PN ADULT MEDICAL SURGICAL CMS QUESTIONS |
TESTED AND PROVEN ANSWERS | LATEST UPDATE
2024/2025 100% (GRADE A+)
A nurse is caring for a client who is taking lithium and reports persistent nausea and vomiting for
2 days. Which of the following laboratory values should the nurse report to the provider?
a) Potassium 4.0 mEq/L
b) Lithium 0.9 mEq/L
c) BUN 12 mg/dL
d) Sodium 132 mEq/L
Ans>> D. Sodium 132 mEq/L
Rationale:
The nurse should identify that a sodium level of 132 mEq/L is not within the expected reference
range of 136 to 145 mEq/L. This finding indicates hyponatremia, which can lead to lithium
accumulation and places the client at risk for lithium toxicity. The nurse should report this finding
to the provider.
1
,A nurse is caring for a client who has cancer and has a WBC count of 4,000/mm3. Which of the
following
actions should the nurse take?
a) Cleanse the client's toothbrush with hydrogen peroxide.
b) Instruct the client to use a disposable razor to shave.
c) Decrease the client's protein intake.
d) Encourage the client to eat unpasteurized dairy products.
Ans>> A. Cleanse the client's toothbrush with hydrogen peroxide.
Rationale:
A WBC count of 4,000/mm3 is considered low and is known as leukopenia. A low WBC count can
be caused by cancer or cancer treatment. The nurse should instruct the client to cleanse their
toothbrush with hydrogen peroxide. People with leukemia or leukopenia should avoid using
disposable razors, which can cause cuts and bleeding that can lead to infections. Instead, they
2
,recommend using an electric razor to reduce the risk of injury. Encouraging the client to eat
unpasteurized dairy products is not recommended as they can contain harmful bacteria that can
cause infections. Decreasing the client's protein intake is not recommended as protein is
important for wound healing and immune function
TEST
A nurse enters a client's room and sees smoke coming from the bathroom. Which of the
following actions should the nurse take first?
a) Activate the fire alarm system.
b) Use a fire extinguisher at the source of the
smoke.
c) Assist the client to a nearby common area.
d) Close the doors to the room and to the
bathroom.
Ans>> C. Assist the client to a nearby common area.
3
, Rationale:
use
Rescue
Alarm
Contain
Extinguish
TEST
A nurse is contributing to the plan of care for a client who reports difficulty eating due to chronic
arthritis. Which of the following interventions should the nurse include in the plan?
a) Apply foam handles to the client's eating utensils.
b) Obtain a referral for physical therapy.
c) Have an assistive personnel feed the client.
d) Ask the provider for a prescription for a pureed diet.
4
TESTED AND PROVEN ANSWERS | LATEST UPDATE
2024/2025 100% (GRADE A+)
A nurse is caring for a client who is taking lithium and reports persistent nausea and vomiting for
2 days. Which of the following laboratory values should the nurse report to the provider?
a) Potassium 4.0 mEq/L
b) Lithium 0.9 mEq/L
c) BUN 12 mg/dL
d) Sodium 132 mEq/L
Ans>> D. Sodium 132 mEq/L
Rationale:
The nurse should identify that a sodium level of 132 mEq/L is not within the expected reference
range of 136 to 145 mEq/L. This finding indicates hyponatremia, which can lead to lithium
accumulation and places the client at risk for lithium toxicity. The nurse should report this finding
to the provider.
1
,A nurse is caring for a client who has cancer and has a WBC count of 4,000/mm3. Which of the
following
actions should the nurse take?
a) Cleanse the client's toothbrush with hydrogen peroxide.
b) Instruct the client to use a disposable razor to shave.
c) Decrease the client's protein intake.
d) Encourage the client to eat unpasteurized dairy products.
Ans>> A. Cleanse the client's toothbrush with hydrogen peroxide.
Rationale:
A WBC count of 4,000/mm3 is considered low and is known as leukopenia. A low WBC count can
be caused by cancer or cancer treatment. The nurse should instruct the client to cleanse their
toothbrush with hydrogen peroxide. People with leukemia or leukopenia should avoid using
disposable razors, which can cause cuts and bleeding that can lead to infections. Instead, they
2
,recommend using an electric razor to reduce the risk of injury. Encouraging the client to eat
unpasteurized dairy products is not recommended as they can contain harmful bacteria that can
cause infections. Decreasing the client's protein intake is not recommended as protein is
important for wound healing and immune function
TEST
A nurse enters a client's room and sees smoke coming from the bathroom. Which of the
following actions should the nurse take first?
a) Activate the fire alarm system.
b) Use a fire extinguisher at the source of the
smoke.
c) Assist the client to a nearby common area.
d) Close the doors to the room and to the
bathroom.
Ans>> C. Assist the client to a nearby common area.
3
, Rationale:
use
Rescue
Alarm
Contain
Extinguish
TEST
A nurse is contributing to the plan of care for a client who reports difficulty eating due to chronic
arthritis. Which of the following interventions should the nurse include in the plan?
a) Apply foam handles to the client's eating utensils.
b) Obtain a referral for physical therapy.
c) Have an assistive personnel feed the client.
d) Ask the provider for a prescription for a pureed diet.
4
