PN ADULT MEDICAL SURGICAL WITH NGN Test with Verified Answers Graded A+
A nurse is caring for a client who is taking lithium
and reports persistent nausea and vomiting for 2
days. Which of the following laboratory values should
the nurse report to the provider?
D. Sodium 132 mEq/L
a) Potassium 4.0 mEq/L
b) Lithium 0.9 mEq/L
c) BUN 12 mg/dL
d) Sodium 132 mEq/L
A nurse is caring for a client who has cancer and has
a WBC count of 4,000/mm3. Which of the following
actions should the nurse take?
a) Cleanse the client's toothbrush with hydrogen
peroxide. A. Cleanse the client's toothbrush with hydrogen
b) Instruct the client to use a disposable razor to peroxide.
shave.
c) Decrease the client's protein intake.
d) Encourage the client to eat unpasteurized
dairy products.
A nurse enters a client's room and sees smoke coming
from the bathroom. Which of the following
actions should the nurse take first?
a) Activate the fire alarm system.
b) Use a fire extinguisher at the source of the C. Assist the client to a nearby common area.
smoke.
c) Assist the client to a nearby common area.
d) Close the doors to the room and to the
bathroom.
A nurse is contributing to the plan of care for a client who
reports diflculty eating due to chronic arthritis.
Which of the following interventions should the nurse
,PN ADULT MEDICAL SURGICAL WITH NGN Test with Verified Answers Graded A+
include in the plan?
a) Apply foam handles to the client's eating
utensils.
b) Obtain a referral for physical therapy. A. Apply foam handles to the client's eating utensils.
c) Have an assistive personnel feed the client.
d) Ask the provider for a prescription for a
pureed diet.
A nurse is obtaining a medication history from a client
who is to start taking nitroglycerin for chest discomfort
with activity. Which of the following medications should
the nurse instruct the client to avoid taking within 24 hr of
using nitroglycerin? C. Sildenafil
a) Atorvastatin
b) Metformin
c) Sildenafil
d) Omeprazole
A nurse is preparing to obtain a postprandial blood glu-
cose level from a client who has diabetes mellitus. Which
of the following actions should the nurse take?
a) Apply the first drop of blood to the test strip.
D. Hold the client's finger in a dependent
b) Clean the client's finger with
position.
hexachlorophene.
c) Prick the central tip of the client's finger.
d) Hold the client's finger in a dependent
position.
A nurse is reinforcing teaching with a client about breast
self-examinations. Which of the following statements by
the client indicates an understanding of the teaching?
a) "It is common for one breast to be larger than
the other."
b) "It is common for the skin on my breasts to
, PN ADULT MEDICAL SURGICAL WITH NGN Test with Verified Answers Graded A+
dimple."
c) "I will perform breast exams the day my
A. "It is common for one breast to be larger than
period begins."
the other."
d) "I will perform breast exams every other
month."
A nurse is reinforcing teaching with a client who has a new
ileostomy. Which of the following statements by the client
indicates an understanding of the teaching?
a) "I will need to empty the bag every 4 to 6
hours."
C. "I will use a skin sealant before I apply the
b) "I will use moisturizing soap to clean around
bag."
the stoma before applying the bag."
c) "I will use a skin sealant before I apply the
bag."
d) "I will cut the wafer opening one-fourth of an
inch larger than the stoma."
A nurse is assisting in the plan of care for a client who is
dehydrated and is receiving IV fluid replacement. Which
of the following interventions should the nurse contribute
to the plan of care?
B. Check for neck vein distention.
a) Otter oral fluids every 4 hr.
b) Check for neck vein distention.
c) Limit oral fluids prior to bedtime.
d) Monitor pulse pressure every 6 hr.
A nurse is caring for a young adult client who has testicular
cancer and expresses concern about their sexual function
following an orchiectomy of the involved testicle. Which of
D. "The removal of a single testicle will not
the following responses should the nurse make?
prevent you from having an erection."
a) "I'm sure any partner will understand that you
have no control over this."
b) "There are other ways to express intimacy
A nurse is caring for a client who is taking lithium
and reports persistent nausea and vomiting for 2
days. Which of the following laboratory values should
the nurse report to the provider?
D. Sodium 132 mEq/L
a) Potassium 4.0 mEq/L
b) Lithium 0.9 mEq/L
c) BUN 12 mg/dL
d) Sodium 132 mEq/L
A nurse is caring for a client who has cancer and has
a WBC count of 4,000/mm3. Which of the following
actions should the nurse take?
a) Cleanse the client's toothbrush with hydrogen
peroxide. A. Cleanse the client's toothbrush with hydrogen
b) Instruct the client to use a disposable razor to peroxide.
shave.
c) Decrease the client's protein intake.
d) Encourage the client to eat unpasteurized
dairy products.
A nurse enters a client's room and sees smoke coming
from the bathroom. Which of the following
actions should the nurse take first?
a) Activate the fire alarm system.
b) Use a fire extinguisher at the source of the C. Assist the client to a nearby common area.
smoke.
c) Assist the client to a nearby common area.
d) Close the doors to the room and to the
bathroom.
A nurse is contributing to the plan of care for a client who
reports diflculty eating due to chronic arthritis.
Which of the following interventions should the nurse
,PN ADULT MEDICAL SURGICAL WITH NGN Test with Verified Answers Graded A+
include in the plan?
a) Apply foam handles to the client's eating
utensils.
b) Obtain a referral for physical therapy. A. Apply foam handles to the client's eating utensils.
c) Have an assistive personnel feed the client.
d) Ask the provider for a prescription for a
pureed diet.
A nurse is obtaining a medication history from a client
who is to start taking nitroglycerin for chest discomfort
with activity. Which of the following medications should
the nurse instruct the client to avoid taking within 24 hr of
using nitroglycerin? C. Sildenafil
a) Atorvastatin
b) Metformin
c) Sildenafil
d) Omeprazole
A nurse is preparing to obtain a postprandial blood glu-
cose level from a client who has diabetes mellitus. Which
of the following actions should the nurse take?
a) Apply the first drop of blood to the test strip.
D. Hold the client's finger in a dependent
b) Clean the client's finger with
position.
hexachlorophene.
c) Prick the central tip of the client's finger.
d) Hold the client's finger in a dependent
position.
A nurse is reinforcing teaching with a client about breast
self-examinations. Which of the following statements by
the client indicates an understanding of the teaching?
a) "It is common for one breast to be larger than
the other."
b) "It is common for the skin on my breasts to
, PN ADULT MEDICAL SURGICAL WITH NGN Test with Verified Answers Graded A+
dimple."
c) "I will perform breast exams the day my
A. "It is common for one breast to be larger than
period begins."
the other."
d) "I will perform breast exams every other
month."
A nurse is reinforcing teaching with a client who has a new
ileostomy. Which of the following statements by the client
indicates an understanding of the teaching?
a) "I will need to empty the bag every 4 to 6
hours."
C. "I will use a skin sealant before I apply the
b) "I will use moisturizing soap to clean around
bag."
the stoma before applying the bag."
c) "I will use a skin sealant before I apply the
bag."
d) "I will cut the wafer opening one-fourth of an
inch larger than the stoma."
A nurse is assisting in the plan of care for a client who is
dehydrated and is receiving IV fluid replacement. Which
of the following interventions should the nurse contribute
to the plan of care?
B. Check for neck vein distention.
a) Otter oral fluids every 4 hr.
b) Check for neck vein distention.
c) Limit oral fluids prior to bedtime.
d) Monitor pulse pressure every 6 hr.
A nurse is caring for a young adult client who has testicular
cancer and expresses concern about their sexual function
following an orchiectomy of the involved testicle. Which of
D. "The removal of a single testicle will not
the following responses should the nurse make?
prevent you from having an erection."
a) "I'm sure any partner will understand that you
have no control over this."
b) "There are other ways to express intimacy
