RN 2019 ADULT MEDICAL SURGICAL FORM A AND FORM B
ACTUAL EXAMS EACH FORM CONTAINS 100 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH RATIONALES
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FORM A
A nurse is providing discharge instructions to a client who has laryngeal cancer
and is receiving radiation therapy. Which of the following statements by the client
indicates an understanding of the teaching? – ANSWER- “I will avoid direct
exposure to the sun.”
A nurse is admitting a client who has active tuberculosis. Which of the following
types of transmission precautions should the nurse initiate? – ANSWER- Airborne
tuberculosis, measles, varicella, and disseminated varicella zoster.
A nurse is reviewing the medical record of a client who has osteomyelitis and a
prescription for gentamicin. Which of the following findings from the client’s
medical record should indicate to the nurse the need to withhold the medication
and notify the provider? (Click on the “Exhibit” button for additional information
about the client. There are three tabs that contain separate categories of data.) –
ANSWER- Serum creatinine
A nurse is providing teaching to a client who is perimenopausal and has a
prescription for hormone replacement therapy. For which of the following adverse
effects should the nurse instruct the client to notify the provider? (Select all that
apply.) – ANSWER- Calf pain
Numbness in the arms
Intense headache
A nurse is planning discharge teaching for a client who has an external fixation
device for a fracture of the lower extremity. Which of the following instructions
should the nurse include in the plan of care? – ANSWER- Use crutches with rubber
tips.
A nurse is teaching a group of newly licensed nurses about pain management for
older adult clients. Which of the following statements by a newly licensed nurse
indicates an understanding of the teaching? – ANSWER- Ibuprofen can cause
gastrointestinal bleeding in older adult clients.
A nurse is caring for a client who has a cervical spinal cord injury sustained 1
month ago. Which of the following manifestations indicates that the client is
experiencing autonomic dysreflexia (AD)? – ANSWER- Heart rate 52/min
will exhibit multiple manifestations, including bradycardia, severe headache, and
flushing.
A nurse is assessing a client who has advanced lung cancer and is receiving
palliative care. The client has just undergone thoracentesis. The nurse should
expect a reduction in which of the following common manifestations of advanced
cancer? – ANSWER- Dyspnea
Thoracentesis, the removal of pleural fluid, can temporarily relieve hypoxia and
thus ease the client’s breathing and improve comfort.
A nurse is providing teaching to a client who takes ginkgo biloba as an herbal
supplement. Which of the following statements should the nurse make? –
ANSWER- “Ginkgo biloba can cause an increased risk for bleeding.”
A nurse on a medical-surgical unit is reviewing the medical record of an older
adult client who is receiving IV fluid therapy. Which of the following client
information should indicate to the nurse that the client requires re-evaluation of the
IV therapy prescription? (Click on the “Exhibit” button for additional information
about the client. There are three tabs that contain separate categories of data.)
EXHIBIT – ANSWER- BUN
A nurse is receiving report on a client who is postoperative following an open
repair of Zenker’s diverticulum. The nurse should anticipate the surgical incision to
be in which of the following locations? (You will find hot spots to select in the
artwork below. Select only the hot spot that corresponds to your answer.) –
ANSWER- Neck
Zenker’s diverticulum, or pharyngeal pouch, is a herniation of the esophagus
occurring through the cricopharyngeal muscle in the midline of the neck. Repair of
the diverticulum is accomplished through an open incision in the client’s neck.
A nurse is obtaining a medication history from a client who is scheduled to
undergo cataract surgery. The nurse should recognize that which of the following
client medications is a contraindication for the surgery and notify the provider? –
ANSWER- Warfarin
A nurse is assessing a client who has peripheral arterial disease. Which of the
following findings should the nurse expect? – ANSWER- Hair loss on the lower
legs
a result of impaired arterial circulation affecting follicular growth.
A home health nurse is providing teaching to a client who has a stage 1 pressure
injury on the greater trochanter of his left hip. Which of the following instructions
should the nurse include in the teaching? – ANSWER- Change position every hour.
A nurse is assessing a client who has a diagnosis of rheumatoid arthritis. Which of
the following nonpharmacological interventions should the nurse suggest to the
client to reduce pain? – ANSWER- Alternate application of heat and cold to the
affected joints.
A nurse is assessing a client following the completion of hemodialysis. Which of
the following findings is the nurse’s priority to report to the provider? – ANSWERRestlessness
Disequilibrium syndrome is caused by the rapid removal of electrolytes from the
client’s blood and can lead to dysrhythmias or seizures. Other manifestations
include nausea, vomiting, fatigue, and headache.
A nurse is caring for a client who is 4 hr postoperative following an open reduction
internal fixation of the right ankle. Which of the following assessment findings
should the nurse report to the provider? – ANSWER- Extremity cool upon
palpation
A nurse is assessing a client who is postoperative following a thyroidectomy.
Which of the following findings is the nurse’s priority? – ANSWER- Temperature
38.9° C (102° F)
A nurse is planning care for a client who is having a modified radical mastectomy
of the right breast. Which of the following interventions should the nurse include
in the plan of care? – ANSWER- Instruct the client that the drain will be removed
when there is 25 mL of output or less over a 24-hr period.
in place for 1 to 3 weeks after surgery and will be removed when there is 25 mL of
output or less in a 24-hr period.