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medsurg practice test questions and answers 100% pass A Korean-American client, who speaks very little English, is being discharged following surgery. Which nurse should the nurse manager assign to provide the discharge instructions for the client? A) A graduate registered nurse (RN) with thre...

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  • November 19, 2024
  • 36
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • medsurg practice test questions and answers 100 p

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medsurg practice test questions and
answers 100% pass

A Korean-American client, who speaks very little English, is being discharged following

surgery. Which nurse should the nurse manager assign to provide the discharge

instructions for the client?




A) A graduate registered nurse (RN) with three weeks of experience.




B) The registered nurse (RN) case manager for the unit with 1 year's experience.




C) A floating registered nurse (RN) with five years of nursing experience.




D) A Korean-American practical nurse (PN) with six years of nursing experience. -

ANSWER✔✔-The RN case manager (B) is the best qualified nurse to assess and provide

discharge educational needs, obtain resources for the client, enhance coordination of

care, and prevent fragmentation of care. The RN graduate (A) lacks the experience to

provide individualized and complete discharge instructions. The float nurse (C) lacks

Copyright ©SOPHIABENNETT 2025 ACADEMIC YEARALL RIGHTS RESERVED. Page 1/36

,case management expertise to advocate adequately for the client, coordinate care, and

provide community resources. It is not in the scope of practice for the PN (D) to give

discharge instructions.


A client who returns to the unit after having a percutaneous transluminal coronary

angioplasty (PTCA) complains of acute chest pain. What action should the nurse

implement next?




A) Inform the healthcare provider.




B) Obtain a 12-lead electrocardiogram.




C) Give a sublingual nitroglycerin tablet.




D) Administer prescribed analgesic. - ANSWER✔✔-After a percutaneous transluminal

coronary angioplasty (PTCA), a client who experiences acute chest pain may be

experiencing cardiac ischemia related to restenosis, stent thrombosis, or acute coronary

syndrome involving any coronary artery. The first action is to administer nitroglycerin

(C) to dilate the coronary arteries and increase myocardial oxygenation. Then, (A, B,

and D) are implemented.


Copyright ©SOPHIABENNETT 2025 ACADEMIC YEARALL RIGHTS RESERVED. Page 2/36

,Several hours after surgical repair of an abdominal aortic aneurysm (AAA), the client


develops left flank pain. The nurse determines the client's urinary output is 20 ml/hr

for the past 2 hours. The nurse should conclude that these findings support which

complication?




A) Infection.




B) Hypovolemia.




C) Intestinal ischemia.




D) Renal artery embolization. - ANSWER✔✔-Postoperative complications of surgical

repair of AAA are related to the location of resection, graft, or stent placement along the

abdominal aorta. Embolization of a fragment of thrombus or plaque from the aorta into

a renal artery (D) can compromise blood flow in one of the renal arteries, resulting in

renal ischemia that precipitates unilateral flank pain. Intraoperative blood loss or

rupture of the aorta anastomosis can cause acute renal failure related to hypovolemia

(B), which involves both kidneys and causing bilateral flank pain. (A


and C) are not associated with these symptoms.

Copyright ©SOPHIABENNETT 2025 ACADEMIC YEARALL RIGHTS RESERVED. Page 3/36

, The nurse is caring for a client with human immunodeficiency virus (HIV) infection

who develops Mycobacterium avium complex (MAC). What is the most significant

desired


outcome for this client?




A) Free from injury of drug side effects.




B) Return to pre-illness weight.




C) Adequate oxygenation.




D) Maintenance of intact perineal skin. - ANSWER✔✔-MAC is an opportunistic

infection that presents as a tuberculosis-like pulmonary process. MAC is a major

contributing factor to the development of wasting syndrome, so the most significant

desired outcome is the client's return to a pre-illness weight (B) using oral, enteral, or

parenteral supplementation as needed. Drug schedules and side effects (A) remain a life

long management problem. Client outcomes for adequate oxygenation (C) are often

dependent on management of anemia, maintenance of activities without fatigue, and




Copyright ©SOPHIABENNETT 2025 ACADEMIC YEARALL RIGHTS RESERVED. Page 4/36

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