COMPLETE MEDICAL-SURGICAL: FINAL PRACTICE
(50 QUESTIONS AND ANSWERS) GRADED A+
2025/2026
a .nurse .is .planning .care .for .a .client .who .has .- .CORRECT .ANSWER-
A .nurse .is .monitoring .a .client .following .a .thyroidectomy. .Which .of .the .following .findings
.should .the .nurse .identify .as .an .indication .of .hypoparathyroidism? .- .CORRECT .ANSWER-
Involuntary .muscle .spasms .
(occurs .if .the .parathyroid .glands .are .damaged .or .removed .during .a .thyroidectomy.
.Muscle .twitching .and .paresthesias .can .result .due .to .decreased .parathyroid .hormone
.levels .and .calcium .deficiency.)
A .nurse .is .reinforcing .discharge .teaching .with .a .client .who .has .a .new .permanent
.pacemaker. .Which .of .the .following .statements .by .the .client .indicates .an .understanding .of
.the .teaching? .- .CORRECT .ANSWER-"I .should .check .my .heart .rate .each .day."•
A .nurse .is .reinforcing .discharge .teaching .about .improving .gas .exchange .with .a .client .who
.has .emphysema. .Which .of .the .following .information .should .the .nurse .include .in .the
.teaching? .- .CORRECT .ANSWER-Use .pursed-lip .breathing .during .periods .of .dyspnea.
A .nurse .is .reinforcing .teaching .with .a .client .who .has .a .new .diagnosis .of .multiple .sclerosis
.(MS). .The .client .asks .the .nurse .about .the .usual .course .of .MS. .Which .of .the .following
.responses .should .the .nurse .make? .- .CORRECT .ANSWER-"Acute .episodes .are .usually
.followed .by .remissions, .which .can .last .varying .lengths .of .time."
, a .nurse .in .an .emergency .department .is .caring .for .a .client .who .reports .developing .severe
.right .eye .pain .with .a .gritty .sensation .while .sawing .wood. .Whats .priority? .- .CORRECT
.ANSWER-Ask .the .client .about .first .aid .performed .at .the .scene
A .nurse .is .preparing .to .administer .timolol .eye .drops .for .a .client .who .has .glaucoma.
.When .instilling .the .medication, .which .of .the .following .actions .should .the .nurse .take? .-
.CORRECT .ANSWER-Apply .pressure .to .puncta .after .instillation .of .the .medication.
A .nurse .is .caring .for .a .client .who .has .a .stage .III .pressure .ulcer .on .his .heel. .When
.preparing .to .irrigate .the .wound, .which .of .the .following .actions .should .the .nurse .take .rst?
.- .CORRECT .ANSWER-Check .the .client's .pain .level
A .nurse .is .caring .for .a .client .who .begins .having .a .tonic-clonic .seizure .while .sitting .in .a
.chair .at .the .bedside. .Which .of .the .following .actions .should .the .nurse .take .first? .-
.CORRECT .ANSWER-Lower .the .client .to .the .floor.
A .nurse .is .caring .for .a .client .who .has .type .1 .diabetes .mellitus .and .a .capillary .blood
.glucose .reading .of .48 .mg/dL. .Which .of .the .following .findings .should .the .nurse .expect? .-
.CORRECT .ANSWER-Diaphoresis
A .client .who .has .a .blood .glucose .level .below .70 .mg/dL .to .exhibit .indications .of
.hypoglycemia. .Including .weakness, .hunger, .diaphoresis, .nausea, .shakiness, .and .confusion.
A .nurse .is .reinforcing .teaching .with .a .client .who .is .scheduled .for .a .sigmoid .colon
.resection .with .colostomy. .Which .of .the .following .statements .by .the .client .indicates .a
.need .for .further .teaching? .- .CORRECT .ANSWER-"My .diet .will .have .to .change .to .a .soft
.diet .after .surgery."•
( .After .surgery, .the .client's .diet .quickly .returns .to .a .regular .diet .and .there .are .not .any
.food .restrictions.)
A .nurse .is .reviewing .a .client's .laboratory .report. .The .client's .ABG .levels .are .pH .7.5, .PaCO
.32 .mm .HG, .and .HCO .24 .mEq/L. .The .nurse .should .determine .that .the .client .has .which .of
.the .following .acid-base .imbalances? .- .CORRECT .ANSWER-Respiratory .alkalosis
(50 QUESTIONS AND ANSWERS) GRADED A+
2025/2026
a .nurse .is .planning .care .for .a .client .who .has .- .CORRECT .ANSWER-
A .nurse .is .monitoring .a .client .following .a .thyroidectomy. .Which .of .the .following .findings
.should .the .nurse .identify .as .an .indication .of .hypoparathyroidism? .- .CORRECT .ANSWER-
Involuntary .muscle .spasms .
(occurs .if .the .parathyroid .glands .are .damaged .or .removed .during .a .thyroidectomy.
.Muscle .twitching .and .paresthesias .can .result .due .to .decreased .parathyroid .hormone
.levels .and .calcium .deficiency.)
A .nurse .is .reinforcing .discharge .teaching .with .a .client .who .has .a .new .permanent
.pacemaker. .Which .of .the .following .statements .by .the .client .indicates .an .understanding .of
.the .teaching? .- .CORRECT .ANSWER-"I .should .check .my .heart .rate .each .day."•
A .nurse .is .reinforcing .discharge .teaching .about .improving .gas .exchange .with .a .client .who
.has .emphysema. .Which .of .the .following .information .should .the .nurse .include .in .the
.teaching? .- .CORRECT .ANSWER-Use .pursed-lip .breathing .during .periods .of .dyspnea.
A .nurse .is .reinforcing .teaching .with .a .client .who .has .a .new .diagnosis .of .multiple .sclerosis
.(MS). .The .client .asks .the .nurse .about .the .usual .course .of .MS. .Which .of .the .following
.responses .should .the .nurse .make? .- .CORRECT .ANSWER-"Acute .episodes .are .usually
.followed .by .remissions, .which .can .last .varying .lengths .of .time."
, a .nurse .in .an .emergency .department .is .caring .for .a .client .who .reports .developing .severe
.right .eye .pain .with .a .gritty .sensation .while .sawing .wood. .Whats .priority? .- .CORRECT
.ANSWER-Ask .the .client .about .first .aid .performed .at .the .scene
A .nurse .is .preparing .to .administer .timolol .eye .drops .for .a .client .who .has .glaucoma.
.When .instilling .the .medication, .which .of .the .following .actions .should .the .nurse .take? .-
.CORRECT .ANSWER-Apply .pressure .to .puncta .after .instillation .of .the .medication.
A .nurse .is .caring .for .a .client .who .has .a .stage .III .pressure .ulcer .on .his .heel. .When
.preparing .to .irrigate .the .wound, .which .of .the .following .actions .should .the .nurse .take .rst?
.- .CORRECT .ANSWER-Check .the .client's .pain .level
A .nurse .is .caring .for .a .client .who .begins .having .a .tonic-clonic .seizure .while .sitting .in .a
.chair .at .the .bedside. .Which .of .the .following .actions .should .the .nurse .take .first? .-
.CORRECT .ANSWER-Lower .the .client .to .the .floor.
A .nurse .is .caring .for .a .client .who .has .type .1 .diabetes .mellitus .and .a .capillary .blood
.glucose .reading .of .48 .mg/dL. .Which .of .the .following .findings .should .the .nurse .expect? .-
.CORRECT .ANSWER-Diaphoresis
A .client .who .has .a .blood .glucose .level .below .70 .mg/dL .to .exhibit .indications .of
.hypoglycemia. .Including .weakness, .hunger, .diaphoresis, .nausea, .shakiness, .and .confusion.
A .nurse .is .reinforcing .teaching .with .a .client .who .is .scheduled .for .a .sigmoid .colon
.resection .with .colostomy. .Which .of .the .following .statements .by .the .client .indicates .a
.need .for .further .teaching? .- .CORRECT .ANSWER-"My .diet .will .have .to .change .to .a .soft
.diet .after .surgery."•
( .After .surgery, .the .client's .diet .quickly .returns .to .a .regular .diet .and .there .are .not .any
.food .restrictions.)
A .nurse .is .reviewing .a .client's .laboratory .report. .The .client's .ABG .levels .are .pH .7.5, .PaCO
.32 .mm .HG, .and .HCO .24 .mEq/L. .The .nurse .should .determine .that .the .client .has .which .of
.the .following .acid-base .imbalances? .- .CORRECT .ANSWER-Respiratory .alkalosis
