RN Adult Medical Surgical 2024 | 100 Questions with Answers and Rationales
Question: 23 of 100
"A nurse is preparing to receive a client from surgery following a transverse colon resection with
colostomy placement. The nurse should expect to assess the stoma at which of the following
locations? (You will find hot spots to select in the artwork below. Select only the hot spot that
corresponds to your answer.)"
The image shows three spots labeled A, B, and C.
Correct Answer:
The correct location for a transverse colostomy stoma would be B, as the transverse colon is located
in the upper abdomen. Therefore, the stoma for a transverse colon resection would be in the upper
abdominal region, similar to where "B" is located.
,Question: 95 of 100
"A nurse in a provider’s office is caring for a client."
Physical Examination:
• Rash and cutaneous plaques on the scalp, face, and neck. Areas of hyperpigmentation are also noted.
Butterfly rash is present on the cheeks.
• The client reports alopecia and mouth ulcerations. Joint tenderness and edema are noted.
, • Chest clear on auscultation.
• The client reports no urinary or gastrointestinal issues.
The nurse is asked to "Complete the diagram by dragging from the choices below to specify what
condition the client is most likely experiencing, 2 actions the nurse should take to address that
condition, and 2 parameters the nurse should monitor to assess the client’s progress."
Correct Answer:
Condition:
• Systemic Lupus Erythematosus (SLE)
The butterfly rash, alopecia, mouth ulcerations, joint tenderness, and edema are classic signs of SLE.
Actions to Take:
1. Administer NSAIDs - To reduce inflammation and manage joint pain.
2. Monitor kidney function - Lupus can affect the kidneys, so it's important to monitor for potential lupus
nephritis.
Parameters to Monitor:
1. Creatinine and BUN levels - These values help assess kidney function, which can be affected by lupus.
2. Complete blood count (CBC) - To monitor for anemia or leukopenia, which are common complications
of SLE.
, Question: 94 of 100
Question: 23 of 100
"A nurse is preparing to receive a client from surgery following a transverse colon resection with
colostomy placement. The nurse should expect to assess the stoma at which of the following
locations? (You will find hot spots to select in the artwork below. Select only the hot spot that
corresponds to your answer.)"
The image shows three spots labeled A, B, and C.
Correct Answer:
The correct location for a transverse colostomy stoma would be B, as the transverse colon is located
in the upper abdomen. Therefore, the stoma for a transverse colon resection would be in the upper
abdominal region, similar to where "B" is located.
,Question: 95 of 100
"A nurse in a provider’s office is caring for a client."
Physical Examination:
• Rash and cutaneous plaques on the scalp, face, and neck. Areas of hyperpigmentation are also noted.
Butterfly rash is present on the cheeks.
• The client reports alopecia and mouth ulcerations. Joint tenderness and edema are noted.
, • Chest clear on auscultation.
• The client reports no urinary or gastrointestinal issues.
The nurse is asked to "Complete the diagram by dragging from the choices below to specify what
condition the client is most likely experiencing, 2 actions the nurse should take to address that
condition, and 2 parameters the nurse should monitor to assess the client’s progress."
Correct Answer:
Condition:
• Systemic Lupus Erythematosus (SLE)
The butterfly rash, alopecia, mouth ulcerations, joint tenderness, and edema are classic signs of SLE.
Actions to Take:
1. Administer NSAIDs - To reduce inflammation and manage joint pain.
2. Monitor kidney function - Lupus can affect the kidneys, so it's important to monitor for potential lupus
nephritis.
Parameters to Monitor:
1. Creatinine and BUN levels - These values help assess kidney function, which can be affected by lupus.
2. Complete blood count (CBC) - To monitor for anemia or leukopenia, which are common complications
of SLE.
, Question: 94 of 100
