PN ADULT MEDICAL SURGICAL ONLINE PRACTICE B 2020/2021
A nurse is assisting with the development of a plan of care to manage pain
for a client who has herpes zoster with lesions on the lower extremities.
Which of the following interventions should the nurse include in the plan of
care?
Keep bed linens o of the affected areas.
A nurse in an orthopedic clinic is reinforcing teaching with a client who has
osteoarthritis. Which of the following instructions should the nurse include to
promote comfort?
Sleep on a firm mattress.
A nurse is caring for a client who has an intestinal obstruction and reports a
new onset of nausea. The client has an NG tube set at low intermittent
suction and is receiving continuous IV infusion of 0.9% sodium chloride.
Which of the following actions should the nurse take first?
Check for kinks in the NG tube.
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?
Decrease in exertional dyspnea
A nurse is caring for a client who is in Buck's traction for a fractured hip. The
client reports increased pain at the site of the fracture. Which of the following
actions should the nurse take?
Reposition the client
A nurse is caring for a client who begins to have a seizure while ambulating
in the hall. Identify the sequence of actions the nurse should follow. (Move
the steps into the box on the right, placing them in the order of performance.
Use all the steps.)
Lower the client to the floor.
Place a pad beneath the client's head.
Loosen the clothing around the client's neck.
Time the length of the client's seizure.
Reorient and reassure the client.
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?
Withdraw the regular insulin before withdrawing the NPH insulin.
, A nurse is reinforcing teaching with a client who has type 1 diabetes mellitus
about glycosylated hemoglobin (HbA1c) testing. Which of the following
information should the nurse include in the teaching?
HbA1c results measure glucose control for the prior 3 months.
A nurse is collecting data from a client who has 30% body surface area deep
partial-thickness and full-thickness burns. Which of the following findings
indicates that fluid resuscitation is adequate?
Urine output is 50 mL/hr.
A nurse is planning care for a group of clients after receiving change-of-shift
report. Which of the following clients should the nurse plan to see first?
A client who is dehydrated, has mental confusion, and has tried to get out of
bed several times during the night
A nurse is reinforcing teaching with a client who has a new diagnosis of
genital herpes. Which of the following information should the nurse include?
"The virus can be transmitted without lesions being present."
A nurse is collecting data from a client who has an obstructive pulmonary
disorder. The nurse should document the sound as which of the following?
(Click on the audio button to listen to the clip.)
Wheezes
A nurse is reviewing the medication record of a client who is taking digoxin.
Which of the following medications should the nurse identify as increasing
the risk for the client to develop digoxin toxicity?
Furosemide
A nurse is changing the dressing for a client who has an abdominal incision
and a closed-suction drain. Which of the following actions should the nurse
take?
Cleanse the drainage plug with alcohol swabs.
A nurse is caring for a client who has end-stage liver disease and just
underwent an abdominal paracentesis. For which of the following
manifestations should the nurse monitor as an adverse effect of the
procedure?
Decreased blood pressure
A nurse is reinforcing teaching with a client who has chronic kidney disease
about disease management. Which of the following statements by the client
indicates an understanding of the teaching?
"I will limit my daily intake of protein."
A nurse is assisting with the development of a plan of care to manage pain
for a client who has herpes zoster with lesions on the lower extremities.
Which of the following interventions should the nurse include in the plan of
care?
Keep bed linens o of the affected areas.
A nurse in an orthopedic clinic is reinforcing teaching with a client who has
osteoarthritis. Which of the following instructions should the nurse include to
promote comfort?
Sleep on a firm mattress.
A nurse is caring for a client who has an intestinal obstruction and reports a
new onset of nausea. The client has an NG tube set at low intermittent
suction and is receiving continuous IV infusion of 0.9% sodium chloride.
Which of the following actions should the nurse take first?
Check for kinks in the NG tube.
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?
Decrease in exertional dyspnea
A nurse is caring for a client who is in Buck's traction for a fractured hip. The
client reports increased pain at the site of the fracture. Which of the following
actions should the nurse take?
Reposition the client
A nurse is caring for a client who begins to have a seizure while ambulating
in the hall. Identify the sequence of actions the nurse should follow. (Move
the steps into the box on the right, placing them in the order of performance.
Use all the steps.)
Lower the client to the floor.
Place a pad beneath the client's head.
Loosen the clothing around the client's neck.
Time the length of the client's seizure.
Reorient and reassure the client.
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?
Withdraw the regular insulin before withdrawing the NPH insulin.
, A nurse is reinforcing teaching with a client who has type 1 diabetes mellitus
about glycosylated hemoglobin (HbA1c) testing. Which of the following
information should the nurse include in the teaching?
HbA1c results measure glucose control for the prior 3 months.
A nurse is collecting data from a client who has 30% body surface area deep
partial-thickness and full-thickness burns. Which of the following findings
indicates that fluid resuscitation is adequate?
Urine output is 50 mL/hr.
A nurse is planning care for a group of clients after receiving change-of-shift
report. Which of the following clients should the nurse plan to see first?
A client who is dehydrated, has mental confusion, and has tried to get out of
bed several times during the night
A nurse is reinforcing teaching with a client who has a new diagnosis of
genital herpes. Which of the following information should the nurse include?
"The virus can be transmitted without lesions being present."
A nurse is collecting data from a client who has an obstructive pulmonary
disorder. The nurse should document the sound as which of the following?
(Click on the audio button to listen to the clip.)
Wheezes
A nurse is reviewing the medication record of a client who is taking digoxin.
Which of the following medications should the nurse identify as increasing
the risk for the client to develop digoxin toxicity?
Furosemide
A nurse is changing the dressing for a client who has an abdominal incision
and a closed-suction drain. Which of the following actions should the nurse
take?
Cleanse the drainage plug with alcohol swabs.
A nurse is caring for a client who has end-stage liver disease and just
underwent an abdominal paracentesis. For which of the following
manifestations should the nurse monitor as an adverse effect of the
procedure?
Decreased blood pressure
A nurse is reinforcing teaching with a client who has chronic kidney disease
about disease management. Which of the following statements by the client
indicates an understanding of the teaching?
"I will limit my daily intake of protein."
