PN ADULT MEDICAL SURGICAL ONLINE
PRACTICE 2024-2025 EXAM WITH
LATEST VERIFIED QUESTIONS AND
CORRECT ANSWERS ALREADY GRADED
A+
A nurse in a telemetry unit is collecting data from a client who has a newly inserted permanent
pacemaker. Which of the following findings should the nurse report to the provider? - ANS-The client
experiences hiccups when sitting.
A nurse is reinforcing preoperative teaching with a client.
Which of the following statements by the client indicates an understanding of the teaching?
Select all that apply. - ANS-" I will need to do the breathing exercises every 1 to 2 hrs after surgery."
"I will use my PCA medication before my knee starts to hurt too bad."
"I will probably be going home with a walker."
The nurse is reinforcing discharge teaching with the client.
,Which of the following client statements indicates an understanding of the teaching?
Select all that apply. - ANS-"I should schedule several rest periods throughout the day"
"I should notify my provider if my temperature is higher than 101 degrees Fahrenheit".
A nurse is reinforcing discharge teaching with a client who has hearing loss. Which of the following
actions should the nurse take when communicating with the client? - ANS-Rephrase client instructions
when not understood.
Click to highlight the findings the nurse should report to the charge nurse immediately. To deselect a
finding, click on the finding again. - ANS-• Perineal pad is saturated with blood, and large clots are
present is correct. The presence of vaginal bleeding and blood clots is a manifestation of vaginal
hemorrhage.
Therefore, the nurse should report this finding to the charge nurse.
• Blood pressure 98/56 mm Hg is correct. Decreased
blood pressure is a manifestation of vaginal hemorrhage.
Therefore, the nurse should report this finding to the charge nurse.
• Heart rate 102/min is correct, Tachycardia is a manifestation of vaginal hemorrhage. Therefore, the
nurse should report this finding to the charge nurse.
A nurse is assisting in the care of a client who has manifestations of sepsis. Which of the following
provider prescriptions should the nurse implement first? - ANS-Initiate oxygen at 4L/min via nasal
cannula.
Rationale:
The nurse should remind the client to have a pneumococcal immunization at age 65 and every 10 years
thereafter to protect them from acquiring pneumonia.
---------------------------
The nurse should collect a sputum culture to identify the organism causing the client's infection.
Antimicrobial sensitivities are obtained from the sputum culture to guide the provider in prescribing
antibiotics. However, there is another prescription the nurse should implement first.
A nurse is assisting with the care for a client who reports shortness of breath and has an oxygen
saturation
, 90%. Which of the following actions should the nurse take? - ANS-Administer oxygen via nasal cannula
R: The nurse should administer oxygen via nasal cannula to a client who reports shortness of breath and
has an oxygen saturation below the expected reference range. The nurse should continue to monitor
the client and adjust the oxygen flow rate as needed.
A nurse is reinforcing teaching with the caregiver of a client who is terminally ill about manifestations of
impending death. Which of the following manifestations should the nurse include? - ANS-Incontinence
of the bowel and bladder.
Rationale:The nurse should inform the caregiver that incontinence of the bowel and bladder is a
manifestation of impending death. Other manifestations include hypotension, bradycardia, restlessness,
and coolness of the skin.
A nurse in a clinic is collecting data from a client who has hyperthyroidism and has been taking
methimazole for 4 weeks. Which of the following statements by the client indicates a therapeutic
response to the medication? - ANS-"I have gained 3 lbs since my last appointment"
R: Hyperthyroidism can cause weight loss. Therefore, the nurse should identify weight gain as an
indication that the methimazole therapy has been effective
A nurse is contributing to the plan of care for a client who is postoperative following a total knee
arthroplasty.
The client is using a continuous passive motion (CPM) machine. Which of the following interventions
should the nurse recommend for the plan of care? - ANS-Keep a sheepskin pad between the client's
extremity and the CPM machine.
R: The nurse should plan to keep a sheepskin pad between the dient's extremity and the cOM madhune
to protect the client's skin. The nurse should check the client's skin condition frequendy wile the cient is
using the CPM machine.
A nurse is reinforcing teaching with a client about testicular self-examination. Which of the following
instructions should the nurse include in the teaching? - ANS-"Perform testicular self-examination after
taking a warm shower."
PRACTICE 2024-2025 EXAM WITH
LATEST VERIFIED QUESTIONS AND
CORRECT ANSWERS ALREADY GRADED
A+
A nurse in a telemetry unit is collecting data from a client who has a newly inserted permanent
pacemaker. Which of the following findings should the nurse report to the provider? - ANS-The client
experiences hiccups when sitting.
A nurse is reinforcing preoperative teaching with a client.
Which of the following statements by the client indicates an understanding of the teaching?
Select all that apply. - ANS-" I will need to do the breathing exercises every 1 to 2 hrs after surgery."
"I will use my PCA medication before my knee starts to hurt too bad."
"I will probably be going home with a walker."
The nurse is reinforcing discharge teaching with the client.
,Which of the following client statements indicates an understanding of the teaching?
Select all that apply. - ANS-"I should schedule several rest periods throughout the day"
"I should notify my provider if my temperature is higher than 101 degrees Fahrenheit".
A nurse is reinforcing discharge teaching with a client who has hearing loss. Which of the following
actions should the nurse take when communicating with the client? - ANS-Rephrase client instructions
when not understood.
Click to highlight the findings the nurse should report to the charge nurse immediately. To deselect a
finding, click on the finding again. - ANS-• Perineal pad is saturated with blood, and large clots are
present is correct. The presence of vaginal bleeding and blood clots is a manifestation of vaginal
hemorrhage.
Therefore, the nurse should report this finding to the charge nurse.
• Blood pressure 98/56 mm Hg is correct. Decreased
blood pressure is a manifestation of vaginal hemorrhage.
Therefore, the nurse should report this finding to the charge nurse.
• Heart rate 102/min is correct, Tachycardia is a manifestation of vaginal hemorrhage. Therefore, the
nurse should report this finding to the charge nurse.
A nurse is assisting in the care of a client who has manifestations of sepsis. Which of the following
provider prescriptions should the nurse implement first? - ANS-Initiate oxygen at 4L/min via nasal
cannula.
Rationale:
The nurse should remind the client to have a pneumococcal immunization at age 65 and every 10 years
thereafter to protect them from acquiring pneumonia.
---------------------------
The nurse should collect a sputum culture to identify the organism causing the client's infection.
Antimicrobial sensitivities are obtained from the sputum culture to guide the provider in prescribing
antibiotics. However, there is another prescription the nurse should implement first.
A nurse is assisting with the care for a client who reports shortness of breath and has an oxygen
saturation
, 90%. Which of the following actions should the nurse take? - ANS-Administer oxygen via nasal cannula
R: The nurse should administer oxygen via nasal cannula to a client who reports shortness of breath and
has an oxygen saturation below the expected reference range. The nurse should continue to monitor
the client and adjust the oxygen flow rate as needed.
A nurse is reinforcing teaching with the caregiver of a client who is terminally ill about manifestations of
impending death. Which of the following manifestations should the nurse include? - ANS-Incontinence
of the bowel and bladder.
Rationale:The nurse should inform the caregiver that incontinence of the bowel and bladder is a
manifestation of impending death. Other manifestations include hypotension, bradycardia, restlessness,
and coolness of the skin.
A nurse in a clinic is collecting data from a client who has hyperthyroidism and has been taking
methimazole for 4 weeks. Which of the following statements by the client indicates a therapeutic
response to the medication? - ANS-"I have gained 3 lbs since my last appointment"
R: Hyperthyroidism can cause weight loss. Therefore, the nurse should identify weight gain as an
indication that the methimazole therapy has been effective
A nurse is contributing to the plan of care for a client who is postoperative following a total knee
arthroplasty.
The client is using a continuous passive motion (CPM) machine. Which of the following interventions
should the nurse recommend for the plan of care? - ANS-Keep a sheepskin pad between the client's
extremity and the CPM machine.
R: The nurse should plan to keep a sheepskin pad between the dient's extremity and the cOM madhune
to protect the client's skin. The nurse should check the client's skin condition frequendy wile the cient is
using the CPM machine.
A nurse is reinforcing teaching with a client about testicular self-examination. Which of the following
instructions should the nurse include in the teaching? - ANS-"Perform testicular self-examination after
taking a warm shower."
