RN ADULT MEDICAL SURGICAL ONLINE PRACTICE 2019 A FOR NGN
REAL EXAM (NEXT GENERATION) WITH VERIFIED QUESTIONS AND
ANSWERS ALREADY GRADED|A GRADE WITH RATIONALES
A nurse in a providers office is caring fro a client who requests sildenafil
to treat erectile dysfunction. Which of the following statements should
the nurse make? - ANS-"You will not be able to use sildenafil if you are
taking nitroglycerin."
The client should not use sildenafil when taking nitroglycerin
because both medications can cause vasodilation and lead to
significant hypotension.
A nurse is assessing a client following the administration of magnesium
sulfate 1 g IV bolus. For which of the following adverse effects should
the nurse monitor? - ANS-Respiratory paralysis - The nurse should
monitor a client who is receiving magnesium sulfate via IV bolus closely
as the adverse effects can impact the CNS, the cardiovascular system,
and the respiratory system. Respiratory paralysis is a life-threatening
adverse effect of magnesium sulfate.
Tachycardia- Magnesium sulfate is used to treat cardiac
dysrhythmias, such as torsades de pointes and refractory
ventricular fibrillation. Depressed cardiac function, including heart
block, is an adverse effect of magnesium sulfate.
Increased BP- Magnesium sulfate is used to treat cardiac
dysthymias, such as torsades des pointes and refractory ventricular
, RN ADULT MEDICAL SURGICAL ONLINE PRACTICE 2019 A FOR NGN
REAL EXAM (NEXT GENERATION) WITH VERIFIED QUESTIONS AND
ANSWERS ALREADY GRADED|A GRADE WITH RATIONALES
fibrillation. However, magnesium sulfate administration can result
in systemic vasodilation and subsequent hypotension.
*hyperreflexia- Hyperreflexia is seen in clients who have
hypomagnesemia. Depressed or absent reflexes are an adverse effect
of magnesium sulfate.
A nurse is providing teaching to a client who has chronic kidney disease
and a new prescription for erythropoietin. Which of the following
statements by the client indicates an understanding of the teaching? -
ANS-"I am taking this medication to increase my energy level."
The goal of erythropoietin therapy is to increase the level of
hematocrit in clients who have anemia. When the medication is
effective, the client should have a decrease in fatigue and an
improvement in activity tolerance.
A nurse is caring for a client has who has chronic glomerulonephritis
with oliguria. Which of the following findings should the nurse identify
as a manifestation of chronic glomerulonephritis? - ANS-Hyperkalemia
The nurse should identify that a client who has chronic
glomerulonephritis can experience hyperkalemia as a result of
kidney failure. Kidney failure results in decreased excretion of
potassium.
, RN ADULT MEDICAL SURGICAL ONLINE PRACTICE 2019 A FOR NGN
REAL EXAM (NEXT GENERATION) WITH VERIFIED QUESTIONS AND
ANSWERS ALREADY GRADED|A GRADE WITH RATIONALES
A nurse in a provider's office is assessing a client who has migraine
headaches and is taking feverfew to prevent headaches. The nurse
should identify that which of the following client medications interacts
with feverfew? - ANS-Naproxen
Both naproxen and feverfew impair platelet aggregation and place
the client at risk for bleeding.
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? - ANS-Add cabbage to the
diet.
To help reduce the risk for colorectal cancer, the client should
consume a diet that is high in fiber, low in fat, and low in refined
carbohydrates. Brassica vegetables, such as cabbage, cauliflower,
and broccoli, are high in fiber.
A nurse is preparing to admit a client who has dysphagia. The nurse
should plan to place which of the following items at the client's bedside?
- ANS-Suction machine
The nurse should ensure that a suction machine is at the bedside of
a client who has dysphagia to clear the client's airway as needed and
reduce the risk for aspiration.
, RN ADULT MEDICAL SURGICAL ONLINE PRACTICE 2019 A FOR NGN
REAL EXAM (NEXT GENERATION) WITH VERIFIED QUESTIONS AND
ANSWERS ALREADY GRADED|A GRADE WITH RATIONALES
A nurse is conducting an admission history for a client who is to
undergo a CT scan with an IV contrast agent. The nurse should identify
that which of the following findings requires further assessment? - ANS-
History of asthma
A client who has a history of asthma has a greater risk of reacting to
the contrast dye used during the procedure. Other conditions that
can result in a reaction to contrast media include allergies to foods,
such as shellfish, eggs, milk, and chocolate.
A nurse is assessing a client who has Graves' disease. Which of the
following images should indicate to the nurse that the client has
exophthalmos? - ANS-D (부릅 뜬 눈)
The nurse should identify an outward protrusion of the eyes as
exophthalmos, a common finding of Graves' disease. An
overproduction of the thyroid hormone causes edema of the
extraocular muscle and increases fatty tissue behind the eye, which
results in the eyes protruding outward. Exophthalmos can cause the
client to experience problems with vision, including focusing on
objects, as well as pressure on the optic nerve.
A nurse in an acute care facility is caring for a client who is at risk for
seizures. Which of the following precautions should the nurse
implement? - ANS-Ensure the client has a patient IV.
REAL EXAM (NEXT GENERATION) WITH VERIFIED QUESTIONS AND
ANSWERS ALREADY GRADED|A GRADE WITH RATIONALES
A nurse in a providers office is caring fro a client who requests sildenafil
to treat erectile dysfunction. Which of the following statements should
the nurse make? - ANS-"You will not be able to use sildenafil if you are
taking nitroglycerin."
The client should not use sildenafil when taking nitroglycerin
because both medications can cause vasodilation and lead to
significant hypotension.
A nurse is assessing a client following the administration of magnesium
sulfate 1 g IV bolus. For which of the following adverse effects should
the nurse monitor? - ANS-Respiratory paralysis - The nurse should
monitor a client who is receiving magnesium sulfate via IV bolus closely
as the adverse effects can impact the CNS, the cardiovascular system,
and the respiratory system. Respiratory paralysis is a life-threatening
adverse effect of magnesium sulfate.
Tachycardia- Magnesium sulfate is used to treat cardiac
dysrhythmias, such as torsades de pointes and refractory
ventricular fibrillation. Depressed cardiac function, including heart
block, is an adverse effect of magnesium sulfate.
Increased BP- Magnesium sulfate is used to treat cardiac
dysthymias, such as torsades des pointes and refractory ventricular
, RN ADULT MEDICAL SURGICAL ONLINE PRACTICE 2019 A FOR NGN
REAL EXAM (NEXT GENERATION) WITH VERIFIED QUESTIONS AND
ANSWERS ALREADY GRADED|A GRADE WITH RATIONALES
fibrillation. However, magnesium sulfate administration can result
in systemic vasodilation and subsequent hypotension.
*hyperreflexia- Hyperreflexia is seen in clients who have
hypomagnesemia. Depressed or absent reflexes are an adverse effect
of magnesium sulfate.
A nurse is providing teaching to a client who has chronic kidney disease
and a new prescription for erythropoietin. Which of the following
statements by the client indicates an understanding of the teaching? -
ANS-"I am taking this medication to increase my energy level."
The goal of erythropoietin therapy is to increase the level of
hematocrit in clients who have anemia. When the medication is
effective, the client should have a decrease in fatigue and an
improvement in activity tolerance.
A nurse is caring for a client has who has chronic glomerulonephritis
with oliguria. Which of the following findings should the nurse identify
as a manifestation of chronic glomerulonephritis? - ANS-Hyperkalemia
The nurse should identify that a client who has chronic
glomerulonephritis can experience hyperkalemia as a result of
kidney failure. Kidney failure results in decreased excretion of
potassium.
, RN ADULT MEDICAL SURGICAL ONLINE PRACTICE 2019 A FOR NGN
REAL EXAM (NEXT GENERATION) WITH VERIFIED QUESTIONS AND
ANSWERS ALREADY GRADED|A GRADE WITH RATIONALES
A nurse in a provider's office is assessing a client who has migraine
headaches and is taking feverfew to prevent headaches. The nurse
should identify that which of the following client medications interacts
with feverfew? - ANS-Naproxen
Both naproxen and feverfew impair platelet aggregation and place
the client at risk for bleeding.
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? - ANS-Add cabbage to the
diet.
To help reduce the risk for colorectal cancer, the client should
consume a diet that is high in fiber, low in fat, and low in refined
carbohydrates. Brassica vegetables, such as cabbage, cauliflower,
and broccoli, are high in fiber.
A nurse is preparing to admit a client who has dysphagia. The nurse
should plan to place which of the following items at the client's bedside?
- ANS-Suction machine
The nurse should ensure that a suction machine is at the bedside of
a client who has dysphagia to clear the client's airway as needed and
reduce the risk for aspiration.
, RN ADULT MEDICAL SURGICAL ONLINE PRACTICE 2019 A FOR NGN
REAL EXAM (NEXT GENERATION) WITH VERIFIED QUESTIONS AND
ANSWERS ALREADY GRADED|A GRADE WITH RATIONALES
A nurse is conducting an admission history for a client who is to
undergo a CT scan with an IV contrast agent. The nurse should identify
that which of the following findings requires further assessment? - ANS-
History of asthma
A client who has a history of asthma has a greater risk of reacting to
the contrast dye used during the procedure. Other conditions that
can result in a reaction to contrast media include allergies to foods,
such as shellfish, eggs, milk, and chocolate.
A nurse is assessing a client who has Graves' disease. Which of the
following images should indicate to the nurse that the client has
exophthalmos? - ANS-D (부릅 뜬 눈)
The nurse should identify an outward protrusion of the eyes as
exophthalmos, a common finding of Graves' disease. An
overproduction of the thyroid hormone causes edema of the
extraocular muscle and increases fatty tissue behind the eye, which
results in the eyes protruding outward. Exophthalmos can cause the
client to experience problems with vision, including focusing on
objects, as well as pressure on the optic nerve.
A nurse in an acute care facility is caring for a client who is at risk for
seizures. Which of the following precautions should the nurse
implement? - ANS-Ensure the client has a patient IV.
