PN Adult Medical Surgical Online Practice 2022/2023 A
PN Adult Medical Surgical Online
Practice 2022 A
A nurse is caring for a client who has terminal pancreatic cancer. The client
states, "I don't think I can go on any longer." Which of the following responses
should the nurse make?
"Are you experiencing abdominal pain?"
"You should talk about this with the people you're
closest to." "Many people who have cancer feel this
way."
"You feel like you want to discontinue treatment?" - ANSWER "You feel like
you want to discontinue treatment?"
A nurse is contributing to the plan of care for a client who is having difficulty
eating following a stroke. Which of the following actions should the nurse take
first?
Collaborate with a dietitian.
Ensure that the client is provided with a high-ber diet.
Implement recommendations from the speech-language
pathologist. Request a referral for an occupational therapist. -
ANSWER Implement recommendations from the speech-language
pathologist
.
A nurse is caring for a client who is 3 days postoperative following a total
right hip arthroplasty. Which of the following actions should the nurse take?
Use a traction boot to keep the client's right leg internally
rotated. Have the client sit in a reclining chair when out of
bed.
Maintain abduction of the client's right leg while in bed.
Encourage the client to perform passive range-of-motion exercises. -
ANSWER Maintain abduction of the client's right leg while in bed.
A nurse is contributing to the plan of care for a client who was admitted to the
neurological unit following a stroke 3 hr ago. Which of the following
interventions should the nurse identify as the priority?
Encourage the client to participate in self-care.
Assist the client with active range-of-motion
exercises. Keep the client in a side-lying
position.
,PN Adult Medical Surgical Online Practice 2022/2023 A
Maintain the client's body alignment - ANSWER Keep the client in a side-lying
position.
A nurse is participating in a health fair for older adult clients. Which of the
following vaccines should the nurse recommend for this age group?
,PN Adult Medical Surgical Online Practice 2022/2023 A
Meningococc
al Herpes
zoster
Human papillomavirus (HPV) Measles, mumps, and rubella (MMR) - ANSWER
Herpes zoster
A nurse is contributing to the plan of care for a client who has a new
prescription for nystatin suspension for oral candidiasis. Which of the
following interventions should the nurse include in the plan?
Use a commercial mouthwash before taking the
medication. Instruct the client to swish the
medication in their mouth.
Discontinue the medication as soon as the lesions are healed.
Combine the medication with applesauce - ANSWER Instruct the client to
swish the medication in their mouth.
A nurse is preparing to perform intermittent urinary catheterization for a
female client who has been unable to void following surgery 6 hr ago. Which
of the following catheters should the nurse use to perform this procedure? -
ANSWER intermittent straight catheter (clear tube with blue top)
A nurse is preparing to auscultate the bowel sounds of a client who has a
mechanical bowel obstruction in the descending colon. When listening in
the left upper quadrant, the nurse should identify this sound as which of
the following?
Hyperactive bowel
sounds Friction rub
Normal bowel sounds
Abdominal bruit - ANSWER Hyperactive bowel sounds
A nurse is contributing to the plan of care for a client who has multiple
sclerosis and is taking dantrolene to manage muscle spasms. Which of the
following interventions should the nurse include?
Apply hot packs to the client's
muscles. Schedule physical therapy
in the afternoon Encourage the client
to complete ADLs.
Administer valerian to promote sleep - ANSWER Encourage the client to
complete ADLs.
A nurse is assisting with the care of a client who had a cardiac
catheterization via the right femoral artery. Which of the following actions
should the nurse take to prevent postprocedure complications?
, PN Adult Medical Surgical Online Practice 2022/2023 A
Monitor the insertion site for
bleeding Position the affected
extremity at a 45º
PN Adult Medical Surgical Online
Practice 2022 A
A nurse is caring for a client who has terminal pancreatic cancer. The client
states, "I don't think I can go on any longer." Which of the following responses
should the nurse make?
"Are you experiencing abdominal pain?"
"You should talk about this with the people you're
closest to." "Many people who have cancer feel this
way."
"You feel like you want to discontinue treatment?" - ANSWER "You feel like
you want to discontinue treatment?"
A nurse is contributing to the plan of care for a client who is having difficulty
eating following a stroke. Which of the following actions should the nurse take
first?
Collaborate with a dietitian.
Ensure that the client is provided with a high-ber diet.
Implement recommendations from the speech-language
pathologist. Request a referral for an occupational therapist. -
ANSWER Implement recommendations from the speech-language
pathologist
.
A nurse is caring for a client who is 3 days postoperative following a total
right hip arthroplasty. Which of the following actions should the nurse take?
Use a traction boot to keep the client's right leg internally
rotated. Have the client sit in a reclining chair when out of
bed.
Maintain abduction of the client's right leg while in bed.
Encourage the client to perform passive range-of-motion exercises. -
ANSWER Maintain abduction of the client's right leg while in bed.
A nurse is contributing to the plan of care for a client who was admitted to the
neurological unit following a stroke 3 hr ago. Which of the following
interventions should the nurse identify as the priority?
Encourage the client to participate in self-care.
Assist the client with active range-of-motion
exercises. Keep the client in a side-lying
position.
,PN Adult Medical Surgical Online Practice 2022/2023 A
Maintain the client's body alignment - ANSWER Keep the client in a side-lying
position.
A nurse is participating in a health fair for older adult clients. Which of the
following vaccines should the nurse recommend for this age group?
,PN Adult Medical Surgical Online Practice 2022/2023 A
Meningococc
al Herpes
zoster
Human papillomavirus (HPV) Measles, mumps, and rubella (MMR) - ANSWER
Herpes zoster
A nurse is contributing to the plan of care for a client who has a new
prescription for nystatin suspension for oral candidiasis. Which of the
following interventions should the nurse include in the plan?
Use a commercial mouthwash before taking the
medication. Instruct the client to swish the
medication in their mouth.
Discontinue the medication as soon as the lesions are healed.
Combine the medication with applesauce - ANSWER Instruct the client to
swish the medication in their mouth.
A nurse is preparing to perform intermittent urinary catheterization for a
female client who has been unable to void following surgery 6 hr ago. Which
of the following catheters should the nurse use to perform this procedure? -
ANSWER intermittent straight catheter (clear tube with blue top)
A nurse is preparing to auscultate the bowel sounds of a client who has a
mechanical bowel obstruction in the descending colon. When listening in
the left upper quadrant, the nurse should identify this sound as which of
the following?
Hyperactive bowel
sounds Friction rub
Normal bowel sounds
Abdominal bruit - ANSWER Hyperactive bowel sounds
A nurse is contributing to the plan of care for a client who has multiple
sclerosis and is taking dantrolene to manage muscle spasms. Which of the
following interventions should the nurse include?
Apply hot packs to the client's
muscles. Schedule physical therapy
in the afternoon Encourage the client
to complete ADLs.
Administer valerian to promote sleep - ANSWER Encourage the client to
complete ADLs.
A nurse is assisting with the care of a client who had a cardiac
catheterization via the right femoral artery. Which of the following actions
should the nurse take to prevent postprocedure complications?
, PN Adult Medical Surgical Online Practice 2022/2023 A
Monitor the insertion site for
bleeding Position the affected
extremity at a 45º
