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Exam (elaborations)

PN ADULT MEDICAL SURGICAL (Latest 2024/2025 Update) Questions & Answers with Explanations

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PN ADULT MEDICAL SURGICAL (Latest 2024/2025 Update) Questions & Answers with Explanations

Institution
PN ADULT MEDICAL SURGICAL
Course
PN ADULT MEDICAL SURGICAL











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Institution
PN ADULT MEDICAL SURGICAL
Course
PN ADULT MEDICAL SURGICAL

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Uploaded on
November 16, 2025
Number of pages
102
Written in
2025/2026
Type
Exam (elaborations)
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Questions & answers

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PN ADULT MEDICAL SURGICAL 2023  Share this
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Answer and Explanation
Question 1: Report an Issue


Report Wrong Answer
Choice A:

"I will perform breast exams the day my
A nurse is reinforcing teaching with a period begins." This statement is incorrect
client about breast self- because performing breast exams just
examinations. Which of the following before or during your period might not be
statements by the client indicates ideal. Breasts can be more tender or swollen
an understanding of the teaching? during this time, which could make it harder
A. "I will perform breast exams the to detect any abnormalities.
day my period begins." 10% 
Choice B:
B. "I will perform breast exams every
other month." 5%  "I will perform breast exams every other
month." This statement is incorrect. Regular
C. "It is common for the skin on my
breast self-exams are important, but doing
breasts to dimple." 1% 
them every other month might not be
D. "It is common for one breast to be frequent enough. It's generally
larger than the other." 82% recommended to perform breast self-
Most selected  exams once a month, ideally around the
same time each month, to detect any
changes or abnormalities early.


Choice C:

"It is common for the skin on my breasts to
dimple." This statement is incorrect. Dimpling
or puckering of the skin on the breasts can
sometimes be a sign of an underlying issue,

, such as breast cancer. It's not considered a
normal or common occurrence, so this
statement doesn't indicate an
understanding of what to look for during a
breast self-exam. If a person notices skin
changes like dimpling, it's recommended to
seek medical advice.


Choice D:

"It is common for one breast to be larger
than the other." This statement reflects an
understanding that breast asymmetry,
where one breast is slightly larger than the
other, is a common and normal occurrence.



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Answer and Explanation
Question 2: Report an Issue


Report Wrong Answer Choice A:

Requesting a dosage increase if the apical
A nurse is caring for a client who has heart rate is less than 60/min is not
a prescription for propranolol for the necessary. Propranolol is used to lower heart
treatment of atrial fibrillation. Which rate in conditions like atrial fibrillation, so a
of the following actions should the heart rate below 60/min might be the
nurse take? desired effect of the medication.
A. Request a dosage increase if the
apical heart rate is less than 60/min. Choice B:
4%  Withholding the medication if the systolic
B. Withhold the medication if the blood pressure is less than 90 mm Hg is
systolic blood pressure is less than necessary. Propranolol is a beta-blocker
90 mm Hg. 91% Most selected  that can lower blood pressure. If the systolic
blood pressure drops below 90 mm Hg,
withholding the medication is necessary to

,C. Administer the medication with an prevent further lowering of blood pressure,
antacid. 2%  which could lead to adverse effects like
dizziness, fainting, or inadequate blood
D. Instruct the client to expect
perfusion to vital organs.
increased hair growth. 1% 




Choice C:

Administering the medication with an
antacid might interfere with the absorption
of propranolol, so they shouldn't be taken
together unless instructed by the healthcare
provider.


Choice D:

Expecting increased hair growth is not an
anticipated effect of propranolol. Hair
growth is not a usual side effect associated
with this medication.



Discussion Section


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, Answer and Explanation
Question 3: Report an Issue


Report Wrong Answer
Choice A:

Informing the client of the adverse effect of
A nurse is assisting with the plan of diarrhea is less common with clonidine use,
care for an older adult client who especially in comparison to other side
has a new prescription for effects like dry mouth or skin irritation.
transdermal clonidine. Which of the
following information should the Choice B:
nurse include in the plan of care?
Monitoring for weight loss isn't a primary
A. Inform the client of the adverse concern specifically associated with
effect of diarrhea. 4%  transdermal clonidine use.
B. Monitor the client for weight loss.
3%  Choice C:

C. Advise the client about increased Advise the client about increased dry mouth.
dry mouth. 75% Most selected  Dry mouth is a common adverse effect of
clonidine, including the transdermal form.
D. Check the client for increased
Patients should be informed about this so
hypopigmentation under the patch.
they can manage it effectively, for example,
17% 
by drinking plenty of water or using sugar-
free gum or candy to stimulate saliva
production.




Choice D:

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