PN Adult Medical Surgical Online Practice 2020 B/Questions & Answers/100% Correct Updated, Exams of Nursing

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PN Adult Medical Surgical Online Practice

2020 B/Questions & Answers/100%

Correct

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. Position a heat lamp over the lower extremities. Apply warm, moist compresses to the affected areas. Initiate droplet isolation precautions. Correct ans - 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. Try jogging in place when joints feel stiff. Use a soft chair or recliner for sitting. Apply ice packs to painful joints Correct ans - 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. Increase the IV uid rate. Provide ice chips. Administer an antiemetic Correct ans - 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? 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 Correct ans

• Decrease in exertional dyspnea

Correct ans - 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? Granulation tissue is present. Urine output is 50 mL/hr. Lung sounds are clear. Oxygen saturation level is 95%. Correct ans - 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 had a colectomy 2 days ago and has a nasogastric tube attached to low suction A client who is dehydrated, has mental confusion, and has tried to get out of bed several times during the night A client who had a right lower lobectomy 4 days ago and has 50 mL/hr of serous drainage from a chest tube A client who has pneumonia, has an elevated oral temperature, and is requesting medication for a cough Correct ans - 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." Correct ans

• "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 Correct ans - Wheezes

Potassium chloride Famotidine Levothyroxine Furosemide Correct ans- 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. Correct ans - 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? Changes in the client's sputum Decreased blood pressure Changes in neurological status Increased urinary output Correct ans - 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 add a banana to my morning cereal." "I will decrease my intake of carbohydrates." "I will limit my daily intake of protein." "I will season my foods with a salt substitute. Correct ans - "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." Correct ans - "Adjust the volume to a level where

you can hear others speak at a distance of 3 feet."

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." Correct ans - "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." Correct ans

• "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 Correct ans- Acetaminophen 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.) "Your knee is flexed and extended as prescribed by your provider." "The machine is padded with sheep skin." "You might have the head of the bed elevated to 45 degrees while using this machine." "To use the machine, you must pedal as if you are riding a bike." "We will store the CPM machine on the oor under the bed when not in use." Correct ans - "Your knee is flexed and extended as prescribed by your provider." "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 Correct ans- 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. Correct ans

• 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." Correct ans - "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.) Correct ans- 864 A nurse is preparing a client for a cardiac catheterization. Which of the following actions should the nurse take rst? Verify the client has given informed consent. Administer preoperative medication. Mark the location of the pedal pulses. Have the client void. Correct ans - Verify the client has given informed consent. A nurse is reinforcing discharge teaching with a client who has

Rephrase client instructions when not understood. Cup hands around the mouth and direct speech toward the client. Accentuate vowel sounds by using a higher pitch when speaking. Sit to the side of the client and speak instructions into their best ear. Correct ans - Rephrase client instructions when not understood. A nurse is caring for a client who is 24 hr postoperative following an abdominal surgery. Which of the following findings requires immediate attention from the nurse? Reported pain level of 6 on a scale of 0 to 10 Urinary output of 110 mL in the past 4 hr Temperature of 38º C (100.4º F) Oxygen saturation of 88% Correct ans- 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." Correct ans - "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/mm3 Temperature of 37.2° C (99° F) Urine output of 400 mL over the past 8 hr Correct ans - 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." Correct ans - "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 Spontaneous tearing of the eyes Correct ans- Distorted central vision of the eyes A nurse is collecting data from a client who is receiving sumatriptan. Which of the following is an expected outcome? Reduced cough Diminished headache Relaxed muscles Decreased peripheral edema Correct ans- Diminished headache A nurse is reinforcing teaching with a client who is taking levothyroxine. Which of the following statements by the client indicates an understanding of the teaching? "I will need to take the medication until my thyroid function returns to normal." "The medication should be taken before I eat breakfast every morning." "The medication might lower my blood sugar." "I will take the medication with an antacid if it gives me heartburn." Correct ans - "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." Correct ans

• "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.

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 Correct ans - 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? Correct ans - (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. A nurse is caring for a client who has Cushing's syndrome and expresses concern regarding physical changes associated with the syndrome. Which of the following should the nurse recognize as a physical change caused by this disorder? Bronze skin Truncal obesity Lordosis Exophthalmos Correct ans- Truncal obesity A nurse is reviewing the chart of a client who is experiencing an adrenal crisis, which was precipitated by the client not taking their medication for several days. The nurse should identify that withdrawal from which of the following medications potentiated the adrenal crisis? Metoprolol Methimazole Furosemide Prednisone Correct ans- Prednisone A nurse is caring for a client who has neutropenia. Which of the following nursing interventions should the nurse implement? Offer the client fresh fruits and vegetables. Monitor the client's platelet count daily. Limit visitors to healthy adults.

Apply firm pressure to injection sites. Correct ans - Limit visitors to healthy adults. A nurse in a dermatology clinic is reviewing the medical records of a group of clients. Which of the following prescriptions for a client who has psoriasis should the nurse clarify with the provider? Topical corticosteroids Coal tar ointment Moderate UV radiation Dermabrasion Correct ans- Dermabrasion A nurse is caring for four clients. Which of the following conditions should the nurse identify as a risk for developing vascular disease? Rheumatoid arthritis Diabetes mellitus Myasthenia gravis Crohn's disease Correct ans- Diabetes mellitus A nurse is caring for a client who has just returned to the unit following a bronchoscopy. Which of the following findings should the nurse report to the provider? Absent gag reflex Blood-tinged mucus Diminished breath sounds Oxygen saturation 95% Correct ans- Diminished breath sounds 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? Decreased lipase Decreased erythrocyte sedimentation rate (ESR) Elevated creatinine Elevated troponin Correct ans - Elevated troponin A nurse is delegating the task of repositioning a client who is in skeletal traction to an assistive personnel (AP). Which of the following instructions should the nurse give the AP? Allow the weights to hang freely. Release the tension of the ropes. Remove the weights when rewrapping bandages.

Which of the following information should the nurse include in the teaching?

Weekly sputum cultures will be needed. Household family members should be tested for TB. TB is no longer contagious after 2 to 3 days of medication therapy. Family members should wear N95 masks when in contact with the client Correct ans - Household family members should be tested for TB. A nurse is reviewing the medical record for a client who is experiencing nausea and vomiting. Based on the client data, which of the following actions should the nurse take? Encourage the client to ambulate. Administer an antipyretic medication. Notify the charge nurse of the client's BUN level. Keep the temperature in the client's room warm Correct ans - Notify the charge nurse of the client's BUN level. A nurse is preparing to administer an influenza vaccine to a client. Which of the following statements by the client should cause the nurse to postpone administration of the vaccine? "I am allergic to shrimp." "I am allergic to latex balloons." "I had a tuberculosis skin test 2 days ago." "I had a low fever this morning." Correct ans- "I had a low fever this morning." A nurse is reinforcing teaching about nutrition choices with a client who has leukemia and is receiving chemotherapy. The nurse should identify that which of the following statements by the client indicates an understanding of the teaching? "I drink bottled water." "I eat at a salad bar for lunch." "I like to eat steak cooked medium." "I put plenty of pepper on my soft-boiled eggs." Correct ans - "I drink bottled water." A nurse is reviewing the medical record of a client who has acute pancreatitis. Which of the following findings should the nurse anticipate? Elevated serum amylase level Hypertension Bradycardia Decreased leukocyte count Correct ans - Elevated serum amylase level