ADULT MED SURG COMPREHENSIVE PREDICTOR
EXAM TEST BANK 2025 ACTUAL EXAM QUESTIONS
AND CORRECT ANSWERS (PROFESSOR VERIFIED) |
ALREADY GRADED A+
After obtaining a blood specimen from a client's peripherally inserted central
catheter (PICC), which of the following actions should the nurse take next? - ans -
Flush with 20 mL 0.9% sodium chloride.
What mL syringe is used for flushing a PICC line? - ans -10 mL
How often do we flush a PICC line? - ans -Before, between, and after medication
How much force to do you apply if met with resistance while flushing a PICC line?
- ans -None.
Never apply force if met resistance
A client is admitted to the telemetry unit for a sustained paroxysmal
supraventricular tachycardia. Which of the following medications should the
nurse prepare to administer? - ans -Adenosine
-Adenosine 6mg rapid IVP (over 1-2 seconds) is given to convert paroxysmal
supraventricular tachycardia (PSVT) to a normal sinus rhythm.
A nurse provides care for a client who is diagnosed with syndrome of
inappropriate antidiuretic hormone (SIADH). Which of the following laboratory
values would be expected? (Select all that apply) - ans -Sodium 128
Urine specific gravity 1.035
-Clients who have SIADH RETAIN fluid. This results in the dilutional hyponatremia
and increased urine specific gravity.
A nurse provides care for a client who was just admitted to the emergency
department reporting chest pain. Which of the following diagnostic tests should
the nurse provide? - ans -Electrocardiogram
-An ECG is one of the first diagnostic tests performed for the client experiencing
chest pain because it is a fast, noninvasive test to provide immediate information.
The ECG graphically shows cardiac electrical activity and cardiac ischemia
,A nurse is teaching a client who has a colostomy. Which of the following
instructions should the nurse include? - ans -Clip hair in the peristomal area
before applying the barrier wafer.
- Certain foods like cruciferous vegetables can increase flatus and odor. The nurse
should instruct the client to decrease dietary intake of these foods
-The client should use mild soap and water to clean the peristomal area instead of
moisturizing soaps, which can prevent adhesion of the barrier wafer.
- Th nurse should teach the client to use pouch deodorizers or breath mints in the
pouch to decrease odor rather than an aspirin tablet, which can cause ulceration
of the stoma.
A nurse is assessing a client who is postoperative following surgery using general
anesthesia. Which of the following findings is the priority to report to the
provider? - ans -A decrease in blood pressure from 130/72 to 110/68
A nurse is caring for a client who is receiving radiation therapy to the neck. Which
of the following client statements is the priority to report to the provider? - ans -"I
have had a fever for 2 days."
- manifestation of infection. Bone marrow suppression and decreased immunity
can occur with radiation therapy
-Dry mouth is an expected finding
Altered taste is an expected finding
- Fatigue is an expected finding
A nurse is obtaining vital signs for a client and notes muscular twitching of the
wrist and fingers when inflating the blood pressure cuff - ans -Hypocalcemia
- a positive Trousseau's sign is an indication of hypocalcemia and is assessed by
inflating a blood pressure cuff on the upper arm. Spasms of the hand and fingers
when the blood pressure cuff is inflated indicate a positive Trousseau's sign.
Manifestations of hypocalcemia can include muscle twitching, tingling, and
numbness, which can lead to tetany.
-manifestations of Hypophosphatemia can include muscle pain and weakness,
which can affect respiratory muscles and cause impaired ventilation
-manifestations of hypokalemia can include muscle weakness, orthostatic
hypotension, and dysrhythmias
,-manifestations of hyponatremia can include altered mental status, muscle
cramping, seizures, and confusion
A nurse is assessing a client who has right-sided heart failure. Which of the
following findings should the nurse expect? - ans -Elevated central venous
pressure
- The nurse should expect a client who has right-sided heart failure to have an
elevated central venous pressure due to right ventricular failure. Central venous
pressure is the pressure in the vena cava, near the hear atrium of the heart, which
reflects the amount of blood returning to the heart.
Presence of S3 ventricular gallop means what? - ans -This can be detected in
clients who have left-sided heart failure due to altered ventricular filling
What does an elevated pulmonary artery wedge pressure mean - ans -Pulmonary
pressure increases in left-sided heart failure because of the increased pressure
and volume of blood in the left ventricle
What does orthopnea at night indicate - ans -Orthopnea, or difficulty breathing
when lying flat, is a manifestation of left-sided heart failure due to pulmonary
congestion.
A nurse is caring for a client who has an intra-arterial blood pressure monitor.
Which of the following actions should the nurse take? - ans -Position the
transducer's stopcock at the level of the atrium
-The nurse should position the transducer's stopcock on the pressure monitoring
system at the level of the client's atrium to maintain accurate blood pressure
readings.
-Maintain the pressure bag around the flush solution at 300 to reduce the
backflow of blood into the system and minimize the risk of clotting
-Ensure that the flush system delivers 3-5 mL of solution per hour to reduce the
backflow of blood into the system and minimize the risk of clotting
-Administer 0.9% sodium chloride through the flush system to reduce the
backflow of blood into the system and minimize the risk of clotting
A nurse is assessing a client who is receiving hemodialysis. Which of the following
findings is the nurse's priority to report to the provider? - ans -Hypotension
, A nurse is teaching a client who has breast cancer about receiving radiation
therapy. Which of the following statements should the nurse make? - ans -"You
might develop a rash on the skin under your arm during therapy."
-Radiation dermatitis, or a skin rash, near the axilla is to be expected. This can
range from redness of the skin to desquamation, or a peeling, puckers
appearance. The nurse should teach the client to wash the affected skin with a
mild soap and to use hydrophilic lotions to assist with keeping the skin dry. Dry
the skin gently, using a patting motion rather than rubbing.
-Weight gain is not an expected finding
-Instruct the client that radiation usually takes places several days each week for a
period of 5-6 weeks.
-A session of radiation therapy will last only a few minutes
A nurse is caring for a client who has a newly placed endotracheal tube and is
receiving mechanical ventilation. Which of the following actions should the nurse
take? - ans -Perform mouth care once every 2 hours
-Reduces the risk of ventilator-associated pneumonia
-Sometimes there will be a prescription for soft mittens so the patient does not
pull the tube out
-Check respirations at least once every 4 hours for the first 24 hours and then as
needed thereafter
-do not empty the moisture from the ventilator tubing into the cascade because
this can lead to bacterial growth and increases the risk for the client to develop
ventilator-associated pneumonia.
A nurse is teaching a female client who has recurrent urinary tract infections.
Which of the following instructions should the nurse include? - ans -Wear loose
fitting cotton underwear
-Drink 2000-3000 mL of fluid each day to reduce the risk of urinary tract infections
A nurse provides care for a client who has a Jackson-Pratt (JP) drain. Which of the
following actions will ensure proper function? - ans -Keep bulb compressed
-A JP drain is an evacuator unit that exerts constant low pressure as long as the
bulb of the device is fully compressed
A nurse plans care for a client who requires continuous ambulatory peritoneal
dialysis. Which of the following actions is appropriate? (Select all that apply)
EXAM TEST BANK 2025 ACTUAL EXAM QUESTIONS
AND CORRECT ANSWERS (PROFESSOR VERIFIED) |
ALREADY GRADED A+
After obtaining a blood specimen from a client's peripherally inserted central
catheter (PICC), which of the following actions should the nurse take next? - ans -
Flush with 20 mL 0.9% sodium chloride.
What mL syringe is used for flushing a PICC line? - ans -10 mL
How often do we flush a PICC line? - ans -Before, between, and after medication
How much force to do you apply if met with resistance while flushing a PICC line?
- ans -None.
Never apply force if met resistance
A client is admitted to the telemetry unit for a sustained paroxysmal
supraventricular tachycardia. Which of the following medications should the
nurse prepare to administer? - ans -Adenosine
-Adenosine 6mg rapid IVP (over 1-2 seconds) is given to convert paroxysmal
supraventricular tachycardia (PSVT) to a normal sinus rhythm.
A nurse provides care for a client who is diagnosed with syndrome of
inappropriate antidiuretic hormone (SIADH). Which of the following laboratory
values would be expected? (Select all that apply) - ans -Sodium 128
Urine specific gravity 1.035
-Clients who have SIADH RETAIN fluid. This results in the dilutional hyponatremia
and increased urine specific gravity.
A nurse provides care for a client who was just admitted to the emergency
department reporting chest pain. Which of the following diagnostic tests should
the nurse provide? - ans -Electrocardiogram
-An ECG is one of the first diagnostic tests performed for the client experiencing
chest pain because it is a fast, noninvasive test to provide immediate information.
The ECG graphically shows cardiac electrical activity and cardiac ischemia
,A nurse is teaching a client who has a colostomy. Which of the following
instructions should the nurse include? - ans -Clip hair in the peristomal area
before applying the barrier wafer.
- Certain foods like cruciferous vegetables can increase flatus and odor. The nurse
should instruct the client to decrease dietary intake of these foods
-The client should use mild soap and water to clean the peristomal area instead of
moisturizing soaps, which can prevent adhesion of the barrier wafer.
- Th nurse should teach the client to use pouch deodorizers or breath mints in the
pouch to decrease odor rather than an aspirin tablet, which can cause ulceration
of the stoma.
A nurse is assessing a client who is postoperative following surgery using general
anesthesia. Which of the following findings is the priority to report to the
provider? - ans -A decrease in blood pressure from 130/72 to 110/68
A nurse is caring for a client who is receiving radiation therapy to the neck. Which
of the following client statements is the priority to report to the provider? - ans -"I
have had a fever for 2 days."
- manifestation of infection. Bone marrow suppression and decreased immunity
can occur with radiation therapy
-Dry mouth is an expected finding
Altered taste is an expected finding
- Fatigue is an expected finding
A nurse is obtaining vital signs for a client and notes muscular twitching of the
wrist and fingers when inflating the blood pressure cuff - ans -Hypocalcemia
- a positive Trousseau's sign is an indication of hypocalcemia and is assessed by
inflating a blood pressure cuff on the upper arm. Spasms of the hand and fingers
when the blood pressure cuff is inflated indicate a positive Trousseau's sign.
Manifestations of hypocalcemia can include muscle twitching, tingling, and
numbness, which can lead to tetany.
-manifestations of Hypophosphatemia can include muscle pain and weakness,
which can affect respiratory muscles and cause impaired ventilation
-manifestations of hypokalemia can include muscle weakness, orthostatic
hypotension, and dysrhythmias
,-manifestations of hyponatremia can include altered mental status, muscle
cramping, seizures, and confusion
A nurse is assessing a client who has right-sided heart failure. Which of the
following findings should the nurse expect? - ans -Elevated central venous
pressure
- The nurse should expect a client who has right-sided heart failure to have an
elevated central venous pressure due to right ventricular failure. Central venous
pressure is the pressure in the vena cava, near the hear atrium of the heart, which
reflects the amount of blood returning to the heart.
Presence of S3 ventricular gallop means what? - ans -This can be detected in
clients who have left-sided heart failure due to altered ventricular filling
What does an elevated pulmonary artery wedge pressure mean - ans -Pulmonary
pressure increases in left-sided heart failure because of the increased pressure
and volume of blood in the left ventricle
What does orthopnea at night indicate - ans -Orthopnea, or difficulty breathing
when lying flat, is a manifestation of left-sided heart failure due to pulmonary
congestion.
A nurse is caring for a client who has an intra-arterial blood pressure monitor.
Which of the following actions should the nurse take? - ans -Position the
transducer's stopcock at the level of the atrium
-The nurse should position the transducer's stopcock on the pressure monitoring
system at the level of the client's atrium to maintain accurate blood pressure
readings.
-Maintain the pressure bag around the flush solution at 300 to reduce the
backflow of blood into the system and minimize the risk of clotting
-Ensure that the flush system delivers 3-5 mL of solution per hour to reduce the
backflow of blood into the system and minimize the risk of clotting
-Administer 0.9% sodium chloride through the flush system to reduce the
backflow of blood into the system and minimize the risk of clotting
A nurse is assessing a client who is receiving hemodialysis. Which of the following
findings is the nurse's priority to report to the provider? - ans -Hypotension
, A nurse is teaching a client who has breast cancer about receiving radiation
therapy. Which of the following statements should the nurse make? - ans -"You
might develop a rash on the skin under your arm during therapy."
-Radiation dermatitis, or a skin rash, near the axilla is to be expected. This can
range from redness of the skin to desquamation, or a peeling, puckers
appearance. The nurse should teach the client to wash the affected skin with a
mild soap and to use hydrophilic lotions to assist with keeping the skin dry. Dry
the skin gently, using a patting motion rather than rubbing.
-Weight gain is not an expected finding
-Instruct the client that radiation usually takes places several days each week for a
period of 5-6 weeks.
-A session of radiation therapy will last only a few minutes
A nurse is caring for a client who has a newly placed endotracheal tube and is
receiving mechanical ventilation. Which of the following actions should the nurse
take? - ans -Perform mouth care once every 2 hours
-Reduces the risk of ventilator-associated pneumonia
-Sometimes there will be a prescription for soft mittens so the patient does not
pull the tube out
-Check respirations at least once every 4 hours for the first 24 hours and then as
needed thereafter
-do not empty the moisture from the ventilator tubing into the cascade because
this can lead to bacterial growth and increases the risk for the client to develop
ventilator-associated pneumonia.
A nurse is teaching a female client who has recurrent urinary tract infections.
Which of the following instructions should the nurse include? - ans -Wear loose
fitting cotton underwear
-Drink 2000-3000 mL of fluid each day to reduce the risk of urinary tract infections
A nurse provides care for a client who has a Jackson-Pratt (JP) drain. Which of the
following actions will ensure proper function? - ans -Keep bulb compressed
-A JP drain is an evacuator unit that exerts constant low pressure as long as the
bulb of the device is fully compressed
A nurse plans care for a client who requires continuous ambulatory peritoneal
dialysis. Which of the following actions is appropriate? (Select all that apply)
