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130 VERIFIED QUESTIONS ,100% CORRECT ALREADY
GRADED A+ FROM TIMBY’S INTRODUCTORY MEDICAL-
SURGICAL NURSING 13TH EDITION TEST BANK 2026
1. A nurse is planning care for a client with bacterial pneumonia. Which
nursing intervention takes priority?
A. Encourage oral fluids only as tolerated
B. Administer scheduled antibiotics on time
C. Provide high-fat meals to increase caloric intake
D. Limit coughing to prevent fatigue
Answer: B. Administer scheduled antibiotics on time
Rationale: Prompt, timely antibiotics are essential to treat the
infection and reduce morbidity; supportive measures are important but
secondary.
2. A client with congestive heart failure has gained 3 kg in 48 hours.
What is the nurse’s best action?
A. Encourage bed rest
B. Notify the provider promptly
C. Document and continue routine care
D. Increase dietary potassium
Answer: B. Notify the provider promptly
Rationale: Rapid weight gain suggests fluid retention/volume
overload requiring immediate evaluation and treatment adjustment.
3. A postoperative client demonstrates shallow respirations and O₂
saturation of 88% on room air. The nurse should first:
A. Encourage deep breathing and incentive spirometry
B. Administer PRN opioid to relieve pain
C. Place the client on continuous pulse oximetry and give oxygen per
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order
D. Call the surgeon immediately
Answer: C. Place the client on continuous pulse oximetry and give
oxygen per order
Rationale: Hypoxia is urgent — ensure adequate oxygenation
immediately; then perform breathing interventions and pain
management as appropriate.
4. A client with type 2 diabetes asks why metformin is held before
radiographic studies with contrast. The nurse explains:
A. “Contrast lowers blood sugar, making metformin unnecessary.”
B. “Contrast can increase risk of lactic acidosis when combined with
metformin.”
C. “Metformin causes kidney protection during contrast studies.”
D. “It’s held because contrast causes hypoglycemia.”
Answer: B. “Contrast can increase risk of lactic acidosis when
combined with metformin.”
Rationale: Contrast media can impair renal function, increasing the
risk of metformin-associated lactic acidosis; protocol typically holds
metformin before and after contrast.
5. Which finding in a client on loop diuretics should be reported
immediately?
A. Mild thirst
B. Potassium 2.8 mEq/L
C. Increase in urine output
D. Weight loss of 0.5 kg in 24 hr
Answer: B. Potassium 2.8 mEq/L
Rationale: Hypokalemia (K <3.5) is dangerous—risk of arrhythmias
and muscle weakness—requires prompt correction.
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6. A nurse is delegating a task to a nursing assistant (NA) for a stable
postop client. Which task is appropriate to delegate?
A. Assessing incision for signs of infection
B. Administering oral pain medication
C. Measuring and recording intake/output and vital signs per protocol
D. Adjusting PCA pump settings
Answer: C. Measuring and recording intake/output and vital
signs per protocol
Rationale: Delegation must match scope of practice — basic
measurements can be delegated; assessments and medication/PCA
tasks require licensed nurse.
7. A client receiving morphine reports constipation. Which instruction
should the nurse provide?
A. Limit fluids to prevent urinary frequency
B. Increase fiber, fluids, and use stool softener as ordered
C. Avoid exercise to reduce pain
D. Stop morphine immediately
Answer: B. Increase fiber, fluids, and use stool softener as
ordered
Rationale: Opioids cause constipation; preventative measures include
hydration, fiber, activity, and stool softeners or laxatives if needed —
do not abruptly stop analgesics.
8. A client with COPD uses home oxygen. Which statement indicates
correct understanding?
A. “I will increase oxygen when I’m more short of breath, even above
prescribed rate.”
B. “I shouldn’t smoke or use open flame near oxygen.”
C. “Oxygen makes my CO2 level normal.”
D. “I can store oxygen cylinders in the trunk of my car.”
Answer: B. “I shouldn’t smoke or use open flame near oxygen.”
Rationale: Oxygen supports combustion — smoking and flames are
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serious fire risks. Adjusting flow must follow provider order; CO2
retention considerations require prescribed oxygen therapy.
9. A client is receiving a blood transfusion and develops sudden chills,
back pain, and fever. The nurse should first:
A. Slow rate and notify provider later
B. Stop the transfusion and maintain IV with normal saline via new
tubing
C. Administer PRN acetaminophen and continue transfusion
D. Apply warm compress and elevate legs
Answer: B. Stop the transfusion and maintain IV with normal
saline via new tubing
Rationale: These signs suggest acute hemolytic reaction — stop
immediately, maintain IV with saline, and follow transfusion reaction
protocol.
10.Which statement by a client on levothyroxine indicates correct
teaching?
A. “I will take my dose in the morning before breakfast.”
B. “I can take it with my calcium supplement.”
C. “I will skip doses when I feel well.”
D. “I’ll take it at bedtime for best absorption.”
Answer: A. “I will take my dose in the morning before breakfast.”
Rationale: Levothyroxine is best absorbed on an empty stomach in
the morning; calcium interferes with absorption and dosing should be
consistent.
11.A client with renal failure has a potassium level of 6.2 mEq/L. Which
intervention is highest priority?
A. Administer insulin with dextrose as ordered and monitor cardiac
rhythm
B. Encourage the client to eat bananas to stabilize K+
130 VERIFIED QUESTIONS ,100% CORRECT ALREADY
GRADED A+ FROM TIMBY’S INTRODUCTORY MEDICAL-
SURGICAL NURSING 13TH EDITION TEST BANK 2026
1. A nurse is planning care for a client with bacterial pneumonia. Which
nursing intervention takes priority?
A. Encourage oral fluids only as tolerated
B. Administer scheduled antibiotics on time
C. Provide high-fat meals to increase caloric intake
D. Limit coughing to prevent fatigue
Answer: B. Administer scheduled antibiotics on time
Rationale: Prompt, timely antibiotics are essential to treat the
infection and reduce morbidity; supportive measures are important but
secondary.
2. A client with congestive heart failure has gained 3 kg in 48 hours.
What is the nurse’s best action?
A. Encourage bed rest
B. Notify the provider promptly
C. Document and continue routine care
D. Increase dietary potassium
Answer: B. Notify the provider promptly
Rationale: Rapid weight gain suggests fluid retention/volume
overload requiring immediate evaluation and treatment adjustment.
3. A postoperative client demonstrates shallow respirations and O₂
saturation of 88% on room air. The nurse should first:
A. Encourage deep breathing and incentive spirometry
B. Administer PRN opioid to relieve pain
C. Place the client on continuous pulse oximetry and give oxygen per
,2|Page
order
D. Call the surgeon immediately
Answer: C. Place the client on continuous pulse oximetry and give
oxygen per order
Rationale: Hypoxia is urgent — ensure adequate oxygenation
immediately; then perform breathing interventions and pain
management as appropriate.
4. A client with type 2 diabetes asks why metformin is held before
radiographic studies with contrast. The nurse explains:
A. “Contrast lowers blood sugar, making metformin unnecessary.”
B. “Contrast can increase risk of lactic acidosis when combined with
metformin.”
C. “Metformin causes kidney protection during contrast studies.”
D. “It’s held because contrast causes hypoglycemia.”
Answer: B. “Contrast can increase risk of lactic acidosis when
combined with metformin.”
Rationale: Contrast media can impair renal function, increasing the
risk of metformin-associated lactic acidosis; protocol typically holds
metformin before and after contrast.
5. Which finding in a client on loop diuretics should be reported
immediately?
A. Mild thirst
B. Potassium 2.8 mEq/L
C. Increase in urine output
D. Weight loss of 0.5 kg in 24 hr
Answer: B. Potassium 2.8 mEq/L
Rationale: Hypokalemia (K <3.5) is dangerous—risk of arrhythmias
and muscle weakness—requires prompt correction.
,3|Page
6. A nurse is delegating a task to a nursing assistant (NA) for a stable
postop client. Which task is appropriate to delegate?
A. Assessing incision for signs of infection
B. Administering oral pain medication
C. Measuring and recording intake/output and vital signs per protocol
D. Adjusting PCA pump settings
Answer: C. Measuring and recording intake/output and vital
signs per protocol
Rationale: Delegation must match scope of practice — basic
measurements can be delegated; assessments and medication/PCA
tasks require licensed nurse.
7. A client receiving morphine reports constipation. Which instruction
should the nurse provide?
A. Limit fluids to prevent urinary frequency
B. Increase fiber, fluids, and use stool softener as ordered
C. Avoid exercise to reduce pain
D. Stop morphine immediately
Answer: B. Increase fiber, fluids, and use stool softener as
ordered
Rationale: Opioids cause constipation; preventative measures include
hydration, fiber, activity, and stool softeners or laxatives if needed —
do not abruptly stop analgesics.
8. A client with COPD uses home oxygen. Which statement indicates
correct understanding?
A. “I will increase oxygen when I’m more short of breath, even above
prescribed rate.”
B. “I shouldn’t smoke or use open flame near oxygen.”
C. “Oxygen makes my CO2 level normal.”
D. “I can store oxygen cylinders in the trunk of my car.”
Answer: B. “I shouldn’t smoke or use open flame near oxygen.”
Rationale: Oxygen supports combustion — smoking and flames are
, 4|Page
serious fire risks. Adjusting flow must follow provider order; CO2
retention considerations require prescribed oxygen therapy.
9. A client is receiving a blood transfusion and develops sudden chills,
back pain, and fever. The nurse should first:
A. Slow rate and notify provider later
B. Stop the transfusion and maintain IV with normal saline via new
tubing
C. Administer PRN acetaminophen and continue transfusion
D. Apply warm compress and elevate legs
Answer: B. Stop the transfusion and maintain IV with normal
saline via new tubing
Rationale: These signs suggest acute hemolytic reaction — stop
immediately, maintain IV with saline, and follow transfusion reaction
protocol.
10.Which statement by a client on levothyroxine indicates correct
teaching?
A. “I will take my dose in the morning before breakfast.”
B. “I can take it with my calcium supplement.”
C. “I will skip doses when I feel well.”
D. “I’ll take it at bedtime for best absorption.”
Answer: A. “I will take my dose in the morning before breakfast.”
Rationale: Levothyroxine is best absorbed on an empty stomach in
the morning; calcium interferes with absorption and dosing should be
consistent.
11.A client with renal failure has a potassium level of 6.2 mEq/L. Which
intervention is highest priority?
A. Administer insulin with dextrose as ordered and monitor cardiac
rhythm
B. Encourage the client to eat bananas to stabilize K+
