Medical-Surgical Nursing Dynamic Quizzes COMPLETE
EXAM LATEST VERSION 2026-2027 QUESTIONS AND
ANSWERS
A nurse is reviewing the progress notes for a client who has heart failure. The provider noted some
improvement in the client's cardiac output. The nurse should understand that cardiac output reflects
which of the following physiologic parameters?
A. The percentage of blood the ventricles pump during each beat
B. The amount of blood the left ventricle pumps during each beat
C. The amount of blood in the left ventricle at the end of diastole
D. The heart rate times the stroke volume
D. The heart rate times the stroke volume
A nurse is caring for a client who has an upper gastrointestinal bleed and a hematocrit of 24%. Prior to
initiating a transfusion of packed red blood cells (RBC's), which of the following actions should the nurse
take? (Select all that apply.)
A. Assess and document the client's vital signs.
B. Restart the IV with a 22-gauge needle
C. Verify with another nurse the blood type and Rh of the packed RBCs.
D. Hand a bag of lactated Ringer's IV solution
E. Change IV tubing to a set that has a filter.
A. Assess and document the client's vital signs.
C. Verify with another nurse the blood type and Rh of the packed RBCs.
E. Change IV tubing to a set that has a filter.
,A nurse observes tachycardia, dyspnea, a cough, and distended neck veins in a client who is receiving a
transfusion of packed RBCs. Which of the following interventions should the nurse use to prevent these
manifestations with the client's next transfusion?
A. Warm the unit of blood to room temperature before administering it
B. Administer acetaminophen prior to the blood transfusion
C. Give an antihistamine prior to the transfusion
D. Use a transfusion pump to regulate and maintain the transfusion at a slower rate.
D. Use a transfusion pump to regulate and maintain the transfusion at a slower rate.
A nurse is reinforcing teaching with a client who has iron-deficiency anemia. The nurse should
encourage the client to increase her consumption of which of the following foods? A. Lentils
B. Avocados
C. Cabbage
D. Broccoli
A. Lentils
A nurse in a clinic is assessing the lower extremities and ankles of a client who has a history of
peripheral arterial disease. Which of the following findings should the nurse expect?
A. Pitting edema
B. Areas of reddish-brown pigmentation
C. Dry, pale skin with minimal body hair
D. Sunburned appearance with desquamation
C. Dry, pale skin with minimal body hair
A nurse is reinforcing teaching with a client who has pernicious anemia. The nurse should encourage the
client to increase his consumption of which of the following foods?
,A. Eggs
B. Squash
C. Kale
D. Tofu
A. Eggs
A nurse is caring for a client who has a peripherally inserted central catheter (PICC) in place. Which of
the following actions should the nurse take when handling this central venous access device? (Select all
that apply.)
A. Use a 5 mL syringe to flush the line
B. Cleanse the insertion site with half-strength hydrogen peroxide
C. Flush the line with sterile 0.9% sodium chloride before and after meidcation administration
D. Access the PICC for blood sampling
E. Perform a heparin flush of the line at least daily when not in use
C. Flush the line with sterile 0.9% sodium chloride before and after meidcation administration
D. Access the PICC for blood sampling
E. Perform a heparin flush of the line at least daily when not in use
A nurse is assessing for cardiac tamponade on a client who had a coronary artery bypass grafts. Which
of the following actions should the nurse take?
A. Check for hypertension
B. Auscultate for loud, bounding heart sounds
C. Auscultate blood pressure for pulsus paradoxus
D. Check for a pulse deficit
C. Auscultate blood pressure for pulsus paradoxus
, A nurse is planning care for a client during a sickle cell crisis. Which of the following interventions
should the nurse include in the client's plan of care?
A. Maintain the client's knees and hips in a
flexed position
B. Apply cold compresses to painful joints C.
Withhold opioids until the crisis is
resolved
D. Encourage increased fluid intake.
D. Encourage increased fluid intake.
A nurse is preparing to transfuse a unit of packed red blood cells (RBCs) for a client who has anemia.
Which of the following actions should the nurse take first?
A. Hang an IV infusion of 0.9% sodium chloride with the blood
B. Compare the client's identification number on the blood
C. Witness the informed consent
D. Obtain a pretranfusion vital signs
C. Witness the informed consent
A nurse is caring for a client who is having a possible myocardial infarction (MI). Which of the following
findings should the nurse identify as an associated manifestation of MI?
A. Headache
B. Hemoptysis
C. Nausea
D. Diarrhea
C. Nausea
EXAM LATEST VERSION 2026-2027 QUESTIONS AND
ANSWERS
A nurse is reviewing the progress notes for a client who has heart failure. The provider noted some
improvement in the client's cardiac output. The nurse should understand that cardiac output reflects
which of the following physiologic parameters?
A. The percentage of blood the ventricles pump during each beat
B. The amount of blood the left ventricle pumps during each beat
C. The amount of blood in the left ventricle at the end of diastole
D. The heart rate times the stroke volume
D. The heart rate times the stroke volume
A nurse is caring for a client who has an upper gastrointestinal bleed and a hematocrit of 24%. Prior to
initiating a transfusion of packed red blood cells (RBC's), which of the following actions should the nurse
take? (Select all that apply.)
A. Assess and document the client's vital signs.
B. Restart the IV with a 22-gauge needle
C. Verify with another nurse the blood type and Rh of the packed RBCs.
D. Hand a bag of lactated Ringer's IV solution
E. Change IV tubing to a set that has a filter.
A. Assess and document the client's vital signs.
C. Verify with another nurse the blood type and Rh of the packed RBCs.
E. Change IV tubing to a set that has a filter.
,A nurse observes tachycardia, dyspnea, a cough, and distended neck veins in a client who is receiving a
transfusion of packed RBCs. Which of the following interventions should the nurse use to prevent these
manifestations with the client's next transfusion?
A. Warm the unit of blood to room temperature before administering it
B. Administer acetaminophen prior to the blood transfusion
C. Give an antihistamine prior to the transfusion
D. Use a transfusion pump to regulate and maintain the transfusion at a slower rate.
D. Use a transfusion pump to regulate and maintain the transfusion at a slower rate.
A nurse is reinforcing teaching with a client who has iron-deficiency anemia. The nurse should
encourage the client to increase her consumption of which of the following foods? A. Lentils
B. Avocados
C. Cabbage
D. Broccoli
A. Lentils
A nurse in a clinic is assessing the lower extremities and ankles of a client who has a history of
peripheral arterial disease. Which of the following findings should the nurse expect?
A. Pitting edema
B. Areas of reddish-brown pigmentation
C. Dry, pale skin with minimal body hair
D. Sunburned appearance with desquamation
C. Dry, pale skin with minimal body hair
A nurse is reinforcing teaching with a client who has pernicious anemia. The nurse should encourage the
client to increase his consumption of which of the following foods?
,A. Eggs
B. Squash
C. Kale
D. Tofu
A. Eggs
A nurse is caring for a client who has a peripherally inserted central catheter (PICC) in place. Which of
the following actions should the nurse take when handling this central venous access device? (Select all
that apply.)
A. Use a 5 mL syringe to flush the line
B. Cleanse the insertion site with half-strength hydrogen peroxide
C. Flush the line with sterile 0.9% sodium chloride before and after meidcation administration
D. Access the PICC for blood sampling
E. Perform a heparin flush of the line at least daily when not in use
C. Flush the line with sterile 0.9% sodium chloride before and after meidcation administration
D. Access the PICC for blood sampling
E. Perform a heparin flush of the line at least daily when not in use
A nurse is assessing for cardiac tamponade on a client who had a coronary artery bypass grafts. Which
of the following actions should the nurse take?
A. Check for hypertension
B. Auscultate for loud, bounding heart sounds
C. Auscultate blood pressure for pulsus paradoxus
D. Check for a pulse deficit
C. Auscultate blood pressure for pulsus paradoxus
, A nurse is planning care for a client during a sickle cell crisis. Which of the following interventions
should the nurse include in the client's plan of care?
A. Maintain the client's knees and hips in a
flexed position
B. Apply cold compresses to painful joints C.
Withhold opioids until the crisis is
resolved
D. Encourage increased fluid intake.
D. Encourage increased fluid intake.
A nurse is preparing to transfuse a unit of packed red blood cells (RBCs) for a client who has anemia.
Which of the following actions should the nurse take first?
A. Hang an IV infusion of 0.9% sodium chloride with the blood
B. Compare the client's identification number on the blood
C. Witness the informed consent
D. Obtain a pretranfusion vital signs
C. Witness the informed consent
A nurse is caring for a client who is having a possible myocardial infarction (MI). Which of the following
findings should the nurse identify as an associated manifestation of MI?
A. Headache
B. Hemoptysis
C. Nausea
D. Diarrhea
C. Nausea
