ne
tz
sh
ne
RN Adult Medical
la
tz
sh
Sp
Surgical EXAM/ANS ne
la
tz
sh
Sp
ne
WERS
la
tz
sh
Sp
ne
la
tz
sh
Sp
ne
a nurse is caring for a client who has hepatic encephalopathy that is being treated with
la
lactulose. the client is experiencing excessive stools. which of the following findings is
tz
sh
an adverse effect of the medication?
Sp
ANSW-hypokalemia
ne
la
a nurse is caring for a client who has emphysema and is receiving mechanical
tz
sh
ventilation. the client appears anxious and restless, and the high-pressure alarm is
Sp
sounding. which of the following actions should the nurse take first?
ne
ANSW-instruct the client to allow the machine to breathe for them
la
tz
sh
a nurse is teaching a client who has a family history of colorectal cancer. to help
Sp
mitigate this risk, which of the following dietary alterations should the nurse
ne
recommend?
la
ANSW-add cabbage to the diet
tz
sh
Sp
a home health nurse is assigned to a client who was recently discharged from a
ne
rehabilitation center after experiencing a right-hemispheric stroke. which of the following
la
neurological deficits should the nurse expect to find when assessing the client?
tz
ANSW-visual spatial deficits
sh
Sp
left hemianopsia
ne
one-sided neglect
la
tz
a nurse is caring for a client who has viral pneumonia. the client's pulse oximeter
sh
Sp
readings have fluctuated between 79% and 88% for the last 30 min. which of the
ne
following oxygen delivery systems should the nurse initiate to provide the highest
la
concentration of oxygen?
tz
ANSW-nonrebreather mask
sh
Sp
ne
la
sh
Sp
la
Sp
, ne
tz
sh
ne
a nurse is caring for a client who has bilateral pneumonia and an SaO2 of 85%. the
la
client has dyspnea with a productive cough and is using accessory muscles to breathe.
tz
which of the following actions should the nurse take first?
sh
Sp
ANSW-place the client in high-fowler's position
ne
la
a nurse is planning care for a client who has extensive burn injuries and is
tz
immunocompromised. which of the following precautions should the nurse include in the
sh
Sp
plan of care to prevent a Pseudomonas aeruginosa infection.
ne
ANSW-avoid placing plants or flowers in the client's room
la
tz
an older adult client is brought to an emergency department by a family member. which
sh
of the following assessment findings should cause the nurse to suspect that the client
Sp
ne
has hypertonic dehydration?
ANSW-Urine specific gravity of 1.045
la
tz
sh
a nurse in an emergency department is reviewing the providers prescriptions for a client
Sp
who sustained a rattlesnake bite to the lower leg. which of the following prescriptions
ne
should the nurse expect?
la
ANSW-administer an opioid analgesic to the client
tz
sh
Sp
a nurse is assessing a client who has had a suspected stroke. the nurse should place
ne
the priority on which of the following findings?
la
ANSW-dysphagia
tz
sh
Sp
a nurse is teaching a young adult client how to perform testicular self-examination.
ne
which of the following instructions should the nurse include?
la
ANSW-roll each testicle between the thumb and fingers
tz
sh
Sp
a nurse is providing instructions to a client who has type 2 diabetes mellitus and a new
ne
prescription for metformin. which of the following statements by the client indicates an
la
understanding of the teaching?
ANSW-I should take this medication with a meal
tz
sh
Sp
ne
a nurse is teaching a client who has venous insufficiency about self-care. which of the
la
following statements should the nurse identify as an indication that the client
tz
understands the teaching?
sh
Sp
ANSW-I will wear clean graduated compression stockings every day
ne
la
a nurse is assessing a client who has acute cholecystitis. which of the following findings
tz
is the nurse's priority?
sh
Sp
ANSW-tachycardia
ne
la
a nurse is reviewing the health record of a client who is scheduled for allergy skin
tz
testing. the nurse should postpone the testing and report to the provider with if the
sh
Sp
following findings?
ne
ANSW-current medications
la
sh
Sp
la
Sp
, ne
tz
sh
ne
la
a nurse is caring for a group of clients. the nurse should plan to make a referral to
tz
physical therapy for which of the following clients?
sh
Sp
ANSW-a client who is receiving preoperative teaching for a right knee arthroplasty
ne
la
a nurse is caring for a client who has DKA. which of the following laboratory findings
tz
should the nurse expect?
sh
Sp
ANSW-BUN 32 mg/dl
ne
a nurse is planning teaching for a client who has bladder cancer and is to undergo a
la
tz
cutaneous diversion procedure to establish a ureterostomy. which of the following
sh
statements should the nurse include in the teaching
Sp
ne
ANSW-you should cut the opening of the skin barrier one-eighth inch wider than the
stoma
la
tz
sh
a nurse is providing teaching for a female client who has recurrent urinary tract
Sp
infections. which fo the following information should the nurse include in the teaching?
ne
ANSW-void before and after intercourse
la
tz
sh
a nurse and an assistive personnel are caring for a client who has bacterial meningitis.
Sp
the nurse should give the AP which of the following instructions?
ne
ANSW-wear a mask
la
tz
sh
a nurse is caring for a client who is 12 hr postoperative following a total hip arthroplasty.
Sp
which of the following actions should the nurse take?
ne
ANSW-place a pillow between the client's legs
la
tz
sh
a nurse in a provider's office is assessing a client who has migraine headaches and is
Sp
taking feverfew to prevent headaches. the nurse should identify that which of the
ne
following client medications interact with feverfew
la
ANSW-naproxen
tz
sh
Sp
a nurse is caring for a client who has pancreatitis. the nurse should expect which of the
ne
following laboratory results to be below the expected reference range?
la
ANSW-calcium
tz
sh
Sp
a nurse is providing discharge instructions to a client following an upper gastrointestinal
ne
series with barium contract. which of the following information should the nurse provide?
la
ANSW-increase fluid intake
tz
sh
Sp
a nurse is assessing a client who had extracorporeal shock wake lithotripsy (ESWL) 6
ne
hr ago. which of the following findings should the nurse expect?
la
ANSW-stone fragments in the urine
tz
sh
Sp
a nurse is assessing a group of clients for indications of role changes. the nurse should
ne
identify that which of the following clients is at risk for experiencing a role change?
la
sh
Sp
la
Sp
tz
sh
ne
RN Adult Medical
la
tz
sh
Sp
Surgical EXAM/ANS ne
la
tz
sh
Sp
ne
WERS
la
tz
sh
Sp
ne
la
tz
sh
Sp
ne
a nurse is caring for a client who has hepatic encephalopathy that is being treated with
la
lactulose. the client is experiencing excessive stools. which of the following findings is
tz
sh
an adverse effect of the medication?
Sp
ANSW-hypokalemia
ne
la
a nurse is caring for a client who has emphysema and is receiving mechanical
tz
sh
ventilation. the client appears anxious and restless, and the high-pressure alarm is
Sp
sounding. which of the following actions should the nurse take first?
ne
ANSW-instruct the client to allow the machine to breathe for them
la
tz
sh
a nurse is teaching a client who has a family history of colorectal cancer. to help
Sp
mitigate this risk, which of the following dietary alterations should the nurse
ne
recommend?
la
ANSW-add cabbage to the diet
tz
sh
Sp
a home health nurse is assigned to a client who was recently discharged from a
ne
rehabilitation center after experiencing a right-hemispheric stroke. which of the following
la
neurological deficits should the nurse expect to find when assessing the client?
tz
ANSW-visual spatial deficits
sh
Sp
left hemianopsia
ne
one-sided neglect
la
tz
a nurse is caring for a client who has viral pneumonia. the client's pulse oximeter
sh
Sp
readings have fluctuated between 79% and 88% for the last 30 min. which of the
ne
following oxygen delivery systems should the nurse initiate to provide the highest
la
concentration of oxygen?
tz
ANSW-nonrebreather mask
sh
Sp
ne
la
sh
Sp
la
Sp
, ne
tz
sh
ne
a nurse is caring for a client who has bilateral pneumonia and an SaO2 of 85%. the
la
client has dyspnea with a productive cough and is using accessory muscles to breathe.
tz
which of the following actions should the nurse take first?
sh
Sp
ANSW-place the client in high-fowler's position
ne
la
a nurse is planning care for a client who has extensive burn injuries and is
tz
immunocompromised. which of the following precautions should the nurse include in the
sh
Sp
plan of care to prevent a Pseudomonas aeruginosa infection.
ne
ANSW-avoid placing plants or flowers in the client's room
la
tz
an older adult client is brought to an emergency department by a family member. which
sh
of the following assessment findings should cause the nurse to suspect that the client
Sp
ne
has hypertonic dehydration?
ANSW-Urine specific gravity of 1.045
la
tz
sh
a nurse in an emergency department is reviewing the providers prescriptions for a client
Sp
who sustained a rattlesnake bite to the lower leg. which of the following prescriptions
ne
should the nurse expect?
la
ANSW-administer an opioid analgesic to the client
tz
sh
Sp
a nurse is assessing a client who has had a suspected stroke. the nurse should place
ne
the priority on which of the following findings?
la
ANSW-dysphagia
tz
sh
Sp
a nurse is teaching a young adult client how to perform testicular self-examination.
ne
which of the following instructions should the nurse include?
la
ANSW-roll each testicle between the thumb and fingers
tz
sh
Sp
a nurse is providing instructions to a client who has type 2 diabetes mellitus and a new
ne
prescription for metformin. which of the following statements by the client indicates an
la
understanding of the teaching?
ANSW-I should take this medication with a meal
tz
sh
Sp
ne
a nurse is teaching a client who has venous insufficiency about self-care. which of the
la
following statements should the nurse identify as an indication that the client
tz
understands the teaching?
sh
Sp
ANSW-I will wear clean graduated compression stockings every day
ne
la
a nurse is assessing a client who has acute cholecystitis. which of the following findings
tz
is the nurse's priority?
sh
Sp
ANSW-tachycardia
ne
la
a nurse is reviewing the health record of a client who is scheduled for allergy skin
tz
testing. the nurse should postpone the testing and report to the provider with if the
sh
Sp
following findings?
ne
ANSW-current medications
la
sh
Sp
la
Sp
, ne
tz
sh
ne
la
a nurse is caring for a group of clients. the nurse should plan to make a referral to
tz
physical therapy for which of the following clients?
sh
Sp
ANSW-a client who is receiving preoperative teaching for a right knee arthroplasty
ne
la
a nurse is caring for a client who has DKA. which of the following laboratory findings
tz
should the nurse expect?
sh
Sp
ANSW-BUN 32 mg/dl
ne
a nurse is planning teaching for a client who has bladder cancer and is to undergo a
la
tz
cutaneous diversion procedure to establish a ureterostomy. which of the following
sh
statements should the nurse include in the teaching
Sp
ne
ANSW-you should cut the opening of the skin barrier one-eighth inch wider than the
stoma
la
tz
sh
a nurse is providing teaching for a female client who has recurrent urinary tract
Sp
infections. which fo the following information should the nurse include in the teaching?
ne
ANSW-void before and after intercourse
la
tz
sh
a nurse and an assistive personnel are caring for a client who has bacterial meningitis.
Sp
the nurse should give the AP which of the following instructions?
ne
ANSW-wear a mask
la
tz
sh
a nurse is caring for a client who is 12 hr postoperative following a total hip arthroplasty.
Sp
which of the following actions should the nurse take?
ne
ANSW-place a pillow between the client's legs
la
tz
sh
a nurse in a provider's office is assessing a client who has migraine headaches and is
Sp
taking feverfew to prevent headaches. the nurse should identify that which of the
ne
following client medications interact with feverfew
la
ANSW-naproxen
tz
sh
Sp
a nurse is caring for a client who has pancreatitis. the nurse should expect which of the
ne
following laboratory results to be below the expected reference range?
la
ANSW-calcium
tz
sh
Sp
a nurse is providing discharge instructions to a client following an upper gastrointestinal
ne
series with barium contract. which of the following information should the nurse provide?
la
ANSW-increase fluid intake
tz
sh
Sp
a nurse is assessing a client who had extracorporeal shock wake lithotripsy (ESWL) 6
ne
hr ago. which of the following findings should the nurse expect?
la
ANSW-stone fragments in the urine
tz
sh
Sp
a nurse is assessing a group of clients for indications of role changes. the nurse should
ne
identify that which of the following clients is at risk for experiencing a role change?
la
sh
Sp
la
Sp
