RN ADULT MEDICAL SURGICAL ONLINE PRACTICE EXAM 2019 B
FOR NGN UPDATED AND VERIFIED 2023/2024 WITH
RATIONALES FOR GUARANTEED PASS| ALREADY GRADED A
A nurse is assessing a client who has peripheral arterial disease. Which of the following findings
should the nurse expect?
Hair loss on the lower legs
The nurse should expect a client who has a peripheral arterial disease to have hair loss on the
lower legs as a result of impaired arterial circulation affecting follicular growth.
A nurse is caring for a client who has breast cancer and tells the nurse that they would like to
have acupuncture because it provides greater relief than pain medication Which of the following
statements should the nurse make?
" I can speak to the provider about incorporating acupuncture into your treatment plan."
The nurse should serve as an advocate for the client by acting on behalf of the client and offering
to speak with the provider. The client has the right to make choices and decisions about their
treatment and the nurse should support these decisions and assist the client to carry them out.
A nurse is providing teaching to a client who has hypertension and a NEW prescription for
verapamil. Which of the following information should the nurse include in the teaching?
" Increase fiber intake to avoid constipation."
The nurse should instruct the client that constipation is an adverse effect of verapamil. The client
should increase fiber intake to promote regular bowel function.
A nurse is planning care for a client who is scheduled for a thoracentesis. Which of the following
interventions should the nurse include in the plan?
Encourage the client to take deep breaths after the procedure
After a thoracentesis, the client should deep breathe to re-expand the lung.
A nurse is reviewing the medical record of a client who has osteomyelitis and a prescription for
gentamicin. Which of the following findings from the client's medical record should indicate to
the nurse the need to withhold the medication and notify the provider?
Serum Creatinine
A client who has an elevated serum creatinine level should not receive gentamicin because the
medication is nephrotoxic.
, A nurse is providing postoperative teaching for a client who had a total knee arthroplasty. Which
of the following instructions should the nurse include?
Flex the foot every hour when awake
The nurse should instruct the client to flex the foot every hour to reduce the risk for
thromboembolism and promote venous return.
A nurse is teaching a group of newly licensed nurses about pain management for older adult
clients. Which of the following statements by a newly licensed nurse indicates an understanding
of the teaching?
"Ibuprofen can cause gastrointestinal bleeding in older adult clients."
A nurse is teaching a client about osteoporosis prevention. The nurse should instruct the client
that which of the following medications can increase their risk for developing osteoporosis?
Prednisone
The nurse should instruct the client that prednisone can increase the risk of developing
osteoporosis due to suppression of bone formation, and an increase in bone resorption by
osteoclasts. Prednisone can also reduce intestinal absorption of calcium.
A nurse is caring for a client who has homonymous hemianopsia as a result of a stroke. To
reduce the risk of falls when ambulation, the nurse should provide which of the following
instructions to the client?
" Scan the environment by turning your head from side to side."
Homonymous hemianopsia is the loss of the same visual field in both eyes. Turning their head
from side to side helps enlarge a client's visual field. This technique is also useful for the client
during mealtimes.
A nurse is providing follow-up care for a client who sustained a compound fracture 3 weeks ago.
The nurse should recognize that an UNEXPECTED finding for which of the following
LABORATORY VALUES is a manifestation of OSTEOMYELITIS and should be reported to
the provider?
An increased sedimentation rate occurs when a client has any type of inflammatory process, such
as osteomyelitis
A nurse is reviewing the medical records of a client who is taking WARFARIN for chronic
arterial fibrillation. Which of the following values should the nurse identify as a desired outcome
for this therapy?
INR 2.5
Clients receive warfarin therapy to decrease the risk of stroke, myocardial infarction (MI), or
FOR NGN UPDATED AND VERIFIED 2023/2024 WITH
RATIONALES FOR GUARANTEED PASS| ALREADY GRADED A
A nurse is assessing a client who has peripheral arterial disease. Which of the following findings
should the nurse expect?
Hair loss on the lower legs
The nurse should expect a client who has a peripheral arterial disease to have hair loss on the
lower legs as a result of impaired arterial circulation affecting follicular growth.
A nurse is caring for a client who has breast cancer and tells the nurse that they would like to
have acupuncture because it provides greater relief than pain medication Which of the following
statements should the nurse make?
" I can speak to the provider about incorporating acupuncture into your treatment plan."
The nurse should serve as an advocate for the client by acting on behalf of the client and offering
to speak with the provider. The client has the right to make choices and decisions about their
treatment and the nurse should support these decisions and assist the client to carry them out.
A nurse is providing teaching to a client who has hypertension and a NEW prescription for
verapamil. Which of the following information should the nurse include in the teaching?
" Increase fiber intake to avoid constipation."
The nurse should instruct the client that constipation is an adverse effect of verapamil. The client
should increase fiber intake to promote regular bowel function.
A nurse is planning care for a client who is scheduled for a thoracentesis. Which of the following
interventions should the nurse include in the plan?
Encourage the client to take deep breaths after the procedure
After a thoracentesis, the client should deep breathe to re-expand the lung.
A nurse is reviewing the medical record of a client who has osteomyelitis and a prescription for
gentamicin. Which of the following findings from the client's medical record should indicate to
the nurse the need to withhold the medication and notify the provider?
Serum Creatinine
A client who has an elevated serum creatinine level should not receive gentamicin because the
medication is nephrotoxic.
, A nurse is providing postoperative teaching for a client who had a total knee arthroplasty. Which
of the following instructions should the nurse include?
Flex the foot every hour when awake
The nurse should instruct the client to flex the foot every hour to reduce the risk for
thromboembolism and promote venous return.
A nurse is teaching a group of newly licensed nurses about pain management for older adult
clients. Which of the following statements by a newly licensed nurse indicates an understanding
of the teaching?
"Ibuprofen can cause gastrointestinal bleeding in older adult clients."
A nurse is teaching a client about osteoporosis prevention. The nurse should instruct the client
that which of the following medications can increase their risk for developing osteoporosis?
Prednisone
The nurse should instruct the client that prednisone can increase the risk of developing
osteoporosis due to suppression of bone formation, and an increase in bone resorption by
osteoclasts. Prednisone can also reduce intestinal absorption of calcium.
A nurse is caring for a client who has homonymous hemianopsia as a result of a stroke. To
reduce the risk of falls when ambulation, the nurse should provide which of the following
instructions to the client?
" Scan the environment by turning your head from side to side."
Homonymous hemianopsia is the loss of the same visual field in both eyes. Turning their head
from side to side helps enlarge a client's visual field. This technique is also useful for the client
during mealtimes.
A nurse is providing follow-up care for a client who sustained a compound fracture 3 weeks ago.
The nurse should recognize that an UNEXPECTED finding for which of the following
LABORATORY VALUES is a manifestation of OSTEOMYELITIS and should be reported to
the provider?
An increased sedimentation rate occurs when a client has any type of inflammatory process, such
as osteomyelitis
A nurse is reviewing the medical records of a client who is taking WARFARIN for chronic
arterial fibrillation. Which of the following values should the nurse identify as a desired outcome
for this therapy?
INR 2.5
Clients receive warfarin therapy to decrease the risk of stroke, myocardial infarction (MI), or
