medsurgati
• Nurse is preparing to administer thrombolytic therapy to a client
with ischemic stroke. which is an appropriate nursing action?
Monitor BP Q 30 min during transfusion
• Nurse is teaching about the use of an incentive spirometer. Which of
the following instructions should the nurse include in the teaching?
Holds breaths about 305 seconds before exhaling
• Nurse is assessing a client who is 12 hr post op following a colon
resection. Which of the following findings should the nurse report to
the surgeon Absent Bowel Sounds
• Nurse is caring for a client who has diabetes insidipidus. Which of
the following meds should the nurse plan to administer?
Desmopressin
• Nurse is admitting a client who has arthritic pain and reports
taking ibuprofen several times daily for 3 years. Which of the
following tests should the nurse monitor? Stool for occult blood
• A nurse in the ED is assessing a client. Which of the following actions
should the nurse take first? Initiate Airborne Percautions
• A nurse is contacting the provider of a client who has cancer and is
experiencing breakthrough pain. Which of the following prescriptions
should the nurse anticipate? Fentanyl
• Nurse is admitting a client who reports chest pain and has been
places on a telemetry monitor. Which of the following should the
nurse analyze to determine whether the client is experiencing a MI?
ST segment
• Nurse is teaching a client who has ovarian cancer about skin care
following radiation treatment. Which of the following should the
nurse include? Pat the skin on the radiation site to dry it
• A nurse is caring for a client receiving blood transfusion. Nurse
observes client has bounding peripheral pulse, HTN, distended
jugular veins. The nurse should anticipate admin which of the
following meds? Furosemide
• A nurse is assessing a client who is getting Magnesium Sulfate IV for
tx of hypomagnesemia. Which of the following indicates
effectiveness? Apical Pulse 82
• Lumbar puncture positioning: Cannonball position while on one side or
by having the client stretch over an overbid table is sitting is preferred
**Its a picture just choose the one that corresponds with the position I
described** answer is C
• A nurse is reviewing ABG results: pH 7.42, PaCO2: 30; HCO3: 21.
Indication for which of the following conditions? Uncompensated
respiratory acidosis
• Nurse is preparing to administer daily meds to a client undergoing a
procedure that requires IV contrast dye. Which of the following meds
should the nurse hold? Metformin
• Nurse is caring for a client who is experiencing seizures secondary to
meningitis. What should be included in the plan of care? SATA!! Have
suction at bedside, Dim overhead lights
, medsurgati
• Nurse is caring for pt who has a pressure ulcer with necrotic tissue
and requires wet-to-damp dressing. Which of the following types of
debridement should the nurse include in the plan of care. Mechanical
• Nurse is caring for a female with toxic shock. Which finding should
nurse expect?
Generalized Rash
• Nurse is preparing to administer a med for a client through a non-
tunneled percutaneous central catheter. Which of the following
actions should the nurse take? Flush catheter with 10mL of NS
• Nurse is caring for pt admitted with nausea, vomit, and possible
bowel obstruction. NG tube is placed and set to low intermittent
suction. Which of the following findings should the nurse report?
Distended and firm
• Nurse is reviewing the MAR of a pt with DI. Which of the following
finding should the nurse expect? Urine specific gravity 1.001
• Nurse is caring for a pt who has hyperthyroidism and develops
thyroid storm. Which of the following instructions should the nurse
give to the client regarding management of thyroid storm? You will
need a cooling blanket to lower your body temperature
• Nurse is reviewing the MAR of a client who has acute gout. The
nurse should expect an increase in which of the lab values? Uric
Acid
• Nurse is preparing to administer peritoneal dialysis to a client. Which
of the following actions should the nurse take? Hang drainage bag
below the client’s abdomen
• Nurse in the Ed is caring for pt who has deep partial-thickness burns
over 30% of his body, including upper chest and abdomen. Which of
the following actions is the nurse’s priority? insert 18 gauge IV catheter
• Nurse is presenting an in-service about parkinson’s disease. Which
of the following statements should nurse include int he teaching?
PD results from a decreased amount of dopamine in the client’s brain
• A nurse is caring for a client who has a serum sodium level of 150.
Which action should the nurse take? Administer hypotonic IV fluids to
the client
• Nurse is caring for a client who takes lisinopril for HTN. Which of the
following client statements indicates an adverse effect of the
medication? I have a nagging, dry cough. Heightened sense of taste
• Nurse is proving discharge teaching to a client following a modified left
radical mastectomy with breast expander. Which of the following
statements by the client indicates an understanding of the teaching? I
should expect less than 25mL of secretions per day
• Nurse is caring for a pt who has DM and has been following a
treatment plan for 3 months. Which lab values should nurse monitor
to determine long-term glycemic control? Glycolysated Hgb level
• Nurse is providing discharge teaching to a client to has chronic UTI.
Client has a prescription for cipro. What should nurse include in
teaching? Drink 2 to 3 L of fluid per day
• A nurse is providing teaching to pt who has a DVT. Which of the
following is a risk factor for a DVT? Oral Contraceptives
• Nurse is preparing to administer thrombolytic therapy to a client
with ischemic stroke. which is an appropriate nursing action?
Monitor BP Q 30 min during transfusion
• Nurse is teaching about the use of an incentive spirometer. Which of
the following instructions should the nurse include in the teaching?
Holds breaths about 305 seconds before exhaling
• Nurse is assessing a client who is 12 hr post op following a colon
resection. Which of the following findings should the nurse report to
the surgeon Absent Bowel Sounds
• Nurse is caring for a client who has diabetes insidipidus. Which of
the following meds should the nurse plan to administer?
Desmopressin
• Nurse is admitting a client who has arthritic pain and reports
taking ibuprofen several times daily for 3 years. Which of the
following tests should the nurse monitor? Stool for occult blood
• A nurse in the ED is assessing a client. Which of the following actions
should the nurse take first? Initiate Airborne Percautions
• A nurse is contacting the provider of a client who has cancer and is
experiencing breakthrough pain. Which of the following prescriptions
should the nurse anticipate? Fentanyl
• Nurse is admitting a client who reports chest pain and has been
places on a telemetry monitor. Which of the following should the
nurse analyze to determine whether the client is experiencing a MI?
ST segment
• Nurse is teaching a client who has ovarian cancer about skin care
following radiation treatment. Which of the following should the
nurse include? Pat the skin on the radiation site to dry it
• A nurse is caring for a client receiving blood transfusion. Nurse
observes client has bounding peripheral pulse, HTN, distended
jugular veins. The nurse should anticipate admin which of the
following meds? Furosemide
• A nurse is assessing a client who is getting Magnesium Sulfate IV for
tx of hypomagnesemia. Which of the following indicates
effectiveness? Apical Pulse 82
• Lumbar puncture positioning: Cannonball position while on one side or
by having the client stretch over an overbid table is sitting is preferred
**Its a picture just choose the one that corresponds with the position I
described** answer is C
• A nurse is reviewing ABG results: pH 7.42, PaCO2: 30; HCO3: 21.
Indication for which of the following conditions? Uncompensated
respiratory acidosis
• Nurse is preparing to administer daily meds to a client undergoing a
procedure that requires IV contrast dye. Which of the following meds
should the nurse hold? Metformin
• Nurse is caring for a client who is experiencing seizures secondary to
meningitis. What should be included in the plan of care? SATA!! Have
suction at bedside, Dim overhead lights
, medsurgati
• Nurse is caring for pt who has a pressure ulcer with necrotic tissue
and requires wet-to-damp dressing. Which of the following types of
debridement should the nurse include in the plan of care. Mechanical
• Nurse is caring for a female with toxic shock. Which finding should
nurse expect?
Generalized Rash
• Nurse is preparing to administer a med for a client through a non-
tunneled percutaneous central catheter. Which of the following
actions should the nurse take? Flush catheter with 10mL of NS
• Nurse is caring for pt admitted with nausea, vomit, and possible
bowel obstruction. NG tube is placed and set to low intermittent
suction. Which of the following findings should the nurse report?
Distended and firm
• Nurse is reviewing the MAR of a pt with DI. Which of the following
finding should the nurse expect? Urine specific gravity 1.001
• Nurse is caring for a pt who has hyperthyroidism and develops
thyroid storm. Which of the following instructions should the nurse
give to the client regarding management of thyroid storm? You will
need a cooling blanket to lower your body temperature
• Nurse is reviewing the MAR of a client who has acute gout. The
nurse should expect an increase in which of the lab values? Uric
Acid
• Nurse is preparing to administer peritoneal dialysis to a client. Which
of the following actions should the nurse take? Hang drainage bag
below the client’s abdomen
• Nurse in the Ed is caring for pt who has deep partial-thickness burns
over 30% of his body, including upper chest and abdomen. Which of
the following actions is the nurse’s priority? insert 18 gauge IV catheter
• Nurse is presenting an in-service about parkinson’s disease. Which
of the following statements should nurse include int he teaching?
PD results from a decreased amount of dopamine in the client’s brain
• A nurse is caring for a client who has a serum sodium level of 150.
Which action should the nurse take? Administer hypotonic IV fluids to
the client
• Nurse is caring for a client who takes lisinopril for HTN. Which of the
following client statements indicates an adverse effect of the
medication? I have a nagging, dry cough. Heightened sense of taste
• Nurse is proving discharge teaching to a client following a modified left
radical mastectomy with breast expander. Which of the following
statements by the client indicates an understanding of the teaching? I
should expect less than 25mL of secretions per day
• Nurse is caring for a pt who has DM and has been following a
treatment plan for 3 months. Which lab values should nurse monitor
to determine long-term glycemic control? Glycolysated Hgb level
• Nurse is providing discharge teaching to a client to has chronic UTI.
Client has a prescription for cipro. What should nurse include in
teaching? Drink 2 to 3 L of fluid per day
• A nurse is providing teaching to pt who has a DVT. Which of the
following is a risk factor for a DVT? Oral Contraceptives
