PN Adult Medical Surgical Online Practice
2023 A
A nurse is assisting with the care of a client who is postoperative following
abdominal surgery. - CORRECT ANSWER-Apply oxygen to the client via a face
mask
Instruct the client to splint their abdomen with a pillow when coughing.
Plan to ambulate the client as soon as possible.
Monitor the client's pain level.
A nurse is reviewing the laboratory reports of a client who reports chest pain.
Which of the following laboratory results indicates the client is experiencing a
myocardial infarction? - CORRECT ANSWER-Elevated Troponin
For each finding, click to specify if the finding is consistent with emphysema,
asthma, or pneumonia. Each finding may support more than 1 disease process. -
CORRECT ANSWER-Temperature- Pneumonia
Breath Sounds- Emphysema, Asthma, Pneumonia
Respiratory Rate- Emphysema, Asthma, Pneumonia
Cough- Emphysema, Asthma, Pneumonia
A nurse is assisting with the care for a client who is suspected of having a
myocardial infarction. Which of the following actions should the nurse take to
prepare the client for an ECG? - CORRECT ANSWER-Cleanse the client's skin
prior to electrode placement.
Drag 1 condition and 1 client finding to fill in each blank in the following sentence.
- CORRECT ANSWER-The client is experiencing manifestations of peritonitis
due to the client's abdominal x-ray results.
A nurse is assisting in the care of a client who is experiencing withdrawal from
heroin. Which of the following medications should the nurse expect the provider
to prescribe? - CORRECT ANSWER-Methadone
,A nurse is preparing to remove a client's NG tube. Which of the following
interventions should the nurse take to decrease the risk for aspiration? -
CORRECT ANSWER-Pinch the NG tube.
A nurse is reinforcing teaching with a client who is on a low-sodium diet and asks
about how to improve the taste of bland food. Which of the following foods should
the nurse recommend? - CORRECT ANSWER-Lemon Juice
A nurse is assisting in the care of a client who has AIDS-related pneumonia. The
client is receiving antibiotic therapy and albuterol nebulizer treatments daily.
Which of the following findings should indicate to the nurse that the client's
therapeutic regimen is effective? - CORRECT ANSWER-Decrease in exertion
dyspnea.
A nurse is assisting with the care for a client who is postoperative and has an
epidural infusion. Which of the following findings should the nurse recognize as
the priority? - CORRECT ANSWER-Dyspnea
A nurse is providing information regarding transmission-based precautions for a
client who has Clostridium Difficile to an assistive personnel (AP). Which of the
following instructions should the nurse include? (Select all that apply.) -
CORRECT ANSWER-"Provide the client with disposable utensils and dishes for
meals."
"Leave blood pressure equipment in the client's room"
"Clean contaminated surfaces with a bleach solution"
A nurse is contributing to the plan of care for a client who has just transferred to
the medical-surgical unit from the PACU following a right total knee arthroplasty.
Which of the following interventions should the nurse include in the plan? -
CORRECT ANSWER-Assist the client to change positions at least every 2 hr.
A nurse is preparing to administer scheduled medications to the client. Which of
the following prescriptions should the nurse verify with the provider? (Click on the
exhibit tabs for additional information about the client. There are three tabs that
contain separate categories of data.) - CORRECT ANSWER-Ceftriaxone
,A nurse is examining a client's IV site and notes a hardened vein above their IV
site. The client reports a throbbing, burning pain at the IV site. The nurse should
identify that the client's manifestations indicate which of the following
complications of IV therapy? - CORRECT ANSWER-Thrombophlebitis
A nurse is reinforcing teaching with a client prior to the removal of a leg cast.
Which of the following statements should indicate to the nurse that the client
understands the teaching? - CORRECT ANSWER-"I will feel vibrations on my leg
from the cast cutter."
A nurse is collecting data from a client and notices several skin lesions. Which of
the following findings should the nurse report as possible melanoma? -
CORRECT ANSWER-Irregular borders
A nurse is assisting with the care for a client who has difficulty swallowing. Which
of the following actions should the nurse implement to prevent aspiration? -
CORRECT ANSWER-Give the client liquids with increased viscosity.
A nurse is reinforcing teaching regarding the use of a continuous passive motion
(CPM) machine with a client who is scheduled for a total knee arthroplasty.
Which of the following information should the nurse include in the teaching?
(Select all that apply.) - CORRECT ANSWER-"Your knee is flexed and extended
as prescribed by your provider."
"The machine is padded with sheep skin."
A nurse is assisting with the care for a client who has a prescription for digoxin
0.25 mg PO daily. While taking the client's apical pulse, the nurse notes a rate of
58/min. Which of the following actions should the nurse take? - CORRECT
ANSWER-Withhold the dose.
A nurse is collecting data from a 55-year-old female client who reports vaginal
dryness and hot flashes. The client is interested in trying hormone replacement
therapy (HRT). Which of the following should the nurse recognize as a
contraindication to HRT? - CORRECT ANSWER-History of treatment for blood
clots
, A nurse is reinforcing teaching with a client who has diabetes mellitus and a new
prescription for regular and NPH insulin. Which of the following instructions on
preparing the insulins should the nurse include? - CORRECT
ANSWER-Withdraw the regular insulin before withdrawing the NPH insulin.
A nurse is reinforcing teaching about glycosylated hemoglobin (HbA1c) testing
with a client who has diabetes mellitus. Which of the following statements
indicates that the client understands the teaching? - CORRECT ANSWER-"I will
have my HbA1c checked twice per year."
A nurse is assisting in the care of a client who is receiving a continuous tube
feeding of 60 mL/hr at 1.2 cal/mL. How many calories will the client receive in 12
hr? (Round the answer to the nearest whole number. Use a leading zero if it
applies. Do not use a trailing zero.) - CORRECT ANSWER-864 calories
A nurse is assisting with the care for a client who is 2 hr postoperative following
the amputation of a foot. Which of the following actions should the nurse take
first? - CORRECT ANSWER-Check the incisional dressing.
A nurse in a health clinic is reinforcing teaching with a client about tuberculosis
(TB). Which of the following client statements indicates an understanding of the
teaching? - CORRECT ANSWER-"I can develop TB by breathing in the
infection."
A nurse is preparing to assist a client out of bed 4 hr following a laparoscopic
cholecystectomy. Which of the following actions should the nurse take first? -
CORRECT ANSWER-Obtain the client's blood pressure.
A nurse is contributing to the plan of care for a client who has Ménière's disease.
Which of the following interventions should the nurse include in the plan of care?
- CORRECT ANSWER-Administer an antiemetic to the client.
A nurse is preparing to suction a client who has a tracheostomy. Which of the
following actions should the nurse take first? - CORRECT ANSWER-Ventilate the
client with 100% oxygen.
2023 A
A nurse is assisting with the care of a client who is postoperative following
abdominal surgery. - CORRECT ANSWER-Apply oxygen to the client via a face
mask
Instruct the client to splint their abdomen with a pillow when coughing.
Plan to ambulate the client as soon as possible.
Monitor the client's pain level.
A nurse is reviewing the laboratory reports of a client who reports chest pain.
Which of the following laboratory results indicates the client is experiencing a
myocardial infarction? - CORRECT ANSWER-Elevated Troponin
For each finding, click to specify if the finding is consistent with emphysema,
asthma, or pneumonia. Each finding may support more than 1 disease process. -
CORRECT ANSWER-Temperature- Pneumonia
Breath Sounds- Emphysema, Asthma, Pneumonia
Respiratory Rate- Emphysema, Asthma, Pneumonia
Cough- Emphysema, Asthma, Pneumonia
A nurse is assisting with the care for a client who is suspected of having a
myocardial infarction. Which of the following actions should the nurse take to
prepare the client for an ECG? - CORRECT ANSWER-Cleanse the client's skin
prior to electrode placement.
Drag 1 condition and 1 client finding to fill in each blank in the following sentence.
- CORRECT ANSWER-The client is experiencing manifestations of peritonitis
due to the client's abdominal x-ray results.
A nurse is assisting in the care of a client who is experiencing withdrawal from
heroin. Which of the following medications should the nurse expect the provider
to prescribe? - CORRECT ANSWER-Methadone
,A nurse is preparing to remove a client's NG tube. Which of the following
interventions should the nurse take to decrease the risk for aspiration? -
CORRECT ANSWER-Pinch the NG tube.
A nurse is reinforcing teaching with a client who is on a low-sodium diet and asks
about how to improve the taste of bland food. Which of the following foods should
the nurse recommend? - CORRECT ANSWER-Lemon Juice
A nurse is assisting in the care of a client who has AIDS-related pneumonia. The
client is receiving antibiotic therapy and albuterol nebulizer treatments daily.
Which of the following findings should indicate to the nurse that the client's
therapeutic regimen is effective? - CORRECT ANSWER-Decrease in exertion
dyspnea.
A nurse is assisting with the care for a client who is postoperative and has an
epidural infusion. Which of the following findings should the nurse recognize as
the priority? - CORRECT ANSWER-Dyspnea
A nurse is providing information regarding transmission-based precautions for a
client who has Clostridium Difficile to an assistive personnel (AP). Which of the
following instructions should the nurse include? (Select all that apply.) -
CORRECT ANSWER-"Provide the client with disposable utensils and dishes for
meals."
"Leave blood pressure equipment in the client's room"
"Clean contaminated surfaces with a bleach solution"
A nurse is contributing to the plan of care for a client who has just transferred to
the medical-surgical unit from the PACU following a right total knee arthroplasty.
Which of the following interventions should the nurse include in the plan? -
CORRECT ANSWER-Assist the client to change positions at least every 2 hr.
A nurse is preparing to administer scheduled medications to the client. Which of
the following prescriptions should the nurse verify with the provider? (Click on the
exhibit tabs for additional information about the client. There are three tabs that
contain separate categories of data.) - CORRECT ANSWER-Ceftriaxone
,A nurse is examining a client's IV site and notes a hardened vein above their IV
site. The client reports a throbbing, burning pain at the IV site. The nurse should
identify that the client's manifestations indicate which of the following
complications of IV therapy? - CORRECT ANSWER-Thrombophlebitis
A nurse is reinforcing teaching with a client prior to the removal of a leg cast.
Which of the following statements should indicate to the nurse that the client
understands the teaching? - CORRECT ANSWER-"I will feel vibrations on my leg
from the cast cutter."
A nurse is collecting data from a client and notices several skin lesions. Which of
the following findings should the nurse report as possible melanoma? -
CORRECT ANSWER-Irregular borders
A nurse is assisting with the care for a client who has difficulty swallowing. Which
of the following actions should the nurse implement to prevent aspiration? -
CORRECT ANSWER-Give the client liquids with increased viscosity.
A nurse is reinforcing teaching regarding the use of a continuous passive motion
(CPM) machine with a client who is scheduled for a total knee arthroplasty.
Which of the following information should the nurse include in the teaching?
(Select all that apply.) - CORRECT ANSWER-"Your knee is flexed and extended
as prescribed by your provider."
"The machine is padded with sheep skin."
A nurse is assisting with the care for a client who has a prescription for digoxin
0.25 mg PO daily. While taking the client's apical pulse, the nurse notes a rate of
58/min. Which of the following actions should the nurse take? - CORRECT
ANSWER-Withhold the dose.
A nurse is collecting data from a 55-year-old female client who reports vaginal
dryness and hot flashes. The client is interested in trying hormone replacement
therapy (HRT). Which of the following should the nurse recognize as a
contraindication to HRT? - CORRECT ANSWER-History of treatment for blood
clots
, A nurse is reinforcing teaching with a client who has diabetes mellitus and a new
prescription for regular and NPH insulin. Which of the following instructions on
preparing the insulins should the nurse include? - CORRECT
ANSWER-Withdraw the regular insulin before withdrawing the NPH insulin.
A nurse is reinforcing teaching about glycosylated hemoglobin (HbA1c) testing
with a client who has diabetes mellitus. Which of the following statements
indicates that the client understands the teaching? - CORRECT ANSWER-"I will
have my HbA1c checked twice per year."
A nurse is assisting in the care of a client who is receiving a continuous tube
feeding of 60 mL/hr at 1.2 cal/mL. How many calories will the client receive in 12
hr? (Round the answer to the nearest whole number. Use a leading zero if it
applies. Do not use a trailing zero.) - CORRECT ANSWER-864 calories
A nurse is assisting with the care for a client who is 2 hr postoperative following
the amputation of a foot. Which of the following actions should the nurse take
first? - CORRECT ANSWER-Check the incisional dressing.
A nurse in a health clinic is reinforcing teaching with a client about tuberculosis
(TB). Which of the following client statements indicates an understanding of the
teaching? - CORRECT ANSWER-"I can develop TB by breathing in the
infection."
A nurse is preparing to assist a client out of bed 4 hr following a laparoscopic
cholecystectomy. Which of the following actions should the nurse take first? -
CORRECT ANSWER-Obtain the client's blood pressure.
A nurse is contributing to the plan of care for a client who has Ménière's disease.
Which of the following interventions should the nurse include in the plan of care?
- CORRECT ANSWER-Administer an antiemetic to the client.
A nurse is preparing to suction a client who has a tracheostomy. Which of the
following actions should the nurse take first? - CORRECT ANSWER-Ventilate the
client with 100% oxygen.
