1
PNgAdultgMedicalgSurgical
1. AgnursegisgreviewinggtheglaboratorygresultsgofgagclientgwhogisgscheduledgforgagCTgscangwith
gangIVgcontrastgagent.gWhichgofgthegfollowingglaboratorygfindingsgshouldgthegnursegreportg
togthegprovidergpriorgtogthegprocedure?
Creatineg1.9gmg/dl
2. Agnursegisgmonitoringgagclientgwhogisgtakegacarbose.gWhichgofgthegfollowinggfindingsgsho
uldgthegnursegidentifygasgangadversegeffectgofgthegmedication?
AbdominalgCramps
3. Agnursegisgassistinggwithgthegcaregofgagclientgwhoghadgagcardiacgcatheterizationgviagthegri
ghtgfemoralgartery.gWhichgofgthegfollowinggactionsgshouldgthegnursegtakegtogpreventgpo
st-gproceduregcomplications?
Monitorgtheginsertiongsitegforgbleeding,gMaintaingthegpressuregdressing,gCheckgthegclient’sgpe
ripheralgpulses
4. Agnursegisgcontributinggtogthegplangofgcaregforgagclientgwoghasgchronicgobstructivegpulmonar
ygdiseaseg(COPD)gandgisgdyspneic.gWhichgofgthegfollowingginterventionsgshouldgthegnursegincl
udegingthegplan?
Encouragegabdominalgbreathing
5. Agnursegisgpreparinggtogadministergphytonadioneg7gmggsubcutaneouslygtogagclientgwhoghasg
angINRgofg4.gAvailablegisgphytonadioneg10gmg/mL.gHowgmanygmLgshouldgthegnursegadmini
ster?g(Roundgtheganswergtogthegnearestgtenth.gUsegagleadinggzerogifgitgapplies.gDognotguseg
agtrailinggzero.)
0.7
6. Agnursegisgexamininggagclient’sgIVgandgnotesgagredglinegupghisgarm.gThegclientgreportsgagthrob
bing,gburninggpaingatgthegIVgsite.gThegnursegshouldgidentifygthatgthegclient’sgmanifestationsgin
dicategwhichgofgthegfollowinggcomplicationsgofgIVgtherapy?
Thrombophlebitis
7. Agnursegisgreinforcinggteachinggaboutgmanagementgofgconstipationgwithgagclientgwh
oghasghypothyroidism.gWhichgodgthegfollowinggshouldgthegnursegincludegingthegteach
ing?
Increasegintakegofgfiber-richgfoods.
,2
8. Agnursegisgcaringgforgagclientgwhoghasgagcompoundgfracturegofgthegfemurgandgwasgplace
dgingbalancedgsuspensiongskeletalgtractiong4gdaysgago.gWhichgofgthegfollowinggactionsgs
houldgthegnursegtake?
Performgpingsitegcaregdaily
9. Agnursegobservesgagclientgwhogisglyinggingbedgexperiencinggagtonic-
clonicgseizure.gWhichgofgthegfollowinggactionsgshouldgthegnursegtake?
Loosengclothinggaroundgthegclient’sgneck.
10. Agnursegisgcontributinggtogthegplangofgcaregforgagclientgwhoghasgmultiplegsclerosisgandgisgtak
inggdantrolenegtogmanagegmusclegspasms.gWhichgofgthegfollowingginterventionsgshouldg th
egnurseginclude?
EncouragegthegclientgtogcompletegADLs
11. Agnursegisgreinforcinggdischargegteachinggtogpreventgdumpinggsyndromegforgagclientgfollowi
nggagpartialggastrectomygforgulcers.gWhichgofgthegfollowingginformationgshouldgthegnursegin
cludegingthegteaching?
Avoidgliquidsgatgmealtimes.
12. Agnursegisgcollectinggdatagfromgagclientgwhoghasgheartgfailuregandgisgtakinggdigoxin.gWhich
gofgthegfollowinggoutcomesgfromgthegmedicationgshouldgthegnursegexpect?
Decreasedgshortnessgofgbreath
13. Agnursegisgreinforcinggdischargegteachinggwithgagclientgwhoghasghearinggloss.gWhichg
ofgthegfollowinggactionsgshouldgthegnursegtakegwhengcommunicatinggwithgthegclien
t?
Rephrasegclientginstructionsgwhengnotgunderstood.
14. Agnursegisgpreparingg togremovegagclient'sgNGgtube.gWhichgofgthegfollowingginterventionsgsh
ouldgthegnursegtakegtogdecreasegthegriskgofgaspiration?
PinchgthegNGgtube.
15. Agnursegisgcontributinggtogthegplangofgcaregforgangoldergadultgclientgwhogisgatgriskgforgoste
oporosis.gWhichgofgthegfollowingginterventionsgshouldgthegnursegincludegtogpreventgboneglo
ss?
Encouragegweight-bearingg exercises.
,3
16. Aghomeghealthgnursegisgreinforcinggteachinggwithgagclientgaboutgpreventinggcomplicatio
nsgofgperipheralgvasculargdisease.gWhichgofgthegfollowinggstatementsgindicatesgthatgtheg
clientgisgadheringgtogthegnurse'sginstructions?
"Igdon'tgcrossgmyglegsganymore."
17. Agnursegisgreinforcinggteachinggaboutgglycosylatedghemoglobing(HbA1c)gtestinggwithgagclie
ntgwhoghasgdiabetesgmellitus.gWhichgofgthegfollowinggstatementsgindicatesgthatgthegclien
tgunderstandsgthegteaching?
"IgwillghavegmygHbA1cgcheckedgtwicegpergyear."
18. Agnursegisgassistinggthegchargegnursegwithgdevelopinggangin-
servicegaboutgcaringgforgclientsgwhoghaveginternalgsealedgradiationgimplants.gWhichgofgthe
gfollowingginformationgshouldgthegnurseginclude?
Disposegofgradiationgimplantsgingagleadgcontainer.
19. Agnursegisgcaringgforgagclientgwhoghadgangacutegischemicgstrokeg1gdaygago.gWhichgofg
thegfollowinggactionsgshouldgthegnursegtakegtogreducegthegriskgforgaspiration?
Allowgforg30gmingofgrestgbeforegmeals.
20. Agnursegisgcaringgforgagclientgwhogisg1gdaygpostoperativegfollowinggaghipgarthroplasty.gThegcli
entgisgexhibitingghypotension,gtachycardia,gandgtachypnea.gThegnursegshouldgrecognizegthatg
thesegfindingsgindicategwhichgofgthegfollowinggcomplications?
Pulmonarygembolism
21. Agnursegisgreinforcinggteachinggwithgagclientgwhoghasggonorrhea.gWhichgofgt
hegfollowingginformationgshouldgthegnurseginclude?
"Yougaregatgriskgforginfertilitygwithgthisginfection,gregardlessgofgtreatment."
22. Agnursegisgcontributinggtogthegplangofgcaregforgagclientgwhogwasgadmittedgtogthegneurologicalgu
nitgfollowinggagstrokeg3ghrgago.gWhichgofgthegfollowingginterventionsgshouldgthegnursegidentify
gasgthegpriority?
Keepgthegclientgingagside-lyinggposition.
23. Agnursegisgassistinggingthegcaregofgagclientgwhoghasgmanifestationsgofgsepsis.gWhich
gofgthegfollowinggprovidergprescriptionsgshouldgthegnursegimplementgfirst?
Initiategoxygengatg4gL/mingviagnasalgcannula.
, 4
24. Agnursegisgreinforcinggteachinggwithgagclientgwhogisgtakingginsulingglargine.gWhichgofgt
hegfollowingginformationgshouldgthegnursegincludegingthegteaching?
"Thisgtypegofginsulingshouldgbeggivengatgthegsamegtimegeverygday."
25. Agnursegisgcollectinggdatagfromgagclientgwhoghasghypothyroidism.gWhichgofgt
hegfollowinggmanifestationsgshouldgthegnurseganticipate?
Bradycardia
26. Agnursegisgcollectinggdatagfromgagclientgwhoghasgchronicgkidneygdiseasegwithghyperkalem
ia.gWhichgofgthegfollowinggfindingsgshouldgthegnursegexpectgrelatedgtoghyperkalemia?
Bradycardia
27. AgnursegentersgthegroomgofgagclientgwhosegtransfusiongofgpackedgRBCsgwasginitiatedg15gmi
ngagogbygthegRN.gThegclientgreportsgdyspneagandgurticaria.gWhichgofgthegfollowinggactionsgsh
ouldgthegnursegperformgfirst?
Stopgtheginfusion.
28. Agnursegisgcollectinggdatagfromgag55-year-
oldgfemalegclientgwhogreportsgvaginalgdrynessgandghotgflashes.gThegclientgisginterestedging
tryingghormonegreplacementgtherapyg(HRT).gWhichgofgthegfollowinggshouldgthegnursegrec
ognizegasgagcontraindicationgtogHRT?
Historygofgtreatmentgforgbloodgclots
29. Agnursegisgreinforcinggteachinggwithgthegfamilygofgagclientgwhoghasgagcervicalginjurygandgha
sgaghalogvestgingplace.gWhichgofgthegfollowinggsafetygprecautionsgshouldgthegnursegincludeg
ingthegteaching?
Changegthegsheepskinglinergweekly.
30. Agnursegisgcollectinggdatagfromgagclientgwhoghasghypokalemia.gWhichgofgthegfollowi
nggfindingsgshouldgthegnursegidentifygasgthegpriority?
Dysrhythmia
31. Agnursegingaglong-
termgcaregfacilitygisgcollectinggdatagfromgagclientgwhogreportsgfullnessgingthegrectumgandga
bdominalgcramping.gWhichgofgthegfollowinggfindingsgshouldgindicategtogthegnursegthatgthe
gclientgmightghavegagfecalgimpaction?
Smallgliquidgstools
PNgAdultgMedicalgSurgical
1. AgnursegisgreviewinggtheglaboratorygresultsgofgagclientgwhogisgscheduledgforgagCTgscangwith
gangIVgcontrastgagent.gWhichgofgthegfollowingglaboratorygfindingsgshouldgthegnursegreportg
togthegprovidergpriorgtogthegprocedure?
Creatineg1.9gmg/dl
2. Agnursegisgmonitoringgagclientgwhogisgtakegacarbose.gWhichgofgthegfollowinggfindingsgsho
uldgthegnursegidentifygasgangadversegeffectgofgthegmedication?
AbdominalgCramps
3. Agnursegisgassistinggwithgthegcaregofgagclientgwhoghadgagcardiacgcatheterizationgviagthegri
ghtgfemoralgartery.gWhichgofgthegfollowinggactionsgshouldgthegnursegtakegtogpreventgpo
st-gproceduregcomplications?
Monitorgtheginsertiongsitegforgbleeding,gMaintaingthegpressuregdressing,gCheckgthegclient’sgpe
ripheralgpulses
4. Agnursegisgcontributinggtogthegplangofgcaregforgagclientgwoghasgchronicgobstructivegpulmonar
ygdiseaseg(COPD)gandgisgdyspneic.gWhichgofgthegfollowingginterventionsgshouldgthegnursegincl
udegingthegplan?
Encouragegabdominalgbreathing
5. Agnursegisgpreparinggtogadministergphytonadioneg7gmggsubcutaneouslygtogagclientgwhoghasg
angINRgofg4.gAvailablegisgphytonadioneg10gmg/mL.gHowgmanygmLgshouldgthegnursegadmini
ster?g(Roundgtheganswergtogthegnearestgtenth.gUsegagleadinggzerogifgitgapplies.gDognotguseg
agtrailinggzero.)
0.7
6. Agnursegisgexamininggagclient’sgIVgandgnotesgagredglinegupghisgarm.gThegclientgreportsgagthrob
bing,gburninggpaingatgthegIVgsite.gThegnursegshouldgidentifygthatgthegclient’sgmanifestationsgin
dicategwhichgofgthegfollowinggcomplicationsgofgIVgtherapy?
Thrombophlebitis
7. Agnursegisgreinforcinggteachinggaboutgmanagementgofgconstipationgwithgagclientgwh
oghasghypothyroidism.gWhichgodgthegfollowinggshouldgthegnursegincludegingthegteach
ing?
Increasegintakegofgfiber-richgfoods.
,2
8. Agnursegisgcaringgforgagclientgwhoghasgagcompoundgfracturegofgthegfemurgandgwasgplace
dgingbalancedgsuspensiongskeletalgtractiong4gdaysgago.gWhichgofgthegfollowinggactionsgs
houldgthegnursegtake?
Performgpingsitegcaregdaily
9. Agnursegobservesgagclientgwhogisglyinggingbedgexperiencinggagtonic-
clonicgseizure.gWhichgofgthegfollowinggactionsgshouldgthegnursegtake?
Loosengclothinggaroundgthegclient’sgneck.
10. Agnursegisgcontributinggtogthegplangofgcaregforgagclientgwhoghasgmultiplegsclerosisgandgisgtak
inggdantrolenegtogmanagegmusclegspasms.gWhichgofgthegfollowingginterventionsgshouldg th
egnurseginclude?
EncouragegthegclientgtogcompletegADLs
11. Agnursegisgreinforcinggdischargegteachinggtogpreventgdumpinggsyndromegforgagclientgfollowi
nggagpartialggastrectomygforgulcers.gWhichgofgthegfollowingginformationgshouldgthegnursegin
cludegingthegteaching?
Avoidgliquidsgatgmealtimes.
12. Agnursegisgcollectinggdatagfromgagclientgwhoghasgheartgfailuregandgisgtakinggdigoxin.gWhich
gofgthegfollowinggoutcomesgfromgthegmedicationgshouldgthegnursegexpect?
Decreasedgshortnessgofgbreath
13. Agnursegisgreinforcinggdischargegteachinggwithgagclientgwhoghasghearinggloss.gWhichg
ofgthegfollowinggactionsgshouldgthegnursegtakegwhengcommunicatinggwithgthegclien
t?
Rephrasegclientginstructionsgwhengnotgunderstood.
14. Agnursegisgpreparingg togremovegagclient'sgNGgtube.gWhichgofgthegfollowingginterventionsgsh
ouldgthegnursegtakegtogdecreasegthegriskgofgaspiration?
PinchgthegNGgtube.
15. Agnursegisgcontributinggtogthegplangofgcaregforgangoldergadultgclientgwhogisgatgriskgforgoste
oporosis.gWhichgofgthegfollowingginterventionsgshouldgthegnursegincludegtogpreventgboneglo
ss?
Encouragegweight-bearingg exercises.
,3
16. Aghomeghealthgnursegisgreinforcinggteachinggwithgagclientgaboutgpreventinggcomplicatio
nsgofgperipheralgvasculargdisease.gWhichgofgthegfollowinggstatementsgindicatesgthatgtheg
clientgisgadheringgtogthegnurse'sginstructions?
"Igdon'tgcrossgmyglegsganymore."
17. Agnursegisgreinforcinggteachinggaboutgglycosylatedghemoglobing(HbA1c)gtestinggwithgagclie
ntgwhoghasgdiabetesgmellitus.gWhichgofgthegfollowinggstatementsgindicatesgthatgthegclien
tgunderstandsgthegteaching?
"IgwillghavegmygHbA1cgcheckedgtwicegpergyear."
18. Agnursegisgassistinggthegchargegnursegwithgdevelopinggangin-
servicegaboutgcaringgforgclientsgwhoghaveginternalgsealedgradiationgimplants.gWhichgofgthe
gfollowingginformationgshouldgthegnurseginclude?
Disposegofgradiationgimplantsgingagleadgcontainer.
19. Agnursegisgcaringgforgagclientgwhoghadgangacutegischemicgstrokeg1gdaygago.gWhichgofg
thegfollowinggactionsgshouldgthegnursegtakegtogreducegthegriskgforgaspiration?
Allowgforg30gmingofgrestgbeforegmeals.
20. Agnursegisgcaringgforgagclientgwhogisg1gdaygpostoperativegfollowinggaghipgarthroplasty.gThegcli
entgisgexhibitingghypotension,gtachycardia,gandgtachypnea.gThegnursegshouldgrecognizegthatg
thesegfindingsgindicategwhichgofgthegfollowinggcomplications?
Pulmonarygembolism
21. Agnursegisgreinforcinggteachinggwithgagclientgwhoghasggonorrhea.gWhichgofgt
hegfollowingginformationgshouldgthegnurseginclude?
"Yougaregatgriskgforginfertilitygwithgthisginfection,gregardlessgofgtreatment."
22. Agnursegisgcontributinggtogthegplangofgcaregforgagclientgwhogwasgadmittedgtogthegneurologicalgu
nitgfollowinggagstrokeg3ghrgago.gWhichgofgthegfollowingginterventionsgshouldgthegnursegidentify
gasgthegpriority?
Keepgthegclientgingagside-lyinggposition.
23. Agnursegisgassistinggingthegcaregofgagclientgwhoghasgmanifestationsgofgsepsis.gWhich
gofgthegfollowinggprovidergprescriptionsgshouldgthegnursegimplementgfirst?
Initiategoxygengatg4gL/mingviagnasalgcannula.
, 4
24. Agnursegisgreinforcinggteachinggwithgagclientgwhogisgtakingginsulingglargine.gWhichgofgt
hegfollowingginformationgshouldgthegnursegincludegingthegteaching?
"Thisgtypegofginsulingshouldgbeggivengatgthegsamegtimegeverygday."
25. Agnursegisgcollectinggdatagfromgagclientgwhoghasghypothyroidism.gWhichgofgt
hegfollowinggmanifestationsgshouldgthegnurseganticipate?
Bradycardia
26. Agnursegisgcollectinggdatagfromgagclientgwhoghasgchronicgkidneygdiseasegwithghyperkalem
ia.gWhichgofgthegfollowinggfindingsgshouldgthegnursegexpectgrelatedgtoghyperkalemia?
Bradycardia
27. AgnursegentersgthegroomgofgagclientgwhosegtransfusiongofgpackedgRBCsgwasginitiatedg15gmi
ngagogbygthegRN.gThegclientgreportsgdyspneagandgurticaria.gWhichgofgthegfollowinggactionsgsh
ouldgthegnursegperformgfirst?
Stopgtheginfusion.
28. Agnursegisgcollectinggdatagfromgag55-year-
oldgfemalegclientgwhogreportsgvaginalgdrynessgandghotgflashes.gThegclientgisginterestedging
tryingghormonegreplacementgtherapyg(HRT).gWhichgofgthegfollowinggshouldgthegnursegrec
ognizegasgagcontraindicationgtogHRT?
Historygofgtreatmentgforgbloodgclots
29. Agnursegisgreinforcinggteachinggwithgthegfamilygofgagclientgwhoghasgagcervicalginjurygandgha
sgaghalogvestgingplace.gWhichgofgthegfollowinggsafetygprecautionsgshouldgthegnursegincludeg
ingthegteaching?
Changegthegsheepskinglinergweekly.
30. Agnursegisgcollectinggdatagfromgagclientgwhoghasghypokalemia.gWhichgofgthegfollowi
nggfindingsgshouldgthegnursegidentifygasgthegpriority?
Dysrhythmia
31. Agnursegingaglong-
termgcaregfacilitygisgcollectinggdatagfromgagclientgwhogreportsgfullnessgingthegrectumgandga
bdominalgcramping.gWhichgofgthegfollowinggfindingsgshouldgindicategtogthegnursegthatgthe
gclientgmightghavegagfecalgimpaction?
Smallgliquidgstools
