Download PN Adult Medical Surgical Online Practice 2024 TOP PREDICTION WITH ANSWERS and more Exams Nursing in PDF only on Docsity!
PN Adult Medical Surgical Online Practice
2024 TOP PREDICTION WITH ANSWERS
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. Loosen the clothing around the client's neck. Place a pad beneath the client's head. Time the length of the client's seizure. Reorient and reassure the client. 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 both types of insulin and then add 0.2 mL of air to the syringe Gently shake the NPH insulin prior to withdrawing the dose. Withdraw the regular insulin before withdrawing the NPH insulin. Inject air into the NPH vial after withdrawing regular insulin. 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? The expected therapeutic reference range for HbA1c for a client who has diabetes mellitus is 9.5% to 10%. An HbA1c level below the expected reference range indicates ineffective glucose control HbA1c results measure glucose control for the prior 3 months. HbA1c testing is used to provide a diagnosis of diabetes mellitus HbA1c results measure glucose control for the prior 3 months.
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? "Use barrier methods for sexual contact when lesions are present." "Look for lesions that have a wart-like appearance." "The virus can be transmitted without lesions being present." "The lesions resolve in 2 weeks and usually do not recur." "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.) Pleural friction rub Wheezes Vesicular Crackles
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? Potassium chloride Famotidine Levothyroxine Furosemide 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? Secure the drainage tube to the client's bedding. Wear sterile gloves to empty the drainage system. Cut an absorbent gauze dressing to t around the drainage tube. Cleanse the drainage plug with alcohol swabs.
"I will limit my daily intake of protein." A nurse is reinforcing instructions with a client who has a new hearing aid. Which of the following instructions should the nurse include? "Change the batteries if you hear a whistling sound." "Adjust the volume to a level where you can hear others speak at a distance of 3 feet." "Keep the hearing aid in place while showering." "Clean the hearing aid with a bristle brush to remove excess cerumen." "Adjust the volume to a level where you can hear others speak at a distance of 3 feet." A nurse is caring for a client who is postoperative following an above-the- knee amputation of the right leg and reports pain in the absent portion of the limb. The client received an opioid analgesic 1 hr prior. Which of the following actions should the nurse take? Recommend a referral for a mental health provider to begin lithium therapy. Remind the client that the portion of the limb where they feel pain is gone.
Ask the provider to increase the frequency of the client's opioid medication. Collaborate with the physical therapist to initiate alternative pain therapies Collaborate with the physical therapist to initiate alternative pain therapies A nurse is caring for a client who has restricted movement of the chest due to a burn injury. The nurse should anticipate preparing the client for which of the following procedures? Fasciotomy Escharotomy Skin grafting Hyperbaric oxygen therapy Escharotomy A nurse is caring for a client who is 2 hr postoperative following the amputation of a foot. Which of the following actions should the nurse take first? Obtain the client's temperature.
A nurse is reinforcing teaching about pursed-lip breathing with a client who has a new diagnosis of COPD. The nurse should identify that which of the following client statements indicates an understanding of the teaching? "I should perform pursed-lip breathing exercises before going to bed." "When I'm fatigued, I should inhale slowly through pursed lips." "Pursed-lip breathing works best for activities like walking up stairs." "I will exhale through my nose after breathing in through pursed lips." "Pursed-lip breathing works best for activities like walking up stairs." A nurse is reinforcing discharge teaching with a client who has leukemia and is receiving chemotherapy. Which of the following statements should the nurse include in the teaching? "You should thaw frozen meat at room temperature." "You should use paprika as a seasoning for your food." "You should place your toothbrush in hydrogen peroxide." "You should use a glycerin-based soap while bathing." "You should place your toothbrush in hydrogen peroxide."
A nurse is reviewing the medication administration record of a client who has osteoarthritis. Which of the following analgesic prescriptions should the nurse expect to administer when the client reports pain? Methotrexate Acetaminophen Gabapentin Etanercept Acetaminophen 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? Adventitious lung sounds Decrease in exertional dyspnea Respiratory rate of 26/min while sitting in a chair Elevation of the head of the bed is required to sleep Decrease in exertional dyspnea
"The machine is padded with sheep skin." A nurse is contributing to the plan of care for a client who had a stroke. For which of the following interprofessional team members should the nurse recommend a referral prior to initiating oral intake for the client? Occupational therapist Speech-language pathologist Physical therapist Case manager Speech-language pathologist A nurse in a clinic is assisting with the development of a pamphlet about STIs. Which of the following information should the nurse recommend including in the pamphlet? The number of sexual partners does not affect the risk for STIs. Oral contraceptive use decreases the risk for STIs. Males seek treatment for STIs later than females. Females have a higher risk for contracting STIs than males. Females have a higher risk for contracting STIs than males.
A nurse is reinforcing teaching with a client who has coronary artery disease. Which of the following instructions should the nurse include in the teaching? "Maintain a fat intake of 40 percent of your total daily calories." "Limit consumption of whole milk products to 8 ounces three times per week." "Exercise for 20 minutes twice per week." "Add oily fish to your diet twice weekly." "Add oily fish to your diet twice weekly." A nurse is caring for 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.) 864 A nurse is preparing a client for a cardiac catheterization. Which of the following actions should the nurse take rst?
Urinary output of 110 mL in the past 4 hr Temperature of 38º C (100.4º F) Oxygen saturation of 88% Oxygen saturation of 88% A nurse in a clinic is collecting data from a client who has hyperthyroidism and has been taking methimazole for 4 weeks. Which of the following statements by the client indicates a therapeutic response to the medication? "I have been sleeping less since I started the medication." "I have gained 3 pounds since my last appointment." "My bowel movements have become more frequent." "I urinate more often than before." "I have gained 3 pounds since my last appointment." A nurse is reviewing the medical record of a client who is postoperative. Which of the following findings should the nurse identify as a complication of surgery?
Serous drainage from the incision WBC count of 15,000/mm Temperature of 37.2° C (99° F) Urine output of 400 mL over the past 8 hr WBC count of 15,000/mm A nurse is reinforcing discharge teaching with a client who has Crohn's disease. Which of the following statements should the nurse include in the teaching? "Increase your intake of dietary fat." "Maintain a low-residue diet." "Avoid taking antidiarrheal medications." "Plan to weigh yourself weekly." "Maintain a low-residue diet." A nurse is caring for a client who has age-related macular degeneration. Which of the following findings should the nurse expect? Seeing halos around artificial lights Distorted central vision of the eyes Colored spots before the visual fields
"The medication should be taken before I eat breakfast every morning." A nurse is reinforcing teaching with a client about testicular self- examination. Which of the following instructions should the nurse include in the teaching? "Perform testicular self-examination after taking a warm shower." "Examine both testicles at the same time." "Use the palm of your hand to palpate for abnormalities." "Perform testicular self-examination every 6 months." "Perform testicular self-examination after taking a warm shower." 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? Place the client in Fowler's position. Obtain the client's blood pressure. Dangle the client's legs at the bedside. Apply nonskid slippers
Obtain the client's blood pressure. A nurse is contributing to the plan of care to promote a restful night's sleep for a client who has Alzheimer's disease. Which of the following interventions should the nurse include in the plan? Encourage stimulating activities after dinner. Encourage a late afternoon nap. Offer a small snack at bedtime. Offer hot chocolate at bedtime Offer a small snack at bedtime. A nurse is preparing to assist with the insertion of a double-lumen gastric sump tube for a client who has peptic ulcer disease and has developed gastrointestinal bleeding. Which of the following images depicts the tube that the nurse should select? (first picture, clear tube ending with blue tube) When using a double- lumen gastric sump tube, the clear portion of the tube allows for aspiration of stomach contents. The blue portion of the tube, or the "pigtail", vents the tube to the atmosphere, which prevents the tube from becoming lodged against the wall of the stomach and protects the stomach from damage.
