PN ADULT MEDICAL SURGICAL ONLINE PRACTICE
QUESTIONS WITH COMPLETE SOLUTIONS
A |nurse |is |providing |information |regarding |transmission-based |precautions |for |a |client |who |has
|Clostridium |Difficile |to |an |assistive |personnel |(AP). |Which |of |the |following |instructions |should
|the |nurse |include? |(Select |all |that |apply.)
"Provide |the |client |with |disposable |utensils |and |dishes |for |meals."
|"Leave |blood |pressure |equipment |in |the |client's |room"
"Clean |contaminated |surfaces |with |a |bleach |solution"
A |nurse |is |contributing |to |the |plan |of |care |for |a |client |who |has |just |transferred |to |the |medical-
surgical |unit |from |the |PACU |following |a |right |total |knee |arthroplasty. |Which |of |the |following
|interventions |should |the |nurse |include |in |the |plan?
Assist |the |client |to |change |positions |at |least |every |2 |hr.
A |nurse |is |preparing |to |administer |scheduled |medications |to |the |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.)
Ceftriaxone
A |nurse |is |examining |a |client's |IV |site |and |notes |a |hardened |vein |above |their |IV |site. |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?
Thrombophlebitis
A |nurse |is |reinforcing |teaching |with |a |client |prior |to |the |removal |of |a |leg |cast. |Which |of |the |following
|statements |should |indicate |to |the |nurse |that |the |client |understands |the |teaching?
"I |will |feel |vibrations |on |my |leg |from |the |cast |cutter."
A |nurse |is |collecting |data |from |a |client |and |notices |several |skin |lesions. |Which |of |the |following
|findings |should |the |nurse |report |as |possible |melanoma?
Irregular |borders
A |nurse |is |assisting |with |the |care |for |a |client |who |has |difficulty |swallowing. |Which |of |the |following
|actions |should |the |nurse |implement |to |prevent |aspiration?
Give |the |client |liquids |with |increased |viscosity.
,A |nurse |is |reinforcing |teaching |regarding |the |use |of |a |continuous |passive |motion |(CPM) |machine
|with |a |client |who |is |scheduled |for |a |total |knee |arthroplasty. |Which |of |the |following |information
|should |the |nurse |include |in |the |teaching? |(Select |all |that |apply.)
"Your |knee |is |flexed |and |extended |as |prescribed |by |your |provider."
|"The |machine |is |padded |with |sheep |skin."
A |nurse |is |assisting |with |the |care |for |a |client |who |has |a |prescription |for |digoxin |0.25 |mg |PO |daily.
|While |taking |the |client's |apical |pulse, |the |nurse |notes |a |rate |of |58/min. |Which |of |the |following
|actions |should |the |nurse |take?
Withhold |the |dose.
A |nurse |is |collecting |data |from |a |55-year-old |female |client |who |reports |vaginal |dryness |and |hot
|flashes. |The |client |is |interested |in |trying |hormone |replacement |therapy |(HRT). |Which |of |the
|following |should |the |nurse |recognize |as |a |contraindication |to |HRT?
History |of |treatment |for |blood |clots
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 |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 |assisting |with |the |care |for |a |client |who |is |postoperative |and |has |an |epidural |infusion. |Which
|of |the |following |findings |should |the |nurse |recognize |as |the |priority?
Dyspnea
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.
QUESTIONS WITH COMPLETE SOLUTIONS
A |nurse |is |providing |information |regarding |transmission-based |precautions |for |a |client |who |has
|Clostridium |Difficile |to |an |assistive |personnel |(AP). |Which |of |the |following |instructions |should
|the |nurse |include? |(Select |all |that |apply.)
"Provide |the |client |with |disposable |utensils |and |dishes |for |meals."
|"Leave |blood |pressure |equipment |in |the |client's |room"
"Clean |contaminated |surfaces |with |a |bleach |solution"
A |nurse |is |contributing |to |the |plan |of |care |for |a |client |who |has |just |transferred |to |the |medical-
surgical |unit |from |the |PACU |following |a |right |total |knee |arthroplasty. |Which |of |the |following
|interventions |should |the |nurse |include |in |the |plan?
Assist |the |client |to |change |positions |at |least |every |2 |hr.
A |nurse |is |preparing |to |administer |scheduled |medications |to |the |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.)
Ceftriaxone
A |nurse |is |examining |a |client's |IV |site |and |notes |a |hardened |vein |above |their |IV |site. |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?
Thrombophlebitis
A |nurse |is |reinforcing |teaching |with |a |client |prior |to |the |removal |of |a |leg |cast. |Which |of |the |following
|statements |should |indicate |to |the |nurse |that |the |client |understands |the |teaching?
"I |will |feel |vibrations |on |my |leg |from |the |cast |cutter."
A |nurse |is |collecting |data |from |a |client |and |notices |several |skin |lesions. |Which |of |the |following
|findings |should |the |nurse |report |as |possible |melanoma?
Irregular |borders
A |nurse |is |assisting |with |the |care |for |a |client |who |has |difficulty |swallowing. |Which |of |the |following
|actions |should |the |nurse |implement |to |prevent |aspiration?
Give |the |client |liquids |with |increased |viscosity.
,A |nurse |is |reinforcing |teaching |regarding |the |use |of |a |continuous |passive |motion |(CPM) |machine
|with |a |client |who |is |scheduled |for |a |total |knee |arthroplasty. |Which |of |the |following |information
|should |the |nurse |include |in |the |teaching? |(Select |all |that |apply.)
"Your |knee |is |flexed |and |extended |as |prescribed |by |your |provider."
|"The |machine |is |padded |with |sheep |skin."
A |nurse |is |assisting |with |the |care |for |a |client |who |has |a |prescription |for |digoxin |0.25 |mg |PO |daily.
|While |taking |the |client's |apical |pulse, |the |nurse |notes |a |rate |of |58/min. |Which |of |the |following
|actions |should |the |nurse |take?
Withhold |the |dose.
A |nurse |is |collecting |data |from |a |55-year-old |female |client |who |reports |vaginal |dryness |and |hot
|flashes. |The |client |is |interested |in |trying |hormone |replacement |therapy |(HRT). |Which |of |the
|following |should |the |nurse |recognize |as |a |contraindication |to |HRT?
History |of |treatment |for |blood |clots
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 |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 |assisting |with |the |care |for |a |client |who |is |postoperative |and |has |an |epidural |infusion. |Which
|of |the |following |findings |should |the |nurse |recognize |as |the |priority?
Dyspnea
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.
