RN ADULT MEDICAL SURGICAL ONLINE
PRACTICE 2023 A NGN QUESTIONS
AND ANSWERS
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 distended, hypoactive bowel sounds. Client reports nausea. Reports pain as
6 on a scale of 0 to 10. Provider notified and updated with client condition and
diagnostic results. - answer 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. - answer
Insert a large-gauge IV.
,Initiate a fluid challenge.
Hypovolemia
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? - answer 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. - answer The client is experiencing
manifestations of
pancreatitis
as evidenced by the
, amylase and lipase
.
0530:
Client is awake and alert.
Arteriovenous fistula (AVF) to right forearm with thrill palpated and auscultated for
bruit. Lung sounds 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. - answer Perform a 12-lead ECG is not indicated.
Place the client in Trendelenburg position is indicated.
Administer a 0.9% sodium chloride 200 mL IV bolus is indicated.
Apply oxygen at 2 L/min via nasal cannula is indicated
Notify the provider immediately is indicated
Obtain the client's blood glucose level is not indicated.
1800:
PRACTICE 2023 A NGN QUESTIONS
AND ANSWERS
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 distended, hypoactive bowel sounds. Client reports nausea. Reports pain as
6 on a scale of 0 to 10. Provider notified and updated with client condition and
diagnostic results. - answer 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. - answer
Insert a large-gauge IV.
,Initiate a fluid challenge.
Hypovolemia
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? - answer 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. - answer The client is experiencing
manifestations of
pancreatitis
as evidenced by the
, amylase and lipase
.
0530:
Client is awake and alert.
Arteriovenous fistula (AVF) to right forearm with thrill palpated and auscultated for
bruit. Lung sounds 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. - answer Perform a 12-lead ECG is not indicated.
Place the client in Trendelenburg position is indicated.
Administer a 0.9% sodium chloride 200 mL IV bolus is indicated.
Apply oxygen at 2 L/min via nasal cannula is indicated
Notify the provider immediately is indicated
Obtain the client's blood glucose level is not indicated.
1800:
