RN ADULT MEDICAL SURGICAL ONLINE PRACTICE 2019 A ACTUAL EXAM QUESTIONS AND ALL ANSWERS, Exams of Nursing

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RN ADULT MEDICAL SURGICAL ONLINE

PRACTICE 2019A ACTUAL EXAM QUESTIONS AND

ALL ANSWERS CORRECT GRADED A+ LATEST

UPDATE 2024 VERSION

1. A home health nurse is assigned to a client who was recently discharged from a rehabilitationcenter after experiencing a right-hemispheric stroke. Which of the following neurologic deficits should the nurse expect to find when assessing the client? ( select all that apply) Visual spatial deficits Left hemianopsia ( blindness in the left half of the visual field)One-sided neglect
2. A nurse is reviewing the health record of a client who is scheduled for allergy skin testing. Thenurse should postpone the testing and report to the provider which of the following findings? Current medications
3. A nurse is caring for a group of clients. The nurse should plan to make a referral to physicaltherapy for which of the following clients? A client who is receiving preoperative teaching for a right knee arthroplasty
4. A nurse is caring for a client who is having a seizure. Which of the following interventions isthe nurse’s priority? Turn the client to the side
5. A nurse is caring for a client who is 12 hr postoperative following a total hip arthroplasty.Which of the following actions should the nurse take? Place a pillow between the client’s leg

6. A nurse is preparing to admit a client who has dysphagia. The nurse should plan to placewhich of the following items at the client’s bedside?

Heart rate 110/min

9. A nurse is planning care for a client who is undergoing brachytherapy via a sealed vaginal implant to treat endometrial cancer.Which of the following actions should the nurse include inthe client’s plan of care? Wear a lead apron while providing care to the client
10. A nurse is planning to provide discharge teaching for the family of an older adult client whohas hemianopsia and is at risk for falls. Which of the following instructions should the nurse include? Remind the client to scan their complete range of vision during ambulation
11. A nurse is planning care to decrease psychosocial health issues for a client who is starting dialysis treatments for chronic kidney disease. Which of the following interventions should thenurse include in the plan? Tell the client that it is possible to return to similar previous levels of activity
12. A nurse is caring for a client who has a closed head injury and has an intraventricularcatheter placed. Which of the following findings indicates that the client is experiencing increased intracranial pressure (ICP) Sleepiness exhibited by the clientWidening pulse pressure Decerebrated posturing
13. An older adult client is brought to an emergency department by a family member. Which ofthe following assessment findings should cause the nurse to suspect that the client has hypertonic dehydration? Urine specific gravity 1.

14. A nurse is caring for a client who has a prescription for enalapril. The nurse should identifywhich of the following findings as an adverse effect of the medication? Orthostatic hypotension
15. A nurse in a provider’s office is caring for a client who requests sildenafil to treat erectiledysfunction. Which of the following statements should the nurse make? “ You will not be able to use sildenafil if you are taking nitroglycerin

common finding of graves’ disease. An overproduction of the thyroid hormone causes edema of theextraocular muscle and increases fatty tissue behind the eye, which results in the eyes protruding outward. Exophthalmos can cause the client to experience problems with vision,including focusing on objects, as well as pressure on the optic nerve.

22. A nurse is caring for a client who has a stage 111 pressure injury. Which of the followingfindings contributes to delayed wound healing? Urine output 25 mL/hr

23. A nurse is providing teaching to a client who is receiving chemotherapy and has a new prescription for epoetin alfa.Which of the following client statements indicates an understandingof the teaching? “ I will monitor my blood pressure while taking this medication
24. A nurse is providing discharge instructions to a client following an upper gastrointestinalseries with barium contrast. Which of the following information should the nurse provide? Increase fluid intake
25. A nurse is assessing a client who has acute cholecystitis. Which of the following findings isthe nurse’s priority? Tachycardia
26. A nurse is teaching a client who has a family history of colorectal cancer. To help migratethis risk, which of the following dietary alterations should the nurse recommend? Add Cabbage to the diet
27. A nurse is caring for a client who has emphysema and is receiving mechanical ventilation. The client appears anxious and restless, and the high-pressure alarm is sounding. Which of thefollowing actions should the nurse take first? Instruct the client to allow the machine to breathe for them.
28. A nurse is providing preoperative teaching for a client who is scheduled for an open cholecystectomy. Which of the following actions should the nurse take? Demonstrate ways to deep breathe and cough

understanding of the teaching? “I am taking this medication to increase my energy level”

32. A nurse is caring for a client who has hepatic encephalopathy that is being treated with lactulose. The client is experiencing excessive stools. Which of the following findings is anadverse effect of this medication? Hypokalemia
33. A nurse is providing teaching to an older adult female client who has stress incontinence anda BMI of 32. Which of the following statements by the client indicates and understanding of the teaching? “I am dieting to lose weight.”
34. A nurse is caring for a client who has type 1 diabetes mellitus and has had acute bronchitis for the past 3 days. Which of the following statements should the nurse include when instructingthe client? “Take insulin even if you are unable to eat your regular diet.”
35. A nurse is caring for a client who is on bed rest and has a new prescription for enoxaparin(lovenox)subcutaneous. Which of the following actions should the nurse take? Inject the medication into the anterolateral abdominal wall.
36. A nurse is caring for a client who is undergoing hemodialysis to treat end-stage kidney disease ( ESKD). The client reports muscle cramps and a tingling sensation in their hands.Which of the following medications should the nurse plan to administer? Calcium carbonate

37. A nurse is assessing a client following the administration of magnesium sulfate 1 g IV bolus.For which of the following adverse effects should the nurse monitor? Respiratory paralysis
38. A nurse is caring for a client who has diabetic ketoacidosis (DKA). Which of the followinglaboratory findings should the nurse expect? BUN 32 mg/dL

45. A nurse is conducting an admission history for a client who is to undergo a CT scan with an IV contrast agent. The nurse should identify that which of the following findings requires furtherassessment? History of asthma
46. A nurse has received change-of-shift report for a group of clients. Which of the followingclients should the nurse assess first? A client who had a myocardial infarction (MI) 4 days ago and is asking for a PRN sublingualnitroglycerin tablet

47. A nurse is caring for a client who has anorexia, low-grade fever, night sweats, and a productive cough. Which of the following actions should the nurse take first? Initiate airborne precautions
48. A nurse is caring for a client who has a new prescription for total parenteral nutrition (TPN).The client is to receive 2,000 Kcal per day.The TPN solution has 500 Kcal/L. The IV pump should be set at how many mL/hr? 1/500x2000/24 = 0.16666667 round the answer to 167mL/hr
49. A nurse in an emergency department is caring for a client who has full-thickness burns over20% of their total body surface area. After ensuring a patent airway and administering oxygen, which of the following items should the nurse prepare to administer first? IV fluids
50. A nurse is planning to irrigate and dress a clean, granulating wound for a client who has apressure injury. Which of the following actions should the nurse take? Use a 30 - mL syringe
51. A nurse is providing teaching for a female client who has recurrent urinary tract infections.Which of the following information should the nurse include in the teaching? Void before and after intercourse
52. A nurse is caring for a client who is experiencing supraventricular tachycardia. Upon assessing the client, the nurse observes the following findings: heart rate 200/min, blood pressure 78/40 mm Hg, and respiratory rate 30/min. Which of the

following precautions should the nurse implement?Ensure that the client has a patent IV

55. A nurse is providing teaching to a client who has a gastric ulcer and a new prescription for omeprazole. The nurse should instruct the client that the medication provides relief by which ofthe following actions? Suppressing gastric acid production
56. A nurse is caring for a client who has bilateral pneumonia and an SaO2 of 85%. The clienthas dyspnea with a productive cough and is using accessory muscles to breathe. Which of thefollowing actions should the nurse take first? Place the client in high-fowler’s position
57. A nurse is assessing a male client for an inguinal hernia. Which of the following areas shouldthe nurse palpate to verify that the client has an inguinal hernia? An inguinal hernia forms from the peritoneum, which contains part of the intestine, and canprotrude into the scrotum in men.
58. A nurse in an emergency department is caring for a client who is experiencing a thyroidstorm. Which of the following manifestations should the nurse expect? Fever Hypertensio n Tachycardia
59. A nurse is performing a dressing change for a client who is recovering from a hemicolectomy.When removing the dressing, the nurse notes that a large part of the bowel is protruding through the abdomen. Which of the following actions should the nurse take first?

Call for help

60. A nurse is providing discharge instructions to a client who has a partial-thickness burn on thehand. Which of the following instructions should the nurse include? Wrap fingers with individual dressings
61. A nurse is caring for a client who has HIV. Which of the following findings indicates a positiveresponse to the prescribed HIV treatment? Decreased viral load

68. A nurse is caring for a client who has chronic glomerulonephritis with oliguria. Which of thefollowing findings should the nurse identify as a manifestation of chronic glomerulonephritis? Hyperkalemia
69. A nurse in a community clinic is caring for a client who reports an increase in the frequencyof migraine headaches. To help reduce the risk of migraine headaches, which of the followingfoods should the nurse recommend? Aged cheese

70. A nurse is assessing a client who has had a plaster cast applied to their left leg 2 hr ago.Which of the following actions should the nurse take? Check that one finger fits between the cast and the leg
71. A nurse is caring for a client who has viral pneumonia. The client’s pulse oximeter readingshave fluctuated between 79% and 88% for the last 30. Which of the following oxygen delivery systems should the nurse initiate to provide the highest concentration of oxygen? Non-rebreather mask
72. A nurse is caring for a client who has a new diagnosis of hyperthyroidism. Which of thefollowing is the priority assessment finding that the nurse should report to the provider? Blood pressure 170/80 mm Hg
73. A nurse is teaching a young adult client how to perform a testicular self- examination. Whichof the following instructions should the nurse include? Roll each testicle between the thumb and fingers
74. A nurse is caring for a client who has a potassium level of 3 mEq/L. Which of the followingassessment findings should the nurse expect? Hypoactive bowel sounds
75. A nurse is reviewing the laboratory results of a client who has cirrhosis. Which of thefollowing laboratory values should the nurse expect? Elevated bilirubin level