than the preset pacemaker rate.
There is the presence of a pacing spike before the P-wave on the ECG rhythm
strip.
The dressing over the insertion site is dry and intact. - ....ANSWER ...-The
client experiences hiccups when sitting.
Click to highlight the findings the nurse should report to the charge nurse
immediately. To deselect a finding, click on the finding again. -
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 1
,....ANSWER ...-• Perineal pad is saturated with blood, and large clots are
present is correct. The presence of vaginal bleeding and blood clots is a
manifestation of vaginal hemorrhage.
Therefore, the nurse should report this finding to the charge nurse.
• Blood pressure 98/56 mm Hg is correct. Decreased
blood pressure is a manifestation of vaginal hemorrhage.
Therefore, the nurse should report this finding to the charge nurse.
• Heart rate 102/min is correct, Tachycardia is a manifestation of vaginal
hemorrhage. Therefore, the nurse should report this finding to the charge nurse.
A nurse is assisting with the care for a client who reports shortness of breath and
has an oxygen saturation
90%. Which of the following actions should the nurse take? -
....ANSWER ...-Administer oxygen via nasal cannula
R: The nurse should administer oxygen via nasal cannula to a client who reports
shortness of breath and has an oxygen saturation below the expected reference
range. The nurse should continue to monitor the client and adjust the oxygen flow
rate as needed.
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 2
,A nurse is reinforcing teaching with the caregiver of a client who is terminally ill
about manifestations of impending death. Which of the following manifestations
should the nurse include? - ....ANSWER ...-Incontinence of the bowel and
bladder.
Rationale:The nurse should inform the caregiver that incontinence of the bowel
and bladder is a manifestation of impending death. Other manifestations include
hypotension, bradycardia, restlessness, and coolness of the skin.
A nurse in a clinic is collecting data from a client who has hyperthyroidism and has
been taking methimazole for 4 weeks. Which of the following statements by the
client indicates a therapeutic response to the medication? - ....ANSWER ...-
"I have gained 3 lbs since my last appointment"
R: Hyperthyroidism can cause weight loss. Therefore, the nurse should identify
weight gain as an indication that the methimazole therapy has been effective
A nurse is contributing to the plan of care for a client who is postoperative
following a total knee arthroplasty.
The client is using a continuous passive motion (CPM) machine. Which of the
following interventions should the nurse recommend for the plan of care? -
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 3
, ....ANSWER ...-Keep a sheepskin pad between the client's extremity and the
CPM machine.
R: The nurse should plan to keep a sheepskin pad between the dient's extremity
and the cOM madhune to protect the client's skin. The nurse should check the
client's skin condition frequendy wile the cient is using the CPM machine.
A nurse is reinforcing teaching with a client about testicular self-examination.
Which of the following instructions should the nurse include in the teaching? -
....ANSWER ...-"Perform testicular self-examination after taking a warm
shower."
Rationale: The nurse should instruct the client to perform testicular self-
examination after taking a warm shower or bath. This causes relaxation of the
scrotal skin, which allows for better palpation of the testes.
A nurse is reinforcing discharge teaching for the caregivers of a client who has
Parkinson's disease. Which of the following information should the nurse include
in the teaching? - ....ANSWER ...-Remind the client to avoid watching their
feet when walking.
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 4
