PNbAdultbMedicalbSurgical
1. AbnursebisbreviewingbtheblaboratorybresultsbofbabclientbwhobisbscheduledbforbabCTbscanbwithbanbI
Vbcontrastbagent.bWhichbofbthebfollowingblaboratorybfindingsbshouldbthebnursebreportbtobthebpr
oviderbpriorbtobthebprocedure?
Creatineb1.9bmg/dl
2. Abnursebisbmonitoringbabclientbwhobisbtakebacarbose.bWhichbofbthebfollowingbfindingsbshouldbth
ebnursebidentifybasbanbadversebeffectbofbthebmedication?
AbdominalbCramps
3. Abnursebisbassistingbwithbthebcarebofbabclientbwhobhadbabcardiacbcatheterizationbviabthebrightbfe
moralbartery.bWhichbofbthebfollowingbactionsbshouldbthebnursebtakebtobpreventbpost-
procedurebcomplications?
Monitorbthebinsertionbsitebforbbleeding,bMaintainbthebpressurebdressing,bCheckbthebclient’sbperipher
albpulses
4. Abnursebisbcontributingbtobthebplanbofbcarebforbabclientbwobhasbchronicbobstructivebpulmonarybdis
easeb(COPD)bandbisbdyspneic.bWhichbofbthebfollowingbinterventionsbshouldbthebnursebincludebinbth
ebplan?
Encouragebabdominalbbreathing
5. Abnursebisbpreparingbtobadministerbphytonadioneb7bmgbsubcutaneouslybtobabclientbwhobhasbanbIN
Rbofb4.bAvailablebisbphytonadioneb10bmg/mL.bHowbmanybmLbshouldbthebnursebadminister?b(Roun
dbthebanswerbtobthebnearestbtenth.bUsebableadingbzerobifbitbapplies.bDobnotbusebabtrailingbzero.)
0.7
6. Abnursebisbexaminingbabclient’sbIVbandbnotesbabredblinebupbhisbarm.bThebclientbreportsbabthrobbing
,bburningbpainbatbthebIVbsite.bThebnursebshouldbidentifybthatbthebclient’sbmanifestationsbindicateb
whichbofbthebfollowingbcomplicationsbofbIVbtherapy?
Thrombophlebitis
7. Abnursebisbreinforcingbteachingbaboutbmanagementbofbconstipationbwithbabclientbwhobha
sbhypothyroidism.bWhichbodbthebfollowingbshouldbthebnursebincludebinbthebteaching?
Increasebintakebofbfiber-richbfoods.
,8. Abnursebisbcaringbforbabclientbwhobhasbabcompoundbfracturebofbthebfemurbandbwasbplacedbinb
balancedbsuspensionbskeletalbtractionb4bdaysbago.bWhichbofbthebfollowingbactionsbshouldbth
ebnursebtake?
Performbpinbsitebcarebdaily
9. Abnursebobservesbabclientbwhobisblyingbinbbedbexperiencingbabtonic-
clonicbseizure.bWhichbofbthebfollowingbactionsbshouldbthebnursebtake?
Loosenbclothingbaroundbthebclient’sbneck.
10. Abnursebisbcontributingbtobthebplanbofbcarebforbabclientbwhobhasbmultiplebsclerosisbandbisbtaking
bdantrolenebtobmanagebmusclebspasms.bWhichbofbthebfollowingbinterventionsbshouldbthebnurs
ebinclude?
EncouragebthebclientbtobcompletebADLs
11. Abnursebisbreinforcingbdischargebteachingbtobpreventbdumpingbsyndromebforbabclientbfollowingb
abpartialbgastrectomybforbulcers.bWhichbofbthebfollowingbinformationbshouldbthebnursebincludeb
inbthebteaching?
Avoidbliquidsbatbmealtimes.
12. Abnursebisbcollectingbdatabfrombabclientbwhobhasbheartbfailurebandbisbtakingbdigoxin.bWhichbofbth
ebfollowingboutcomesbfrombthebmedicationbshouldbthebnursebexpect?
Decreasedbshortnessbofbbreath
13. Abnursebisbreinforcingbdischargebteachingbwithbabclientbwhobhasbhearingbloss.bWhichbofbth
ebfollowingbactionsbshouldbthebnursebtakebwhenbcommunicatingbwithbthebclient?
Rephrasebclientbinstructionsbwhenbnotbunderstood.
14. Abnursebisbpreparingbtobremovebabclient'sbNGbtube.bWhichbofbthebfollowingbinterventionsbshoul
dbthebnursebtakebtobdecreasebthebriskbofbaspiration?
PinchbthebNGbtube.
15. Abnursebisbcontributingbtobthebplanbofbcarebforbanbolderbadultbclientbwhobisbatbriskbforbosteoporosis
.bWhichbofbthebfollowingbinterventionsbshouldbthebnursebincludebtobpreventbbonebloss?
Encouragebweight-bearingbexercises.
,16. Abhomebhealthbnursebisbreinforcingbteachingbwithbabclientbaboutbpreventingbcomplicationsbo
fbperipheralbvascularbdisease.bWhichbofbthebfollowingbstatementsbindicatesbthatbthebclientbis
badheringbtobthebnurse'sbinstructions?
"Ibdon'tbcrossbmyblegsbanymore."
17. Abnursebisbreinforcingbteachingbaboutbglycosylatedbhemoglobinb(HbA1c)btestingbwithbabclientbwh
obhasbdiabetesbmellitus.bWhichbofbthebfollowingbstatementsbindicatesbthatbthebclientbunderstand
sbthebteaching?
"IbwillbhavebmybHbA1cbcheckedbtwicebperbyear."
18. Abnursebisbassistingbthebchargebnursebwithbdevelopingbanbin-
servicebaboutbcaringbforbclientsbwhobhavebinternalbsealedbradiationbimplants.bWhichbofbthebfollo
wingbinformationbshouldbthebnursebinclude?
Disposebofbradiationbimplantsbinbableadbcontainer.
19. Abnursebisbcaringbforbabclientbwhobhadbanbacutebischemicbstrokeb1bdaybago.bWhichbofbthebfollowin
gbactionsbshouldbthebnursebtakebtobreducebthebriskbforbaspiration?
Allowbforb30bminbofbrestbbeforebmeals.
20. Abnursebisbcaringbforbabclientbwhobisb1bdaybpostoperativebfollowingbabhipbarthroplasty.bThebclientbi
sbexhibitingbhypotension,btachycardia,bandbtachypnea.bThebnursebshouldbrecognizebthatbthesebfi
ndingsbindicatebwhichbofbthebfollowingbcomplications?
Pulmonarybembolism
21. Abnursebisbreinforcingbteachingbwithbabclientbwhobhasbgonorrhea.bWhichbofbthebfollowin
gbinformationbshouldbthebnursebinclude?
"Youbarebatbriskbforbinfertilitybwithbthisbinfection,bregardlessbofbtreatment."
22. Abnursebisbcontributingbtobthebplanbofbcarebforbabclientbwhobwasbadmittedbtobthebneurologicalbuni
tbfollowingbabstrokeb3bhrbago.bWhichbofbthebfollowingbinterventionsbshouldbthebnursebidentifybasbth
ebpriority?
Keepbthebclientbinbabside-lyingbposition.
23. Abnursebisbassistingbinbthebcarebofbabclientbwhobhasbmanifestationsbofbsepsis.bWhichbofbth
ebfollowingbproviderbprescriptionsbshouldbthebnursebimplementbfirst?
Initiateboxygenbatb4bL/minbviabnasalbcannula.
, 24. Abnursebisbreinforcingbteachingbwithbabclientbwhobisbtakingbinsulinbglargine.bWhichbofbthebfollowin
gbinformationbshouldbthebnursebincludebinbthebteaching?
"Thisbtypebofbinsulinbshouldbbebgivenbatbthebsamebtimebeverybday."
25. Abnursebisbcollectingbdatabfrombabclientbwhobhasbhypothyroidism.bWhichbofbthebfollowin
gbmanifestationsbshouldbthebnursebanticipate?
Bradycardia
26. Abnursebisbcollectingbdatabfrombabclientbwhobhasbchronicbkidneybdiseasebwithbhyperkalemia.bWhic
hbofbthebfollowingbfindingsbshouldbthebnursebexpectbrelatedbtobhyperkalemia?
Bradycardia
27. AbnursebentersbthebroombofbabclientbwhosebtransfusionbofbpackedbRBCsbwasbinitiatedb15bminbag
obbybthebRN.bThebclientbreportsbdyspneabandburticaria.bWhichbofbthebfollowingbactionsbshouldbt
hebnursebperformbfirst?
Stopbthebinfusion.
28. Abnursebisbcollectingbdatabfrombab55-year-
oldbfemalebclientbwhobreportsbvaginalbdrynessbandbhotbflashes.bThebclientbisbinterestedbinbtryingb
hormonebreplacementbtherapyb(HRT).bWhichbofbthebfollowingbshouldbthebnursebrecognizebasbab
contraindicationbtobHRT?
Historybofbtreatmentbforbbloodbclots
29. Abnursebisbreinforcingbteachingbwithbthebfamilybofbabclientbwhobhasbabcervicalbinjurybandbhasbabhal
obvestbinbplace.bWhichbofbthebfollowingbsafetybprecautionsbshouldbthebnursebincludebinbthebteachi
ng?
Changebthebsheepskinblinerbweekly.
30. Abnursebisbcollectingbdatabfrombabclientbwhobhasbhypokalemia.bWhichbofbthebfollowingbfinding
sbshouldbthebnursebidentifybasbthebpriority?
Dysrhythmia
31. Abnursebinbablong-
termbcarebfacilitybisbcollectingbdatabfrombabclientbwhobreportsbfullnessbinbthebrectumbandbabdo
minalbcramping.bWhichbofbthebfollowingbfindingsbshouldbindicatebtobthebnursebthatbthebclientbm
ightbhavebabfecalbimpaction?
Smallbliquidbstools
1. AbnursebisbreviewingbtheblaboratorybresultsbofbabclientbwhobisbscheduledbforbabCTbscanbwithbanbI
Vbcontrastbagent.bWhichbofbthebfollowingblaboratorybfindingsbshouldbthebnursebreportbtobthebpr
oviderbpriorbtobthebprocedure?
Creatineb1.9bmg/dl
2. Abnursebisbmonitoringbabclientbwhobisbtakebacarbose.bWhichbofbthebfollowingbfindingsbshouldbth
ebnursebidentifybasbanbadversebeffectbofbthebmedication?
AbdominalbCramps
3. Abnursebisbassistingbwithbthebcarebofbabclientbwhobhadbabcardiacbcatheterizationbviabthebrightbfe
moralbartery.bWhichbofbthebfollowingbactionsbshouldbthebnursebtakebtobpreventbpost-
procedurebcomplications?
Monitorbthebinsertionbsitebforbbleeding,bMaintainbthebpressurebdressing,bCheckbthebclient’sbperipher
albpulses
4. Abnursebisbcontributingbtobthebplanbofbcarebforbabclientbwobhasbchronicbobstructivebpulmonarybdis
easeb(COPD)bandbisbdyspneic.bWhichbofbthebfollowingbinterventionsbshouldbthebnursebincludebinbth
ebplan?
Encouragebabdominalbbreathing
5. Abnursebisbpreparingbtobadministerbphytonadioneb7bmgbsubcutaneouslybtobabclientbwhobhasbanbIN
Rbofb4.bAvailablebisbphytonadioneb10bmg/mL.bHowbmanybmLbshouldbthebnursebadminister?b(Roun
dbthebanswerbtobthebnearestbtenth.bUsebableadingbzerobifbitbapplies.bDobnotbusebabtrailingbzero.)
0.7
6. Abnursebisbexaminingbabclient’sbIVbandbnotesbabredblinebupbhisbarm.bThebclientbreportsbabthrobbing
,bburningbpainbatbthebIVbsite.bThebnursebshouldbidentifybthatbthebclient’sbmanifestationsbindicateb
whichbofbthebfollowingbcomplicationsbofbIVbtherapy?
Thrombophlebitis
7. Abnursebisbreinforcingbteachingbaboutbmanagementbofbconstipationbwithbabclientbwhobha
sbhypothyroidism.bWhichbodbthebfollowingbshouldbthebnursebincludebinbthebteaching?
Increasebintakebofbfiber-richbfoods.
,8. Abnursebisbcaringbforbabclientbwhobhasbabcompoundbfracturebofbthebfemurbandbwasbplacedbinb
balancedbsuspensionbskeletalbtractionb4bdaysbago.bWhichbofbthebfollowingbactionsbshouldbth
ebnursebtake?
Performbpinbsitebcarebdaily
9. Abnursebobservesbabclientbwhobisblyingbinbbedbexperiencingbabtonic-
clonicbseizure.bWhichbofbthebfollowingbactionsbshouldbthebnursebtake?
Loosenbclothingbaroundbthebclient’sbneck.
10. Abnursebisbcontributingbtobthebplanbofbcarebforbabclientbwhobhasbmultiplebsclerosisbandbisbtaking
bdantrolenebtobmanagebmusclebspasms.bWhichbofbthebfollowingbinterventionsbshouldbthebnurs
ebinclude?
EncouragebthebclientbtobcompletebADLs
11. Abnursebisbreinforcingbdischargebteachingbtobpreventbdumpingbsyndromebforbabclientbfollowingb
abpartialbgastrectomybforbulcers.bWhichbofbthebfollowingbinformationbshouldbthebnursebincludeb
inbthebteaching?
Avoidbliquidsbatbmealtimes.
12. Abnursebisbcollectingbdatabfrombabclientbwhobhasbheartbfailurebandbisbtakingbdigoxin.bWhichbofbth
ebfollowingboutcomesbfrombthebmedicationbshouldbthebnursebexpect?
Decreasedbshortnessbofbbreath
13. Abnursebisbreinforcingbdischargebteachingbwithbabclientbwhobhasbhearingbloss.bWhichbofbth
ebfollowingbactionsbshouldbthebnursebtakebwhenbcommunicatingbwithbthebclient?
Rephrasebclientbinstructionsbwhenbnotbunderstood.
14. Abnursebisbpreparingbtobremovebabclient'sbNGbtube.bWhichbofbthebfollowingbinterventionsbshoul
dbthebnursebtakebtobdecreasebthebriskbofbaspiration?
PinchbthebNGbtube.
15. Abnursebisbcontributingbtobthebplanbofbcarebforbanbolderbadultbclientbwhobisbatbriskbforbosteoporosis
.bWhichbofbthebfollowingbinterventionsbshouldbthebnursebincludebtobpreventbbonebloss?
Encouragebweight-bearingbexercises.
,16. Abhomebhealthbnursebisbreinforcingbteachingbwithbabclientbaboutbpreventingbcomplicationsbo
fbperipheralbvascularbdisease.bWhichbofbthebfollowingbstatementsbindicatesbthatbthebclientbis
badheringbtobthebnurse'sbinstructions?
"Ibdon'tbcrossbmyblegsbanymore."
17. Abnursebisbreinforcingbteachingbaboutbglycosylatedbhemoglobinb(HbA1c)btestingbwithbabclientbwh
obhasbdiabetesbmellitus.bWhichbofbthebfollowingbstatementsbindicatesbthatbthebclientbunderstand
sbthebteaching?
"IbwillbhavebmybHbA1cbcheckedbtwicebperbyear."
18. Abnursebisbassistingbthebchargebnursebwithbdevelopingbanbin-
servicebaboutbcaringbforbclientsbwhobhavebinternalbsealedbradiationbimplants.bWhichbofbthebfollo
wingbinformationbshouldbthebnursebinclude?
Disposebofbradiationbimplantsbinbableadbcontainer.
19. Abnursebisbcaringbforbabclientbwhobhadbanbacutebischemicbstrokeb1bdaybago.bWhichbofbthebfollowin
gbactionsbshouldbthebnursebtakebtobreducebthebriskbforbaspiration?
Allowbforb30bminbofbrestbbeforebmeals.
20. Abnursebisbcaringbforbabclientbwhobisb1bdaybpostoperativebfollowingbabhipbarthroplasty.bThebclientbi
sbexhibitingbhypotension,btachycardia,bandbtachypnea.bThebnursebshouldbrecognizebthatbthesebfi
ndingsbindicatebwhichbofbthebfollowingbcomplications?
Pulmonarybembolism
21. Abnursebisbreinforcingbteachingbwithbabclientbwhobhasbgonorrhea.bWhichbofbthebfollowin
gbinformationbshouldbthebnursebinclude?
"Youbarebatbriskbforbinfertilitybwithbthisbinfection,bregardlessbofbtreatment."
22. Abnursebisbcontributingbtobthebplanbofbcarebforbabclientbwhobwasbadmittedbtobthebneurologicalbuni
tbfollowingbabstrokeb3bhrbago.bWhichbofbthebfollowingbinterventionsbshouldbthebnursebidentifybasbth
ebpriority?
Keepbthebclientbinbabside-lyingbposition.
23. Abnursebisbassistingbinbthebcarebofbabclientbwhobhasbmanifestationsbofbsepsis.bWhichbofbth
ebfollowingbproviderbprescriptionsbshouldbthebnursebimplementbfirst?
Initiateboxygenbatb4bL/minbviabnasalbcannula.
, 24. Abnursebisbreinforcingbteachingbwithbabclientbwhobisbtakingbinsulinbglargine.bWhichbofbthebfollowin
gbinformationbshouldbthebnursebincludebinbthebteaching?
"Thisbtypebofbinsulinbshouldbbebgivenbatbthebsamebtimebeverybday."
25. Abnursebisbcollectingbdatabfrombabclientbwhobhasbhypothyroidism.bWhichbofbthebfollowin
gbmanifestationsbshouldbthebnursebanticipate?
Bradycardia
26. Abnursebisbcollectingbdatabfrombabclientbwhobhasbchronicbkidneybdiseasebwithbhyperkalemia.bWhic
hbofbthebfollowingbfindingsbshouldbthebnursebexpectbrelatedbtobhyperkalemia?
Bradycardia
27. AbnursebentersbthebroombofbabclientbwhosebtransfusionbofbpackedbRBCsbwasbinitiatedb15bminbag
obbybthebRN.bThebclientbreportsbdyspneabandburticaria.bWhichbofbthebfollowingbactionsbshouldbt
hebnursebperformbfirst?
Stopbthebinfusion.
28. Abnursebisbcollectingbdatabfrombab55-year-
oldbfemalebclientbwhobreportsbvaginalbdrynessbandbhotbflashes.bThebclientbisbinterestedbinbtryingb
hormonebreplacementbtherapyb(HRT).bWhichbofbthebfollowingbshouldbthebnursebrecognizebasbab
contraindicationbtobHRT?
Historybofbtreatmentbforbbloodbclots
29. Abnursebisbreinforcingbteachingbwithbthebfamilybofbabclientbwhobhasbabcervicalbinjurybandbhasbabhal
obvestbinbplace.bWhichbofbthebfollowingbsafetybprecautionsbshouldbthebnursebincludebinbthebteachi
ng?
Changebthebsheepskinblinerbweekly.
30. Abnursebisbcollectingbdatabfrombabclientbwhobhasbhypokalemia.bWhichbofbthebfollowingbfinding
sbshouldbthebnursebidentifybasbthebpriority?
Dysrhythmia
31. Abnursebinbablong-
termbcarebfacilitybisbcollectingbdatabfrombabclientbwhobreportsbfullnessbinbthebrectumbandbabdo
minalbcramping.bWhichbofbthebfollowingbfindingsbshouldbindicatebtobthebnursebthatbthebclientbm
ightbhavebabfecalbimpaction?
Smallbliquidbstools
