45 questions · Page 1 of 2
Med Surg Proctored Exam is a nursing-school practice exam with 45 questions. It is written for nursing students preparing for this course exam and for NCLEX-style review. Every question has its own page showing the full stem, all answer options, the correct answer, and a written rationale explaining why each option is right or wrong.
Topics covered on this page: Med surg proctored exam.
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Start Practice ExamA patient being admitted with an acute exacerbation of ulcerative colitis. The nurse will plan to:
The nurse will plan to teach a patient with Crohn's disease who has megaloblastic anemia about the need for:
A client with chronic kidney disease (CKD) is refusing to take his medications and follow the diet. What should the nurse do first?
The nurse is caring for an acutely ill client. What assessment finding should prompt the nurse to inform the health care provider that the client may be exhibiting signs of acute kidney injury (AKI)?
A nurse cares for a client who had a colostomy placed in the ascending colon 2 weeks ago. The client states, "The stool in my pouch is still liquid." How would the nurse respond?
The nurse plans care for a client with Crohn's disease who has a heavily draining fistula. Which intervention would be the nurse's priority?
A nurse is presenting an educational event to a local community group. When speaking about colorectal cancer, what risk factor should the nurse cite?
A 28-year-old woman with Crohn's disease develops a fever and symptoms of a urinary tract infection (UTI) with tan, fecal-smelling urine. What information would the nurse add to a general teaching pla
The nurse is caring for a client in acute kidney injury (AKI). Which complication would most clearly warrant the administration of polystyrene sulfonate?
A client with acute kidney injury (AKI) has a blood pressure of 76/55 mm Hg. The primary health care provider prescribed 1000 mL of normal saline to be infused over 1 hour to maintain perfusion. The c
The nurse assesses a client who is hospitalized with an exacerbation of Crohn disease. Which assessment finding would the nurse expect?
A client with diabetes mellitus type 2 has been well controlled on metformin. The client is scheduled for a magnetic resonance imaging (MRI) scan with contrast. What priority nurse takes at this time?
A 72-year-old male patient with dehydration caused by an exacerbation of ulcerative colitis is receiving 5% dextrose in normal saline at 125 mL/hour. Which assessment finding by the nurse is most impo
A client is admitted with acute kidney injury (AKI) and a urine amount of 2300 mL in 24 hours. The nurse should prioritize assessment of ________________.
A client with chronic kidney disease (CKD) complains of severe itching. Which terms should the nurse use to document this finding? (Select all that apply)
The nurse is providing discharge teaching for a 21-year-old client with a new diagnosis of ulcerative colitis. When planning family assessment, the nurse should recognize that which of the following f
A nurse is providing care for a client whose recent colostomy has contributed to a nursing diagnosis of Disturbed Body Image Related to Colostomy. What intervention best addresses this diagnosis?
A nurse is assessing a client's stoma on postoperative day 2. The nurse notes that the stoma has a shiny appearance and a bright red color. How should the nurse respond?
A nurse is assessing a client's stoma on postoperative day 2. The nurse notes that the stoma is moist, bright red, and slightly edematous with a small amount of bleeding noted on the stoma surface dur
A nurse reviews the electronic health record of a client who has acute kidney injury (AKI). Which documentation would alert the nurse to urgently contact the primary health care provider for additiona
A nurse assesses a client who has ulcerative colitis and severe anemia. Which assessment should the nurse prioritize?
A nurse teaches a client who is at risk for colorectal cancer. Which dietary recommendation would the nurse include?
The nurse is caring for a client who is prescribed sulfasalazine. Which question would the nurse ask the client before starting this drug?
A 62-year-old client with a history of colorectal cancer presents to the clinic reporting increasing fatigue, shortness of breath on exertion, and intermittent dizziness over the past several weeks. T
The nurse is caring for a client receiving hemodialysis three times weekly. The client has had surgery to form an arteriovenous fistula. What is most important for the nurse to be aware of when provid