RN Adult Medical Surgical Online Practice 2023 A NGN Questions And Answers 100% Verified, Exams of Surgical Pathology

Download RN Adult Medical Surgical Online Practice 2023 A NGN Questions And Answers 100% Verified and more Exams Surgical Pathology in PDF only on Docsity! RN Adult Medical Surgical Online Practice 2023 A NGN Questions And Answers 100% Verified 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 distende - correct answer 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 RN Adult Medical Surgical Online Practice 2023 A NGN Questions And Answers 100% Verified 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 answer Insert a large-gauge IV. Initiate a fluid challenge. Hypovolemia Urine output Blood pressure 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 answer 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. RN Adult Medical Surgical Online Practice 2023 A NGN Questions And Answers 100% Verified Client has full-thickness burns over the upper half of the chest and both forearms; partial-thickness burns are present on the client's face and neck. Sinus tachycardia, pulses to brachial extremities palpable. 1+ edema to upper extremities. Respirations even, labored with scattered rhonchi. Soot noted to the client's mouth and nose. Oxygen 40% via face tent applied. - correct answer During the emergent phase of burn care, the client is at risk for developing hypovolemia and respiratory failure . A nurse is teaching a class about client rights. Which of the following instructions should the nurse include? - correct answer A client should sign an informed consent before receiving a placebo during a research trial. A nurse in an emergency department is caring for a client who reports vomiting and diarrhea for the past 3 days. RN Adult Medical Surgical Online Practice 2023 A NGN Questions And Answers 100% Verified Which of the following findings should indicate to the nurse that the client is experiencing fluid volume deficit? - correct answer Heart rate 110/min A nurse is creating a plan of care for a client who has neutropenia as a result of chemotherapy. Which of the following interventions should the nurse include in the plan? - correct answer Monitor the client's temperature every 4 hr. A nurse in an emergency department is caring for a client who has full-thickness burns over 20% of their total body surface area. After ensuring a patent airway and administering oxygen, which of the following items should the nurse prepare to administer first? - correct answer IV fluids A nurse is caring for a client who is 4 hr postoperative following an open reduction internal fixation of the right ankle. Which of the following assessment findings should the nurse report to the provider? - correct answer Extremity cool upon palpation RN Adult Medical Surgical Online Practice 2023 A NGN Questions And Answers 100% Verified A nurse is caring for a client who is 12 hr postoperative following a total hip arthroplasty. Which of the following actions should the nurse take? - correct answer Place a pillow between the client's legs. A nurse is assessing a client who has Graves' disease. Which of the following images should indicate to the nurse that the client has exophthalmos? - correct answer D- the lady looking eyes 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 answer 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 answer 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 answer Dysphagia RN Adult Medical Surgical Online Practice 2023 A NGN Questions And Answers 100% Verified 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 answer 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 answer 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 answer 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 RN Adult Medical Surgical Online Practice 2023 A NGN Questions And Answers 100% Verified 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 - correct answer 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. RN Adult Medical Surgical Online Practice 2023 A NGN Questions And Answers 100% Verified 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 - correct answer Place the client in high- Fowler's position is correct. Ensure there is continuous bubbling in the water seal chamber is incorrect. Monitor drainage every 30 min for the first hour is incorrect. RN Adult Medical Surgical Online Practice 2023 A NGN Questions And Answers 100% Verified 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 - correct answer The nurse should first address the client's oxygenation followed by the client's blood pressure . 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 Questions And Answers 100% Verified Bilateral - correct answer 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 answer GCS score is incorrect. Temperature is incorrect. Oxygen saturation is correct. Pain level is correct. RN Adult Medical Surgical Online Practice 2023 A NGN Questions And Answers 100% Verified 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 answer 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 answer 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 in the client's plan of care? - correct answer 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 answer RN Adult Medical Surgical Online Practice 2023 A NGN Questions And Answers 100% Verified the nurse include in the teaching? - correct answer "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 answer 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 answer "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 answer Restlessness A nurse is assessing a client who is postoperative following a thyroidectomy. Which of the following findings RN Adult Medical Surgical Online Practice 2023 A NGN Questions And Answers 100% Verified is the nurse's priority? - correct answer 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 answer 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 answer Increase fluid intake 1NGN 000: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 RN Adult Medical Surgical Online Practice 2023 A NGN Questions And Answers 100% Verified left. Client denies pain.1045:Client states the flashing lig - correct answer "Foods that contain tyramine might trigger my headaches" is correct. "I will keep a food and headache diary" is correct. "I will place a cool cloth on my forehead when I experience a migraine" is correct. "I will take the sumatriptan once every day" is incorrect. "I should stay awake until my headache is gone" is incorrect. NGN 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. RN Adult Medical Surgical Online Practice 2023 A NGN Questions And Answers 100% Verified 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 answer 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 RN Adult Medical Surgical Online Practice 2023 A NGN Questions And Answers 100% Verified HgOxygen saturation 98% on room air - correct answer Visual disturbances is correct. Tingling of the lips is correct. Hand grasps is correct. Expressive aphasia is correct. 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 answer 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 answer PaCO2 56 mm Hg RN Adult Medical Surgical Online Practice 2023 A NGN Questions And Answers 100% Verified 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 answer 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 answer 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 answer 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 answer Apply firm pressure to the insertion site. RN Adult Medical Surgical Online Practice 2023 A NGN Questions And Answers 100% Verified answer "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 answer Follow a smoking cessation program is correct. Maintain an appropriate weight is correct. Eat a low-fat diet is correct. A nurse is caring for a client who is receiving total parenteral nutrition (TPN) and is NPO. When reviewing the chart, the nurse notes the following prescription: capillary blood glucose AC and HS. Which of the following actions should the nurse take? - correct answer Contact the provider to clarify the prescription. A nurse is caring for a client who has an arterial line. Which of the following actions should the nurse take? - correct answer Place a pressure bag around the flush solution. RN Adult Medical Surgical Online Practice 2023 A NGN Questions And Answers 100% Verified A nurse is caring for a client who is having a seizure. Which of the following interventions is the nurse's priority? - correct answer Turn the client to the side. A nurse at an urgent care clinic is caring for a client who is experiencing an anaphylactic reaction. After ensuring a patent airway, which of the following nursing interventions is the priority? - correct answer Administering epinephrine A nurse is caring for a client who has increased intracranial pressure (ICP) and is receiving mannitol via continuous IV infusion. Which of the following findings should the nurse report to the provider as an adverse effect of this medication? - correct answer Crackles heard on auscultation A nurse is providing discharge teaching to a client who is postoperative following a modified radical mastectomy. Which of the following instructions should the nurse include? - correct answer Numbness can occur along the inside of the affected arm. RN Adult Medical Surgical Online Practice 2023 A NGN Questions And Answers 100% Verified A nurse is caring for a client who has DKA. Which of the following findings should indicate to the nurse that the client's condition is improving? - correct answer Glucose 272 mg/dL A nurse is providing teaching to a client who takes ginkgo biloba as an herbal supplement. Which of the following statements should the nurse make? - correct answer "Ginkgo biloba can cause an increased risk for bleeding." A nurse is providing teaching to a female client who has stress incontinence and a BMI of 32. Which of the following statements by the client indicates an understanding of the teaching? - correct answer "A risk factor for my condition is obesity." A nurse is caring for a client who has portal hypertension. The client is vomiting blood mixed with food after a meal. Which of the following actions should the nurse take first? - correct answer Obtain vital signs. A nurse is caring for a client who is postoperative following a total hip arthroplasty. Which of the following