RN Adult Medical Surgical Online Practice
2019 A for NGN answers
A nurse is assessing a client who has had a plaster cast applied to their left leg 2
hr ago. Which of the following actions should the nurse take?
Check that one finger fits between the cast and the leg.
To make sure the cast is not too tight, the nurse should be able to slide one finger under
the cast. It is not uncommon for casts to loosen as swelling subsides, but that should
not be an issue 2 hr after application.
A nurse is providing teaching to a client who has esophageal cancer and is to
undergo radiation therapy. Which of the following statements should the nurse
identify as an indication that the client understands the teaching?
"I will use my hands rather than a washcloth to clean the radiation area."
The client should gently wash the radiation area with their hands using warm water and
mild soap to protect the skin from further irritation.
A nurse is planning to provide discharge teaching for the family of an older adult
client who has hemianopsia and is at risk for falls. Which of the following
instructions should the nurse include?
Remind the client to scan their complete range of vision during ambulation.
The nurse should instruct the family to remind a client who has hemianopsia, or
blindness in half of the visual field, to use visual scanning to look over their complete
range of vision during ambulation. This practice can accommodate for the loss of vision
and help to reduce the risk for falls.
A nurse has received change-of-shift report for a group of clients. Which of the
following clients should the nurse assess first?
A client who had a myocardial infarction (MI) 4 days ago and is asking for a PRN
sublingual nitroglycerin tablet
, A nurse is caring for a client who is postoperative following a total hip
arthroplasty. Which of the following laboratory values should the nurse report to
the provider?
Hgb 8 g/dL
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?
Naproxen
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 1.045
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?
Suction machine
A nurse in a provider's office is assessing a client who has hypertension and
takes propranolol. Which of the following findings should indicate to the nurse
that the client is experiencing an adverse reaction to this medication?
Report of a night cough
A nurse is caring for a client who has a new prescription for total parenteral
nutrition (TPN). The client is to receive 2,000 kcal per day. The TPN solution has
500 kcal/L. The IV pump should be set at how many mL/hr? (Round the answer to
the nearest whole number. Use a leading zero if it applies. Do not use a trailing
zero.)
167
X mL/hr = Volume (mL)/Time (hr)
X mL/hr =4000mL/24 hr
X mL/hr = 166.67
Round if necessary. 166.67 = 167 mL/hr
A nurse is caring for a client who is having a seizure. Which of the following
interventions is the nurse's priority?
2019 A for NGN answers
A nurse is assessing a client who has had a plaster cast applied to their left leg 2
hr ago. Which of the following actions should the nurse take?
Check that one finger fits between the cast and the leg.
To make sure the cast is not too tight, the nurse should be able to slide one finger under
the cast. It is not uncommon for casts to loosen as swelling subsides, but that should
not be an issue 2 hr after application.
A nurse is providing teaching to a client who has esophageal cancer and is to
undergo radiation therapy. Which of the following statements should the nurse
identify as an indication that the client understands the teaching?
"I will use my hands rather than a washcloth to clean the radiation area."
The client should gently wash the radiation area with their hands using warm water and
mild soap to protect the skin from further irritation.
A nurse is planning to provide discharge teaching for the family of an older adult
client who has hemianopsia and is at risk for falls. Which of the following
instructions should the nurse include?
Remind the client to scan their complete range of vision during ambulation.
The nurse should instruct the family to remind a client who has hemianopsia, or
blindness in half of the visual field, to use visual scanning to look over their complete
range of vision during ambulation. This practice can accommodate for the loss of vision
and help to reduce the risk for falls.
A nurse has received change-of-shift report for a group of clients. Which of the
following clients should the nurse assess first?
A client who had a myocardial infarction (MI) 4 days ago and is asking for a PRN
sublingual nitroglycerin tablet
, A nurse is caring for a client who is postoperative following a total hip
arthroplasty. Which of the following laboratory values should the nurse report to
the provider?
Hgb 8 g/dL
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?
Naproxen
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 1.045
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?
Suction machine
A nurse in a provider's office is assessing a client who has hypertension and
takes propranolol. Which of the following findings should indicate to the nurse
that the client is experiencing an adverse reaction to this medication?
Report of a night cough
A nurse is caring for a client who has a new prescription for total parenteral
nutrition (TPN). The client is to receive 2,000 kcal per day. The TPN solution has
500 kcal/L. The IV pump should be set at how many mL/hr? (Round the answer to
the nearest whole number. Use a leading zero if it applies. Do not use a trailing
zero.)
167
X mL/hr = Volume (mL)/Time (hr)
X mL/hr =4000mL/24 hr
X mL/hr = 166.67
Round if necessary. 166.67 = 167 mL/hr
A nurse is caring for a client who is having a seizure. Which of the following
interventions is the nurse's priority?
