PN Adult Medical Surgical Online
Practice 2023 A (Answered) 100 %
Correct. 90 Q&A.
A nurse is preparing to administer furosemide to a client who has heart failure. Which of the following
findings should the nurse report before administering the medication?
Decreased potassium
A nurse is reviewing the chart of a client who is experiencing an adrenal crisis, which was precipitated by
the client not taking their medication for several days. The nurse should identify that withdrawal from
which of the following medications potentiated the adrenal crisis?
Prednisone
A nurse is assisting with the care for a client who has a prescription for digoxin 0.25 mg PO daily. While
taking the client's apical pulse, the nurse notes a rate of 58/min. Which of the following actions should
the nurse take?
Withhold the dose.
A nurse is reinforcing teaching about glycosylated hemoglobin (HbA1c) testing with a client who has
diabetes mellitus. Which of the following statements indicates that the client understands the teaching?
"I will have my HbA1c checked twice per year."
A nurse is providing information regarding transmission-based precautions for a client who has
Clostridium difficile to an assistive personnel (AP). Which of the following instructions should the nurse
include? (Select all that apply.)
"Provide the client with disposable utensils and dishes for meals."
"Leave blood pressure equipment in the client's room."
"Clean contaminated surfaces with a bleach solution."
A nurse is reinforcing teaching with a client who has coronary artery disease. Which of the following
instructions should the nurse include in the teaching?
"Add oily fish to your diet twice weekly."
A nurse in an oncology clinic is reinforcing teaching about Mohs surgery with a client who has skin
cancer. Which of the following information should the nurse include in the teaching?
Mohs surgery is a horizontal shaving of thin layers of the tumor.
A nurse is collecting data from an older adult client who has several concerns. Which of the following
concerns should the nurse recognize as an expected change associated with aging?
, "My food tastes bland even after I add seasoning."
A nurse is reinforcing dietary teaching with a client about increasing the intake of foods containing
vitamin C to enhance absorption of oral iron supplements. Which of the following food choices should
the nurse include in the teaching?
1 cup of boiled broccoli
A nurse is assisting with the care for a client who is 2 hr postoperative following the amputation of a
foot. Which of the following actions should the nurse take first?
Check the incisional dressing.
A nurse is assisting with the care of a client who is postoperative following abdominal surgery.
Exhibit 1
Nurses' Notes
1100:
Client received from PACU; initial vital signs recorded. Client is drowsy but arouses to verbal stimuli.
Oriented to person, place, and time. Client is able to move all extremities. Normal sinus rhythm noted.
Breath sounds are clear upon auscultation. Dressing to abdomen is intact with a small amount of
serosanguinous drainage noted and marked. No bowel sounds in all four quadrants. Indwelling urinary
catheter is in place and draining clear, yellow urine. Lactated Ringer's is infusing at 100 mL/hr via IV
catheter in the right forearm.1200:
Client reports nausea and pain as an 8 on a scale of 0 to 10. Abdominal dressing is intact with no further
drainage noted. Urine output of 15 mL noted since arrival from PACU. Analgesic and antiemetic were
administered as prescribed.1230:
Client reports rel
Which of the following actions should the nurse take?
Select all that apply.
Instruct the client to splint their abdomen with a pillow when coughing.
Report the client's urinary output to the charge nurse.
Monitor the client's pain level.
A nurse is assisting with monitoring a client who is receiving dialysis treatment.
Exhibit 1
Nurses' Notes
0530:Client is awake and alert. Arteriovenous fistula (AVF) to right forearm with thrill palpated and
auscultated for bruit. Breath sounds are clear upon auscultation; client denies shortness of breath. No
peripheral edema noted; capillary refill is less than 3 seconds; +2 bilateral pedal and radial pulses.AVF
access prepared and cannulated twice with no difficulty. Lines are taped and secured; treatment is
initiated.0600:Client is reading a book. Access is visible, and lines are secure. Client reports no
discomfort or pain.0630:Client reports feeling warm, nauseated, and lightheaded; appears restless and
slightly confused.
Exhibit 2
Vital Signs
Practice 2023 A (Answered) 100 %
Correct. 90 Q&A.
A nurse is preparing to administer furosemide to a client who has heart failure. Which of the following
findings should the nurse report before administering the medication?
Decreased potassium
A nurse is reviewing the chart of a client who is experiencing an adrenal crisis, which was precipitated by
the client not taking their medication for several days. The nurse should identify that withdrawal from
which of the following medications potentiated the adrenal crisis?
Prednisone
A nurse is assisting with the care for a client who has a prescription for digoxin 0.25 mg PO daily. While
taking the client's apical pulse, the nurse notes a rate of 58/min. Which of the following actions should
the nurse take?
Withhold the dose.
A nurse is reinforcing teaching about glycosylated hemoglobin (HbA1c) testing with a client who has
diabetes mellitus. Which of the following statements indicates that the client understands the teaching?
"I will have my HbA1c checked twice per year."
A nurse is providing information regarding transmission-based precautions for a client who has
Clostridium difficile to an assistive personnel (AP). Which of the following instructions should the nurse
include? (Select all that apply.)
"Provide the client with disposable utensils and dishes for meals."
"Leave blood pressure equipment in the client's room."
"Clean contaminated surfaces with a bleach solution."
A nurse is reinforcing teaching with a client who has coronary artery disease. Which of the following
instructions should the nurse include in the teaching?
"Add oily fish to your diet twice weekly."
A nurse in an oncology clinic is reinforcing teaching about Mohs surgery with a client who has skin
cancer. Which of the following information should the nurse include in the teaching?
Mohs surgery is a horizontal shaving of thin layers of the tumor.
A nurse is collecting data from an older adult client who has several concerns. Which of the following
concerns should the nurse recognize as an expected change associated with aging?
, "My food tastes bland even after I add seasoning."
A nurse is reinforcing dietary teaching with a client about increasing the intake of foods containing
vitamin C to enhance absorption of oral iron supplements. Which of the following food choices should
the nurse include in the teaching?
1 cup of boiled broccoli
A nurse is assisting with the care for a client who is 2 hr postoperative following the amputation of a
foot. Which of the following actions should the nurse take first?
Check the incisional dressing.
A nurse is assisting with the care of a client who is postoperative following abdominal surgery.
Exhibit 1
Nurses' Notes
1100:
Client received from PACU; initial vital signs recorded. Client is drowsy but arouses to verbal stimuli.
Oriented to person, place, and time. Client is able to move all extremities. Normal sinus rhythm noted.
Breath sounds are clear upon auscultation. Dressing to abdomen is intact with a small amount of
serosanguinous drainage noted and marked. No bowel sounds in all four quadrants. Indwelling urinary
catheter is in place and draining clear, yellow urine. Lactated Ringer's is infusing at 100 mL/hr via IV
catheter in the right forearm.1200:
Client reports nausea and pain as an 8 on a scale of 0 to 10. Abdominal dressing is intact with no further
drainage noted. Urine output of 15 mL noted since arrival from PACU. Analgesic and antiemetic were
administered as prescribed.1230:
Client reports rel
Which of the following actions should the nurse take?
Select all that apply.
Instruct the client to splint their abdomen with a pillow when coughing.
Report the client's urinary output to the charge nurse.
Monitor the client's pain level.
A nurse is assisting with monitoring a client who is receiving dialysis treatment.
Exhibit 1
Nurses' Notes
0530:Client is awake and alert. Arteriovenous fistula (AVF) to right forearm with thrill palpated and
auscultated for bruit. Breath sounds are clear upon auscultation; client denies shortness of breath. No
peripheral edema noted; capillary refill is less than 3 seconds; +2 bilateral pedal and radial pulses.AVF
access prepared and cannulated twice with no difficulty. Lines are taped and secured; treatment is
initiated.0600:Client is reading a book. Access is visible, and lines are secure. Client reports no
discomfort or pain.0630:Client reports feeling warm, nauseated, and lightheaded; appears restless and
slightly confused.
Exhibit 2
Vital Signs
