RN ADULT MEDICAL SURGICAL ONLINE PRACTICE 2023 A NGN EXAM QUESTIONS AND ANSWERS LATEST UPD, Exams of Nursing

Download RN ADULT MEDICAL SURGICAL ONLINE PRACTICE 2023 A NGN EXAM QUESTIONS AND ANSWERS LATEST UPD and more Exams Nursing in PDF only on Docsity! RN ADULT MEDICAL SURGICAL ONLINE PRACTICE 2023 A NGN EXAM QUESTIONS AND ANSWERS LATEST UPDATE 2024/2025 ALL ANSWERS CORRECT ELABORATED BEST GRADED A+ FOR SUCCESS NGN 1000: Client is alert and oriented and reports not feeling well for a few days. Client is on continuous ambulatory peritoneal dialysis (CAPD) and reports dialysate appeared cloudy this morning. Reports abdominal pain as 4 on a scale of 0 to 10. Bowel sounds active in all quadrants. Peritoneal dialysis access site red, warm to touch, with a small amount of purulent drainage noted on dressing.1300: Client is lying in bed with the knees flexed, guarding the abdomen. Abdomen is slightly distended, hypoactive bowel sounds. Client reports nausea. Reports pain as 6 on a scale of 0 to 10. Provider notified and updated with client condition and diagnostic results. - CORRECT ANSWERS The client is experiencing manifestations of peritonitis due to x-ray results . NGN Client admitted to medical-surgical unit from PACU. Client reports incisional pain as 2 on a scale of 0 to 10. Client appears restless and frequently asks for water. Bilateral lower extremities cool with +1 pedal pulses. Urine output is 40 mL for the past 2 hr. Moderate amount of bright red drainage noted on surgical incision dressing. - CORRECT ANSWERS Insert a large-gauge IV. Initiate a fluid challenge. Hypovolemia Urine output Blood pressure RN ADULT MEDICAL SURGICAL ONLINE PRACTICE 2023 A NGN EXAM QUESTIONS AND ANSWERS LATEST UPDATE 2024/2025 ALL ANSWERS CORRECT ELABORATED BEST GRADED A+ FOR SUCCESS A nurse is caring for a client who has a potassium level of 3 mEq/L. Which of the following assessment findings should the nurse expect? - CORRECT ANSWERS Hypoactive Bowel Sounds NGN 0900: Client presents with abdominal pain in the upper left quadrant for the past 2 days. States pain became worse this morning and is radiating to the back. Rates pain as 8 on a scale of 0 to 10. Hypoactive bowel sounds; reports nausea, no vomiting; client is passing flatus. Febrile, oriented to person, place, and time. Tachypnea with diminished breath sounds. Sinus tachycardia. Client voids 300 mL of clear, amber urine. 0930: Client vomited 100 mL brown liquid. - CORRECT ANSWERS The client is experiencing manifestations of pancreatitis as evidenced by the amylase and lipase . 0530: Client is awake and alert. Arteriovenous fistula (AVF) to right forearm with thrill palpated and auscultated for bruit. Lung sounds clear upon auscultation; client denies shortness of breath. No peripheral edema noted; capillary refill is less than 3 seconds; +2 bilateral pedal and radial pulses. AVF access prepared and cannulated twice with no difficulty. Lines are taped and secured; treatment is initiated.0600: Client is reading a book. Access is visible, and lines are secure. Client reports no discomfort or pain.0630: RN ADULT MEDICAL SURGICAL ONLINE PRACTICE 2023 A NGN EXAM QUESTIONS AND ANSWERS LATEST UPDATE 2024/2025 ALL ANSWERS CORRECT ELABORATED BEST GRADED A+ FOR SUCCESS A nurse is providing teaching for a female client who has recurrent urinary tract infections. Which of the following information should the nurse include in the teaching? - CORRECT ANSWERS Void before and after intercourse. A nurse is providing postoperative teaching for a client who had a total knee arthroplasty. Which of the following instructions should the nurse include? - CORRECT ANSWERS Flex the foot every hour when awake A nurse is assessing a client who has had a suspected stroke. The nurse should place the priority on which of the following findings? - CORRECT ANSWERS Dysphagia A nurse is administering packed RBCs to a client. Which of the following assessment findings indicates a hemolytic transfusion reaction? - CORRECT ANSWERS Low back pain and apprehension A nurse in an emergency department is assessing an older adult client who has a fractured wrist following a fall. During the assessment, the client states, "Last week I crashed my car because my vision suddenly became blurry." Which of the following actions is the nurse's priority? - CORRECT ANSWERS Check the client's neurologic status. A nurse is evaluating the plan of care for four clients after 2 days of hospitalization. The nurse should identify the need to revise the plan for which of the following clients? - CORRECT ANSWERS A client who is postoperative following abdominal surgery and reports feeling that something "popped" when they coughed. A nurse is assessing a client who had extracorporeal shock wave lithotripsy (ESWL) 6 hr ago. Which of the following findings should the nurse expect? - CORRECT ANSWERS Stone fragments in the urine A nurse is providing teaching to a client who has stage II cervical cancer and is scheduled for brachytherapy. Which of the following instructions should the nurse include? - CORRECT ANSWERS "You will need to stay still in the bed during each treatment session." RN ADULT MEDICAL SURGICAL ONLINE PRACTICE 2023 A NGN EXAM QUESTIONS AND ANSWERS LATEST UPDATE 2024/2025 ALL ANSWERS CORRECT ELABORATED BEST GRADED A+ FOR SUCCESS A nurse is caring for a client has who has chronic glomerulonephritis with oliguria. Which of the following findings should the nurse identify as a manifestation of chronic glomerulonephritis? - CORRECT ANSWERS Hyperkalemia A nurse is admitting a client who has active tuberculosis. Which of the following types of transmission precautions should the nurse initiate? - CORRECT ANSWERS Airborne A nurse is providing teaching to a client who is receiving chemotherapy and has a new prescription for epoetin alfa. Which of the following client statements indicates an understanding of the teaching? - CORRECT ANSWERS "I will monitor my blood pressure while taking this medication." A nurse is caring for a client who has terminal cancer. The client tells the nurse, "I wish I could stop these treatments. I am ready to die." Which of the following statements should the nurse make? - CORRECT ANSWERS Discontinuing with the treatments is your choice if it is your wish to do so. A nurse is caring for a client who has anorexia, low-grade fever, night sweats, and a productive cough. Which of the following actions should the nurse take first? - CORRECT ANSWERS Initiate airborne precautions. A nurse is reviewing the laboratory results of a client who has aplastic anemia. Which of the following findings indicates a potential complication? - CORRECT ANSWERS WBC count 2,000/mm3 NGN 2330: Report received from ambulance crew: Client has a penetrating wound to the anterior upper right chest. Client is alert and oriented with a Glasgow Coma Scale (GCS) score of 15. Client's shirt covered with bright red blood. Client reports pain as 6 on a scale of 0 to 10. Shortness of breath noted.2345: Client is alert and oriented with a GCS score of 15. Client has a penetrating wound to the anterior right upper chest measuring 2.5 cm (1 in). No other wounds or injuries found. RN ADULT MEDICAL SURGICAL ONLINE PRACTICE 2023 A NGN EXAM QUESTIONS AND ANSWERS LATEST UPDATE 2024/2025 ALL ANSWERS CORRECT ELABORATED BEST GRADED A+ FOR SUCCESS Bilateral radial and pedal pulses are +1. Left lung sounds are clear, right upper lung sounds diminished. Client still reports pain as 6 on a scale of 0 to 10 over anterior chest. Bowel sounds are present in all 4 quadrants. - CORRECT ANSWERS Client reports pain as 3 on a scale of 0 to 10 is correct. Client reports shortness of breath has decreased is correct. Client reports nausea, awaiting prescription for nausea is incorrect. Transfused 1 unit of packed RBCs, awaiting second unit is incorrect. Wound dressing is dry and intact is correct. Respiratory rate 24/min, blood pressure 108/74 mm Hg, and oxygen saturation 95% on 2 L/min via nasal cannula are correct. NGN 2330: Report received from ambulance crew: Client has a penetrating wound to the anterior upper right chest. Client is alert and oriented with a Glasgow Coma Scale (GCS) score of 15. Client's shirt covered with bright red blood. Client reports pain as 6 on a scale of 0 to 10. Shortness of breath noted.2345: Client is alert and oriented with a GCS score of 15. Client has a penetrating wound to the anterior right upper chest measuring 2.5 cm (1 in). No other wounds or injuries found. Bilateral radial and pedal pulses are +1. Left lung sounds are clear, right upper lung sounds diminished. Client still reports pain as 6 on a scale of 0 to 10 over anterior chest. Bowel sounds are present in all 4 quadrants. - CORRECT ANSWERS Place the client in high- Fowler's position is correct. RN ADULT MEDICAL SURGICAL ONLINE PRACTICE 2023 A NGN EXAM QUESTIONS AND ANSWERS LATEST UPDATE 2024/2025 ALL ANSWERS CORRECT ELABORATED BEST GRADED A+ FOR SUCCESS Client still reports pain as 6 on a scale of 0 to 10 over anterior chest. Bowel sounds are present in all 4 quadrants. - CORRECT ANSWERS The client is most likely experiencing a hemothorax as evidenced by the client's respiratory findings NGN 2330: Report received from ambulance crew: Client has a penetrating wound to the anterior upper right chest. Client is alert and oriented with a Glasgow Coma Scale (GCS) score of 15. Client's shirt covered with bright red blood. Client reports pain as 6 on a scale of 0 to 10. Shortness of breath noted. - CORRECT ANSWERS GCS score is incorrect. Temperature is incorrect. Oxygen saturation is correct. Pain level is correct. A nurse is planning care for a client who is postoperative following a laparotomy and has a closed-suction drain. Which of the following actions should the nurse take to manage the drain? - CORRECT ANSWERS Compress the drain reservoir after emptying. A nurse is planning care to decrease psychosocial health issues for a client who is starting dialysis treatments for chronic kidney disease. Which of the following interventions should the nurse include in the plan? - CORRECT ANSWERS Tell the client that it is possible to return to similar previous levels of activity. A nurse is planning care for a client who is undergoing brachytherapy via a sealed vaginal implant to treat endometrial cancer. Which of the following actions should the nurse include RN ADULT MEDICAL SURGICAL ONLINE PRACTICE 2023 A NGN EXAM QUESTIONS AND ANSWERS LATEST UPDATE 2024/2025 ALL ANSWERS CORRECT ELABORATED BEST GRADED A+ FOR SUCCESS in the client's plan of care? - CORRECT ANSWERS Wear a lead apron while providing care to the client. A nurse is planning care for a client who is scheduled for a thoracentesis. Which of the following interventions should the nurse include in the plan? - CORRECT ANSWERS Encourage the client to take deep breaths after the procedure. A nurse in an acute care facility is caring for a client who is at risk for seizures. Which of the following precautions should the nurse implement? - CORRECT ANSWERS Ensure that the client has a patent IV. A nurse is providing preoperative teaching for a client who is scheduled for an open cholecystectomy. Which of the following actions should the nurse take? - CORRECT ANSWERS Demonstrate ways to deep breathe and cough. A nurse is caring for a client who has homonymous hemianopsia as a result of a stroke. To reduce the risk of falls when ambulating, the nurse should provide which of the following instructions to the client? - CORRECT ANSWERS "Scan the environment by turning your head from side to side." A nurse is assessing a client who has advanced lung cancer and is receiving palliative care. The client has just undergone thoracentesis. The nurse should expect a reduction in which of the following common manifestations of advanced cancer? - CORRECT ANSWERS dyspnea A nurse is caring for a client who is receiving total parenteral nutrition (TPN). A new bag is not available when the current infusion is nearly completed. Which of the following actions should the nurse take? - CORRECT ANSWERS Administer dextrose 10% in water until the new bag arrives. A nurse is providing teaching to a client who has a gastric ulcer and a new prescription for omeprazole. The nurse should instruct the client that the medication provides relief by which of the following actions? - CORRECT ANSWERS Suppressing gastric acid production RN ADULT MEDICAL SURGICAL ONLINE PRACTICE 2023 A NGN EXAM QUESTIONS AND ANSWERS LATEST UPDATE 2024/2025 ALL ANSWERS CORRECT ELABORATED BEST GRADED A+ FOR SUCCESS A nurse is planning to irrigate and dress a clean, granulating wound for a client who has a pressure injury. Which of the following actions should the nurse take? - CORRECT ANSWERS Use a 30-mL syringe. A nurse is providing teaching to a client who has cancer and a new prescription for an opioid analgesic for pain management. Which of the following information should the nurse include in the teaching? - CORRECT ANSWERS "You should void every 4 hours to decrease the risk of urinary retention." A nurse in a provider's office is assessing a client who has hypertension and takes propranolol. Which of the following findings should indicate to the nurse that the client is experiencing an adverse reaction to this medication? - CORRECT ANSWERS Report of a night cough A nurse is teaching a group of newly licensed nurses about pain management for older adult clients. Which of the following statements by a newly licensed nurse indicates an understanding of the teaching? - CORRECT ANSWERS "Ibuprofen can cause gastrointestinal bleeding in older adult clients." A nurse is assessing a client following the completion of hemodialysis. Which of the following findings is the nurse's priority to report to the provider? - CORRECT ANSWERS Restlessness A nurse is assessing a client who is postoperative following a thyroidectomy. Which of the following findings is the nurse's priority? - CORRECT ANSWERS Temperature 38.9° C (102° F) A nurse is providing education to a client who has tuberculosis (TB) and their family. Which of the following information should the nurse include in the teaching? - CORRECT ANSWERS Family members in the household should undergo TB testing. A nurse is providing discharge instructions to a client following an upper gastrointestinal series with barium contrast. Which of the following information should the nurse provide? - CORRECT ANSWERS Increase fluid intake RN ADULT MEDICAL SURGICAL ONLINE PRACTICE 2023 A NGN EXAM QUESTIONS AND ANSWERS LATEST UPDATE 2024/2025 ALL ANSWERS CORRECT ELABORATED BEST GRADED A+ FOR SUCCESS and the nurse should address the client's pain . 1000:Client presents to the ED with visual disturbances, expressive aphasia, and numbness and tingling of the lips. Manifestations started about 30 min ago. Client reports flashing lights in their vision, especially on the right side. Client's partner states the client had some difficulty with finding words when speaking. Client is alert and oriented x 3 and appears anxious. No facial drooping noted. Right hand grasp is weaker than left. Client denies pain. - CORRECT ANSWERS Hand grasps is consistent with migraine, stroke, and meningitis. Numbness is consistent with migraine and stroke. Aphasia is consistent with migraine and stroke. Visual changes are consistent with migraine, stroke, and meningitis. Family history is consistent with migraine and stroke. NGN 1000:Temperature 36.8° C (98.4° F)Heart rate 98/minRespiratory rate 18/minBlood pressure 134/75 mm HgOxygen saturation 98% on room air - CORRECT ANSWERS Visual disturbances is correct. Tingling of the lips is correct. Hand grasps is correct. Expressive aphasia is correct. RN ADULT MEDICAL SURGICAL ONLINE PRACTICE 2023 A NGN EXAM QUESTIONS AND ANSWERS LATEST UPDATE 2024/2025 ALL ANSWERS CORRECT ELABORATED BEST GRADED A+ FOR SUCCESS A nurse on a medical-surgical unit is reviewing the medical record of an older adult client who is receiving IV fluid therapy. Which of the following client information should indicate to the nurse that the client requires re-evaluation of the IV therapy prescription? (Click on the "Exhibit" button for additional information about the client. There are three tabs that contain separate categories of data.) - CORRECT ANSWERS BUN A nurse is reviewing the ABG results of a client who has advanced COPD. Which of the following results should the nurse expect? - CORRECT ANSWERS PaCO2 56 mm Hg A nurse is preparing to administer a blood transfusion to a client who has anemia. Which of the following actions should the nurse take first? - CORRECT ANSWERS Check for the type and number of units of blood to administer. A nurse is caring for a client who had a nephrostomy tube inserted 12 hr ago. Which of the following findings should the nurse report to the provider? - CORRECT ANSWERS The client reports back pain. A nurse is caring for a client who has amyotrophic lateral sclerosis (ALS) and is being admitted to the hospital with pneumonia. Which of the following assessment findings is the nurse's priority? - CORRECT ANSWERS Increased respiratory secretions A nurse is caring for a client 1 hr following a cardiac catheterization. The nurse notes the formation of a hematoma at the insertion site and a decreased pulse rate in the affected extremity. Which of the following interventions is the nurse's priority - CORRECT ANSWERS Apply firm pressure to the insertion site. A nurse is assessing a group of clients for indications of role changes. The nurse should identify that which of the following clients is at risk for experiencing a role change? - CORRECT ANSWERS A client who has multiple sclerosis and is experiencing progressive difficulty ambulating. MY ANSWER A nurse is providing discharge instructions to a client who has laryngeal cancer and is receiving radiation therapy. Which of the following statements by the client indicates an RN ADULT MEDICAL SURGICAL ONLINE PRACTICE 2023 A NGN EXAM QUESTIONS AND ANSWERS LATEST UPDATE 2024/2025 ALL ANSWERS CORRECT ELABORATED BEST GRADED A+ FOR SUCCESS understanding of the teaching? - CORRECT ANSWERS "I will avoid direct exposure to the sun." A nurse is caring for a client who is experiencing a tonic-clonic seizure. Which of the following actions should the nurse take? - CORRECT ANSWERS Loosen restrictive clothing. A nurse is performing a dressing change for a client who is recovering from a hemicolectomy. When removing the dressing, the nurse notes that a large part of the bowel is protruding through the abdomen. Which of the following actions should the nurse take first? - CORRECT ANSWERS Call for help. A nurse is providing instructions to a client who has type 2 diabetes mellitus and a new prescription for metformin. Which of the following statements by the client indicates an understanding of the teaching? - CORRECT ANSWERS "I should take this medication with a meal." A nurse is providing follow-up care for a client who sustained a compound fracture 3 weeks ago. The nurse should recognize that an unexpected finding for which of the following laboratory values is a manifestation of osteomyelitis and should be reported to the provider? - CORRECT ANSWERS Sedimentation rate A nurse is assessing a client while suctioning the client's tracheostomy tube. Which of the following findings should indicate to the nurse the client is experiencing hypoxia? - CORRECT ANSWERS The client's heart rate increases. A nurse is providing preoperative teaching for a client who is scheduled for a mastectomy. Which of the following statements should the nurse make? - CORRECT ANSWERS "I will refer you to community resources that can provide support." A nurse is preparing to present a program about prevention of atherosclerosis at a health fair. Which of the following recommendations should the nurse plan to include? (Select all that apply.) - CORRECT ANSWERS Follow a smoking cessation program is correct. Maintain an appropriate weight is correct.