RN Adult Medical Surgical Online Practice 2019 A
1.A home health nurse is assigned to a client who was recently discharged from a rehabilitationcenter
after experiencing a right-hemispheric stroke. Which of the following neurologic deficits should the nurse
expect to find when assessing the client? ( select all that apply)
Visual spatial deficits
Left hemianopsia ( blindness in the left half of the visual field)
One-sided neglect
2. A nurse is reviewing the health record of a client who is scheduled for allergy skin testing. Thenurse
should postpone the testing and report to the provider which of the following findings?
Current medications
3. A nurse is caring for a group of clients. The nurse should plan to make a referral to physicaltherapy
for which of the following clients?
A client who is receiving preoperative teaching for a right knee arthroplasty
4.A nurse is caring for a client who is having a seizure. Which of the following interventions isthe
nurse’s priority?
Turn the client to the side
5.A nurse is caring for a client who is 12 hr postoperative following a total hip arthroplasty.Which of the
following actions should the nurse take?
Place a pillow between the client’s leg
6. A nurse is preparing to admit a client who has dysphagia. The nurse should plan to placewhich of
the following items at the client’s bedside?
Suction machine
7.A nurse is planning teaching for a client who has bladder cancer and is to undergo a cutaneous
diversion procedure to establish a ureterostomy. Which of the following statementsshould the nurse
include in the teaching?
“You should cut the opening of the skin barrier one-eight inch wider than the stoma”
8.A nurse in an emergency department is caring for a client who reports vomiting and diarrhea for the
past 3 days. Which of the following findings should indicate to the nurse that the client isexperiencing
fluid volume deficit?
, Heart rate 110/min
9.A nurse is planning care for a client who is undergoing brachytherapy via a sealed vaginal implant to
treat endometrial cancer.Which of the following actions should the nurse include inthe client’s plan of
care?
Wear a lead apron while providing care to the client
10.A nurse is planning to provide discharge teaching for the family of an older adult client whohas
hemianopsia and is at risk for falls. Which of the following instructions should the nurse include?
Remind the client to scan their complete range of vision during ambulation
11.A nurse is planning care to decrease psychosocial health issues for a client who is starting dialysis
treatments for chronic kidney disease. Which of the following interventions should the nurse include in
the plan?
Tell the client that it is possible to return to similar previous levels of activity
12.A nurse is caring for a client who has a closed head injury and has an intraventricularcatheter placed.
Which of the following findings indicates that the client is experiencing increased intracranial pressure
(ICP)
Sleepiness exhibited by the client
Widening pulse pressure
Decerebrated posturing
13.An older adult client is brought to an emergency department by a family member. Which of the
following assessment findings should cause the nurse to suspect that the client has hypertonic
dehydration?
Urine specific gravity 1.045
14.A nurse is caring for a client who has a prescription for enalapril. The nurse should identify which of
the following findings as an adverse effect of the medication?
Orthostatic hypotension
15.A nurse in a provider’s office is caring for a client who requests sildenafil to treat erectiledysfunction.
Which of the following statements should the nurse make?
“ You will not be able to use sildenafil if you are taking nitroglycerin
1.A home health nurse is assigned to a client who was recently discharged from a rehabilitationcenter
after experiencing a right-hemispheric stroke. Which of the following neurologic deficits should the nurse
expect to find when assessing the client? ( select all that apply)
Visual spatial deficits
Left hemianopsia ( blindness in the left half of the visual field)
One-sided neglect
2. A nurse is reviewing the health record of a client who is scheduled for allergy skin testing. Thenurse
should postpone the testing and report to the provider which of the following findings?
Current medications
3. A nurse is caring for a group of clients. The nurse should plan to make a referral to physicaltherapy
for which of the following clients?
A client who is receiving preoperative teaching for a right knee arthroplasty
4.A nurse is caring for a client who is having a seizure. Which of the following interventions isthe
nurse’s priority?
Turn the client to the side
5.A nurse is caring for a client who is 12 hr postoperative following a total hip arthroplasty.Which of the
following actions should the nurse take?
Place a pillow between the client’s leg
6. A nurse is preparing to admit a client who has dysphagia. The nurse should plan to placewhich of
the following items at the client’s bedside?
Suction machine
7.A nurse is planning teaching for a client who has bladder cancer and is to undergo a cutaneous
diversion procedure to establish a ureterostomy. Which of the following statementsshould the nurse
include in the teaching?
“You should cut the opening of the skin barrier one-eight inch wider than the stoma”
8.A nurse in an emergency department is caring for a client who reports vomiting and diarrhea for the
past 3 days. Which of the following findings should indicate to the nurse that the client isexperiencing
fluid volume deficit?
, Heart rate 110/min
9.A nurse is planning care for a client who is undergoing brachytherapy via a sealed vaginal implant to
treat endometrial cancer.Which of the following actions should the nurse include inthe client’s plan of
care?
Wear a lead apron while providing care to the client
10.A nurse is planning to provide discharge teaching for the family of an older adult client whohas
hemianopsia and is at risk for falls. Which of the following instructions should the nurse include?
Remind the client to scan their complete range of vision during ambulation
11.A nurse is planning care to decrease psychosocial health issues for a client who is starting dialysis
treatments for chronic kidney disease. Which of the following interventions should the nurse include in
the plan?
Tell the client that it is possible to return to similar previous levels of activity
12.A nurse is caring for a client who has a closed head injury and has an intraventricularcatheter placed.
Which of the following findings indicates that the client is experiencing increased intracranial pressure
(ICP)
Sleepiness exhibited by the client
Widening pulse pressure
Decerebrated posturing
13.An older adult client is brought to an emergency department by a family member. Which of the
following assessment findings should cause the nurse to suspect that the client has hypertonic
dehydration?
Urine specific gravity 1.045
14.A nurse is caring for a client who has a prescription for enalapril. The nurse should identify which of
the following findings as an adverse effect of the medication?
Orthostatic hypotension
15.A nurse in a provider’s office is caring for a client who requests sildenafil to treat erectiledysfunction.
Which of the following statements should the nurse make?
“ You will not be able to use sildenafil if you are taking nitroglycerin
