PN Adult Medical Surgical Online Practice A 100% GUARANTEED PASS 2024/2025 CORRECT, Exams of Nursing

Download PN Adult Medical Surgical Online Practice A 100% GUARANTEED PASS 2024/2025 CORRECT and more Exams Nursing in PDF only on Docsity! PN Adult Medical Surgical Online Practice A 100% GUARANTEED PASS 2024/2025 CORRECT A nurse is assisting with the care of a client who is postoperative following abdominal surgery. Apply oxygen to the client via a face mask Instruct the client to splint their abdomen with a pillow when coughing. Plan to ambulate the client as soon as possible. Monitor the client's pain level. A nurse is reviewing the laboratory reports of a client who reports chest pain. Which of the following laboratory results indicates the client is experiencing a myocardial infarction? Elevated Troponin For each finding, click to specify if the finding is consistent with emphysema, asthma, or pneumonia. Each finding may support more than 1 disease process. Temperature- Pneumonia Breath Sounds- Emphysema, Asthma, Pneumonia Respiratory Rate- Emphysema, Asthma, Pneumonia Cough- Emphysema, Asthma, Pneumonia A nurse is assisting with the care for a client who is suspected of having a myocardial infarction. Which of the following actions should the nurse take to prepare the client for an ECG? Cleanse the client's skin prior to electrode placement. Drag 1 condition and 1 client finding to fill in each blank in the following sentence. The client is experiencing manifestations of peritonitis due to the client's abdominal x- ray results. A nurse is assisting in the care of a client who is experiencing withdrawal from heroin. Which of the following medications should the nurse expect the provider to prescribe? Methadone 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? Pinch the NG tube. A nurse is reinforcing teaching with a client who is on a low-sodium diet and asks about how to improve the taste of bland food. Which of the following foods should the nurse recommend? Lemon Juice A nurse is assisting in the care of a client who has AIDS-related pneumonia. The client is receiving antibiotic therapy and albuterol nebulizer treatments daily. Which of the following findings should indicate to the nurse that the client's therapeutic regimen is effective? Decrease in exertion dyspnea. A nurse is reinforcing teaching with a client who has diabetes mellitus and a new prescription for regular and NPH insulin. Which of the following instructions on preparing the insulins should the nurse include? Withdraw the regular insulin before withdrawing the NPH insulin. A nurse is reinforcing teaching about glycosylated hemoglobin (HbA1c) testing with a client who has diabetes mellitus. Which of the following statements indicates that the client understands the teaching? "I will have my HbA1c checked twice per year." A nurse is assisting in the care of a client who is receiving a continuous tube feeding of 60 mL/hr at 1.2 cal/mL. How many calories will the client receive in 12 hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) 864 calories A nurse is assisting with the care for a client who is 2 hr postoperative following the amputation of a foot. Which of the following actions should the nurse take first? Check the incisional dressing. A nurse in a health clinic is reinforcing teaching with a client about tuberculosis (TB). Which of the following client statements indicates an understanding of the teaching? "I can develop TB by breathing in the infection." A nurse is preparing to assist a client out of bed 4 hr following a laparoscopic cholecystectomy. Which of the following actions should the nurse take first? Obtain the client's blood pressure. 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? Administer an antiemetic to the client. A nurse is preparing to suction a client who has a tracheostomy. Which of the following actions should the nurse take first? Ventilate the client with 100% oxygen. A nurse is reinforcing teaching with a client who has chronic kidney disease about disease management. Which of the following statements by the client indicates an understanding of the teaching? "I will limit my daily intake of protein." A nurse is reinforcing teaching with a client who has mitral valve disease. Which of the following statements by the client indicates an understanding of the disease process? "I should call my doctor if my ankles swell." A nurse is assisting with the care of a client who has prostate cancer. The client asks the nurse why they are having difficulty with urination. Which of the following responses should the nurse make? "The tumor causes obstruction of urine from the urethra." A nurse is assisting with the care for a client following a gastrectomy. Which of the following actions should the nurse take to decrease episodes of dumping syndrome. Place the client in the supine position after meals. A nurse on a medical-surgical unit is assign with the care of a newly admitted client. Select the 3 findings that require follow-up by the nurse. Oxygen Saturation Pain level Wound dressing The nurse is assisting with the care of the client. Complete the following sentence by using the lists of options. The client is most likely experiencing a hemothorax as evidenced by the client's respiratory findings. The nurse is assisting with the care of the client. Drag words from the choices below to fill in each blank in the following sentence. The nurse should first address the client's blood pressure, followed by the client's oxygenation. For each potential provider prescription, click to specify if the potential prescription is anticipated or contraindicated for the client. Anticipated- Transfuse packed RBC's. Prepare the client for the chest tube insertion. Initiate NPO status. Contraindicated- Place the client in Trendelenburg position. Cover the client with a cooling blanket. The nurse is assisting with the care of the client following the placement of a chest tube for a hemothorax. Which of the following actions should the nurse take? Select all that apply Place the client in high-Fowler's position Place two rubber-tipped hemostats in the client's room Palpate the chest tube insertion site for subcutaneous emphysema Ensure that all chest tube connections are securely attached WBC count of 15,000/mm3 A nurse is planning care for a group of clients after receiving change-of-shift report. Which of the following clients should the nurse plan to see first? A client who is dehydrated, has mental confusion, and has tried to get out of bed several times during the night. A nurse is assisting with the care for a client who has dementia due to Alzheimer's disease. Which of the following actions should the nurse take to reduce the client's confusion? Encourage reminiscence of past experiences. A nurse is assisting with the care of a client. Select the 3 findings that require follow-up by the nurse. Visual disturbances Headache Nausea For each finding below, click to specify if the finding is consistent with migraine, stroke, or meningitis. Each finding may support more than 1 disease process. Migraine- Nausea, Visual Changes, Pain, Family History Stroke- Visual Changes, Pain, Family History Meningitis- Nausea, Visual Changes, Pain Complete the following sentence by using the lists of options. The nurse should identify that the client is most likely experiencing a migraine, and the nurse should address the client's pain. A nurse is assisting with the care of a client who has a migraine. Which of the following interventions should the nurse anticipate? Select all that apply. Administer sumatriptan. Dim the lights in the client's room. Complete the following sentence by using the list of options. Following the administration of sumatriptan, the nurse should monitor for chest pain due to the risk for myocardial ischemia. The nurse is evaluating the client's understanding of the discharge instructions. Click to highlight the client statements that indicate an understanding of the teaching. To deselect a statement, click on the statement again. "Foods that contain tyramine might trigger my headaches." "I will keep a food and headache diary." "I will place a cool cloth on my forehead when I experience a migraine." A nurse is contributing to the plan of care for a client who has COPD and is dyspneic. Which of the following interventions should the nurse include in the plan? Encourage abdominal breathing. A nurse is preparing to assist with the insertion of a double-lumen gastric sump tube for a client who has peptic ulcer disease and has developed gastrointestinal bleeding. Which of the following images depicts the tube that the nurse should select? the first one 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? "I should wait at least 2 hours after eating before going to bed." A nurse is reinforcing teaching with a client who has asthma and a new prescription for a corticosteroid. Which of the following findings should the nurse include as an adverse effect of the medication. Frequent colds A nurse is collecting data from a client who has heart failure and is taking digoxin. Which of the following outcomes from the medication should the nurse expect? Decreased Shortness of breath A nurse is reinforcing teaching about pursed-lip breathing with a client who has a new diagnosis of COPD. The nurse should identify that which of the following client statements indicates an understanding of the teaching? "Pursed-lip breathing works best for activities like walking up stairs." A nurse is reviewing the chart of a client who is experiencing an adrenal crisis, which was precipitated by the client not taking their medication for several days. The nurse should identify that withdrawal from which of the following medications potentiated the adrenal crisis? Prednisone A nurse is reinforcing teaching with a client who has type 1 diabetes mellitus about glycosylated hemoglobin (HbA1c) testing. Which of the following information should the nurse include in the teaching? HbA1c results measure glucose control for the prior 3 months. A nurse in an orthopedic clinic is reinforcing teaching with a client who has osteoarthritis. Which of the following instructions should the nurse include to promote comfort? Sleep on a firm mattress. 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 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 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 he following steps? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.) Check the IV site. Stop the infusion. Withdraw the IV catheter. Elevate the affected arm. Notify the charge nurse. A nurse is assisting with the care for a client who has age-related macular degeneration. Which of the following findings should the nurse expect? Distorted central vision of the eyes. A nurse is contributing to the plan of care for ac client who has a head injury and is at risk for increased intracranial pressure (ICP). Which of the following actions should the nurse include in the plan? Use a turn sheet to reposition the client. A nurse is reinforcing discharge teaching with a client who has cirrhosis. Which of the following instructions should the nurse include? "Consume foods that are low in sodium." A nurse is reinforcing teaching with a client who has a new diagnosis of genital herpes. Which of the following information should the nurse include? "The virus can be transmitted without lesions being present." A nurse is assisting with the care 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? Combination oral contraceptives A nurse is reinforcing teaching with the caregiver of a client who has a cervical injury and has a halo vest in place. Which of the following safety precautions should the nurse include in the teaching? Change the sheepskin liner weekly. A nurse is reinforcing dietary teaching with a client about increasing the intake of foods containing vitamin C to enhance absorption of oral iron supplements. Which of the following food choices should the nurse include in the teaching? 1 cup of boiled broccoli A nurse is assisting in monitoring a client who is receiving dialysis treatment. For each potential nursing intervention, click to specify if the intervention is indicated or not indicated. Indicated- Place the client in reverse Trendelenburg position. Assist with administering a 0.9% sodium chloride 200 mL IV bolus. Apply oxygen at 2 L/min via nasal cannula. Notify the charge nurse immediately.\ Not Indicated- Request a chest x-ray. Obtain the client's blood glucose level. A nurse is assisting with the care of a client. Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress. Administer morphine IV, Ensure the client is NPO. Cholecystitis Rectal Bleeding, Mucus in stools A nurse is assisting with the care of a client who was admitted from the emergency department with a burn injury. Drag words from the choices below to fill in each blank in the following sentence. During the emergent phase of burn care, the client is at risk for developing hypovolemia and respiratory failure.