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RN adult medical surgical online practice A Questions And Answers, Exams of Surgical Pathology

RN adult medical surgical online practice A Questions And Answers

Typology: Exams

2023/2024

Available from 01/27/2024

Estrelia
Estrelia 🇨🇦

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(21)

5.3K documents

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Questions And Answers

A nurse is assessing a client who has acute cholecystitis. Which of the following findings is the nurses priority? - correct answer tachycardia A nurse is caring for a client who is undergoing hemodialysis to treat end stage kidney disease. The client reports muscle cramps, and tingling sensation in their hands. Which of the following medications should the nurse plan to minister? - correct answer Calcium carbonate 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 understanding of the teaching? - correct answer " I will monitor my blood pressure while taking this medication"

  • common adverse effect: hypertension 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 A nurse is providing teaching to a female client who has a history of UTIs. Which of the following information should the nurse include in the teaching? - correct answer Take daily cranberry supplements A nurse is providing instructions to a client who has type 2 diabetes mellitus and a new prescription for metformin. Which of the following

Questions And Answers

statements by the client indicates an understanding of the teaching? - correct answer "I should take this medication with a meal." A nurse is caring for a client who is receiving total parenteral nutrition. 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 the water until the new bag arrives. A nurse in a community clinic is caring for a client who reports an increase in the frequency of of migraine headaches. To help reduce the risk of migraine headaches which of the following foods should the nurse recommend to avoid? - correct answer Aged cheese A nurse is preparing a client who has supra, ventricular tachycardia for elective cardioversion. Which of the following prescribe medication should the nurse instruct the client to withhold for 48 hours 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 action should the nurse take first? - correct answer Initiate airborne precautions

Questions And Answers

A nurse is caring for a client who has stage three pressure injury. Which of the following findings contributes to delayed wound healing? - correct answer Urine output 25ml/hr A nurse is caring for a client who has emphysema and is receiving mechanical ventilation. The client appears anxious and restless, 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 has hepatic encephalopathy and is being treated with lactulose. The client is experiencing excessive stools. Which of the following findings is an adverse effect of this medication? - correct answer Hypokalemia A nurse in an emergency department is caring for a client who reports vomiting and diarrhea for the past three days. Which of the following findings should indicate to the nurse of the clients experiencing fluid volume deficit? - correct answer Heart rate 110/min 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

Questions And Answers

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 Ensure that the client has a patent IV. A nurse is assessing a client who has had a plaster cast applied to their left leg two hours ago. Which of the following actions should the nurse take? - correct answer Check that one finger fits between the cast in the leg. A nurse is caring for a client one hour following a cardiac catherization. The nurse notes the information of a hematoma at the insertion site and a decreased pulse rate in the affected extremity. Which of the following interventions of the nurses priority? - correct answer Apply firm pressure to the insertion site 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 in a providers office is caring for a client who requests sildenafil to treat erectile dysfunction. Which of the following statements should the nurse make? - correct answer You will not be able to use sildenafil if you are taking nitroglycerin.

Questions And Answers

(The client should not use sildenafil when taking nitroglycerin because both medications can cause vasodilation and lead to significant hypotension) A nurse is caring for a client who has chronic glomerulonephritis with oliguria. Which of the following findings should the nurse identify as a manifestation of chronic glomerular nephritis? - correct answer Hyperkalemia A nurse is assessing a client who has 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 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 who had extracorporeal shock wave lithotripsy (ESWL) 6 hours ago. Which of the following findings should the nurse expect? - correct answer Stone fragments in the urine A nurse is providing teaching to a client who has chronic kidney disease in a new prescription for erythropoietin. Which of the following statement by the client indicates an understanding of the teaching? - correct answer I am taking this medication to increase my energy level

Questions And Answers

A nurse is creating a plan of care for a client who has a neutropenia as a result of chemotherapy. Which of the following intervention should the nurse include in the plan? - correct answer Monitor the clients temperature every 4 hours A nurse is evaluating a client who has a new diagnosis of type one 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 planning care to decrease psychosocial health issues for a client who is starting dialysis treatment for chronic kidney disease. Which of the following intervention should the nurse include in the plan? - correct answer Tell the client that it is possible to return to similar previous levels of activity A nurse is providing teaching to an older adult client who has cancer in a new prescription for opioid analgesic for pain management. Which of the following information should the nurse include in the teaching? - correct answer You should avoid every four hours to decrease the risk of urinary retention

Questions And Answers

A nurse is providing preoperative teaching for a client who is scheduled for an open cholecystectomy. Which of the following action should the nurse take? - correct answer Demonstrate ways to deep breathe and cough A nurse is preparing to admit a client who has dysphagia. The nurse should plan to place which of the following items at the clients bedside?

  • correct answer Suction machine A nurse is caring for a client who has amyotrophic lateral sclerosis and is being admitted to the hospital with pneumonia. Which of the following assessment findings is the nurses priority? - correct answer Increased respiratory secretions A nurse is teaching a client who has a family history of colorectal cancer. To help mitigate this risk, which of the following dietary alterations to the nurse recommend? - correct answer Add cabbage to the diet 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 of the client understands the teaching? - correct answer I will use my hands rather than a wash cloth to clean the radiation area

Questions And Answers

A nurse is caring for a client who is postoperative following a total hip arthroplasty. Which of the following laboratory value should the nurse report to the provider? - correct answer Hgb 8 g/dL A nurse is in an ICU, assessing a client who has a traumatic brain injuries. Which of the following findings should the nurse identify as a component of cushing's triad? - correct answer Bradycardia A nurse is providing teaching to an older adult female client who has stress incontinence in a BMI of 32. Which of the following statements by the client indicates an understanding of the teaching? - correct answer "I am dieting to lose weight." 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 instruction should the nurse include? - correct answer Remind the client to scan complete range of vision during ambulation A nurse in a providers office is assessing a client who has a migraine headaches and is taking feverfew to prevent headaches. The nurse should identify that which of the following client medications interact with feverfew? - correct answer Naproxen A nurse is caring for a client who has DKA. Which of the following laboratory findings should the nurse expect? - correct answer BUN 32

Questions And Answers

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 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 further assessment? - correct answer History of asthma 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 who is experiencing a tonic clonic seizure. The following action should the nurse take? - correct answer Loosen restrictive clothing A nurse is planning care for a client who has extensive burn injuries and is immuno compromised. Which of the following precautions should the nurse include in the plan of care to prevent pseudomonas

Questions And Answers

aeruginosa infection? - correct answer Avoid placing plants or flowers in the patients room A nurse in the providers office is assessing a client who has hypertension and takes propranolol. Which of the following findings should indicate to the nurse that the client is experiencing an adverse reaction to this medication? - correct answer Report of a night cough A nurse is preparing to administer a unit of packed red blood cells to a client. Which of the following action should the nurse take? - correct answer Remain with the client for the first 15 minutes A nurse is planning teaching for a client who has a bladder cancer and is to undergo a cutaneous diversion procedure to establish a ureterostomy. Which of the following statements should the nurse include in the teaching? - correct answer "You should cut the opening of the skin barrier 1/8th inch wider than the stoma The nurse is planning to irrigate and dressed 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 30ml syringe A nurse is teaching a young adult client how to perform testicular self examination. Which of the following instruction should the nurse

Questions And Answers

include? - correct answer Roll each testicle between the thumb and fingers A nurse is providing discharge instructions for a client following an upper gastrointestinal series with barium contrast. Which of the following information to the nurse provide? - correct answer Increase fluid intake A nurse is caring for a client who is having a seizure. Which of the following interventions is the nurses priority? - correct answer Turn the client to the side. A nurse is caring for a client who has a closed head injury and has intraventricular catheter placed. Which of the following findings indicates that the client is experiencing increased intracranial pressure?

  • correct answer -sleepiness exhibited by the client
  • widening pulse pressure
  • decerebrate posturing A nurse is caring for a client who is on bedrest and has a new prescription for it enoxaparin subcutaneous. Which of the following action should the nurse take? - correct answer Inject the medication into the anterolateral abdominal wall

Questions And Answers

A nurse is performing a dressing change for a client who is recovering from a hemi colectomy. When removing the dressing, the nurse knows that a large part of the bell is protruding through the abdomen. Which of the following action should the nurse take first? - correct answer Call for help a nurse and an assistive personnel 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 portal hypertension. The client is vomiting blood mixed with food after a meal. Which of the following actions should the nurse take first? - correct answer obtain vital signs 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 providing teaching to a client who has 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

Questions And Answers

A nurse is assessing a client following the administration of magnesium sulfate 1 g IV bolus. For which of the following adverse effects of the nurse monitor? - correct answer Respiratory paralysis 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 action should the nurse take? - correct answer Instruct the client on alternative therapies for pain reduction A nurse is reviewing the laboratory results of a client who has cirrhosis. Which of the following laboratory values should the nurse expect? - correct answer Elevated bilirubin level A nurse is caring for a client who has a potassium level of 3 mEq/L. Which of the following assessment findings should the nurse expect? - correct answer hypoactive bowel sounds A nurse is caring for a client who has a new diagnosis of hypothyroidism. Which of the following is the priority assessment finding that the nurse should report to the provider? - correct answer Blood pressure 170/80 mm Hg A nurse in an emergency department is reviewing the providers prescription for a client who is sustained a rattlesnake bites for lower

Questions And Answers

leg. Which of the following prescriptions to the nurse expect? - correct answer Administer an opioid analgesic to the client An older adult client is brought to an emergency department by a family member. Which of the following assessment finding she caused the nurse expect the client has hypertonic dehydration? - correct answer Urine specific gravity 1. A nurse is providing discharge instructions to a client who has partial thickness burn on the hand. Which of the following instruction should the nurse include? - correct answer Wrap fingers with individual dressings A nurse is planning care for a we're going brachytherapy via a sealed, vaginal implant to treat endometrial cancer. Which of the following action should the nurse include in the clients plan of care? - correct answer Wear a lead apron while providing care to the client