BRUNNER & SUDDARTH'S
TEXTBOOK OF MEDICAL-SURGICAL
NURSING EXAMS WITH CORRECT
ANSWERS 2025 RATED A+
The nurse in the oncology clinic is caring for a 42-year-old female client receiving chemotherapy
with fludarabine for acute myeloid leukemia who has developed petechiae, epistaxis, and
ecchymosis.
client has developed ______________ that the laboratory results will reveal __________ -
CORRECT ANSWERSclient has developed hemorrhage that the laboratory results will reveal
thrombocytopenia.
The nurse provides care for a client, with a history of atherosclerosis, who is hospitalized for the
initiation of pharmacotherapy for the treatment of hypothyroidism.
The client is at highest risk for developing _______________ as evidenced by
_______________. - CORRECT ANSWERSThe client is at highest risk for developing cardiac
dysfunction as evidenced by angina.
The nurse is caring for a 24-year-old female client with a right tibial fracture treated with a cast
2 hours ago. The client now reports unrelenting pain, rated as 7/10, despite taking oxycodone,
and decreased sensation in the right foot. A nursing assessment reveals the right foot is cooler
and paler than the left foot, with delayed capillary refill and a weak pulse.
Based on the nursing assessment, the priority action the nurse should take is to
_________________________ and prepare the client for _________________. - CORRECT
ANSWERSBased on the nursing assessment, the priority action the nurse should take is to notify
the orthopedic health care provider immediately and prepare the client for bivalving of the cast.
,The nurse assesses a client who has a nasogastric tube for long-term nutritional needs for
complications associated with the medical device.
The nurse monitors the client for ___________ , a finding indicative of _____________. -
CORRECT ANSWERSThe nurse monitors the client for purulent nasal drainage, a finding
indicative of rhinosinusitis.
The office nurse is reviewing an 80-year-old female client's reports related to the onset of a
severe headache, rated at 9 out of 10 on the pain scale, with recent onset. The client denies any
visual changes. During a prior visit to the office a few months ago, the client had reported a
ground-level fall as a result of falling off a chair and hitting the back of their head. The client had
been taken to the emergency department, where imaging was performed with negative results.
The nurse anticipates that the client has developed __________ and that __________ will be
ordered. - CORRECT ANSWERSThe nurse anticipates that the client has developed chronic
subdural hematoma and that computed tomography (CT) imaging of the brain will be ordered.
A client will undergo abdominal surgery. The nurse provides preoperative education regarding
the importance of diaphragmatic breathing exercises to prevent postoperative complications.
The nurse will educate the client about the risk for developing _________, ____________, and
____________, if the client does not implement diaphragmatic breathing exercises in the
postoperative period of care. - CORRECT ANSWERSThe nurse will educate the client about the
risk for developing pneumonia, bronchospasm, and atelectasis, if the client does not implement
diaphragmatic breathing exercises in the postoperative period of care.
A nurse is caring for a client who was admitted for an asthma exacerbation. In the past year, the
client has been admitted for three asthma events. What will the nurse include in the client
teaching about preventing repeat hospitalizations?
, The nurse should teach about __________ followed by ___________. - CORRECT ANSWERSThe
nurse should teach about triggers to avoid followed by knowing medications.
A 47-year-old male client presented to the medical unit and the health care team suspects
tuberculosis (TB). The nurse is admitting the client to a reverse isolation room. QuantiFERON
testing and chest x-ray are pending. Urinalysis results are negative. No other testing was
performed prior to admission to isolation. The client denies any chest pain, shortness of breath
(SOB), or respiratory difficulty. The client presents with productive yellow sputum.
Based on the provided assessment status, the nurse should utilize __________ to prevent
exposure and __________ to collect specimens for additional testing. - CORRECT
ANSWERSBased on the provided assessment status, the nurse should utilize airborne
precautions to prevent exposure and sputum to collect specimens for additional testing.
The nurse has documented an assessment on a 45-year-old male client on the third
postoperative day following an open abdominal appendectomy.
Client has 3 in (7.6 cm) right lower abdominal incision. Proximal 2 in (5 cm) of incision edges are
red and well-approximated. Distal portion of incision has separated and has yellow drainage on
dressing. Bulb drain has serosanguinous drainage and clumps of yellow pus. Oxygen saturation
on room air 97%. Blood pressure, 112/60 mm Hg; heart rate, 102 beats/min; respiratory rate, 22
breaths/min; temperature, 101.2F (38.4C) orally. Denies chills. Bowel sounds hypoactive in all 4
quadrants. Client reports passing flatus, no Abdomen firm and slightly distended bowel
movement. Lungs clear to auscultation bilaterally. Client reports incisional pain level of 3/10 red
blood cell count 4.2 million/mcl, thirty (30) minutes following oxycodone 5 mg orally. Reports an
increased, but tolerabl - CORRECT ANSWERS-has separated and has yellow drainage on dressing
-clumps of yellow pus
-102 beats/min; respiratory rate, 22 breaths/min; temperature, 101.2°F (38.4°C)
orally
-White blood count 12.9 x 103 cells/mm3 (12.9 x 109 /l)
-blood glucose level 130 mg/dl (7.21 mmol/l).
TEXTBOOK OF MEDICAL-SURGICAL
NURSING EXAMS WITH CORRECT
ANSWERS 2025 RATED A+
The nurse in the oncology clinic is caring for a 42-year-old female client receiving chemotherapy
with fludarabine for acute myeloid leukemia who has developed petechiae, epistaxis, and
ecchymosis.
client has developed ______________ that the laboratory results will reveal __________ -
CORRECT ANSWERSclient has developed hemorrhage that the laboratory results will reveal
thrombocytopenia.
The nurse provides care for a client, with a history of atherosclerosis, who is hospitalized for the
initiation of pharmacotherapy for the treatment of hypothyroidism.
The client is at highest risk for developing _______________ as evidenced by
_______________. - CORRECT ANSWERSThe client is at highest risk for developing cardiac
dysfunction as evidenced by angina.
The nurse is caring for a 24-year-old female client with a right tibial fracture treated with a cast
2 hours ago. The client now reports unrelenting pain, rated as 7/10, despite taking oxycodone,
and decreased sensation in the right foot. A nursing assessment reveals the right foot is cooler
and paler than the left foot, with delayed capillary refill and a weak pulse.
Based on the nursing assessment, the priority action the nurse should take is to
_________________________ and prepare the client for _________________. - CORRECT
ANSWERSBased on the nursing assessment, the priority action the nurse should take is to notify
the orthopedic health care provider immediately and prepare the client for bivalving of the cast.
,The nurse assesses a client who has a nasogastric tube for long-term nutritional needs for
complications associated with the medical device.
The nurse monitors the client for ___________ , a finding indicative of _____________. -
CORRECT ANSWERSThe nurse monitors the client for purulent nasal drainage, a finding
indicative of rhinosinusitis.
The office nurse is reviewing an 80-year-old female client's reports related to the onset of a
severe headache, rated at 9 out of 10 on the pain scale, with recent onset. The client denies any
visual changes. During a prior visit to the office a few months ago, the client had reported a
ground-level fall as a result of falling off a chair and hitting the back of their head. The client had
been taken to the emergency department, where imaging was performed with negative results.
The nurse anticipates that the client has developed __________ and that __________ will be
ordered. - CORRECT ANSWERSThe nurse anticipates that the client has developed chronic
subdural hematoma and that computed tomography (CT) imaging of the brain will be ordered.
A client will undergo abdominal surgery. The nurse provides preoperative education regarding
the importance of diaphragmatic breathing exercises to prevent postoperative complications.
The nurse will educate the client about the risk for developing _________, ____________, and
____________, if the client does not implement diaphragmatic breathing exercises in the
postoperative period of care. - CORRECT ANSWERSThe nurse will educate the client about the
risk for developing pneumonia, bronchospasm, and atelectasis, if the client does not implement
diaphragmatic breathing exercises in the postoperative period of care.
A nurse is caring for a client who was admitted for an asthma exacerbation. In the past year, the
client has been admitted for three asthma events. What will the nurse include in the client
teaching about preventing repeat hospitalizations?
, The nurse should teach about __________ followed by ___________. - CORRECT ANSWERSThe
nurse should teach about triggers to avoid followed by knowing medications.
A 47-year-old male client presented to the medical unit and the health care team suspects
tuberculosis (TB). The nurse is admitting the client to a reverse isolation room. QuantiFERON
testing and chest x-ray are pending. Urinalysis results are negative. No other testing was
performed prior to admission to isolation. The client denies any chest pain, shortness of breath
(SOB), or respiratory difficulty. The client presents with productive yellow sputum.
Based on the provided assessment status, the nurse should utilize __________ to prevent
exposure and __________ to collect specimens for additional testing. - CORRECT
ANSWERSBased on the provided assessment status, the nurse should utilize airborne
precautions to prevent exposure and sputum to collect specimens for additional testing.
The nurse has documented an assessment on a 45-year-old male client on the third
postoperative day following an open abdominal appendectomy.
Client has 3 in (7.6 cm) right lower abdominal incision. Proximal 2 in (5 cm) of incision edges are
red and well-approximated. Distal portion of incision has separated and has yellow drainage on
dressing. Bulb drain has serosanguinous drainage and clumps of yellow pus. Oxygen saturation
on room air 97%. Blood pressure, 112/60 mm Hg; heart rate, 102 beats/min; respiratory rate, 22
breaths/min; temperature, 101.2F (38.4C) orally. Denies chills. Bowel sounds hypoactive in all 4
quadrants. Client reports passing flatus, no Abdomen firm and slightly distended bowel
movement. Lungs clear to auscultation bilaterally. Client reports incisional pain level of 3/10 red
blood cell count 4.2 million/mcl, thirty (30) minutes following oxycodone 5 mg orally. Reports an
increased, but tolerabl - CORRECT ANSWERS-has separated and has yellow drainage on dressing
-clumps of yellow pus
-102 beats/min; respiratory rate, 22 breaths/min; temperature, 101.2°F (38.4°C)
orally
-White blood count 12.9 x 103 cells/mm3 (12.9 x 109 /l)
-blood glucose level 130 mg/dl (7.21 mmol/l).
