RN Adult Medical Surgical Online
Practice 2019 A
a nurse is caring for a client who has hepatic encephalopathy that is being treated with
lactulose. the client is experiencing excessive stools. which of the following findings is
an adverse effect of the medication? - Answer hypokalemia
a nurse is caring for a client who has emphysema and is receiving mechanical
ventilation. the client appears anxious and restless, and the high-pressure alarm is
sounding. which of the following actions should the nurse take first? - Answer instruct
the client to allow the machine to breathe for them
a nurse is teaching a client who has a family history of colorectal cancer. to help
mitigate this risk, which of the following dietary alterations should the nurse
recommend? - Answer add cabbage to the diet
a home health nurse is assigned to a client who was recently discharged from a
rehabilitation center after experiencing a right-hemispheric stroke. which of the following
neurological deficits should the nurse expect to find when assessing the client? -
Answer visual spatial deficits
left hemianopsia
one-sided neglect
a nurse is caring for a client who has viral pneumonia. the client's pulse oximeter
readings have fluctuated between 79% and 88% for the last 30 min. which of the
following oxygen delivery systems should the nurse initiate to provide the highest
concentration of oxygen? - Answer nonrebreather mask
a nurse is caring for a client who has bilateral pneumonia and an SaO2 of 85%. the
client has dyspnea with a productive cough and is using accessory muscles to breathe.
which of the following actions should the nurse take first? - Answer place the client in
high-fowler's position
a nurse is planning care for a client who has extensive burn injuries and is
immunocompromised. which of the following precautions should the nurse include in the
plan of care to prevent a Pseudomonas aeruginosa infection. - Answer avoid placing
plants or flowers in the client's room
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? - Answer Urine specific gravity of 1.045
a nurse in an emergency department is reviewing the providers prescriptions for a client
who sustained a rattlesnake bite to the lower leg. which of the following prescriptions
should the nurse expect? - Answer administer an opioid analgesic to the client
, RN Adult Medical Surgical Online
Practice 2019 A
a nurse is assessing a client who has had a suspected stroke. the nurse should place
the priority on which of the following findings? - Answer dysphagia
a nurse is teaching a young adult client how to perform testicular self-examination.
which of the following instructions should the nurse include? - Answer roll each testicle
between the thumb and fingers
a nurse is providing instructions to a client who has type 2 diabetes mellitus and a new
prescription for metformin. which of the following statements by the client indicates an
understanding of the teaching? - Answer I should take this medication with a meal
a nurse is teaching a client who has venous insufficiency about self-care. which of the
following statements should the nurse identify as an indication that the client
understands the teaching? - Answer I will wear clean graduated compression stockings
every day
a nurse is assessing a client who has acute cholecystitis. which of the following findings
is the nurse's priority? - Answer tachycardia
a nurse is reviewing the health record of a client who is scheduled for allergy skin
testing. the nurse should postpone the testing and report to the provider with if the
following findings? - Answer current medications
a nurse is caring for a group of clients. the nurse should plan to make a referral to
physical therapy for which of the following clients? - Answer a client who is receiving
preoperative teaching for a right knee arthroplasty
a nurse is caring for a client who has DKA. which of the following laboratory findings
should the nurse expect? - Answer BUN 32 mg/dl
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
statements should the nurse include in the teaching - Answer you should cut the
opening of the skin barrier one-eighth inch wider than the stoma
a nurse is providing teaching for a female client who has recurrent urinary tract
infections. which fo the following information should the nurse include in the teaching? -
Answer void before and after intercourse
a nurse and an assistive personnel are caring for a client who has bacterial meningitis.
the nurse should give the AP which of the following instructions? - Answer wear a mask
Practice 2019 A
a nurse is caring for a client who has hepatic encephalopathy that is being treated with
lactulose. the client is experiencing excessive stools. which of the following findings is
an adverse effect of the medication? - Answer hypokalemia
a nurse is caring for a client who has emphysema and is receiving mechanical
ventilation. the client appears anxious and restless, and the high-pressure alarm is
sounding. which of the following actions should the nurse take first? - Answer instruct
the client to allow the machine to breathe for them
a nurse is teaching a client who has a family history of colorectal cancer. to help
mitigate this risk, which of the following dietary alterations should the nurse
recommend? - Answer add cabbage to the diet
a home health nurse is assigned to a client who was recently discharged from a
rehabilitation center after experiencing a right-hemispheric stroke. which of the following
neurological deficits should the nurse expect to find when assessing the client? -
Answer visual spatial deficits
left hemianopsia
one-sided neglect
a nurse is caring for a client who has viral pneumonia. the client's pulse oximeter
readings have fluctuated between 79% and 88% for the last 30 min. which of the
following oxygen delivery systems should the nurse initiate to provide the highest
concentration of oxygen? - Answer nonrebreather mask
a nurse is caring for a client who has bilateral pneumonia and an SaO2 of 85%. the
client has dyspnea with a productive cough and is using accessory muscles to breathe.
which of the following actions should the nurse take first? - Answer place the client in
high-fowler's position
a nurse is planning care for a client who has extensive burn injuries and is
immunocompromised. which of the following precautions should the nurse include in the
plan of care to prevent a Pseudomonas aeruginosa infection. - Answer avoid placing
plants or flowers in the client's room
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? - Answer Urine specific gravity of 1.045
a nurse in an emergency department is reviewing the providers prescriptions for a client
who sustained a rattlesnake bite to the lower leg. which of the following prescriptions
should the nurse expect? - Answer administer an opioid analgesic to the client
, RN Adult Medical Surgical Online
Practice 2019 A
a nurse is assessing a client who has had a suspected stroke. the nurse should place
the priority on which of the following findings? - Answer dysphagia
a nurse is teaching a young adult client how to perform testicular self-examination.
which of the following instructions should the nurse include? - Answer roll each testicle
between the thumb and fingers
a nurse is providing instructions to a client who has type 2 diabetes mellitus and a new
prescription for metformin. which of the following statements by the client indicates an
understanding of the teaching? - Answer I should take this medication with a meal
a nurse is teaching a client who has venous insufficiency about self-care. which of the
following statements should the nurse identify as an indication that the client
understands the teaching? - Answer I will wear clean graduated compression stockings
every day
a nurse is assessing a client who has acute cholecystitis. which of the following findings
is the nurse's priority? - Answer tachycardia
a nurse is reviewing the health record of a client who is scheduled for allergy skin
testing. the nurse should postpone the testing and report to the provider with if the
following findings? - Answer current medications
a nurse is caring for a group of clients. the nurse should plan to make a referral to
physical therapy for which of the following clients? - Answer a client who is receiving
preoperative teaching for a right knee arthroplasty
a nurse is caring for a client who has DKA. which of the following laboratory findings
should the nurse expect? - Answer BUN 32 mg/dl
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
statements should the nurse include in the teaching - Answer you should cut the
opening of the skin barrier one-eighth inch wider than the stoma
a nurse is providing teaching for a female client who has recurrent urinary tract
infections. which fo the following information should the nurse include in the teaching? -
Answer void before and after intercourse
a nurse and an assistive personnel are caring for a client who has bacterial meningitis.
the nurse should give the AP which of the following instructions? - Answer wear a mask
