RN Adult Medical Surgical Online Practice
2025 A
A nurse is caring for a client who is receiving dialysis treatment.
0530:
Client is awake and alert.
Arteriovenous fistula (AVF) to right forearm. - ANS-Indicated: Notify the provider immediately,
Administer 0.9% sodium chloride 200 mL IV bolus, Apply oxygen at 2 L/min via nasal cannula,
Position the client's legs elevated
Not indicated: Perform a 12-lead ECG, Obtain blood glucose level is not indicated
A nurse is caring for a client who is postoperative following abdominal surgery.
1100: Client received from PACU; initial vital signs recorded. - ANS-Instruct the client to splint
the abdomen with a pillow for coughing.
Plan to ambulate the client as soon as possible
Report urinary output to the provider
Ask the client to rate their pain 0 to 10 pain scale
A nurse is caring for a client who is receiving total parenteral nutrition (TPN). a new bag is not
available when the current infusion is nearly completed. - ANS-Administer dextrose 10% in
water until the new bag arrives.
A nurse is caring for a client who had a nephrostomy tube inserted 12 hr ago. - ANS-The client
reports back pain.
A nurse is caring for a client who is having a seizure. - ANS-Turn the client to the side.
A nurse in a provider's office is assessing a client who has hypertension and takes propranolol. -
ANS-Reports of a night cough.
A nurse is planning to irrigate and dress a clean, granulating wound for a client who has a
pressure injury. - ANS-Use a 30 mL syringe.
, A nurse is assessing a client who has graves disease. Which of the following images should
indicate to the nurse that the client has exophthalmos - ANS-Choose the one that's not a guy. It
should be one with big bulging eyes staring at you.
A nurse is caring for a client who has DKA. Which of the following findings indicate improving? -
ANS-Glucose 272 mg/dL
A nurse is caring for a client who has hypothyroidism. Which of the following manifestations
should the nurse expect? - ANS-Constipation
A nurse is preparing to administer a blood transfusion to a client who has anemia. - ANS-check
for the type and number of units of blood to administer.
a nurse is caring for a client who has a leg cast and is returning to demonstrate on the proper
use of crutches while climbing stairs. - ANS-Place body weight on the crutches
Advances the unaffected leg onto the stair
Shifts weight from the crutches to the unaffected leg
Brings the crutches and the affected leg up to the stair.
A nurse is teaching a group of newly licensed nurses about pain management for older adult
clients. - ANS-Ibuprofen can cause gastrointestinal bleeding in older adult clients.
A nurse is teaching a client who has a family history of colorectal cancer. to help mitigate this
risk, - ANS-Add cabbage to the diet
a nurse in an emergency department is caring for a client who has full-thickness burns over
20% of their total body surface area. After ensuring a patent airway and adminstering oxygen, -
ANS-IV Fluids
a nurse is caring for a client who has terminal cancer. the client tells the nurse, "I wish I could
stop these treatments" - ANS-Discontinuing with the treatments is your choice if it is your wish
to do so.
a nurse is providing teaching to a client who has cancer and a new prescription for an opioid
analgesic for pain management. - ANS-you should void every 4 hours to decrease the risk of
urinary retention
A nurse is teaching a class about clients rights. - ANS-a client should sign an informed consent
before receiving a placebo during a research trial.
2025 A
A nurse is caring for a client who is receiving dialysis treatment.
0530:
Client is awake and alert.
Arteriovenous fistula (AVF) to right forearm. - ANS-Indicated: Notify the provider immediately,
Administer 0.9% sodium chloride 200 mL IV bolus, Apply oxygen at 2 L/min via nasal cannula,
Position the client's legs elevated
Not indicated: Perform a 12-lead ECG, Obtain blood glucose level is not indicated
A nurse is caring for a client who is postoperative following abdominal surgery.
1100: Client received from PACU; initial vital signs recorded. - ANS-Instruct the client to splint
the abdomen with a pillow for coughing.
Plan to ambulate the client as soon as possible
Report urinary output to the provider
Ask the client to rate their pain 0 to 10 pain scale
A nurse is caring for a client who is receiving total parenteral nutrition (TPN). a new bag is not
available when the current infusion is nearly completed. - ANS-Administer dextrose 10% in
water until the new bag arrives.
A nurse is caring for a client who had a nephrostomy tube inserted 12 hr ago. - ANS-The client
reports back pain.
A nurse is caring for a client who is having a seizure. - ANS-Turn the client to the side.
A nurse in a provider's office is assessing a client who has hypertension and takes propranolol. -
ANS-Reports of a night cough.
A nurse is planning to irrigate and dress a clean, granulating wound for a client who has a
pressure injury. - ANS-Use a 30 mL syringe.
, A nurse is assessing a client who has graves disease. Which of the following images should
indicate to the nurse that the client has exophthalmos - ANS-Choose the one that's not a guy. It
should be one with big bulging eyes staring at you.
A nurse is caring for a client who has DKA. Which of the following findings indicate improving? -
ANS-Glucose 272 mg/dL
A nurse is caring for a client who has hypothyroidism. Which of the following manifestations
should the nurse expect? - ANS-Constipation
A nurse is preparing to administer a blood transfusion to a client who has anemia. - ANS-check
for the type and number of units of blood to administer.
a nurse is caring for a client who has a leg cast and is returning to demonstrate on the proper
use of crutches while climbing stairs. - ANS-Place body weight on the crutches
Advances the unaffected leg onto the stair
Shifts weight from the crutches to the unaffected leg
Brings the crutches and the affected leg up to the stair.
A nurse is teaching a group of newly licensed nurses about pain management for older adult
clients. - ANS-Ibuprofen can cause gastrointestinal bleeding in older adult clients.
A nurse is teaching a client who has a family history of colorectal cancer. to help mitigate this
risk, - ANS-Add cabbage to the diet
a nurse in an emergency department is caring for a client who has full-thickness burns over
20% of their total body surface area. After ensuring a patent airway and adminstering oxygen, -
ANS-IV Fluids
a nurse is caring for a client who has terminal cancer. the client tells the nurse, "I wish I could
stop these treatments" - ANS-Discontinuing with the treatments is your choice if it is your wish
to do so.
a nurse is providing teaching to a client who has cancer and a new prescription for an opioid
analgesic for pain management. - ANS-you should void every 4 hours to decrease the risk of
urinary retention
A nurse is teaching a class about clients rights. - ANS-a client should sign an informed consent
before receiving a placebo during a research trial.
