RN Adult Medical Surgical Online
Practice Questions With 100% Pass
A nurse is care for a client who was amyotrophic lateral sclerosis (ALS) and is
being admitted to the hospital with pneumonia. Which of the following
assessment findings is the nurse's priority?
- Temperature 38.4º C (101.1º F)
- Increased respiratory secretions
- Fluid intake of 200 mL in the prior 8 hr
- Limited range of motion
Using the airway, breathing, circulation approach to client care, the nurse should
determine that the priority assessment finding is increased respiratory secretions.
Clients who have ALS may experience respiratory muscle weakness and dysphagia,
and excessive respiratory secretions can impair the ability to clear the airway, which
increases the client's risk for aspiration.
A nurse is preparing to administer a blood transfusion to a client who has
anemia. Which of the following actions should the nurse take first?
Check for the type and number of units of blood to administer.
According to evidence-based practice, the nurse should first confirm that the type and
number of units of blood to administer matches what is indicated in the client's
medication administration record.
A nurse is planning care for a client who is scheduled for a thoracentesis. Which
of the following interventions should the nurse include in the plan?
Encourage the client to take deep breaths after the procedure.
After a thoracentesis, the client should deep breathe to re-expand the lung.
The nurse should place the client in an upright position with their arms resting on an
overhead table to widen the intercostal space and spread the ribs for tube insertion. The
nurse should assist a client who cannot sit up into a side-lying position with the affected
side up.
The client should receive a local anesthetic for the procedure and will not require an
NPO status after midnight prior to the procedure.
, The nurse should instruct the client that they can resume activity within 1 hr following
the procedure.
A nurse in an acute care facility is caring for a client who is at risk for seizures.
Which of the following precautions should the nurse implement?
Ensure that the client has a patent IV. The nurse should ensure the client has IV access
in the event that the client requires medication to stop seizure activity.
The nurse should never insert a padded tongue blade in the client's mouth, because it
can cause injury or occlude the client's airway.
The nurse should keep two or three side rails up on the client's bed to prevent falls.
The nurse should keep the client's bed in the lowest position to prevent falls.
A nurse is providing follow-up care for a client who sustained a compound
fracture 3 weeks ago. The nurse should recognize that an unexpected finding for
which of the following laboratory values is a manifestation of osteomyelitis and
should be reported to the provider?
Sedimentation rate
An increased sedimentation rate occurs when a client has any type of inflammatory
process, such as osteomyelitis.
Hematocrit levels are not altered by inflammatory processes such as osteomyelitis.
A client who has a bone fracture can have an alteration in calcium levels due to bone
remodeling, but alterations in calcium levels do not indicate an inflammatory process.
Acid phosphatase levels are altered in a client who has prostate disease. Phosphorus
levels have an inverse relationship with calcium levels. Neither phosphorus nor acid
phosphatase indicates an inflammatory disorder.
A nurse is preparing to present a program about prevention of atherosclerosis at
a health fair. Which of the following recommendations should the nurse plan to
include? (Select all that apply.)
Follow a smoking cessation program.
Maintain an appropriate weight.
Eat a low-fat diet.
Increasing intake of fruits, vegetables, and grains can prevent atherosclerosis.
Practice Questions With 100% Pass
A nurse is care for a client who was amyotrophic lateral sclerosis (ALS) and is
being admitted to the hospital with pneumonia. Which of the following
assessment findings is the nurse's priority?
- Temperature 38.4º C (101.1º F)
- Increased respiratory secretions
- Fluid intake of 200 mL in the prior 8 hr
- Limited range of motion
Using the airway, breathing, circulation approach to client care, the nurse should
determine that the priority assessment finding is increased respiratory secretions.
Clients who have ALS may experience respiratory muscle weakness and dysphagia,
and excessive respiratory secretions can impair the ability to clear the airway, which
increases the client's risk for aspiration.
A nurse is preparing to administer a blood transfusion to a client who has
anemia. Which of the following actions should the nurse take first?
Check for the type and number of units of blood to administer.
According to evidence-based practice, the nurse should first confirm that the type and
number of units of blood to administer matches what is indicated in the client's
medication administration record.
A nurse is planning care for a client who is scheduled for a thoracentesis. Which
of the following interventions should the nurse include in the plan?
Encourage the client to take deep breaths after the procedure.
After a thoracentesis, the client should deep breathe to re-expand the lung.
The nurse should place the client in an upright position with their arms resting on an
overhead table to widen the intercostal space and spread the ribs for tube insertion. The
nurse should assist a client who cannot sit up into a side-lying position with the affected
side up.
The client should receive a local anesthetic for the procedure and will not require an
NPO status after midnight prior to the procedure.
, The nurse should instruct the client that they can resume activity within 1 hr following
the procedure.
A nurse in an acute care facility is caring for a client who is at risk for seizures.
Which of the following precautions should the nurse implement?
Ensure that the client has a patent IV. The nurse should ensure the client has IV access
in the event that the client requires medication to stop seizure activity.
The nurse should never insert a padded tongue blade in the client's mouth, because it
can cause injury or occlude the client's airway.
The nurse should keep two or three side rails up on the client's bed to prevent falls.
The nurse should keep the client's bed in the lowest position to prevent falls.
A nurse is providing follow-up care for a client who sustained a compound
fracture 3 weeks ago. The nurse should recognize that an unexpected finding for
which of the following laboratory values is a manifestation of osteomyelitis and
should be reported to the provider?
Sedimentation rate
An increased sedimentation rate occurs when a client has any type of inflammatory
process, such as osteomyelitis.
Hematocrit levels are not altered by inflammatory processes such as osteomyelitis.
A client who has a bone fracture can have an alteration in calcium levels due to bone
remodeling, but alterations in calcium levels do not indicate an inflammatory process.
Acid phosphatase levels are altered in a client who has prostate disease. Phosphorus
levels have an inverse relationship with calcium levels. Neither phosphorus nor acid
phosphatase indicates an inflammatory disorder.
A nurse is preparing to present a program about prevention of atherosclerosis at
a health fair. Which of the following recommendations should the nurse plan to
include? (Select all that apply.)
Follow a smoking cessation program.
Maintain an appropriate weight.
Eat a low-fat diet.
Increasing intake of fruits, vegetables, and grains can prevent atherosclerosis.
