RN ADULT MEDICAL SURGICAL NUR/2023 REAL
TESTBANK
A nurse is assessing a client who has a diagnosis on colon cancer which of
the following should thenurse expect?
a. Steatorrhea
b. Elevated
hemoglobinc.
Hematochezia
d. Weight gain
A nurse is assessing a client admitted with periph...
RN ADULT MEDICAL SURGICAL NUR2513 2022/2023 REAL
TESTBANK
A nurse is assessing a client who has a diagnosis on colon cancer which of
the following should the nurse expect?
a. Steatorrhea
b. Elevated
hemoglobin c.
Hematochezia
d. Weight gain
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 client’s calves
c. Leg pain at rest
d. Edema of the ankle
A nurse is monitoring a client who is receiving two units packed RBC's.
Which of the following manifestation indicates a hemolytic transfusion
reaction?
a. Back pain
b. Hypertension
c. Chills – page 260
d. Bradycardia
A nurse is teaching a client who has diabetes mellitus about foot care. Which of
the following instruction should the nurse include?
a. Use a heating pad to keep your feet warm at night
, b. Wear loose-fitting slippers around the house
c. Where cotton rather than nylon socks – page 551
d. Wash your face twice per day with antibacterial soap and hot water
A nurse is providing teaching to a client who has a deep vein thrombosis (DVT).
Which of the following findings should the nurse identify as a risk factor for the
development of the DVTs?
a. NSAID use
b. Hypertension
c. Oral contraceptive use
d. Cirrhosis
A nurse is administering furosemide 80 mg PO twice-daily to a client who has
pulmonary edema. Which of the following assessment findings indicates to the
nurse that the medication is effective?
a. Respiratory rate of 24/min
b. Adventitious breath sounds
c. Weight loss of 1.8 kg (4 lb) in the past 24 hours
d. Elevation in blood pressure
A nurse is preparing to administer furosemide to a client who has acute heart
failure. Which of the following laboratory results should the nurse identify as a
contradiction for receiving the medication?
a. Creatinine 0.8 mg/dL
b. Sodium 136
mEq/L c.
Potassium 3.2
mEq/L
d. BUN 18 mg/dL
A nurse on an oncology unit is caring for a client who is receiving internal
, radiation therapy. Which of the following actions should the nurse take?
a. Place the dosimeter film badge on a client's door
b. Wear a lead apron when providing client care – Page 606
c. Leave the door to the client’s room open
d. Allow visitors to hold the clients hand
A nurse is caring for a client who has diabetes mellitus and has been following
a treatment plan for 3 months which of the following results should the nurse
monitor to determine long-term glycemic control?
a. Glycosylated hemoglobin level
b. fasting blood glucose level
c. oral glucose tolerance test results
d. post-prandial blood glucose level
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)
, Answer: D
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” – page 111
A community health nurse is reviewing home care instructions with an older
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