RN ADULT MEDICAL SURGICAL ONLINE PRACTICE 2019 B
LATEST UPDATE 2023 REAL EXAM
QNS AND ANS GRADED A+
• A nurse is providing teaching to a patient who has a severe form of
stage II Lymedisease.Which of the following statements made by
the patient reflects an understanding of theteaching?
• “I will need to take antibiotics for 1 year.”
• “My partner will need to take an antiviral
medication.”
c. “My joints ache because I have Lyme
Disease.”
d. “I bruise easily because I have Lyme Disease.”
• A Nurse is caring for a patient who is 4 hr postoperative
following an openreduction internal fixation of the right
ankle. Which of the following assessment findings shouldthe
nurse report to the provider?
• Extremity cool upon palpation
• Serosanguineous drainage on the dressing.
• Capillary refill of 2 seconds.
• patient report of discomfort when moving toes.
• A nurse is assessing a patient while suctioning the patient’s
tracheostomy tube.Which ofthe following findings should
indicate to the nurse the patient is experiencing hypoxia?
• The patient starts to cough
• The patient’s heart rate increases
• The patient is diaphoretic
• The patient’s blood pressure decreases
• A nurse is caring for a patient who is 8 hr postoperative following a
total hip arthroplasty.The patient is unable to void on the bedpan.
Which of the followingactions should the nurse take first?
, • Document the patient’s intake and output.
• Scan the bladder with a portable ultrasound.
• Pour warm water over the patient’s perineum.
• Perform a straight catheterization.
• A nurse is providing discharge instructions to a patient who has
active tuberculosis (TB).Which of the following information should
the nurse includein the instructions?
• Sputum specimens are necessary every 2 to 4 weeks
until there arethreenegative cultures.
• The contagious period generally lasts for 6 to 8
weeks after theinitiation ofmedication therapy.
• Family members should follow airborne precautions at home.
• A follow-up tuberculosis
• A nurse is caring for a patient who has increased intracranial pressure
(ICP) and is receiving mannitol via continuous IV infusion. Which of
the following findings should thenurse report to the provider as an
adverse effect of this medication?
• Decreased heart rate
• Crackles heard on auscultation
• Increased urinary output
• Decreased deep tendon reflexes
• A nurse is providing discharge teaching to a patient who is
postoperative following a modified radical mastectomy. Which of
the following instructions should the nurseinclude?
• Flex the affected arm when ambulating
• Numbness can occur along the inside of the affected arm
• Begin active range-of-motion exercises 1 day after surgery
• Dress in clothing that fits snugly
, • A nurse is providing education to a patient who has tuberculosis
(TB) and theirfamily.Which of the following information should
the nurse include in the teaching?
• After 1 week of medication, TB is no longer communicable.
• Dispose of contaminated tissues in a paper bag.
• Airborne precautions are necessary in the home.
• Family members in the household should undergo TB testing.
• A nurse is providing discharge teaching about infection
prevention to a patientwho hasAIDS. Which of the following
statements by the patient indicates understanding of the
teaching?
• “I will eat a salad at least once each day to increase my intake of vitamin K.”
• “I can work in my flower garden as long as I wear
gardening gloves tocover myskin.”
• “I will no longer floss my teeth after brushing my teeth.”
• “I can sip on a glass of juice for at least 2 hours before I should discard it.”
• A nurse is assessing a patient who is at risk for the development
of perniciousanemia resulting from peptic ulcer disease. Which
of the following images depicts a conditioncaused by pernicious
anemia?
a.
LATEST UPDATE 2023 REAL EXAM
QNS AND ANS GRADED A+
• A nurse is providing teaching to a patient who has a severe form of
stage II Lymedisease.Which of the following statements made by
the patient reflects an understanding of theteaching?
• “I will need to take antibiotics for 1 year.”
• “My partner will need to take an antiviral
medication.”
c. “My joints ache because I have Lyme
Disease.”
d. “I bruise easily because I have Lyme Disease.”
• A Nurse is caring for a patient who is 4 hr postoperative
following an openreduction internal fixation of the right
ankle. Which of the following assessment findings shouldthe
nurse report to the provider?
• Extremity cool upon palpation
• Serosanguineous drainage on the dressing.
• Capillary refill of 2 seconds.
• patient report of discomfort when moving toes.
• A nurse is assessing a patient while suctioning the patient’s
tracheostomy tube.Which ofthe following findings should
indicate to the nurse the patient is experiencing hypoxia?
• The patient starts to cough
• The patient’s heart rate increases
• The patient is diaphoretic
• The patient’s blood pressure decreases
• A nurse is caring for a patient who is 8 hr postoperative following a
total hip arthroplasty.The patient is unable to void on the bedpan.
Which of the followingactions should the nurse take first?
, • Document the patient’s intake and output.
• Scan the bladder with a portable ultrasound.
• Pour warm water over the patient’s perineum.
• Perform a straight catheterization.
• A nurse is providing discharge instructions to a patient who has
active tuberculosis (TB).Which of the following information should
the nurse includein the instructions?
• Sputum specimens are necessary every 2 to 4 weeks
until there arethreenegative cultures.
• The contagious period generally lasts for 6 to 8
weeks after theinitiation ofmedication therapy.
• Family members should follow airborne precautions at home.
• A follow-up tuberculosis
• A nurse is caring for a patient who has increased intracranial pressure
(ICP) and is receiving mannitol via continuous IV infusion. Which of
the following findings should thenurse report to the provider as an
adverse effect of this medication?
• Decreased heart rate
• Crackles heard on auscultation
• Increased urinary output
• Decreased deep tendon reflexes
• A nurse is providing discharge teaching to a patient who is
postoperative following a modified radical mastectomy. Which of
the following instructions should the nurseinclude?
• Flex the affected arm when ambulating
• Numbness can occur along the inside of the affected arm
• Begin active range-of-motion exercises 1 day after surgery
• Dress in clothing that fits snugly
, • A nurse is providing education to a patient who has tuberculosis
(TB) and theirfamily.Which of the following information should
the nurse include in the teaching?
• After 1 week of medication, TB is no longer communicable.
• Dispose of contaminated tissues in a paper bag.
• Airborne precautions are necessary in the home.
• Family members in the household should undergo TB testing.
• A nurse is providing discharge teaching about infection
prevention to a patientwho hasAIDS. Which of the following
statements by the patient indicates understanding of the
teaching?
• “I will eat a salad at least once each day to increase my intake of vitamin K.”
• “I can work in my flower garden as long as I wear
gardening gloves tocover myskin.”
• “I will no longer floss my teeth after brushing my teeth.”
• “I can sip on a glass of juice for at least 2 hours before I should discard it.”
• A nurse is assessing a patient who is at risk for the development
of perniciousanemia resulting from peptic ulcer disease. Which
of the following images depicts a conditioncaused by pernicious
anemia?
a.
