ADULT MED SURG PROCTORED EXAM QUESTIONS AND
CORRECT ANSWERS (100% CORRECT) BRAND NEW!!!!
A nurse is checking laboratory values for an adult client who has
sickle cell anemia and is in crisis. For which of the following
complications should the nurse monitor? - ANSWER -elevated
bilirubin
A nurse is assisting in the plan of care for a client who is having a
percutaneous transluminal coronary angioplasty with stent placement.
Which of the following actions should the nurse anticipate in the
postoperative plan of care? - ANSWER -Initiate an aspirin regimen
A nurse is collecting data from a client who reports using fish oil as a
dietary supplement. Which of the following substance in fish oil
should the nurse recognize as a health benefit to the client? -
ANSWER -Omega 3 fatty acids
A nurse is monitoring a client who is receiving a unit of packed RBCs
following surgery. The client reports itching and has hives 30 min
after the infusion begins. Which of the following actions should the
nurse take first? - ANSWER -Stop the infusion of blood
A nurse is assisting in monitoring a client who had a myocardial
infarction. For which of the following complications should the nurse
monitor in the first 24 hour? - ANSWER -Ventricular dysrhythmias
A nurse if checking for cardia tamponade on a client who has
pericarditis. Which of the following actions should the nurse take
first? - ANSWER -Auscultate blood pressure for pulsus paradoxes
A nurse is caring for a client who had a MI 5 days ago. The client has
a sudden onset of SOB and begins coughing frothy, pink sputum. The
nurse auscultates loud, bubbly sounds on inspiration. Which of the
following adventitious breath sounds should the nurse document? -
ANSWER -Coarse crackles.
pg. 1
,A nurse is collecting data from a client who has pericarditis. Which of
the following manifestations should the nurse expect? - ANSWER -
dyspnea
A nurse is assisting with the development of a program to educate
clients about measures to reduce the risk of skin cancer. Which of the
following instructions should the nurse include? - ANSWER -Avoid
exposure to the midday sun.
A nurse is reinforcing discharge teaching with a client who has a new
diagnosis of systemic lupus erythematous. Which of the following
statements by the client indicates an understanding of the teaching? -
ANSWER -I should take ibuprofen for my joint pain.
A nurse is caring for a client following a hip arthroplasty. The nurse
should place an abduction pillow on the client for which of the
following purposes? - ANSWER -Preventing dislocation of the hip
during position changes or movement
A nurse in a provider's office is collecting data from a client who has
skin lesions. The nurse notes that the lesions are 0.5 cm in size,
elevated, and solid, with very distinct borders. The nurse should
document the finding as which of the following skin lesions? -
ANSWER -Papules
A nurse is collecting data from a client who has an arm lesion. Which
of the following characteristics is a clinical manifestations of a
malignant melanoma? - ANSWER -irregularly shaped with blue tones
(malignant melanomas are irregularly shaped & can be blue, red, or
white in tone. They often occur on the client's upper back and lower
legs).
A nurse is contributing to the plan of care for a client who has been
admitted for tx of a malignant melanoma for the upper leg without
metastasis. The nurse should expect the provider to perform which of
the following procedures. - ANSWER -surgical excision
A nurse is assisting with the care of a client who is in the resuscitation
phase following a major burn. Which of the laboratory findings
pg. 2
, should the nurse expect? - ANSWER -sodium 132 mEq/L (the nurse
should anticipate a client who is in the resuscitation phase of a burn to
have a low sodium level because sodium is trapped in interstitial
space.
A nurse is caring for a client who has a lesion on the back of his right
hand. The client asks the nurse which type of skin cancer is the most
serious. Which of the following responses should the nurse make? -
ANSWER -Melanomas
A nurse is an urgent care clinic is caring for a client who has a
snakebite on her arm. Which of the following actions should the nurse
take? - ANSWER -immobilize the limb at the level of the heart.
A nurse is caring for a client who has been applying silver
sulfadiazine cream to a deep partial-thickness arm burn for the past 2
weeks. The nurse should monitor the client for which of the following
adverse effects? - ANSWER -Leukopenia
A nurse is caring for a client whose wounds are covered with a
heterograft dressing. In response to the client's questions about the
dressing, the nurse explains that is obtained from which of the
following sources? - ANSWER -pig skin
A nurse is reinforcing teaching with a client who has a large wound
healing by secondary intention. The nurse should instruct the client
that which of the following nutrients promotes would healing? -
ANSWER -vitamin c
A nurse on a surgical unit is caring for four clients who have healing
wounds. Which of the following wounds should the nurse expect to
heal by primary intentions? - ANSWER -surgical incision
A nurse is collecting data from a client who sustained superficial
partial-thickness and deep partial-thickness burns 72 hr ago. Which of
the following findings should the nurse report to the provider? -
ANSWER -temperature of 39.1'C
pg. 3