PN Adult Medical Surgical Online Practice 2017 A 100% Accuracy, Exams of Nursing

Download PN Adult Medical Surgical Online Practice 2017 A 100% Accuracy and more Exams Nursing in PDF only on Docsity! PN Adult Medical Surgical Online Practice 2017 A 100% Accuracy A nurse is reinforcing discharge teaching about wound care with a family member of a client who is postoperative. Which of the following should the nurse include in the teaching? - Correct Answers ✅Report purulent drainage to the provider A nurse is caring for a client who has bacterial meningitis. Upon monitoring the client, which of the following findings should the nurse expect? - Correct Answers ✅Red macular rash A nurse is contributing to the plan of care for an older adult client who is at risk for osteoporosis. Which of the following interventions should the nurse include to prevent the bone loss? - Correct Answers ✅Encourage weight-bearing exercises A nurse is collecting data from a client and notices several skin lesions. Which of the following findings should the nurse report as possible melanoma? - Correct Answers ✅Irregular borders A nurse is reinforcing discharge teaching to prevent dumping syndrome for a client following a partial gastrectomy for ulcers. Which of the following information should the nurse include in PN Adult Medical Surgical Online Practice 2017 A 100% Accuracy the teaching? - Correct Answers ✅Avoid liquids at mealtimes A nurse is collecting data on a client who is scheduled for a cardiac catheterization. Which of the following laboratory levels should the nurse review prior to the procedure? - Correct Answers ✅BUN A nurse is reinforcing teaching about glycosylated hemoglobin (HbA1c) testing with a client who has diabetes mellitus. Which of the following statements indicated that the client understands the teaching? - Correct Answers ✅"I will have my HbA1c checked twice per year." A nurse is examining a client's IV site and notes a red line up his arm. The client reports a throbbing, burning pain at the IV site. The nurse should identify that the client's manifestations indicate which of the following complications of IV therapy? - Correct Answers ✅Thrombophlebitis A nurse is reinforcing teaching about management of constipation with a client who has hypothyroidism. Which of PN Adult Medical Surgical Online Practice 2017 A 100% Accuracy A nurse is preparing to administer phytonadione 7 mg subcutaneously to a client who has an INR of 4. Available is phytonadine 10mg/mL. How many mL should the nurse administer? - Correct Answers ✅0.7mL A nurse is reinforcing teaching with an adolescent client regarding testicular self-examination. Which of the following statements by the client demonstrates an understanding of the teaching? - Correct Answers ✅"I understand that testicular cancer is painless" A nurse is caring for a client who is scheduled for surgery and is experiencing anxiety. Which of the following interventions should the nurse identify as the priority? - Correct Answers ✅Determine the client's understanding of the procedure? A nurse is reinforcing teaching about home care with a client who has a knee arthroplasty. Which of the following factors should the nurse identify as an indication that a barrier to learning might be present? - Correct Answers ✅The client stop the nurse and asks for pain medication PN Adult Medical Surgical Online Practice 2017 A 100% Accuracy A nurse is reinforcing discharge instructions with a client who is postoperative following a right hip arthroplasty. Which of the following statements should the nurse make? - Correct Answers ✅"Avoid bending your hips more than 90 degrees." A nurse is caring for a client who has a compound fracture of the femur and was placed in balanced suspension skeletal traction 4 days ago. Which of the following actions should the nurse take? - Correct Answers ✅Perform pin site care daily A nurse is assisting the charge nurse with developing an in- service about caring for clients who have internal sealed radiation implants. Which of the following information should the nurse include? - Correct Answers ✅Dispose of radiation implants in a lead container A nurse in a long-term care facility is collecting data from a client who reports fullness in the rectum and abdominal cramping. Which of the following findings should indicate to the nurse that the client might have a fecal impaction? - Correct Answers ✅Small liquid stools PN Adult Medical Surgical Online Practice 2017 A 100% Accuracy A nurse is providing discharge teaching for the family of a client who has parkinson's disease. Which of the following information should the nurse include in the teaching? - Correct Answers ✅Remind the client to avoid watching her feet when walking A home health nurse is reinforcing teaching with a client about preventing complications of peripheral vascular disease. Which of the following statements indicates that the client is adhering to the nurse's instructions? - Correct Answers ✅"I don't cross my legs anymore." A nurse is reviewing the laboratory results of a client who is scheduled for a CT scan with an IV contrast agent. Which of the following laboratory findings should the nurse report to the provider prior to the procedure? - Correct Answers ✅Creatinine 1.9 mg/dL A nurse is caring for a client who has a methicillin-resistant Staphylococcus aureus (MRSA) infection in a surgical wound. Which of the following information should the nurse plan to share with visitors? - Correct Answers ✅Visitors must don a gown and gloves prior to entering the client's room PN Adult Medical Surgical Online Practice 2017 A 100% Accuracy take when communicating with the client? - Correct Answers ✅Rephrase client instructions when not understood A nurse is caring for a client who is 1 day postoperative following a hip arthroplasty. The client is exhibiting hypotension, tachycardia, and tachypnea. The nurse should recognize that these findings indicate which of the following complications? - Correct Answers ✅Pulmonary embolism A nurse is monitoring a client who recently had a cast placed on the right lower extremity for a bone fracture. Which of the following findings should the nurse recognize as abnormal? - Correct Answers ✅Lack of sensation between the first and second toes A nurse is caring for a client who has a history of breast cancer. The client asks the nurse about birth control. Which of the following methods of birth control is contraindicated for this client? - Correct Answers ✅Combination oral contraceptives A nurse is collecting data from a client who has heart failure and is taking digoxin. Which of the following outcomes from PN Adult Medical Surgical Online Practice 2017 A 100% Accuracy the medication should the nurse expect? - Correct Answers ✅Decreased shortness of breath A nurse is reinforcing teaching with a client who has systemic lupus erythematosus (SLE) and is to begin taking methylprednisolone orally. Which of the following statements should the nurse include in the teaching? - Correct Answers ✅"Limit contact with large groups of people." A nurse is caring for a client who is 24hr postoperative following abdominal surgery and has an NG tube. Which of the following actions should the nurse plan to take to decrease the risk of postoperative complications? - Correct Answers ✅Encourage the client to use an incentive spirometer every hour while awake A nurse is reinforcing teaching with a client who has multiple sclerosis and a new prescription for baclofen. Which of the following instructions should the nurse include in the teaching? - Correct Answers ✅Avoid stopping this medication suddenly PN Adult Medical Surgical Online Practice 2017 A 100% Accuracy A nurse is reviewing the laboratory results of a client who has type 2 diabetes mellitus. The nurse should identify that which of the following laboratory values indicates the client is at risk for delayed wound healing? - Correct Answers ✅Prealbumin 12mg/dL A nurse assisting with the discharge planning for a client who is postoperative following a total hip arthroplasty. Which of the following instructions should the nurse include in the discharge plan? - Correct Answers ✅Obtain a raised toilet seat A nurse is preparing to remove a client's NG tube. Which of the following interventions should the nurse take to decrease the risk of aspiration? - Correct Answers ✅Pinch the NG tube A nurse is collecting data from a client who has chronic kidney disease with hyperkalemia. Which of the following findings should the nurse expect related to hyperkalemia? - Correct Answers ✅Bradycardia A nurse is reinforcing teaching with a client who has asthma. Which of the following client statements indicates an understanding of the use of budesonide and albuterol inhalers? PN Adult Medical Surgical Online Practice 2017 A 100% Accuracy following findings should the nurse recognize as a contraindication to HRT? - Correct Answers ✅History of treatment for blood clots A nurse is an oncology clinic is reinforcing teaching about Mohs surgery with a client who has skin cancer. Which of the following information should the nurse include in the teaching? - Correct Answers ✅Mohs surgery is a horizontal shaving of thin layers of the timor A nurse is preforming ECG on a client who is scheduled for surgery the following morning. In which of the following locations should the nurse place the V1 electrode? - Correct Answers ✅4th intercostal space to the right of the sternum (C) A nurse is collecting data from a client who has hypokalemia. Which of the following findings should the nurse identify as the priority? - Correct Answers ✅Dysrhythmia A nurse is caring for an older adult client who has a reddened area over the sacrum. Which of the following actions should the PN Adult Medical Surgical Online Practice 2017 A 100% Accuracy nurse take? - Correct Answers ✅Minimize the time the head of the bed is elevated A nurse is caring for a client who is in Buck's traction. Which of the following interventions should the nurse perform to reduce skin breakdown? - Correct Answers ✅Keep the skin dry and free of perspiration A nurse is contributing to the plan of care for a client who has a methicillin-resistant Staphylococcus aureus (MRSA) infection and is on contact isolation precautions. Which of the following actions should the nurse take ? - Correct Answers ✅Have a designated stethoscope int eh client's room A nurse is caring for a client who has a prescription for phenazopyridine. Which of the following findings should the nurse identify as a therapeutic effect of the mediation? - Correct Answers ✅Decreases pain during urination A nurse is reinforcing discharge teaching with a client who has cirrhosis. Which of the following instructions should the nurse include? - Correct Answers ✅"Consume foods low in sodium." PN Adult Medical Surgical Online Practice 2017 A 100% Accuracy A nurse is planning to implement droplet precautions for a client who has manifestations of pertussis. Which of the following interventions should the nurse include when contributing to the plan of care? - Correct Answers ✅Apply a mask on the client if transport is needed A nurse is assisting a client who reports difficulty falling asleep. Which of the following activities should the nurse recommend to promote sleep? - Correct Answers ✅Listen to soft music before sleeping A nurse is caring for a client who had an acute ischemic stroke 1 day ago. Which of the following actions should the nurse take to reduce the risk for aspiration? - Correct Answers ✅Allow for 30 min of rest before meals A nurse enters the room of a client whose transfusion of packed RBCs was initiated 15 min ago by the RN. The client reports dyspnea and urticaria. Which of the following actions should the nurse perform first? - Correct Answers ✅Stop the infusion PN Adult Medical Surgical Online Practice 2017 A 100% Accuracy A nurse is participating in a health fair for older adults. Which of the following immunizations should the nurse recommend for this age group? - Correct Answers ✅Herpes Zoster A nurse is caring for a client who has difficulty swallowing. Which of the following actions should the nurse implement to prevent aspiration? - Correct Answers ✅Give the clients liquids with increased viscosity A nurse is contributing to the plan of care for a client who has a new prescription for nystatin suspension for oral candidiasis. Which of the following interventions should the nurse include in the plan? - Correct Answers ✅Instruct the client to swish the medication in her mouth A nurse is collecting data from a client who has hypothyroidism. Which of the following manifestations should the nurse anticipate? - Correct Answers ✅Bradycardia A nurse is discussing health screening guidelines with an older adult client. Which of the following statements should the nurse include? - Correct Answers ✅"You should have a pneumococcal immunizations every 10 years." PN Adult Medical Surgical Online Practice 2017 A 100% Accuracy A nurse is assisting with the care of a client who is receiving 0.9% sodium chloride by continuous IV infusion. The client reports pain and swelling at the IV site. In which order should the nurse perform the following steps? - Correct Answers ✅Check the IV site Stop the infusion Withdraw the IV catheter Elevate the affected arm Notify the charge nurse A nurse is contributing to the plan of care for a client who is postoperative following a total knee arthroplasty. The client is using a continuous passive motion (CPM) machine. Which of the following interventions should the nurse recommend for the plan of care? - Correct Answers ✅Keep a sheepskin pad between the client's extremity and the CPM PN Adult Medical Surgical Online Practice 2017 A 100% Accuracy A nurse is caring for a client who has acute pancreatitis. While providing care, the nurse observes ecchymosis around the umbilicus. The nurse should identify that this is a manifestation of which of the following? - Correct Answers ✅Intra- abdominal bleeding A nurse is caring for a client who is receiving chemotherapy. The client mentions that she has a loss of appetite because she has sores in her mouth and that food no longer tastes good. Which of the following suggestions to the client should the nurse make? - Correct Answers ✅Eat several, small- portioned meals daily A nurse is contributing to the plan of care for a client who is having difficulty eating following a stroke. Which of the following interventions should the nurse plan to implement first? - Correct Answers ✅Recommend a referral for a speech language pathologist Following a blood draw procedure for a fasting blood sugar (FBS) test, a client tells the nurse. "I'm glad they took my blood because I'm really hungry. All I've had since midnight is water