PN Adult Medical Surgical Online Practice 2022/2023 A, Exams of Nursing

Download PN Adult Medical Surgical Online Practice 2022/2023 A and more Exams Nursing in PDF only on Docsity! PN Adult Medical Surgical Online Practice 2022/2023 A PN Adult Medical Surgical Online Practice 2022 A A nurse is caring for a client who has terminal pancreatic cancer. The client states, "I don't think I can go on any longer." Which of the following responses should the nurse make? "Are you experiencing abdominal pain?" "You should talk about this with the people you're closest to." "Many people who have cancer feel this way." "You feel like you want to discontinue treatment?" - ANSWER "You feel like you want to discontinue treatment?" A nurse is contributing to the plan of care for a client who is having difficulty eating following a stroke. Which of the following actions should the nurse take first? Collaborate with a dietitian. Ensure that the client is provided with a high-ber diet. Implement recommendations from the speech-language pathologist. Request a referral for an occupational therapist. - ANSWER Implement recommendations from the speech-language pathologist . A nurse is caring for a client who is 3 days postoperative following a total right hip arthroplasty. Which of the following actions should the nurse take? Use a traction boot to keep the client's right leg internally rotated. Have the client sit in a reclining chair when out of bed. Maintain abduction of the client's right leg while in bed. Encourage the client to perform passive range-of-motion exercises. - ANSWER Maintain abduction of the client's right leg while in bed. A nurse is contributing to the plan of care for a client who was admitted to the neurological unit following a stroke 3 hr ago. Which of the following interventions should the nurse identify as the priority? Encourage the client to participate in self-care. Assist the client with active range-of-motion exercises. Keep the client in a side-lying position. PN Adult Medical Surgical Online Practice 2022/2023 A Maintain the client's body alignment - ANSWER Keep the client in a side-lying position. A nurse is participating in a health fair for older adult clients. Which of the following vaccines should the nurse recommend for this age group? PN Adult Medical Surgical Online Practice 2022/2023 A Restrict the client's fluid intake Maintain the pressure dressing Check the client's peripheral pulses - ANSWER Monitor the insertion site for bleeding is Maintain the pressure dressing Check the client's peripheral pulses A home health nurse is reinforcing teaching about preventing asthma attacks with a client who has asthma. Which of the following instructions should the nurse include in the teaching? "Cover the floor of your bedroom with carpet." "Do not allow visitors to smoke cigarettes in your home." "Breathe cold air to ease feelings of shortness of breath." "Open the windows in your home during the spring to increase air flow." - ANSWER "Do not allow visitors to smoke cigarettes in your home." 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 medication? Reduces bacteria in the urinary tract Suppresses urge to void Prevents nerve stimulation to the bladder muscle Decreases pain during urination - ANSWER Decreases pain during urination A nurse is monitoring a client who is taking acarbose. Which of the following findings should the nurse identify as an adverse effect of the medication? Polyuria Abdominal cramps Renal insufficiency Insomnia - ANSWER Abdominal cramps A nurse is caring for a client who has a new cast on their left forearm and reports severe pain in the affected arm with numbness in the ngers. The nurse nds the skin is pale and cold with sluggish capillary refill. Which of the following fracture complications should the nurse suspect? Compartment syndrome Fat embolism Deep-vein thrombosis Osteomyelitis - ANSWER Compartment Syndrome A nurse is assisting with the discharge planning for a client who is PN Adult Medical Surgical Online Practice 2022/2023 A postoperative following a total hip arthroplasty. Which of the following instructions should the nurse include in the discharge plan? PN Adult Medical Surgical Online Practice 2022/2023 A Expect decreased sensation for the rst postoperative week. Avoid lying on the operative side. Obtain a raised toilet seat. Cross legs at the ankles - ANSWER Obtain a raised toilet seat. A nurse is assisting in the care of a client who has manifestations of sepsis. Which of the following provider prescriptions should the nurse implement first? Collect a sputum culture Administer ceftriaxone by intermittent IV bolus. Initiate oxygen at 4 L/min via nasal cannula Obtain blood cultures. - ANSWER Initiate oxygen at 4 L/min via nasal cannula 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? HbA1c 6% Prealbumin 12 mg/dL WBC count 8,000/mm3 Creatinine 0.8 mg/dL - ANSWER Prealbumin 12 mg/dL 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? Keep the door of the client's room closed at all times. Remove gloves after leaving the client's room. Wear a mask when working within 1 m (3 feet) of the client. Have a designated stethoscope in the client's room. - ANSWER Have a designated stethoscope in the client's room. 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? Perform pin site care daily. Remove the overbed trapeze. Remove the boot every 2 hr. Keep the weights on a stable, at surface. - ANSWER Perform pin site care daily. PN Adult Medical Surgical Online Practice 2022/2023 A elevated. Apply a sterile gauze dressing to the site. Massage the site with moisturizing lotion. PN Adult Medical Surgical Online Practice 2022/2023 A Place a donut-shaped cushion under the client's sacral area. - ANSWER Minimize the time the head of the bed is elevated. A nurse is reinforcing teaching about the management of constipation with a client who has hypothyroidism. Which of the following instructions should the nurse include in the teaching? Increase intake of fiber-rich foods. Take a laxative every morning Maintain a fluid intake of 1,200 mL/day. Limit activity to preserve energy. • - ANSWER Increase intake of fiber-rich foods. A nurse is reinforcing teaching with a client who is scheduled for a guaiac fecal occult blood test. Which of the following instructions should the nurse include in the teaching? Do not eat or drink for 6 hr prior to the test Ensure that the stool specimen is obtained in the morning. Take ibuprofen for mild pain until the test is complete. Avoid eating red meat for 3 days prior to the test. - ANSWER Avoid eating red meat for 3 days prior to the test. A nurse is collecting data from a client who has hypokalemia. Which of the following findings should the nurse identify as the priority? Muscle weakness Dysrhythmia Abdominal pain Lethargy - ANSWER Dysrhythmia A nurse is collecting data from a 55-year-old female client who reports vaginal dryness and hot ashes. The client is interested in trying hormone replacement therapy (HRT). Which of the following should the nurse recognize as a contraindication to HRT? Five-year history of menopause manifestations History of treatment for blood clots Topiramate use for migraine headaches Increased serum cholesterol levels - ANSWER History of treatment for blood clots A nurse is caring for a client who is receiving chemotherapy. The client PN Adult Medical Surgical Online Practice 2022/2023 A mentions that they have a loss of appetite because of sores in their mouth and that food no longer tastes good. Which of the following suggestions to the client should the nurse make? Drink water before and after each bite. Consume foods that are served hot rather than cold. Rinse with a glycerin-based mouthwash before meals. PN Adult Medical Surgical Online Practice 2022/2023 A Instruct the client to lean back when coughing. - ANSWER Encourage abdominal breathing. A nurse is contributing to the plan of care for a client who has Ménière's disease. Which of the following interventions should the nurse include in the plan of care? Increase the client's fluid intake. Assist the client with changing positions often. Encourage the client to rest in a well-lit room. Administer an antiemetic to the client - ANSWER Administer an antiemetic to the client A nurse is discussing health screening guidelines with an older adult client. Which of the following statements should the nurse include? "You should have a screening for glaucoma every 5 years." "You should have a physical examination every other year." "You should have your hearing checked every 2 years." "You should have a pneumococcal immunization every 10 years." - ANSWER "You should have a pneumococcal immunization every 10 years." A nurse is preparing to remove a client's NG tube. Which of the following interventions should the nurse take to decrease the risk for aspiration? Instill 10 mL of air through the NG tube. Place the client in the supine position. Irrigate the NG tube. Pinch the NG tube. - ANSWER Pinch the NG tube. A nurse is preparing to administer phytonadione 7 mg subcutaneously to a client who has an INR of 4. Available is phytonadione 10 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) - ANSWER 0.7 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? Apply a mask on the client if the transport is needed. Wear a mask when working within 1.2 m (4 feet) of the client Don a gown when visiting with the client Wear an N95 mask when entering the client's room. - ANSWER Apply a mask on the client if transport is needed. • PN Adult Medical Surgical Online Practice 2022/2023 A 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? PN Adult Medical Surgical Online Practice 2022/2023 A Keep the skin dry and free of perspiration. Use hot water and antibacterial soap to bathe the client. Massage the skin over bony prominences to promote circulation. Limit the use of moisturizers on the skin over bony prominences. - ANSWER Keep the skin dry and free of perspiration. A nurse is assisting a client who reports difficulty falling asleep. Which of the following activities should the nurse recommend to promote sleep? Get out of bed if unable to fall asleep within 60 min. Take a brisk walk before sleeping. Listen to soft music before sleeping. Drink adequate amounts of uids before sleeping. - ANSWER Listen to soft music before sleeping. A nurse is caring for a client who has meningococcal pneumonia. Which of the following personal protective equipment should the nurse use? Gow n Mask Sterile gloves Protective eyewear - ANSWER Mask A nurse is performing an 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? (You will nd hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.) - ANSWER C is correct. The nurse should identify that the V1 electrode should be placed in the fourth intercostal space just to the right of the sternum. Correct placement of the electrodes is vital in obtaining accurate information about the electrical activity of the heart. 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. After stopping the infusion, which of the following actions should the nurse take next? Collect a urine sample. Take the client's vital signs. Return the blood to the laboratory. Administer an antihistamine. - ANSWER Take the client's vital signs. A nurse is preparing to suction a client who has a tracheostomy. Which of the following actions should the nurse take first? PN Adult Medical Surgical Online Practice 2022/2023 A complications of peripheral vascular disease. Which of the following statements indicates that the client is adhering to the nurse's instructions? "I apply rubbing alcohol to my feet every day to prevent infection." PN Adult Medical Surgical Online Practice 2022/2023 A "I will wear clean, knee-high wool socks every day to help improve my circulation." "I use hot water bottles to keep my feet warm at night." "I don't cross my legs anymore." - ANSWER "I don't cross my legs anymore." A nurse is preparing to administer scheduled medications to a client. Which of the following prescriptions should the nurse verify with the provider? (Click on the exhibit tabs for additional information about the client. There are three tabs that contain separate categories of data.) Ceftriaxon e Diltiazem Pioglitazon e Hydrocodone 5 mg/acetaminophen 500 mg - ANSWER Ceftriaxone 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? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.) Notify the charge nurse. Stop the infusion. Elevate the affected arm. Withdraw the IV catheter. Check the IV site. - ANSWER Check the IV site. Stop the infusion. Withdraw the IV catheter. Elevate the affected arm. Notify the charge nurse. A nurse is assisting in the plan of care regarding bowel retraining for a client who has a cervical spinal cord injury. Which of the following interventions should the nurse plan to implement first? Determine the client's daily elimination habits. Administer a suppository to the client 30 min prior to defecation time. Offer the client 4 oz of warm prune juice to promote elimination. Provide dietary bulk to the client to ease the passage of stool. - ANSWER Determine the client's daily elimination habits. A nurse is caring for a client who had an acute ischemic stroke 1 day ago. PN Adult Medical Surgical Online Practice 2022/2023 A Which of the following actions should the nurse take to reduce the risk for aspiration? Allow for 30 min of rest before meals. Provide a straw for drinking liquids. Serve foods at room temperature. PN Adult Medical Surgical Online Practice 2022/2023 A Align the frame joint of the CPM machine with the middle of the client's calf. - ANSWER Keep a sheepskin pad between the client's extremity and the CPM machine. 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? "Take the medication on an empty stomach." "Limit contact with large groups of people." "Avoid taking over-the-counter calcium supplements." "Follow a low-protein diet." - ANSWER "Limit contact with large groups of people." A nurse is examining a client's IV site and notes a red line up their 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? Thrombophlebi tis Infiltration Hematoma Venous spasms - ANSWER Thrombophlebitis 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? Cirrhosis of the liver Hypermotility of the bowel Intra-abdominal bleeding Acute cholecystitis - ANSWER Intra-abdominal bleeding A nurse is collecting data from a client who has hypothyroidism. Which of the following manifestations should the nurse anticipate? Blurred vision Insomnia Bradycardia Weight loss - ANSWER Bradycardia A nurse is caring for a client who is postoperative and has an epidural infusion. Which of the following findings should the nurse recognize as the priority? PN Adult Medical Surgical Online Practice 2022/2023 A Pruritu s Nause a Urinary retention Dyspnea - ANSWER Dyspnea PN Adult Medical Surgical Online Practice 2022/2023 A A nurse is preparing to administer furosemide to a client who has heart failure. Which of the following findings should the nurse report before administering the medication? Elevated sodium Elevated blood pressure Decreased potassium Decreased urine output - ANSWER Decreased potassium A nurse is reviewing the laboratory results of a client who has chronic kidney failure and is receiving epoetin alfa. The nurse should identify that which of the following laboratory values indicates the treatment is effective? BUN 40 mg/dL Hgb 11 g/dL Urine specific gravity 1.035 Blood glucose 105 mg/dL - ANSWER Hgb 11 g/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? Visitors should call prior to visiting the client. Visitors must don a gown and gloves prior to entering the client's room. Visitors need to wear a mask when in close proximity to the client. Visitors may not bring fresh flowers into the client's room. - ANSWER Visitors must don a gown and gloves prior to entering the client's room. A nurse is contributing to the plan of care for a client who has partial hearing loss. Which of the following interventions should the nurse include in the plan of care? Face the client while speaking. Use a high-pitched tone when talking to the client. Avoid using gestures when communicating. Repeat misunderstood phrases. - ANSWER Face the client while speaking. 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? Intrauterine PN Adult Medical Surgical Online Practice 2022/2023 A client. Position the client in the semi-Fowler's position. Loosen clothing around the client's neck. - ANSWER Loosen clothing around the client's neck. PN Adult Medical Surgical Online Practice 2022/2023 A A nurse is reinforcing teaching about joint protection with a client who has an acute exacerbation of rheumatoid arthritis. Which of the following information should the nurse include in the teaching? Apply cold packs to the inamed joints. Participate in high-impact exercise. Carry a hand purse rather than a shoulder bag. Sleep on a soft foam mattress. - ANSWER Apply cold packs to the inamed joints. A nurse is reinforcing teaching with a client who is to begin using an insulin pump. Which of the following instructions should the nurse include? "Insert the infusion needle into intramuscular tissue." "Change the needle every 5 days." "Calculate the insulin for each meal by using an insulin-to-protein ratio." "Use rapid-acting insulin in the infusion device." - ANSWER "Use rapid-acting insulin in the infusion device." A nurse is contributing to the plan of care for a client who has peripheral arterial disease of the lower extremities. Which of the following interventions should the nurse include? Place moist heat pads on the extremities. Perform manual massage of the affected extremities. Dangle the extremities o the side of the bed. Apply support stockings before getting out of bed. - ANSWER Dangle the extremities o the side of the bed. A nurse is contributing to the plan of care for a client who is at risk for osteoporosis. Which of the following interventions should the nurse include to prevent bone loss? Increase fluid intake. Encourage range-of-motion exercises. Massage bony prominences. Encourage weight-bearing exercises. - ANSWER Encourage weight-bearing exercises. A nurse is caring for a client who has difficulty swallowing. Which of the following actions should the nurse implement to prevent aspiration? Provide small, frequent meals. PN Adult Medical Surgical Online Practice 2022/2023 A Tell the client to extend their neck when swallowing. Provide mouth care before meals. Give the client liquids with increased viscosity. - ANSWER Give the client liquids with increased viscosity. A nurse is assisting with the care of a client who has a newly-inserted water- seal closed chest tube. Which of the following findings should the nurse report to the provider? PN Adult Medical Surgical Online Practice 2022/2023 A 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? (Select all that apply.) "I should expect to feel sleepy after using my albuterol inhaler." "I never forget to rinse my mouth after using my budesonide inhaler." "Between office visits, I keep a record of how many times I use my albuterol inhaler." "I use my albuterol inhaler before I go swimming." "I should use my budesonide inhaler before using my albuterol inhaler." - ANSWER "I never forget to rinse my mouth after using my budesonide inhaler." "Between office visits, I keep a record of how many times I use my albuterol inhaler." "I use my albuterol inhaler before I go swimming." A nurse is reinforcing discharge teaching about wound care with the caregiver of a client who is postoperative. Which of the following instructions should the nurse include in the teaching? Administer an analgesic following wound care. Irrigate the wound with povidone iodine. Cleanse the wound with a cotton-tipped applicator. Report purulent drainage to the provider. - ANSWER Report purulent drainage to the provider. 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? "I will perform the exam before I shower." "I will check my testicles every 6 months." "I understand that testicular cancer is typically painless." "I understand that pea-sized lumps are normal." - ANSWER "I understand that testicular cancer is typically painless." A nurse is reinforcing teaching with a client who has gonorrhea. Which of the following information should the nurse include? "Your partner will not require treatment for this infection." "You can resume sexual activity as soon as you begin treatment." "You are at risk for infertility with this infection, regardless of treatment." "You will not be at further risk for this infection following treatment." - ANSWER "You are at risk for infertility with this infection, regardless of treatment." PN Adult Medical Surgical Online Practice 2022/2023 A A nurse is reinforcing teaching about gastroesophageal reflux disease (GERD) with a client. Which of the following statements by the client indicates an understanding of the teaching? PN Adult Medical Surgical Online Practice 2022/2023 A "I should wait at least 2 hours after eating before going to bed." "I should eat three meals a day without eating snacks between meals." "I should season my food with garlic." "I should drink my liquids through a straw." - ANSWER "I should wait at least 2 hours after eating before going to bed."