RN Adult Medical Surgical Online Practice 2019 A for NGN Questions And Answers 100% A+, Exams of Nursing

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2019 A for NGN Questions And Answers 100%

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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? - correct answer Check that one finger fits between the cast and the leg. To make sure the cast is not too tight, the nurse should be able to slide one finger under the cast. It is not uncommon for casts to loosen as swelling subsides, but that should not be an issue 2 hr after application. A nurse is providing teaching to a client who has esophageal cancer and is to undergo radiation therapy. Which of the following statements should the nurse identify as an indication that the client understands the teaching? - correct answer "I will use my hands rather than a washcloth to clean the radiation area." The client should gently wash the radiation area with their hands using warm water and mild soap to protect the skin from further irritation. A nurse is planning to provide discharge teaching for the family of an older adult client who has hemianopsia and is at risk for falls. Which of the following instructions should the nurse include? - correct answer Remind the client to scan their complete range of vision during ambulation.

2019 A for NGN Questions And Answers 100%

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The nurse should instruct the family to remind a client who has hemianopsia, or blindness in half of the visual field, to use visual scanning to look over their complete range of vision during ambulation. This practice can accommodate for the loss of vision and help to reduce the risk for falls. A nurse has received change-of-shift report for a group of clients. Which of the following clients should the nurse assess first? - correct answer A client who had a myocardial infarction (MI) 4 days ago and is asking for a PRN sublingual nitroglycerin tablet A nurse is caring for a client who is postoperative following a total hip arthroplasty. Which of the following laboratory values should the nurse report to the provider?

- correct answer Hgb 8 g/dL A nurse in a provider's office is assessing a client who has migraine headaches and is taking feverfew to prevent headaches. The nurse should identify that which of the following client medications interacts with feverfew? - correct answer Naproxen

2019 A for NGN Questions And Answers 100%

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X mL/hr = Volume (mL)/Time (hr) X mL/hr =4000mL/24 hr X mL/hr = 166. Round if necessary. 166.67 = 167 mL/hr A nurse is caring for a client who is having a seizure. Which of the following interventions is the nurse's priority? - correct answer Turn the client to the side. A nurse is creating a plan of care for a client who has neutropenia as a result of chemotherapy. Which of the following interventions should the nurse include in the plan? - correct answer Monitor the client's temperature every 4 hr. 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 in the client's plan of care? - correct answer Wear a lead apron while providing care to the client.

2019 A for NGN Questions And Answers 100%

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A nurse is preparing to administer a unit of packed RBCs to a client. Which of the following actions should the nurse take? - correct answer Remain with the client for the first 15 min of the infusion. A nurse is preparing a client who has supraventricular tachycardia for elective cardioversion. Which of the following prescribed medications should the nurse instruct the client to withhold for 48 hr prior to cardioversion? - correct answer Digoxin 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? - correct answer Initiate airborne precautions. A nurse in a community clinic is caring for a client who reports an increase in the frequency of migraine headaches. To help reduce the risk for migraine headaches, which of the following foods should the nurse recommend the client avoid? - correct answer Aged cheese

2019 A for NGN Questions And Answers 100%

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A nurse is caring for a client in the emergency department (ED). - correct answer Administer morphine Ensure the patient is NPO Cholecystitis Monitor the color of the client's stools Monitor the client for dark urine 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 of the following actions? - correct answer Suppressing gastric acid production A nurse is caring for a client who has pancreatitis. The nurse should expect which of the following laboratory results to be below the expected reference range? - correct answer Calcium A client who has pancreatitis is expected to have decreased calcium and magnesium levels due to fat necrosis.

2019 A for NGN Questions And Answers 100%

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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? - correct answer The nurse should ensure the client has IV access in the event that the client requires medication to stop seizure activity. A nurse is providing discharge instructions to a client who has a partial-thickness burn on the hand. Which of the following instructions should the nurse include? - correct answer Wrap fingers with individual dressings. A nurse is assessing a client who has had a suspected stroke. The nurse should place the priority on which of the following findings? - correct answer Dysphagia 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? - correct answer Calcium carbonate A nurse in an ICU is assessing a client who has a traumatic brain injury. Which of the following findings

2019 A for NGN Questions And Answers 100%

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A nurse is caring for a client who has a prescription for enalapril. The nurse should identify which of the following findings as an adverse effect of the medication? - correct answer Orthostatic hypotension 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? - correct answer Respiratory paralysis A nurse is planning to irrigate and dress a clean, granulating wound for a client who has a pressure injury. Which of the following actions should the nurse take? - correct answer Use a 30-mL syringe Select the 4 findings that require follow-up by the nurse. - correct answer Virtual disturbances Tingling of the lips Hand grasps Expressive aphasia

2019 A for NGN Questions And Answers 100%

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For each finding below, click to specify if the finding is consistent with migraine, stroke, or meningitis. Each finding can support more than one disease process. - correct answer Hand grasps is consistent with migraine, stroke, and meningitis Numbness is consistent with migraine and stroke. Aphasia is consistent with migraine and stroke Visual changes are consistent with migraine, stroke, and meningitis Family history is consistent with migraine and stroke. The nurse should identify that the client is most likely experiencing Select... and the nurse should address the client's Select... - correct answer A migraine Pain A nurse is caring for a client who has a migraine. Which of the following interventions should the nurse anticipate? Select all that apply. - correct answer Administer sumatriptan is correct.

2019 A for NGN Questions And Answers 100%

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A nurse and an assistive personnel (AP) are caring for a client who has bacterial meningitis. The nurse should give the AP which of the following instructions? - correct answer Wear a mask. 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 the following actions should the nurse take first? - correct answer Instruct the client to allow the machine to breathe for them. A nurse is caring for a client who is receiving morphine for daily dressing changes. The client tells the nurse, "I don't want any more morphine because I don't want to get addicted." Which of the following actions should the nurse take? - correct answer Instruct the client on alternative therapies for pain reduction. A nurse is caring for a client who is receiving total parenteral nutrition (TPN). A new bag is not available when the current infusion is nearly completed. Which of the following actions should the nurse take? - correct answer Administer dextrose 10% in water until the new bag arrives.

2019 A for NGN Questions And Answers 100%

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A nurse is evaluating a client who has a new diagnosis of type 1 diabetes mellitus. Which of the following client statements indicates the client is successfully coping with the change? - correct answer "I used to never worry about my feet. Now, I inspect my feet every day with a mirror." A nurse is teaching a class about client rights. Which of the following instructions should the nurse include? - correct answer A client should sign an informed consent before receiving a placebo during a research trial. A nurse is planning care for a client who has extensive burn injuries and is immunocompromised. Which of the following precautions should the nurse include in the plan of care to prevent a Pseudomonas aeruginosa infection? - correct answer Avoid placing plants or flowers in the client's room. For each potential nursing intervention, click to specify if the intervention is indicated or not indicated - correct answer Perform a 12-lead ECG is not indicated Place the client in Trendelenburg position is indicated

2019 A for NGN Questions And Answers 100%

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A nurse is assessing a group of clients for indications of role changes. The nurse should identify that which of the following clients is at risk for experiencing a role change?

- correct answer A client who has multiple sclerosis and is experiencing progressive difficulty ambulating A nurse is caring for a client has who has chronic glomerulonephritis with oliguria. Which of the following findings should the nurse identify as a manifestation of chronic glomerulonephritis? - correct answer hyperkalemia A nurse is assessing a client who has acute cholecystitis. Which of the following findings is the nurse's priority? - correct answer Tachycardia The client is experiencing manifestations of.. due to.. - correct answer Peritonitis X-ray results A nurse is caring for a client who has diabetic ketoacidosis (DKA). Which of the following laboratory findings should the nurse expect? - correct answer BUN 32 mg/dL

2019 A for NGN Questions And Answers 100%

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A nurse is caring for a client 1 hr following a cardiac catheterization. The nurse notes the formation of a hematoma at the insertion site and a decreased pulse rate in the affected extremity. Which of the following interventions is the nurse's priority? - correct answer Apply firm pressure to the insertion site. A nurse is providing teaching to a client who has hypothyroidism and is receiving levothyroxine. The nurse should instruct the client that which of the following supplements can interfere with the effectiveness of the medication? - correct answer Calcium A nurse is caring for a group of clients. The nurse should plan to make a referral to physical therapy for which of the following clients? - correct answer A client who is receiving preoperative teaching for a right knee arthroplasty The nurse is reviewing the client's diagnostic results. Which of the following findings requires follow-up by the nurse? Select all that apply. - correct answer PCO

2019 A for NGN Questions And Answers 100%

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Obtain a sputum culture and sensitivity is anticipated. Perform neurological checks every 2 hr is nonessential. Administer oxygen at 3 L/min via nasal cannula is anticipated. Limit the client's fluid intake to 1,500 mL per day is contraindicated. Acetaminophen 500 mg PO every 6 hr as needed is anticipated. Famotidine 40 mg PO daily is nonessential. The nurse is reviewing the client's medical record. Select the 3 findings that require nursing intervention. - correct answer Temperature WBC Potassium The nurse is reviewing the client's medical record from Day 5. Click to highlight the findings below that indicate the client is improving. To deselect a finding, click on the finding again. - correct answer Heart rate is 72/min Respiratory rate is 20/min

2019 A for NGN Questions And Answers 100%

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Blood pressure is 128/ Oxygen saturation is 96% A nurse is providing discharge instructions to a client following an upper gastrointestinal series with barium contrast. Which of the following information should the nurse provide? - correct answer Increase fluid intake. A nurse is assessing a client who has Graves' disease. Which of the following images should indicate to the nurse that the client has exophthalmos? - correct answer D A nurse is providing teaching to an older adult client who has cancer and a new prescription for an opioid analgesic for pain management. Which of the following information should the nurse include in the teaching? - correct answer "You should void every 4 hours to decrease the risk of urinary retention." A nurse at a provider's office is caring for a client who is 2 weeks postoperative following a gastrectomy