RN Adult Medical Surgical exam 2023/ 90
questions and answers.
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? - -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? - -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? - -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? - -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? - -
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? - -place the client in high-fowler's position
A nurse is planning care for a client who has extensive burn injuries and is immune
compromised. Which of the following precautions should the nurse include in the plan of care to
prevent a pseudomonas aeruginosa infection. - -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? - -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? - -administer an opioid analgesic to the client
A nurse is assessing a client who has had a suspected stroke. The nurse should place the priority
on which of the following findings? - -dysphagia
A nurse is teaching a young adult client how to perform testicular self-examination. Which of the
following instructions should the nurse include? - -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? - -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? - -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? - -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? - -
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? - -a client who is receiving preoperative teaching for
a right knee arthroplasty.
questions and answers.
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? - -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? - -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? - -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? - -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? - -
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? - -place the client in high-fowler's position
A nurse is planning care for a client who has extensive burn injuries and is immune
compromised. Which of the following precautions should the nurse include in the plan of care to
prevent a pseudomonas aeruginosa infection. - -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? - -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? - -administer an opioid analgesic to the client
A nurse is assessing a client who has had a suspected stroke. The nurse should place the priority
on which of the following findings? - -dysphagia
A nurse is teaching a young adult client how to perform testicular self-examination. Which of the
following instructions should the nurse include? - -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? - -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? - -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? - -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? - -
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? - -a client who is receiving preoperative teaching for
a right knee arthroplasty.
