PN ADULT MEDICAL SURGICAL ONLINE PRACTICE
QUESTIONS AND CORRECT ANSWERS VERIFIED
100%
A nurse is preparing to administer furosemide to a client who has heart failure. Which of the following
findings should the nurse report before administering the medication? - CORRECT ANSWER >>
Decreased potassium
A nurse is reviewing the chart of a client who is experiencing an adrenal crisis, which was precipitated
by the client not taking their medication for several days. The nurse should identify that withdrawal
from which of the following medications potentiated the adrenal crisis? - CORRECT ANSWER >>
Prednisone
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? - CORRECT ANSWER >> Withhold the dose.
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?
- CORRECT ANSWER >> "I will have my HbA1c checked twice per year."
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.) - CORRECT ANSWER >> "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 reinforcing teaching with a client who has coronary artery disease. Which of the following
instructions should the nurse include in the teaching? - CORRECT ANSWER >> "Add oily fish to your
diet twice weekly."
A nurse in an oncology clinic is reinforcing teaching about Mohs surgery with a client who has skin
cancer. Which of the following information should the nurse include in the teaching? - CORRECT
ANSWER >> Mohs surgery is a horizontal shaving of thin layers of the tumor.
A nurse is collecting data from an older adult client who has several concerns. Which of the following
concerns should the nurse recognize as an expected change associated with aging? - CORRECT
ANSWER
>> "My food tastes bland even after I add seasoning."
A nurse is reinforcing dietary teaching with a client about increasing the intake of foods containing
vitamin C to enhance absorption of oral iron supplements. Which of the following food choices should
the nurse include in the teaching? - CORRECT ANSWER >> 1 cup of boiled broccoli
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? - CORRECT ANSWER >>
Check the incisional dressing.
A nurse is assisting with the care of a client who is postoperative following abdominal surgery.
Exhibit 1
Nurses'
Notes 1100:
Client received from PACU; initial vital signs recorded. Client is drowsy but arouses to verbal stimuli.
Oriented to person, place, and time. Client is able to move all extremities. Normal sinus rhythm noted.
Breath sounds are clear upon auscultation. Dressing to abdomen is intact with a small amount of
serosanguinous drainage noted and marked. No bowel sounds in all four quadrants. Indwelling urinary
catheter is in place and draining clear, yellow urine. Lactated Ringer's is infusing at 100 mL/hr via IV
catheter in the right forearm.1200:
Client reports nausea and pain as an 8 on a scale of 0 to 10. Abdominal dressing is intact with no
further drainage noted. Urine output of 15 mL noted since arrival from PACU. Analgesic and
antiemetic were administered as prescribed.1230:
Client reports rel - CORRECT ANSWER >> Which of the following actions should the nurse take?
Select all that apply.
, Instruct the client to splint their abdomen with a pillow when coughing.
Report the client's urinary output to the charge nurse.
Monitor the client's pain level.
A nurse is assisting with monitoring a client who is receiving dialysis treatment.
Exhibit 1
Nurses' Notes
0530:Client is awake and alert. Arteriovenous fistula (AVF) to right forearm with thrill palpated and
auscultated for bruit. Breath sounds are clear upon auscultation; client denies shortness of breath. No
peripheral edema noted; capillary refill is less than 3 seconds; +2 bilateral pedal and radial pulses.AVF
access prepared and cannulated twice with no difficulty. Lines are taped and secured; treatment is
initiated.0600:Client is reading a book. Access is visible, and lines are secure. Client reports no
discomfort or pain.0630:Client reports feeling warm, nauseated, and lightheaded; appears restless
and slightly confused.
Exhibit 2
Vital
Signs
0530:Current weight 88 kg (194 lb)Temperature 37° C (98.6° F)Blood pressure• Lying - 152/92 mm
Hg• Sitting - 148/90 mm Hg• Standing - 144/88 mm HgHeart rate 90/minRespir - CORRECT ANSWER
>> For each potential nursing intervention, click to specify if the intervention is indicated or not
indicated.
Nursing Intervention
Request a chest x-ray - not indicated
Place the client in reverse Trendelenburg position - indicated
Assist with administering a 0.9% sodium chloride 200 mL IV bolus - indicated
Apply oxygen at 2 L/min via nasal cannula - indicated
Notify the charge nurse immediately - indicated
Obtain the client's blood glucose level - not
indicated
A nurse is contributing to the plan of care for a client who has a new prescription for nystatin
suspension for oral candidiasis. Which of the following interventions should the nurse include in the
plan? - CORRECT ANSWER >> Remind the client to swish the medication in their mouth.
QUESTIONS AND CORRECT ANSWERS VERIFIED
100%
A nurse is preparing to administer furosemide to a client who has heart failure. Which of the following
findings should the nurse report before administering the medication? - CORRECT ANSWER >>
Decreased potassium
A nurse is reviewing the chart of a client who is experiencing an adrenal crisis, which was precipitated
by the client not taking their medication for several days. The nurse should identify that withdrawal
from which of the following medications potentiated the adrenal crisis? - CORRECT ANSWER >>
Prednisone
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? - CORRECT ANSWER >> Withhold the dose.
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?
- CORRECT ANSWER >> "I will have my HbA1c checked twice per year."
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.) - CORRECT ANSWER >> "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 reinforcing teaching with a client who has coronary artery disease. Which of the following
instructions should the nurse include in the teaching? - CORRECT ANSWER >> "Add oily fish to your
diet twice weekly."
A nurse in an oncology clinic is reinforcing teaching about Mohs surgery with a client who has skin
cancer. Which of the following information should the nurse include in the teaching? - CORRECT
ANSWER >> Mohs surgery is a horizontal shaving of thin layers of the tumor.
A nurse is collecting data from an older adult client who has several concerns. Which of the following
concerns should the nurse recognize as an expected change associated with aging? - CORRECT
ANSWER
>> "My food tastes bland even after I add seasoning."
A nurse is reinforcing dietary teaching with a client about increasing the intake of foods containing
vitamin C to enhance absorption of oral iron supplements. Which of the following food choices should
the nurse include in the teaching? - CORRECT ANSWER >> 1 cup of boiled broccoli
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? - CORRECT ANSWER >>
Check the incisional dressing.
A nurse is assisting with the care of a client who is postoperative following abdominal surgery.
Exhibit 1
Nurses'
Notes 1100:
Client received from PACU; initial vital signs recorded. Client is drowsy but arouses to verbal stimuli.
Oriented to person, place, and time. Client is able to move all extremities. Normal sinus rhythm noted.
Breath sounds are clear upon auscultation. Dressing to abdomen is intact with a small amount of
serosanguinous drainage noted and marked. No bowel sounds in all four quadrants. Indwelling urinary
catheter is in place and draining clear, yellow urine. Lactated Ringer's is infusing at 100 mL/hr via IV
catheter in the right forearm.1200:
Client reports nausea and pain as an 8 on a scale of 0 to 10. Abdominal dressing is intact with no
further drainage noted. Urine output of 15 mL noted since arrival from PACU. Analgesic and
antiemetic were administered as prescribed.1230:
Client reports rel - CORRECT ANSWER >> Which of the following actions should the nurse take?
Select all that apply.
, Instruct the client to splint their abdomen with a pillow when coughing.
Report the client's urinary output to the charge nurse.
Monitor the client's pain level.
A nurse is assisting with monitoring a client who is receiving dialysis treatment.
Exhibit 1
Nurses' Notes
0530:Client is awake and alert. Arteriovenous fistula (AVF) to right forearm with thrill palpated and
auscultated for bruit. Breath sounds are clear upon auscultation; client denies shortness of breath. No
peripheral edema noted; capillary refill is less than 3 seconds; +2 bilateral pedal and radial pulses.AVF
access prepared and cannulated twice with no difficulty. Lines are taped and secured; treatment is
initiated.0600:Client is reading a book. Access is visible, and lines are secure. Client reports no
discomfort or pain.0630:Client reports feeling warm, nauseated, and lightheaded; appears restless
and slightly confused.
Exhibit 2
Vital
Signs
0530:Current weight 88 kg (194 lb)Temperature 37° C (98.6° F)Blood pressure• Lying - 152/92 mm
Hg• Sitting - 148/90 mm Hg• Standing - 144/88 mm HgHeart rate 90/minRespir - CORRECT ANSWER
>> For each potential nursing intervention, click to specify if the intervention is indicated or not
indicated.
Nursing Intervention
Request a chest x-ray - not indicated
Place the client in reverse Trendelenburg position - indicated
Assist with administering a 0.9% sodium chloride 200 mL IV bolus - indicated
Apply oxygen at 2 L/min via nasal cannula - indicated
Notify the charge nurse immediately - indicated
Obtain the client's blood glucose level - not
indicated
A nurse is contributing to the plan of care for a client who has a new prescription for nystatin
suspension for oral candidiasis. Which of the following interventions should the nurse include in the
plan? - CORRECT ANSWER >> Remind the client to swish the medication in their mouth.
