RN Adult Medical Surgical Online Practice 2023/2024 A NGN with 90Questions and Answers bas, Exams of Nursing

Download RN Adult Medical Surgical Online Practice 2023/2024 A NGN with 90Questions and Answers bas and more Exams Nursing in PDF only on Docsity! RN Adult Medical Surgical Online Practice 2023/2024 A NGN with 90Questions and Answers based on Latest Exam revision Rated A+ 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 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 RN Adult Medical Surgical Online Practice 2023/2024 A NGN with 90Questions and Answers based on Latest Exam revision Rated A+ 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 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: RN Adult Medical Surgical Online Practice 2023/2024 A NGN with 90Questions and Answers based on Latest Exam revision Rated A+ should the nurse report to the provider? - CORRECT ANSWERS Extremity cool upon palpation 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 ANSWERS 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 ANSWERS 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 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 RN Adult Medical Surgical Online Practice 2023/2024 A NGN with 90Questions and Answers based on Latest Exam revision Rated A+ 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." 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 RN Adult Medical Surgical Online Practice 2023/2024 A NGN with 90Questions and Answers based on Latest Exam revision Rated A+ 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 2023/2024 A NGN with 90Questions and Answers based on Latest Exam revision Rated A+ Prepare the client for chest tube insertion is anticipated. Cover the client with a cooling blanket is contraindicated. Initiate NPO status is anticipated. 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 ANSWERS The nurse should first address the client's oxygenation followed by the client's blood pressure . NGN 2330: Report received from ambulance crew: RN Adult Medical Surgical Online Practice 2023/2024 A NGN with 90Questions and Answers based on Latest Exam revision Rated A+ 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 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. RN Adult Medical Surgical Online Practice 2023/2024 A NGN with 90Questions and Answers based on Latest Exam revision Rated A+ 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 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 RN Adult Medical Surgical Online Practice 2023/2024 A NGN with 90Questions and Answers based on Latest Exam revision Rated A+ 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.1045:Client states the flashing lig - CORRECT ANSWERS "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. Client is alert and oriented x 3 and appears anxious. No facial drooping noted. Right hand grasp is weaker than left. Client denies pain.1045:Client states the flashing lig - CORRECT ANSWERS Following the administration of sumatriptan, the nurse should monitor for chest pain due to the risk of RN Adult Medical Surgical Online Practice 2023/2024 A NGN with 90Questions and Answers based on Latest Exam revision Rated A+ myocardial ischemia 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. Client is alert and oriented x 3 and appears anxious. No facial drooping noted. Right hand grasp is weaker than left. Client denies pain.1045:Client states the flashing lig - CORRECT ANSWERS Administer sumatriptan is correct. Dim the lights in the client's room is correct. Nurses' Notes 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.1045:Client states the fl - CORRECT ANSWERS The nurse should identify that the client is most likely experiencing a migraine and the nurse should address the client's pain RN Adult Medical Surgical Online Practice 2023/2024 A NGN with 90Questions and Answers based on Latest Exam revision Rated A+ . 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. RN Adult Medical Surgical Online Practice 2023/2024 A NGN with 90Questions and Answers based on Latest Exam revision Rated A+ 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. 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: RN Adult Medical Surgical Online Practice 2023/2024 A NGN with 90Questions and Answers based on Latest Exam revision Rated A+ capillary blood glucose AC and HS. Which of the following actions should the nurse take? - CORRECT ANSWERS 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 ANSWERS Place a pressure bag around the flush solution. A nurse is caring for a client who is having a seizure. Which of the following interventions is the nurse's priority? - CORRECT ANSWERS 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 ANSWERS 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 ANSWERS 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 ANSWERS Numbness can occur along the inside of the affected arm. 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 ANSWERS Glucose 272 mg/dL RN Adult Medical Surgical Online Practice 2023/2024 A NGN with 90Questions and Answers based on Latest Exam revision Rated A+ 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 ANSWERS "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 ANSWERS "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 ANSWERS Obtain vital signs. A nurse is caring for a client who is postoperative following a total hip arthroplasty. Which of the following laboratory values should the nurse report to the provider? - CORRECT ANSWERS Hgb 8 g/dL NGN 1100: Client received from PACU; initial vital signs recorded. Client is drowsy, but arouses to verbal stimuli. Oriented x3, moves all extremities. Normal sinus rhythm. Chest clear. Dressing to abdomen intact, small amount of serosanguinous drainage noted and marked. No bowel sounds x 4 quadrants. Indwelling urinary catheter in place, draining clear yellow urine. Lactated Ringer's infusing at 100 mL/hr via IV catheter to right forearm.1200: Client reports nausea and pain as 8 on a scale of 0 - CORRECT ANSWERS Report urinary output to the provider is correct.