PN Adult Medical Surgical Online Practice 2020 A with NGN– Questions & Answers!!!! Page 1
PN Adult Medical Surgical Online
Practice 2020 A with NGN
Complete Questions, Answers & Explanations (Stuvia Study Guide
Format)
Question 1
A nurse is assisting in creating a plan of care for a client who is at risk for developing
osteoporosis. Which nursing intervention should be included to help prevent bone loss?
Answer
Encourage the client to perform weight-bearing exercises.
Explanation
Weight-bearing activities such as walking, jogging, and resistance training stimulate bone
formation and slow the process of bone demineralization. These exercises help maintain
bone density and significantly reduce the risk of osteoporosis.
Question 2
A nurse is reinforcing discharge teaching for a client who had a right hip arthroplasty. Which
instruction should the nurse provide to prevent dislocation of the prosthetic hip?
Answer
Avoid bending the hip beyond 90 degrees.
Explanation
After hip replacement surgery, excessive hip flexion can cause dislocation of the prosthetic
joint. Clients should avoid bending at the waist, crossing their legs, or sitting in low chairs
during the early postoperative recovery period.
3/11/2026 3/11/2026 3/11/2026
,PN Adult Medical Surgical Online Practice 2020 A with NGN– Questions & Answers!!!! Page 2
Question 3
A nurse is reinforcing teaching with caregivers of a client who has Parkinson’s disease.
Which instruction should be included?
Answer
Remind the client not to look down at their feet while walking.
Explanation
Clients with Parkinson’s disease often experience shuffling gait and balance difficulties.
Looking down at the feet can worsen instability and increase the risk of falls. Instead, clients
should focus on posture and forward movement.
Question 4
A nurse is caring for a client with manifestations of sepsis. Which provider prescription
should the nurse implement first?
Answer
Initiate oxygen therapy at 4 L/min via nasal cannula.
Explanation
Sepsis can impair tissue oxygenation. According to the ABCs (Airway, Breathing,
Circulation) priority framework, oxygen administration is the first priority to ensure adequate
oxygen delivery to tissues before other interventions such as cultures or antibiotics.
Question 5
A nurse is administering IV cefazolin to a preoperative client. Ten minutes after the infusion
begins, the client reports severe itching. What is the nurse’s first action?
Answer
Stop the medication infusion.
Explanation
3/11/2026 3/11/2026 3/11/2026
, PN Adult Medical Surgical Online Practice 2020 A with NGN– Questions & Answers!!!! Page 3
Severe itching may indicate an allergic reaction. The nurse must immediately stop the
infusion to prevent progression to a severe hypersensitivity reaction such as anaphylaxis.
After stopping the medication, the nurse should notify the provider and follow facility
protocols.
Question 6
A client receiving a packed red blood cell transfusion reports dyspnea and urticaria 15
minutes after the transfusion started. After stopping the transfusion, what should the nurse
do next?
Answer
Check the client’s vital signs.
Explanation
After stopping the transfusion, the nurse should assess the client to determine the severity
of the reaction. Monitoring vital signs helps detect complications such as hypotension,
tachycardia, or fever.
Question 7
A nurse reviews laboratory results for a client scheduled for a CT scan with IV contrast.
Which laboratory finding should be reported to the provider?
Answer
Creatinine 1.9 mg/dL
Explanation
Elevated creatinine indicates impaired kidney function. Contrast dye used during CT
scans can worsen kidney injury, so the provider must be notified before the procedure.
Question 8
A nurse is preparing to administer medications and notices that a client has a documented
severe allergy to penicillin. Which prescription should be verified with the provider?
3/11/2026 3/11/2026 3/11/2026
PN Adult Medical Surgical Online
Practice 2020 A with NGN
Complete Questions, Answers & Explanations (Stuvia Study Guide
Format)
Question 1
A nurse is assisting in creating a plan of care for a client who is at risk for developing
osteoporosis. Which nursing intervention should be included to help prevent bone loss?
Answer
Encourage the client to perform weight-bearing exercises.
Explanation
Weight-bearing activities such as walking, jogging, and resistance training stimulate bone
formation and slow the process of bone demineralization. These exercises help maintain
bone density and significantly reduce the risk of osteoporosis.
Question 2
A nurse is reinforcing discharge teaching for a client who had a right hip arthroplasty. Which
instruction should the nurse provide to prevent dislocation of the prosthetic hip?
Answer
Avoid bending the hip beyond 90 degrees.
Explanation
After hip replacement surgery, excessive hip flexion can cause dislocation of the prosthetic
joint. Clients should avoid bending at the waist, crossing their legs, or sitting in low chairs
during the early postoperative recovery period.
3/11/2026 3/11/2026 3/11/2026
,PN Adult Medical Surgical Online Practice 2020 A with NGN– Questions & Answers!!!! Page 2
Question 3
A nurse is reinforcing teaching with caregivers of a client who has Parkinson’s disease.
Which instruction should be included?
Answer
Remind the client not to look down at their feet while walking.
Explanation
Clients with Parkinson’s disease often experience shuffling gait and balance difficulties.
Looking down at the feet can worsen instability and increase the risk of falls. Instead, clients
should focus on posture and forward movement.
Question 4
A nurse is caring for a client with manifestations of sepsis. Which provider prescription
should the nurse implement first?
Answer
Initiate oxygen therapy at 4 L/min via nasal cannula.
Explanation
Sepsis can impair tissue oxygenation. According to the ABCs (Airway, Breathing,
Circulation) priority framework, oxygen administration is the first priority to ensure adequate
oxygen delivery to tissues before other interventions such as cultures or antibiotics.
Question 5
A nurse is administering IV cefazolin to a preoperative client. Ten minutes after the infusion
begins, the client reports severe itching. What is the nurse’s first action?
Answer
Stop the medication infusion.
Explanation
3/11/2026 3/11/2026 3/11/2026
, PN Adult Medical Surgical Online Practice 2020 A with NGN– Questions & Answers!!!! Page 3
Severe itching may indicate an allergic reaction. The nurse must immediately stop the
infusion to prevent progression to a severe hypersensitivity reaction such as anaphylaxis.
After stopping the medication, the nurse should notify the provider and follow facility
protocols.
Question 6
A client receiving a packed red blood cell transfusion reports dyspnea and urticaria 15
minutes after the transfusion started. After stopping the transfusion, what should the nurse
do next?
Answer
Check the client’s vital signs.
Explanation
After stopping the transfusion, the nurse should assess the client to determine the severity
of the reaction. Monitoring vital signs helps detect complications such as hypotension,
tachycardia, or fever.
Question 7
A nurse reviews laboratory results for a client scheduled for a CT scan with IV contrast.
Which laboratory finding should be reported to the provider?
Answer
Creatinine 1.9 mg/dL
Explanation
Elevated creatinine indicates impaired kidney function. Contrast dye used during CT
scans can worsen kidney injury, so the provider must be notified before the procedure.
Question 8
A nurse is preparing to administer medications and notices that a client has a documented
severe allergy to penicillin. Which prescription should be verified with the provider?
3/11/2026 3/11/2026 3/11/2026
