NGN ATI RN MED SURG PROCTORED EXAM 300
COMPREHENSIVE QUESTIONS WITH DETAILED VERIFIED
ANSWERS (100% CORRECT ANSWERS) /A+ GRADE
ASSURED/ UPDATED VERSION
1. A nurse is reinforcing teaching with an older adult client who has osteoporosis. Which
of thefollowing instructions should the nurse in the teaching?
a) "Place throw rugs on wooden floors at home."
b) "Supplement your diet with vitamin E."
c) "Swim laps for 20 minutes twice per week."
d) "Take calcium supplements with meals." (The nurse should instruct the
client to takecalcium carbonate supplements with or following meals to
increase absorption and effectiveness.)
2. A nurse is reviewing the medication record of a client who is taking digoxin. Which of
thefollowing medications should the nurse identify as increasing the risk for the
client to develop digoxin toxicity?
a) Potassium chloride
b) Famotidine
c) Levothyroxine
d) Furosemide (The nurse should identify that loop diuretics, such as furosemide,
increase the urinary excretion of potassium, which can lead to hypokalemia.
Hypokalemia increases the risk for the development of digoxin toxicity.)
3. A nurse is reinforcing teaching about insulin injections with an adult client who weighs
45.4kg (100 lb.). Which of the following statements by the client indicates an
understanding of the teaching?
a) "I should insert the needle at a 90-degree angle."
b) "I should give my shot in my belly tissue." (Clients who have low body
weights can have very little subcutaneous tissue. Therefore, the nurse
should instruct the client to administer the medication in the upper
abdomen for proper absorption.)
c) "I will pull back on the syringe plunger to look for blood before I push the
medicationin."
d) "I will use the side of my hand to pull my skin to the side prior to
administering theinsulin."
4. A nurse is reinforcing discharge teaching for a client who had a mechanical mitral
valve replacement. Which of the following statements by the client indicates an
understanding of the teaching?
a) "I will notify my dentist about this procedure." (The nurse should instruct the
client to notify his dentist about the mechanical mitral valve replacement before
any procedures soantibiotic therapy can be initiated to reduce the risk of
endocardial infection.)
b) "I will take an enteric-coated aspirin daily."
, c) "I will use a firm-bristled toothbrush."
d) "I will weigh myself once a week."
5. A nurse is reviewing the medical record for an older adult client who is experiencing
nausea and vomiting. Based on the client data, which of the following actions should
the nurse take? (Click on the “Exhibit” button for additional client information. There
are three tabs that contain separate categories of data.)
View the Exhibit
Exhibit 1 Exhibit 2 Exhibit 3
Diagnosis Results Nurses’ Notes Graphic Record
Sodium 142 mEq/ 1200: Alert and oriented x3 Temperature
Potassium 4.2 mEq/L Lungs clear to auscultation 0800: 37.7° C (99.9° F)
BUN 36 mg/dL Decreased skin turgor 1200: 37.2° C (99.0° F)
Creatinine 1.4 mg/dL Dry mucous membranes Pulse
0800: 96/min
1200:105/min
Respiratory rate
0800: 18/min
1200: 20/min
Blood pressure
0800; 118/62 mmHg
1200: 104/65 mm Hg
a) Encourage the client to ambulate.
b) Administer an antipyretic medication.
c) Notify the charge nurse of the client's BUN level (The client's BUN level is
above the expected reference range of 10 to 20 mg/dL, which indicates
dehydration and impaired renal function. The nurse should notify the charge
nurse of this finding and anticipate interventions to restore the client's fluid
volume.)
d) Keep the temperature in the client's room warm.
6. A nurse is providing information regarding transmission-based precautions for a client
who has Clostridium difficileto an assistive personnel (AP). Which of the following
instructions should the nurse include? (Select all that apply).
a) "Provide the client with disposable utensils and dishes for meals." (Clients
who have C. difficile require contact precautions, which include using
disposable utensils and dishes during meals to prevent exposure to
contaminants by others.)
b) "Leave blood pressure equipment in the client's room." (When using contact
precautions, the health care staff should dedicate equipment to single-client
use to prevent transmission of the pathogen.)
c) "Clean contaminated surfaces with a bleach solution." (The health care staff
should use a bleach solution to clean equipment to prevent transmission of the
pathogen.)
d) "Use an alcohol-based hand sanitizer after client care."
e) "Wear a face mask when in the client's room."
7. A nurse is admitting a client who is suspected having active tuberculosis (TB). Which of
thefollowing actions should the nurse take first? (chap. 20)
a) Administer antituberculosis medication.
COMPREHENSIVE QUESTIONS WITH DETAILED VERIFIED
ANSWERS (100% CORRECT ANSWERS) /A+ GRADE
ASSURED/ UPDATED VERSION
1. A nurse is reinforcing teaching with an older adult client who has osteoporosis. Which
of thefollowing instructions should the nurse in the teaching?
a) "Place throw rugs on wooden floors at home."
b) "Supplement your diet with vitamin E."
c) "Swim laps for 20 minutes twice per week."
d) "Take calcium supplements with meals." (The nurse should instruct the
client to takecalcium carbonate supplements with or following meals to
increase absorption and effectiveness.)
2. A nurse is reviewing the medication record of a client who is taking digoxin. Which of
thefollowing medications should the nurse identify as increasing the risk for the
client to develop digoxin toxicity?
a) Potassium chloride
b) Famotidine
c) Levothyroxine
d) Furosemide (The nurse should identify that loop diuretics, such as furosemide,
increase the urinary excretion of potassium, which can lead to hypokalemia.
Hypokalemia increases the risk for the development of digoxin toxicity.)
3. A nurse is reinforcing teaching about insulin injections with an adult client who weighs
45.4kg (100 lb.). Which of the following statements by the client indicates an
understanding of the teaching?
a) "I should insert the needle at a 90-degree angle."
b) "I should give my shot in my belly tissue." (Clients who have low body
weights can have very little subcutaneous tissue. Therefore, the nurse
should instruct the client to administer the medication in the upper
abdomen for proper absorption.)
c) "I will pull back on the syringe plunger to look for blood before I push the
medicationin."
d) "I will use the side of my hand to pull my skin to the side prior to
administering theinsulin."
4. A nurse is reinforcing discharge teaching for a client who had a mechanical mitral
valve replacement. Which of the following statements by the client indicates an
understanding of the teaching?
a) "I will notify my dentist about this procedure." (The nurse should instruct the
client to notify his dentist about the mechanical mitral valve replacement before
any procedures soantibiotic therapy can be initiated to reduce the risk of
endocardial infection.)
b) "I will take an enteric-coated aspirin daily."
, c) "I will use a firm-bristled toothbrush."
d) "I will weigh myself once a week."
5. A nurse is reviewing the medical record for an older adult client who is experiencing
nausea and vomiting. Based on the client data, which of the following actions should
the nurse take? (Click on the “Exhibit” button for additional client information. There
are three tabs that contain separate categories of data.)
View the Exhibit
Exhibit 1 Exhibit 2 Exhibit 3
Diagnosis Results Nurses’ Notes Graphic Record
Sodium 142 mEq/ 1200: Alert and oriented x3 Temperature
Potassium 4.2 mEq/L Lungs clear to auscultation 0800: 37.7° C (99.9° F)
BUN 36 mg/dL Decreased skin turgor 1200: 37.2° C (99.0° F)
Creatinine 1.4 mg/dL Dry mucous membranes Pulse
0800: 96/min
1200:105/min
Respiratory rate
0800: 18/min
1200: 20/min
Blood pressure
0800; 118/62 mmHg
1200: 104/65 mm Hg
a) Encourage the client to ambulate.
b) Administer an antipyretic medication.
c) Notify the charge nurse of the client's BUN level (The client's BUN level is
above the expected reference range of 10 to 20 mg/dL, which indicates
dehydration and impaired renal function. The nurse should notify the charge
nurse of this finding and anticipate interventions to restore the client's fluid
volume.)
d) Keep the temperature in the client's room warm.
6. A nurse is providing information regarding transmission-based precautions for a client
who has Clostridium difficileto an assistive personnel (AP). Which of the following
instructions should the nurse include? (Select all that apply).
a) "Provide the client with disposable utensils and dishes for meals." (Clients
who have C. difficile require contact precautions, which include using
disposable utensils and dishes during meals to prevent exposure to
contaminants by others.)
b) "Leave blood pressure equipment in the client's room." (When using contact
precautions, the health care staff should dedicate equipment to single-client
use to prevent transmission of the pathogen.)
c) "Clean contaminated surfaces with a bleach solution." (The health care staff
should use a bleach solution to clean equipment to prevent transmission of the
pathogen.)
d) "Use an alcohol-based hand sanitizer after client care."
e) "Wear a face mask when in the client's room."
7. A nurse is admitting a client who is suspected having active tuberculosis (TB). Which of
thefollowing actions should the nurse take first? (chap. 20)
a) Administer antituberculosis medication.
