EVOLVEELSEVIERHESIMED-SURGEXAMQUESTIONBANK
ACTUAL EXAM WITH
MEDICAL-
SURGICALNURSING,7THEDITIONBYADRIANNEDILLLINTON(CHAMBERLAINUNIVERSI
TY)
2025_2026 NEWEST WITH ALL 400 QUESTIONS AND CORRECT DETAILED
ANSWERS.
Uploaded d by david murimi ()
,EVOLVEELSEVIERHESIMED-SURGEXAMQUESTIONBANK
ACTUAL EXAM WITH
QUESTIONSANDCORRECTDETAILEDANSWERS
An 81-year-old male client has emphysema. He lives at home with his cat
and managesself-
carewithnodifficulty.Whenmakingahomevisit,thenursenotices thatthis
client's tongueis somewhatcrackedand his eyeballs appear sunken into his
head. Which nursing intervention is indicated?
A.Helptheclientdeterminewaystoincreasehisfluidintake.
B.Obtainanappointmentfortheclienttohaveaneyeexamination.
C.Instructtheclienttouseoxygenatnightandincreasethehumidification.
D.Scheduletheclientforteststodeterminehissensitivitytocathair.
A
Clients with COPD should ingest 3 L of fluids daily but may experience a
fluid deficit because of shortness of breath. The nurse should suggest
creative methods to increase the intake of fluids (A), such as having fruit
juices in disposable containers readily available. (B) is not indicated.
Humidified oxygen will not effectively treat the client's fluid deficit, and
there is no indication that the client needs supplemental oxygen at night
(C). These symptoms are not
indicativeof(D)andmayunnecessarilyupsettheclient,whodependsonhispet
for socialization.
,david murimi ()
, ApostoperativeclientreceivesaScheduleIIopioidanalgesicforpain.Which
assessment finding requires the most immediate intervention by the nurse?
A.Hypoactive bowel sounds with abdominal
distention B.Clientreportscontinuedpainof8ona10-
pointscale
C.Respiratoryrateof12breaths/min,withO2saturationof85%
D.Clientreportsnauseaafterreceivingthemedicatio
nC
Administration of a Schedule II opioid analgesic can result in respiratory
depression(C),whichrequiresimmediateinterventionbythenursetoprevent
respiratory arrest. (A, B, and D) require action by the nurse but are of less
priority than (C).
Whichinstructionshouldthenurseteachafemaleclientaboutthepreventionof
toxic shock syndrome?
A."Getimmunizationagainsthumanpapillomavirus(HPV)."
B."Changeyourtamponfrequently."
C."Emptyyourbladderafterintercourse."
D."Obtainayearlyfluvaccination."
B
Downloaded by david murimi ()
ACTUAL EXAM WITH
MEDICAL-
SURGICALNURSING,7THEDITIONBYADRIANNEDILLLINTON(CHAMBERLAINUNIVERSI
TY)
2025_2026 NEWEST WITH ALL 400 QUESTIONS AND CORRECT DETAILED
ANSWERS.
Uploaded d by david murimi ()
,EVOLVEELSEVIERHESIMED-SURGEXAMQUESTIONBANK
ACTUAL EXAM WITH
QUESTIONSANDCORRECTDETAILEDANSWERS
An 81-year-old male client has emphysema. He lives at home with his cat
and managesself-
carewithnodifficulty.Whenmakingahomevisit,thenursenotices thatthis
client's tongueis somewhatcrackedand his eyeballs appear sunken into his
head. Which nursing intervention is indicated?
A.Helptheclientdeterminewaystoincreasehisfluidintake.
B.Obtainanappointmentfortheclienttohaveaneyeexamination.
C.Instructtheclienttouseoxygenatnightandincreasethehumidification.
D.Scheduletheclientforteststodeterminehissensitivitytocathair.
A
Clients with COPD should ingest 3 L of fluids daily but may experience a
fluid deficit because of shortness of breath. The nurse should suggest
creative methods to increase the intake of fluids (A), such as having fruit
juices in disposable containers readily available. (B) is not indicated.
Humidified oxygen will not effectively treat the client's fluid deficit, and
there is no indication that the client needs supplemental oxygen at night
(C). These symptoms are not
indicativeof(D)andmayunnecessarilyupsettheclient,whodependsonhispet
for socialization.
,david murimi ()
, ApostoperativeclientreceivesaScheduleIIopioidanalgesicforpain.Which
assessment finding requires the most immediate intervention by the nurse?
A.Hypoactive bowel sounds with abdominal
distention B.Clientreportscontinuedpainof8ona10-
pointscale
C.Respiratoryrateof12breaths/min,withO2saturationof85%
D.Clientreportsnauseaafterreceivingthemedicatio
nC
Administration of a Schedule II opioid analgesic can result in respiratory
depression(C),whichrequiresimmediateinterventionbythenursetoprevent
respiratory arrest. (A, B, and D) require action by the nurse but are of less
priority than (C).
Whichinstructionshouldthenurseteachafemaleclientaboutthepreventionof
toxic shock syndrome?
A."Getimmunizationagainsthumanpapillomavirus(HPV)."
B."Changeyourtamponfrequently."
C."Emptyyourbladderafterintercourse."
D."Obtainayearlyfluvaccination."
B
Downloaded by david murimi ()
