MEDICAL SURGICAL EXAM 2024-
2025 ACTUAL EXAM
Anurseisreviewingthemedicalrecordofaclientwhohasaprescriptionformorphine.Whichofthefo
llowingfindingsshouldthenursereporttotheprovider?-Correctanswer~Urinaryretention
Anurseiscaringforaclientwhoisatriskfordevelopingpressureulcers.Whichofthefollowingactions
shouldthenursetake?-Correctanswer~Positionpillowsbetweenthebonyprominences
AnurseiscaringforaclientwhoispostoperativeandisreceivinganIVinfusionofcefazolin.Tenminute
safterbeginningtheinfusion,theclientreportsintenseitching.Whichofthefollowingactionsshoul
dthenursetakefirst?-Correctanswer~Stopthemedicationinfusion
Anurseisreinforcingteachingwithaclientwhohasgonorrhea.Whichofthefollowinginformationsh
ouldthenurseinclude?-
Correctanswer~Youareatriskforinfertilitywiththisinfection,regardlessoftreatment
AnurseisexaminingaclientsIVsiteandnotesaredlineuphisarm.Theclientreliantathrobbing,burni
ngpainattheIVsite.Thenurseshouldidentifythattheclientsmanifestationsindicatewhichofthefoll
owingcomplications?-Correctanswer~Thrombophlebitis
Anurseisreinforcingteachingwithanadolescentclientregardingtesticularselfexamination.Which
ofthefollowingstatementsbytheclientdemonstratesanundertsmdibgoftheteaching?-
Correctanswer~Iunderstandthattesticularcancerispainless
Anurseinalongtermcarefacilityiscollectingdatafromaclientwhoreportsfullnessintherectumand
abdominalcramping.Whichofthefollowingfindingsshouldindicatetothenursethattheclientmig
hthaveafecalimpaction?-Correctanswer~Smallliquidstools
,AnurseinanoncologyisreinforcingteachingaboutMohssurgerywithaclientwhohasskincancer.W
hichofthefollowinginformationshouldthenurseincludeintheteaching?-
Correctanswer~Mohssurgeryisahorizontalshavingofthinlayersofthetumor
AnurseisreinforcingteachingaboutGERdwithaclient.Whichofthefollowingstatementsbytheclie
ntindicatesanunderstandingoftheteaching?-
Correctanswer~Ishouldwaitatleast2hoursaftereatingbeforegoingtobed
Anurseisassistingwiththecareofacarewhoisreconciled0.9%sodiumchloridebycontinuousIVinfu
sion.TheclientreportpainandswellingattheIVsite.Inwhichordershouldthenurseperformthatfoll
owingsteps?-
Correctanswer~ChecktheIVsite,stoptheinfusion,withdrawtheIVcatheter,elevatetheaffectedar
m,notifythechargenurse
Anurseiscontributingtotheplanofcareforanolderadultclientwhoisatriskforosteoporosis.Which
ofthefollowinginterventionsshouldthenurseincludetopreventboneloss?-
Correctanswer~Encourageweightbearingexercises
Anurseisassistingwiththecareofaclientwhohasacardiaccatheterizationviatherightfemoralarter
y.Whichofthefollowingactionsshouldthenursetaketopreventlostprocedurecomplications?-
Correctanswer~Monitortheinsertionsiteforbleedingiscorrect,maintainthepressuredressing,ch
ecktheclientsperipheralpulses
Anurseiscaringforaclientwhois1daypostoperativefollowingahiparthroplasty.Theclientisexhibiti
nghypotension,tachycardia,andtachypnea.Thenurseshouldrecognizethesefindingsindicatewhi
chofthefollowingcomplications?-Correctanswer~Pulmonaryembolism
Anurseisreinforcingdischargeteachingwithaclientwhohashearingloss.Whichofthefollowingacti
onsshouldthenursetakewhencommunicationwiththeclient?-
Correctanswer~Rephraseclientinstructionswhennotunderstood
Anurseiscaringforaclientwhoispostoperativeandhasanepiduralinfusion.Whichofthefollowingfi
ndingsshouldthenurserecognizeasthepriority?-Correctanswer~Dyspnea
, Anurseispreparingtoadministerphytonadione7mgsubcutaneouslytoaclientwhohasanINRof4.
Availableisphytonadione10mg/ml.Howmanymlshouldthenurseadminister?-
Correctanswer~0.7
Anurseisreinforcingteachingwithaclientwhohasmultiplesclerosisandanewprescriptionforbacl
ofen.Whichofthefollowinginstructionsshouldthenurseincludeintheteaching?-
Correctanswer~Avoidstoppingthismedicationsuddenly
Anurseisplanningtoimplementdropletprecautionsforaclientwhohasmanifestationofpertussis.
Whichofthefollowinginterventionsshouldthenurseincludewhencontributing?-
Correctanswer~Applyamaskontheclientoftransportisneeded
Anurseiscaringforanolderadultclientwhohasareddenedareaoverthesacrum.Whichofthefollow
ingactionsshouldthenursetake?-Correctanswer~Minimizethetimetheheadofthebediselevated
Anurseiscollectingdatafromaclientandnoticedseveralskinlesions.Whichofthefollowingfindings
shouldthenursereportaspossiblemelanoma?-Correctanswer~Irregularborders
Anurseisreinforcingteachingwithaclientwhoisinalowsodiumdietandasksabouthowtoimprovet
hetasteofblandfood.Whichofthefollowingshouldthenurserecommend?-
Correctanswer~Lemonjuice
Anurseisassistingwiththedischargeplanningforaclientwhoispostoperativefollowingatotalhipar
throplasty.Whichofthefollowinginstructionsshouldthenurseincludeinthedischargeplan?-
Correctanswer~Obtainaraisedtoiletseat
Anurseiscaringforaclientwhohasmeningococcalpneumonia.Whichofthefollowingpersonalprot
ectiveequipmentshouldthenurseuse?-Correctanswer~Mask
Anurseisreinforcingteachingwithaclientwhohasasthma.Whichofthefollowingclientstatements
indicatesanunderstandingoftheuseofbudensonideandalbuterolinhalers?-
Correctanswer~Ineverforgettorinsemymouthafterusingmybudesonide,betweenofficevisitsIke