MED SURG ,.
A,.plan,.of,.care,.for,.a,.56-year-
old,.client,.who,.has,.been,.diagnosed,.with,.osteopenia,.has,.been,.developed.,.The,
.plan,.is,.focused,.on,.preventing,.further,.bone,.resorption,.and,.increasing,.bone,.m
ass.,.Which,.outcome,.statement,.should,.be,.included,.in,.the,.plan,.of,.care?
a. The,.nurse,.practitioner,.will,.instruct,.the,.client,.on,.the,.use,.of,.alendronate.
b. The,.client,.will,.decrease,.the,.number,.of,.cigarettes,.smoked,.by,.50%,.within,.2,.weeks.
c. The,.client,.will,.swim,.for,.30,.minutes,.three,.to,.four,.times,.per,.week,.for,.the,.next,.2,.months.
d. The,.practical,.nurse,.will,.provide,.the,.client,.with,.a,.list,.of,.foods,.that,.are,.high,.in,.calcium.
The,.nurse,.is,.assisting,.with,.data,.collection,.for,.an,.older,.adult,.who,.is,.visiting,.the,.health,.care,.provid
er,.today.,.Which,.signs,.and,.symptoms,.should,.the,.nurse,.report,.to,.the,.health,.care,.provider,.as,.pos
sible,.signs,.associated,.with,.colon,.cancer?,.(Select,.all,.that,.apply.)
a. Rectal,.bleeding,.correct,.answer
b. Weight,.gain
c. Abdominal,.distention,.correct,.answer
d. Sensation,.that,.bowels,.are,.not,.evacuating,.completely,.correct,.answer
e. A,.diet,.high,.in,.vegetables,.such,.as,.cauliflower,,.cabbage,,.and,.kale
Which,.educational,.materials,.should,.the,.practical,.nurse,.select,.for,.reinforcement,.of,.teaching,.for,.se
condary,.prevention?,.(Select,.all,.that,.apply.)
a. Video,.that,.teaches,.clients,.to,.do,.breast,.self-examinations.
,b. Pamphlets,.describing,.how,.to,.do,.testicular,.self-examinations.
c. Chart,.that,.emphasizes,.childhood,.immunization,.schedule.
d. Chart,.that,.emphasizes,.childhood,.immunization,.schedule.
e. Postcard,.reminders,.for,.clients,.to,.get,.papanicolaou,.(Pap),.smears,.and,.mammograms
A,.client,.has,.a,.serum,.potassium,.level,.of,.3,.mEq/L.,.Which,.findings,.should,.the,.practical,.nurse,.repor
t,.to,.the,.charge,.nurse?,.(Select,.all,.that,.apply.)
a. Muscle,.cramps,.correct,.answer
b. Diarrhea
c. Altered,.blood,.glucose,.level
d. Increased,.energy
e. Abnormal,.heart,.rhythms,.correct,.answer
f. Increased,.anxiety
The,.practical,.nurse,.(PN),.is,.interviewing,.a,.male,.client,.diagnosed,.with,.hypertension.,.Which,.finding,
.places,.the,.client,.at,.the,.greatest,.risk,.for,.development,.of,.a,.cerebral,.vascular,.accident,.(CVA)?
a. Drinking,.more,.than,.one,.drink,.of,.alcohol,.a,.day
b. A,.basal,.metabolic,.index,.(BMI),.of,.27%
c. A,.waistline,.greater,.than,.40,.inches,.(101.6,.cm)
d. Eating,.too,.much,.processed,.foods
A,.client,.diagnosed,.with,.chronic,.obstructive,.pulmonary,.disease,.complains,.to,.the,.practical,.nurse,.o
f,.extreme,.fatigue,.after,.coughing.,.Which,.self-
care,.measures,.can,.help,.minimize,.the,.client’s,.dyspnea?,.(Select,.all,.that,.apply.)
a. Assume,.a,.sitting,.position,.with,.shoulders,.relaxed,.and,.knees,.flexed.
b. Support,.forearms,.with,.a,.pillow,.and,.place,.both,.feet,.flat,.on,.the,.floor.
c. Slightly,.drop,.the,.head,,.bend,.forward,,.and,.slowly,.exhale,.with,.pursed,.lips.
,d. Resume,.sitting,.up,.straight,,.using,.diaphragmatic,.breathing,.to,.inhale,.slowly,.and,.deeply.
e. Repeat,.inhaling,.deeply,.and,.slowly,.with,.pursed,.lips,.while,.bending,.forward,.only,.once.
f. Repeat,.exhaling,.and,.wait,.for,.the,.cough,.reflex,.to,.facilitate,.movement,.of,.the,.secretions.
g. After,.coughing,,.inhale,.deeply,.from,.the,.abdomen,.and,.cough,.three,.or,.four,.times,.while,.exhaling.
The,.nurse,.has,.reinforced,.discharge,.instructions,.for,.a,.client,.has,.been,.diagnosed,.with,.deep,.vein,
.thrombosis,.(DVT),.in,.the,.right,.calf.,.The,.nurse,.realizes,.the,.client,.understands,.instructions,.regardi
ng,.anticoagulant,.therapy,.if,.the,.client,.makes,.which,.statement?
a. “While,.I,.am,.taking,.the,.anticoagulant,,.I,.should,.use,.a,.safety,.razor.”
b. “It,.is,.expected,.that,.my,.gums,.will,.bleed,.when,.I,.take,.the,.anticoagulants.”
c. ―If,.I,.have,.a,.fever,,.I,.will,.need,.to,.take,.acetaminophen,.instead,.of,.aspirin.‖
d. “While,.I,.take,.warfarin,,.I,.will,.need,.to,.get,.partial,.thromboplastin,.times,.tested,.weekly.”
A,.client,.diagnosed,.with,.a,.skull,.hematoma,.and,.fractured,.left,.(L),.clavicle,.following,.a,.six,.foot,.fall,.fro
m,.a,.ladder,.is,.admitted,.to,.the,.unit.,.Which,.sign,.should,.the,.practical,.nurse,.(PN),.report,.immediatel
y?
a. Spontaneously,.opens,.eyes.
b. Obeys,.commands,.in,.movement,.and,.grip.
c. Answers,.questions,,.but,.is,.confused.
D,.Has,.abnormal,.flexion,.or,.extension,.of,.(L),.arm.
The,.nurse,.is,.assigned,.the,.care,.of,.a,.client,.whose,.spiritual,.beliefs,.are,.vastly,.different,.from,.the,.nur
se’s,.background.,.What,.action,.should,.the,.nurse,.take?
a. Tell,.the,.client,.“I,.am,.uncomfortable,.with,.some,.of,.the,.religious,.items,.in,.your,.room.”
b. Tell,.the,.client,.“I,.will,.leave,.you,.alone,.most,.of,.the,.day,.so,.you,.can,.pray,.uninterrupted.”
c. Ask,.the,.client,.―Do,.you,.have,.any,.spiritual,.needs,.or,.concerns,.related,.to,.your,.health?‖
d. Tell,.the,.client,.“We,.only,.have,.regular,.food,.here,,.but,.your,.family,.can,.bring,.you,.food.”
, The,.home,.health,.practical,.nurse,.is,.visiting,.with,.a,.client,.who,.has,.a,.history,.of,.second-
degree,.heart,.block,.and,.pacemaker,.placement,.6,.months,.ago.,.Which,.symptom,.compliant,.by,.t
he,.client,.would,.be,.indicative,.of,.pacemaker,.failure?
a. Facial,.flushing
b. Nausea
c. Pounding,.headache
d. Feelings,.of,.dizziness
The,.nurse,.is,.reinforcing,.instructions,.regarding,.risk,.factor,.reduction,.for,.a,.client,.with,.angin
a.,.The,.nurse,.should,.focus,.instructions,.to,.reduce,.the,.risk,.of,.cardiovascular,.disease,.by,.w
hich,.risk,.factors?,.(Select,.all,.that,.apply.)
a. Blood,.pressure
b. Age
c. Blood,.sugar
d. Gender
e. Stressful,.lifestyle
f. Family,.history
,.Ace
A,.client,.diagnosed,.with,.viral,.influenza,.is,.prescribed,.vitamin,.C,.1000,.mg,.PO,.daily,.and,.acet
aminophen,.650,.mg,.PO,.every,.4,.hours,.prn.,.The,.client,.complains,.to,.the,.practical,.nurse,.of,.
abdominal,.cramping,.and,.increasing,.episodes,.of,.diarrhea.,.Which,.prescription,.change,.shou
ld,.the,.nurse,.anticipate?
a. Change,.the,.acetaminophen,.to,.ibuprofen.
b. Change,.the,.elixir,.to,.an,.injectable,.route.
c. Decrease,.the,.dose,.of,.vitamin,.C.
d. Begin,.treatment,.with,.an,.antibiotic.
C
A,.plan,.of,.care,.for,.a,.56-year-
old,.client,.who,.has,.been,.diagnosed,.with,.osteopenia,.has,.been,.developed.,.The,
.plan,.is,.focused,.on,.preventing,.further,.bone,.resorption,.and,.increasing,.bone,.m
ass.,.Which,.outcome,.statement,.should,.be,.included,.in,.the,.plan,.of,.care?
a. The,.nurse,.practitioner,.will,.instruct,.the,.client,.on,.the,.use,.of,.alendronate.
b. The,.client,.will,.decrease,.the,.number,.of,.cigarettes,.smoked,.by,.50%,.within,.2,.weeks.
c. The,.client,.will,.swim,.for,.30,.minutes,.three,.to,.four,.times,.per,.week,.for,.the,.next,.2,.months.
d. The,.practical,.nurse,.will,.provide,.the,.client,.with,.a,.list,.of,.foods,.that,.are,.high,.in,.calcium.
The,.nurse,.is,.assisting,.with,.data,.collection,.for,.an,.older,.adult,.who,.is,.visiting,.the,.health,.care,.provid
er,.today.,.Which,.signs,.and,.symptoms,.should,.the,.nurse,.report,.to,.the,.health,.care,.provider,.as,.pos
sible,.signs,.associated,.with,.colon,.cancer?,.(Select,.all,.that,.apply.)
a. Rectal,.bleeding,.correct,.answer
b. Weight,.gain
c. Abdominal,.distention,.correct,.answer
d. Sensation,.that,.bowels,.are,.not,.evacuating,.completely,.correct,.answer
e. A,.diet,.high,.in,.vegetables,.such,.as,.cauliflower,,.cabbage,,.and,.kale
Which,.educational,.materials,.should,.the,.practical,.nurse,.select,.for,.reinforcement,.of,.teaching,.for,.se
condary,.prevention?,.(Select,.all,.that,.apply.)
a. Video,.that,.teaches,.clients,.to,.do,.breast,.self-examinations.
,b. Pamphlets,.describing,.how,.to,.do,.testicular,.self-examinations.
c. Chart,.that,.emphasizes,.childhood,.immunization,.schedule.
d. Chart,.that,.emphasizes,.childhood,.immunization,.schedule.
e. Postcard,.reminders,.for,.clients,.to,.get,.papanicolaou,.(Pap),.smears,.and,.mammograms
A,.client,.has,.a,.serum,.potassium,.level,.of,.3,.mEq/L.,.Which,.findings,.should,.the,.practical,.nurse,.repor
t,.to,.the,.charge,.nurse?,.(Select,.all,.that,.apply.)
a. Muscle,.cramps,.correct,.answer
b. Diarrhea
c. Altered,.blood,.glucose,.level
d. Increased,.energy
e. Abnormal,.heart,.rhythms,.correct,.answer
f. Increased,.anxiety
The,.practical,.nurse,.(PN),.is,.interviewing,.a,.male,.client,.diagnosed,.with,.hypertension.,.Which,.finding,
.places,.the,.client,.at,.the,.greatest,.risk,.for,.development,.of,.a,.cerebral,.vascular,.accident,.(CVA)?
a. Drinking,.more,.than,.one,.drink,.of,.alcohol,.a,.day
b. A,.basal,.metabolic,.index,.(BMI),.of,.27%
c. A,.waistline,.greater,.than,.40,.inches,.(101.6,.cm)
d. Eating,.too,.much,.processed,.foods
A,.client,.diagnosed,.with,.chronic,.obstructive,.pulmonary,.disease,.complains,.to,.the,.practical,.nurse,.o
f,.extreme,.fatigue,.after,.coughing.,.Which,.self-
care,.measures,.can,.help,.minimize,.the,.client’s,.dyspnea?,.(Select,.all,.that,.apply.)
a. Assume,.a,.sitting,.position,.with,.shoulders,.relaxed,.and,.knees,.flexed.
b. Support,.forearms,.with,.a,.pillow,.and,.place,.both,.feet,.flat,.on,.the,.floor.
c. Slightly,.drop,.the,.head,,.bend,.forward,,.and,.slowly,.exhale,.with,.pursed,.lips.
,d. Resume,.sitting,.up,.straight,,.using,.diaphragmatic,.breathing,.to,.inhale,.slowly,.and,.deeply.
e. Repeat,.inhaling,.deeply,.and,.slowly,.with,.pursed,.lips,.while,.bending,.forward,.only,.once.
f. Repeat,.exhaling,.and,.wait,.for,.the,.cough,.reflex,.to,.facilitate,.movement,.of,.the,.secretions.
g. After,.coughing,,.inhale,.deeply,.from,.the,.abdomen,.and,.cough,.three,.or,.four,.times,.while,.exhaling.
The,.nurse,.has,.reinforced,.discharge,.instructions,.for,.a,.client,.has,.been,.diagnosed,.with,.deep,.vein,
.thrombosis,.(DVT),.in,.the,.right,.calf.,.The,.nurse,.realizes,.the,.client,.understands,.instructions,.regardi
ng,.anticoagulant,.therapy,.if,.the,.client,.makes,.which,.statement?
a. “While,.I,.am,.taking,.the,.anticoagulant,,.I,.should,.use,.a,.safety,.razor.”
b. “It,.is,.expected,.that,.my,.gums,.will,.bleed,.when,.I,.take,.the,.anticoagulants.”
c. ―If,.I,.have,.a,.fever,,.I,.will,.need,.to,.take,.acetaminophen,.instead,.of,.aspirin.‖
d. “While,.I,.take,.warfarin,,.I,.will,.need,.to,.get,.partial,.thromboplastin,.times,.tested,.weekly.”
A,.client,.diagnosed,.with,.a,.skull,.hematoma,.and,.fractured,.left,.(L),.clavicle,.following,.a,.six,.foot,.fall,.fro
m,.a,.ladder,.is,.admitted,.to,.the,.unit.,.Which,.sign,.should,.the,.practical,.nurse,.(PN),.report,.immediatel
y?
a. Spontaneously,.opens,.eyes.
b. Obeys,.commands,.in,.movement,.and,.grip.
c. Answers,.questions,,.but,.is,.confused.
D,.Has,.abnormal,.flexion,.or,.extension,.of,.(L),.arm.
The,.nurse,.is,.assigned,.the,.care,.of,.a,.client,.whose,.spiritual,.beliefs,.are,.vastly,.different,.from,.the,.nur
se’s,.background.,.What,.action,.should,.the,.nurse,.take?
a. Tell,.the,.client,.“I,.am,.uncomfortable,.with,.some,.of,.the,.religious,.items,.in,.your,.room.”
b. Tell,.the,.client,.“I,.will,.leave,.you,.alone,.most,.of,.the,.day,.so,.you,.can,.pray,.uninterrupted.”
c. Ask,.the,.client,.―Do,.you,.have,.any,.spiritual,.needs,.or,.concerns,.related,.to,.your,.health?‖
d. Tell,.the,.client,.“We,.only,.have,.regular,.food,.here,,.but,.your,.family,.can,.bring,.you,.food.”
, The,.home,.health,.practical,.nurse,.is,.visiting,.with,.a,.client,.who,.has,.a,.history,.of,.second-
degree,.heart,.block,.and,.pacemaker,.placement,.6,.months,.ago.,.Which,.symptom,.compliant,.by,.t
he,.client,.would,.be,.indicative,.of,.pacemaker,.failure?
a. Facial,.flushing
b. Nausea
c. Pounding,.headache
d. Feelings,.of,.dizziness
The,.nurse,.is,.reinforcing,.instructions,.regarding,.risk,.factor,.reduction,.for,.a,.client,.with,.angin
a.,.The,.nurse,.should,.focus,.instructions,.to,.reduce,.the,.risk,.of,.cardiovascular,.disease,.by,.w
hich,.risk,.factors?,.(Select,.all,.that,.apply.)
a. Blood,.pressure
b. Age
c. Blood,.sugar
d. Gender
e. Stressful,.lifestyle
f. Family,.history
,.Ace
A,.client,.diagnosed,.with,.viral,.influenza,.is,.prescribed,.vitamin,.C,.1000,.mg,.PO,.daily,.and,.acet
aminophen,.650,.mg,.PO,.every,.4,.hours,.prn.,.The,.client,.complains,.to,.the,.practical,.nurse,.of,.
abdominal,.cramping,.and,.increasing,.episodes,.of,.diarrhea.,.Which,.prescription,.change,.shou
ld,.the,.nurse,.anticipate?
a. Change,.the,.acetaminophen,.to,.ibuprofen.
b. Change,.the,.elixir,.to,.an,.injectable,.route.
c. Decrease,.the,.dose,.of,.vitamin,.C.
d. Begin,.treatment,.with,.an,.antibiotic.
C
