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Medical Surgical Nursing Proctored Exam (LPN) Practice Questions

Practice Medical Surgical Nursing Proctored Exam (LPN) Practice Questions. Review each answer with explanations when available.

Nursing Test BankMedical Surgical Nursing Proctored Exam (LPN) Practice Questions100 questions20 question preview
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Question 1 of 20Single-Select Multiple Choice

A client arrives at the physician's office stating 2 days of febrile illness, dyspnea, and cough. Upon assisting the client into a gown, the nurse notes that the client's sternum is depressed, especially on inspiration. Crackles are noted in the bases of the lung fields. Based on inspection, which will the nurse document?

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Question 2 of 20Single-Select Multiple Choice

The nurse is caring for a client with an upper respiratory disorder. The client states they have a hacky, non-productive cough, which wakens them during the night. Which over-the-counter medication would the nurse suggest to diminish the cough during the night?

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Question 3 of 20Single-Select Multiple Choice

A client with multiple myeloma is complaining of severe pain when the nurse comes in to give a bath and change position. What is the priority intervention by the nurse?

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Question 4 of 20Single-Select Multiple Choice

The nurse is planning care for a client diagnosed with cardiogenic shock. Which nursing intervention is most helpful to decrease myocardial oxygen consumption?

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Question 5 of 20Single-Select Multiple Choice

The nurse is preparing a client for coronary artery bypass surgery. What vessel does the nurse know is most commonly used for grafting?

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Question 6 of 20Single-Select Multiple Choice

A client on antiretroviral drug therapy informs the nurse about sometimes forgetting to take the medication for a few days. What should the nurse inform the client can occur when the medications are not taken as prescribed?

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Question 7 of 20Single-Select Multiple Choice

A client with heart failure reports not having had a bowel movement in 2 days. Why would it be important for the nurse to obtain a prescription for a stool softener?

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Question 8 of 20Single-Select Multiple Choice

A client is taking a medication that has the side effect of depressing the hematopoietic system. What signs of leukopenia should the nurse monitor for while the client is taking this drug?

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Question 9 of 20Single-Select Multiple Choice

The client who is experiencing alcohol withdrawal has a temperature of 100.6 °F, pulse of 112 beats/minute, and BP 180/102 mm Hg. What would the nurse anticipate doing first?

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Question 10 of 20Single-Select Multiple Choice

A client is taking the immunosuppressant medication, azathioprine (Imuran), for the treatment of Crohn's disease. What statement made by the client demonstrates an understanding of the side effects of this medication?

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Question 11 of 20Single-Select Multiple Choice

The nurse is caring for a client with a disturbance in thought process who is disoriented and aggressive. What nursing action may produce further agitation?

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Question 12 of 20Multiple-Select / Select All That Apply (SATA)

The nurse is volunteering at a community blood pressure screening. A client, never diagnosed with hypertension, presents with a blood pressure of 158/90 mm Hg. Which assessment question(s) is appropriate for the nurse to ask? Select all that apply.

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Question 13 of 20Single-Select Multiple Choice

Which statement, made by the nurse, can be most helpful when caring for a client in the third stage of Kubler-Ross' emotional reactions to dying?

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Question 14 of 20Single-Select Multiple Choice

A graduate practical nurse is caring for a client who has a tracheostomy tube. A seasoned nurse is assisting in providing guidance for completing tracheostomy care. When changing the ties, the client moves and dislodges the tube. Which of the following does the seasoned nurse do first?

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Question 15 of 20Multiple-Select / Select All That Apply (SATA)

The nurse is evaluating the expected outcomes following thrombolytic therapy for a right leg deep vein thrombosis. Which finding(s) confirms a positive outcome? Select all that apply.

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Question 16 of 20Multiple-Select / Select All That Apply (SATA)

A client who reports moderate to severe anxiety requires intervention. What technique(s) suggested by the nurse would be helpful in assisting this client in the management of anxiety? Select all that apply.

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Question 17 of 20Multiple-Select / Select All That Apply (SATA)

A client who reports moderate to severe anxiety requires intervention. What technique(s) suggested by the nurse would be helpful in assisting this client in the management of anxiety? Select all that apply.

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Question 18 of 20Single-Select Multiple Choice

The nurse is caring for a client with frequent dizziness. The nurse is evaluating the client for postural hypotension. Which of the following symptoms would indicate a potential diagnosis?

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Question 19 of 20Single-Select Multiple Choice

In which client does the nurse consider the presence of an S3 heart sound to be normal?

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Question 20 of 20Multiple-Select / Select All That Apply (SATA)

The nurse is an occupational health nurse who is presenting a workshop on laryngeal cancer. What risk factor(s) would the nurse be sure to include in the workshop? Select all that apply.

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