PN Adult Medical Surgical Online
Practice A+
A nurse is caring for a client who is 3 days postoperative following a total right hip
arthroplasty. Which of the following actions should the nurse take?
Use a traction boot to keep the client's right leg internally rotated.
Have the client sit in a reclining chair when out of bed.
Maintain abduction of the client's right leg while in bed.
Encourage the client to perform passive range-of-motion exercises. - ANSWER
Maintain abduction of the client's right leg while in bed.
A nurse is caring for a client who has terminal pancreatic cancer. The client states, "I
don't think I can go on any longer." Which of the following responses should the nurse
make?
"Are you experiencing abdominal pain?"
"You should talk about this with the people you're closest to."
"Many people who have cancer feel this way."
"You feel like you want to discontinue treatment?" - ANSWER "You feel like you want to
discontinue treatment?"
A nurse is contributing to the plan of care for a client who is having difficulty eating
following a stroke. Which of the following actions should the nurse take first?
Collaborate with a dietitian.
Ensure that the client is provided with a high-ber diet.
Implement recommendations from the speech-language pathologist.
Request a referral for an occupational therapist. - ANSWER Implement
recommendations from the speech-language pathologist.
A nurse is contributing to the plan of care for a client who was admitted to the
neurological unit following a stroke 3 hr ago. Which of the following interventions should
the nurse identify as the priority?
Encourage the client to participate in self-care.
Assist the client with active range-of-motion exercises.
Keep the client in a side-lying position.
Maintain the client's body alignment - ANSWER Keep the client in a side-lying position.
A nurse is participating in a health fair for older adult clients. Which of the following
vaccines should the nurse recommend for this age group?
Meningococcal
PN Adult Medical Surgical Online Practice A+
,Herpes zoster
Human papillomavirus (HPV) Measles, mumps, and rubella (MMR) - ANSWER Herpes
zoster
A nurse is contributing to the plan of care for a client who has a new prescription for
nystatin suspension for oral candidiasis. Which of the following interventions should the
nurse include in the plan?
Use a commercial mouthwash before taking the medication.
Instruct the client to swish the medication in their mouth.
Discontinue the medication as soon as the lesions are healed.
Combine the medication with applesauce - ANSWER Instruct the client to swish the
medication in their mouth.
A nurse is preparing to perform intermittent urinary catheterization for a female client
who has been unable to void following surgery 6 hr ago. Which of the following
catheters should the nurse use to perform this procedure? - ANSWER intermittent
straight catheter (clear tube with blue top)
A nurse is preparing to auscultate the bowel sounds of a client who has a mechanical
bowel obstruction in the descending colon. When listening in the left upper quadrant,
the nurse should identify this sound as which of the following?
Hyperactive bowel sounds
Friction rub
Normal bowel sounds
Abdominal bruit - ANSWER Hyperactive bowel sounds
A nurse is contributing to the plan of care for a client who has multiple sclerosis and is
taking dantrolene to manage muscle spasms. Which of the following interventions
should the nurse include?
Apply hot packs to the client's muscles.
Schedule physical therapy in the afternoon
Encourage the client to complete ADLs.
Administer valerian to promote sleep - ANSWER Encourage the client to complete
ADLs.
A nurse is assisting with the care of a client who had a cardiac catheterization via the
right femoral artery. Which of the following actions should the nurse take to prevent
postprocedure complications?
Monitor the insertion site for bleeding
Position the affected extremity at a 45º
Restrict the client's fluid intake
Maintain the pressure dressing
PN Adult Medical Surgical Online Practice A+
, Check the client's peripheral pulses - ANSWER Monitor the insertion site for bleeding is
Maintain the pressure dressing
Check the client's peripheral pulses
A home health nurse is reinforcing teaching about preventing asthma attacks with a
client who has asthma. Which of the following instructions should the nurse include in
the teaching?
"Cover the floor of your bedroom with carpet."
"Do not allow visitors to smoke cigarettes in your home."
"Breathe cold air to ease feelings of shortness of breath."
"Open the windows in your home during the spring to increase air flow." - ANSWER "Do
not allow visitors to smoke cigarettes in your home."
A nurse is caring for a client who has a prescription for phenazopyridine. Which of the
following findings should the nurse identify as a therapeutic effect of the medication?
Reduces bacteria in the urinary tract
Suppresses urge to void
Prevents nerve stimulation to the bladder muscle
Decreases pain during urination - ANSWER Decreases pain during urination
A nurse is monitoring a client who is taking acarbose. Which of the following findings
should the nurse identify as an adverse effect of the medication?
Polyuria
Abdominal cramps
Renal insufficiency
Insomnia - ANSWER Abdominal cramps
A nurse is caring for a client who has a new cast on their left forearm and reports severe
pain in the affected arm with numbness in the ngers. The nurse nds the skin is pale and
cold with sluggish capillary refill. Which of the following fracture complications should
the nurse suspect?
Compartment syndrome
Fat embolism
Deep-vein thrombosis
Osteomyelitis - ANSWER Compartment Syndrome
A nurse is assisting with the discharge planning for a client who is postoperative
following a total hip arthroplasty. Which of the following instructions should the nurse
include in the discharge plan?
Expect decreased sensation for the rst postoperative week.
Avoid lying on the operative side.
PN Adult Medical Surgical Online Practice A+
Practice A+
A nurse is caring for a client who is 3 days postoperative following a total right hip
arthroplasty. Which of the following actions should the nurse take?
Use a traction boot to keep the client's right leg internally rotated.
Have the client sit in a reclining chair when out of bed.
Maintain abduction of the client's right leg while in bed.
Encourage the client to perform passive range-of-motion exercises. - ANSWER
Maintain abduction of the client's right leg while in bed.
A nurse is caring for a client who has terminal pancreatic cancer. The client states, "I
don't think I can go on any longer." Which of the following responses should the nurse
make?
"Are you experiencing abdominal pain?"
"You should talk about this with the people you're closest to."
"Many people who have cancer feel this way."
"You feel like you want to discontinue treatment?" - ANSWER "You feel like you want to
discontinue treatment?"
A nurse is contributing to the plan of care for a client who is having difficulty eating
following a stroke. Which of the following actions should the nurse take first?
Collaborate with a dietitian.
Ensure that the client is provided with a high-ber diet.
Implement recommendations from the speech-language pathologist.
Request a referral for an occupational therapist. - ANSWER Implement
recommendations from the speech-language pathologist.
A nurse is contributing to the plan of care for a client who was admitted to the
neurological unit following a stroke 3 hr ago. Which of the following interventions should
the nurse identify as the priority?
Encourage the client to participate in self-care.
Assist the client with active range-of-motion exercises.
Keep the client in a side-lying position.
Maintain the client's body alignment - ANSWER Keep the client in a side-lying position.
A nurse is participating in a health fair for older adult clients. Which of the following
vaccines should the nurse recommend for this age group?
Meningococcal
PN Adult Medical Surgical Online Practice A+
,Herpes zoster
Human papillomavirus (HPV) Measles, mumps, and rubella (MMR) - ANSWER Herpes
zoster
A nurse is contributing to the plan of care for a client who has a new prescription for
nystatin suspension for oral candidiasis. Which of the following interventions should the
nurse include in the plan?
Use a commercial mouthwash before taking the medication.
Instruct the client to swish the medication in their mouth.
Discontinue the medication as soon as the lesions are healed.
Combine the medication with applesauce - ANSWER Instruct the client to swish the
medication in their mouth.
A nurse is preparing to perform intermittent urinary catheterization for a female client
who has been unable to void following surgery 6 hr ago. Which of the following
catheters should the nurse use to perform this procedure? - ANSWER intermittent
straight catheter (clear tube with blue top)
A nurse is preparing to auscultate the bowel sounds of a client who has a mechanical
bowel obstruction in the descending colon. When listening in the left upper quadrant,
the nurse should identify this sound as which of the following?
Hyperactive bowel sounds
Friction rub
Normal bowel sounds
Abdominal bruit - ANSWER Hyperactive bowel sounds
A nurse is contributing to the plan of care for a client who has multiple sclerosis and is
taking dantrolene to manage muscle spasms. Which of the following interventions
should the nurse include?
Apply hot packs to the client's muscles.
Schedule physical therapy in the afternoon
Encourage the client to complete ADLs.
Administer valerian to promote sleep - ANSWER Encourage the client to complete
ADLs.
A nurse is assisting with the care of a client who had a cardiac catheterization via the
right femoral artery. Which of the following actions should the nurse take to prevent
postprocedure complications?
Monitor the insertion site for bleeding
Position the affected extremity at a 45º
Restrict the client's fluid intake
Maintain the pressure dressing
PN Adult Medical Surgical Online Practice A+
, Check the client's peripheral pulses - ANSWER Monitor the insertion site for bleeding is
Maintain the pressure dressing
Check the client's peripheral pulses
A home health nurse is reinforcing teaching about preventing asthma attacks with a
client who has asthma. Which of the following instructions should the nurse include in
the teaching?
"Cover the floor of your bedroom with carpet."
"Do not allow visitors to smoke cigarettes in your home."
"Breathe cold air to ease feelings of shortness of breath."
"Open the windows in your home during the spring to increase air flow." - ANSWER "Do
not allow visitors to smoke cigarettes in your home."
A nurse is caring for a client who has a prescription for phenazopyridine. Which of the
following findings should the nurse identify as a therapeutic effect of the medication?
Reduces bacteria in the urinary tract
Suppresses urge to void
Prevents nerve stimulation to the bladder muscle
Decreases pain during urination - ANSWER Decreases pain during urination
A nurse is monitoring a client who is taking acarbose. Which of the following findings
should the nurse identify as an adverse effect of the medication?
Polyuria
Abdominal cramps
Renal insufficiency
Insomnia - ANSWER Abdominal cramps
A nurse is caring for a client who has a new cast on their left forearm and reports severe
pain in the affected arm with numbness in the ngers. The nurse nds the skin is pale and
cold with sluggish capillary refill. Which of the following fracture complications should
the nurse suspect?
Compartment syndrome
Fat embolism
Deep-vein thrombosis
Osteomyelitis - ANSWER Compartment Syndrome
A nurse is assisting with the discharge planning for a client who is postoperative
following a total hip arthroplasty. Which of the following instructions should the nurse
include in the discharge plan?
Expect decreased sensation for the rst postoperative week.
Avoid lying on the operative side.
PN Adult Medical Surgical Online Practice A+
