RN ADULT MEDICAL SURGICAL 2019

1. A nurse is assessing a client who has a diagnosis on colon cancer which

of the following should the nurse expect?

a) Statorrhea

b) Elevated hemoglobin

c) Hematochezia

d) Weight gain

2. A nurse is assessing a client admitted with peripheral vascular disease,.

Which of the following findings indicates a venous vascular disorder?

a) An ulcer at the tip of a toe

b) Hair loss distal to the clients calves

c) Leg pain at rest

d) Edema of the ankle

3.A nurse is assessing a client who has pericarditis. In which of the following

areas of the client’s chest should the nurse place the stethoscope to best hear a

pericardial friction rub? (select HOT spot)

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 Answer: D

4. A nurse is caring for a client who has a chest tube. The client asks why

the fluid in the water -seal chamber rises and falls. Which of the following

statements should the nurse make?

a) “ this means your lung is fully expanded “

b) “ this indicates a possible leak”

c) “ suction pressure that is too high causes this”

d) “ Your breathing pattern causes this”

5. A community health nurse is reviewing home care instructions with an

older adult client who has a new diagnosis of heart failure. Which of the following

is the priority topic for the nurse to review with the client?

a) Daily sodium restriction

b) Daily exercise routine

c) Changes in weight

d) Fluid intake record

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6. A nurse is teaching a client about the use of transcutaneous electrical

nerve stimulation (TENS) unit. Which of the following statements should the

nurse include?

a) “Apply lotion to the site prior to attaching the electrodes”

b) “ this device requires access to a 220 volt outlet”

c) ‘ this device delivers heat via electrodes that are attached to the effected

area”

d) “adjust the dial until you feel a ‘pins and needles’ sensation”

7. A nurse is providing teaching to a client who is postoperative following a

total hip arthroplasty. Which of the following statements should the nurse make?

a) “ use raised toilet seat to maintain your hips above the knees”

b) “ twist at the waist when standing from a seated position”

c) “move your stronger leg first when using a walker”

d) “ apply a heating pad to the operative hip to decrease pain”

8. A nurse finds a client in bed, unresponsive and breathing. Which of the

following action should the nurse take first?

a) Establish IV access

b) Apply blood pressure cuff

c) Palpate for the client’s carotid pulse

d) Initiate cardiac monitoring for the client

9. A nurse is caring who is experiencing a hypertensive crisis. Which of the

following actions should the nurse take?

a) Initiate IV dopamine infusion

b) Perform neurological assessments

c) Place the client supine

d) Begin an IV bolus of lacted ringer’s

10. A nurse is providing discharge teaching about blood sugar monitoring for a

client who has a new diagnosis of type 2 diabetes mellitus. The nurse should

instruct the client to obtain which of the following supplies?

a) Sterile lancets

b) Compression stockings

c) Hand mirror

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