RN ADULT MEDICAL SURGICAL ONLINE
PRACTICE 2019 B FOR NGN EXAM QUESTIONS
WITH ACTUAL RIGHT ANSWERS .
A nurse is providing follow-up care for a client who sustained a compound fracture 3 weeks
ago. The nurse should recognize that an UNEXPECTED finding for which of the following
LABORATORY VALUES is a manifestation of OSTEOMYELITIS and should be reported
to the provider? - Correct Answer -An increased sedimentation rate occurs when a client has
any type of inflammatory process, such as osteomyelitis
A nurse is reviewing the medical records of a client who is taking WARFARIN for chronic
arterial fibrillation. Which of the following values should the nurse identify as a desired
outcome for this therapy? - Correct Answer -INR 2.5
Clients receive warfarin therapy to decrease the risk of stroke, myocardial infarction (MI), or
pulmonary emboli (PE) from blood clots. Since warfarin is an anticoagulant, the medication
must be monitored to ensure the anticoagulation is within the therapeutic range and prevent
hemorrhage (levels of anticoagulation) or stroke, MI, PE (low levels of anticoagulation). An
INR 2.5 is within the targeted therapeutic range of 2 to 3 for a client who has atrial
fibrillation.
A nurse is planning a health promotional presentation for a group of African American clients
at a community center. Which of the following disorders presents the greatest risk to this
group of clients? - Correct Answer -Hypertension
When using the safety/risk reduction approach to client care, the nurse should determine that
the disorder with the greatest risk for this group of clients is hypertension. The prevalence of
hypertension is highest among African American clients, followed by Caucasian clients, and
then Hispanic clients.
A nurse is reviewing the laboratory results of a client who has aplastic anemia. Which of the
following findings indicates a potential complication? - Correct Answer -WBC count
2,000/mm3
1
,A WBC count of 2,000/mm3 is below the expected reference range and indicates a risk for
severe immunosuppression
A nurse is caring for an older adult client who has dementia and requires acute care for a
respiratory infection. The client is agitated and is attempting to remove the IV catheter.
Which of the following actions should nurse take to avoid restraining the client? - Correct
Answer -Keep the client occupied with a manual activity.
The nurse should provide the client with a manual activity such as a puzzle or an art project.
This can help to distract the client from the IV catheter.
A nurse is planning care for a client who has a sealed radiation implant for cervical cancer.
Which of the following interventions should the nurse include in the plan of care? - Correct
Answer -Keep a lead-lined container in the client's room
The nurse should keep a lead-lined container and forceps in the client's room in case of
accidental dislodgement of the implant.
A nurse reviewing the ABG results of a client who has advanced COPD. Which of the
following results should the nurse expect? - Correct Answer -PaCO2 56 mm Hg
A client who has COPD retains PaCO2 duet to the weakening and the collapse of the alveolar
sacs, which is decreases the area in the lings for gas exchange and causes the PaCO2 to
increase above the expected reference range.
A nurse is assessing a client who has peripheral arterial disease. Which of the following
findings should the nurse expect? - Correct Answer -Hair loss on the lower legs
The nurse should expect a client who has a peripheral arterial disease to have hair loss on the
lower legs as a result of impaired arterial circulation affecting follicular growth.
A nurse is caring for a client who has breast cancer and tells the nurse that they would like to
have acupuncture because it provides greater relief than pain medication Which of the
following statements should the nurse make? - Correct Answer -" I can speak to the provider
about incorporating acupuncture into your treatment plan."
2
, The nurse should serve as an advocate for the client by acting on behalf of the client and
offering to speak with the provider. The client has the right to make choices and decisions
about their treatment and the nurse should support these decisions and assist the client to
carry them out.
A nurse is providing teaching to a client who has hypertension and a NEW prescription for
verapamil. Which of the following information should the nurse include in the teaching? -
Correct Answer -" Increase fiber intake to avoid constipation."
The nurse should instruct the client that constipation is an adverse effect of verapamil. The
client should increase fiber intake to promote regular bowel function.
A nurse is planning care for a client who is scheduled for a thoracentesis. Which of the
following interventions should the nurse include in the plan? - Correct Answer -Encourage
the client to take deep breaths after the procedure
After a thoracentesis, the client should deep breathe to re-expand the lung.
A nurse is reviewing the medical record of a client who has osteomyelitis and a prescription
for gentamicin. Which of the following findings from the client's medical record should
indicate to the nurse the need to withhold the medication and notify the provider? - Correct
Answer -Serum Creatinine
A client who has an elevated serum creatinine level should not receive gentamicin because
the medication is nephrotoxic.
A nurse is providing postoperative teaching for a client who had a total knee arthroplasty.
Which of the following instructions should the nurse include? - Correct Answer -Flex the
foot every hour when awake
The nurse should instruct the client to flex the foot every hour to reduce the risk for
thromboembolism and promote venous return.
A nurse is teaching a group of newly licensed nurses about pain management for older adult
clients. Which of the following statements by a newly licensed nurse indicates an
understanding of the teaching? - Correct Answer -"Ibuprofen can cause gastrointestinal
bleeding in older adult clients."
3
PRACTICE 2019 B FOR NGN EXAM QUESTIONS
WITH ACTUAL RIGHT ANSWERS .
A nurse is providing follow-up care for a client who sustained a compound fracture 3 weeks
ago. The nurse should recognize that an UNEXPECTED finding for which of the following
LABORATORY VALUES is a manifestation of OSTEOMYELITIS and should be reported
to the provider? - Correct Answer -An increased sedimentation rate occurs when a client has
any type of inflammatory process, such as osteomyelitis
A nurse is reviewing the medical records of a client who is taking WARFARIN for chronic
arterial fibrillation. Which of the following values should the nurse identify as a desired
outcome for this therapy? - Correct Answer -INR 2.5
Clients receive warfarin therapy to decrease the risk of stroke, myocardial infarction (MI), or
pulmonary emboli (PE) from blood clots. Since warfarin is an anticoagulant, the medication
must be monitored to ensure the anticoagulation is within the therapeutic range and prevent
hemorrhage (levels of anticoagulation) or stroke, MI, PE (low levels of anticoagulation). An
INR 2.5 is within the targeted therapeutic range of 2 to 3 for a client who has atrial
fibrillation.
A nurse is planning a health promotional presentation for a group of African American clients
at a community center. Which of the following disorders presents the greatest risk to this
group of clients? - Correct Answer -Hypertension
When using the safety/risk reduction approach to client care, the nurse should determine that
the disorder with the greatest risk for this group of clients is hypertension. The prevalence of
hypertension is highest among African American clients, followed by Caucasian clients, and
then Hispanic clients.
A nurse is reviewing the laboratory results of a client who has aplastic anemia. Which of the
following findings indicates a potential complication? - Correct Answer -WBC count
2,000/mm3
1
,A WBC count of 2,000/mm3 is below the expected reference range and indicates a risk for
severe immunosuppression
A nurse is caring for an older adult client who has dementia and requires acute care for a
respiratory infection. The client is agitated and is attempting to remove the IV catheter.
Which of the following actions should nurse take to avoid restraining the client? - Correct
Answer -Keep the client occupied with a manual activity.
The nurse should provide the client with a manual activity such as a puzzle or an art project.
This can help to distract the client from the IV catheter.
A nurse is planning care for a client who has a sealed radiation implant for cervical cancer.
Which of the following interventions should the nurse include in the plan of care? - Correct
Answer -Keep a lead-lined container in the client's room
The nurse should keep a lead-lined container and forceps in the client's room in case of
accidental dislodgement of the implant.
A nurse reviewing the ABG results of a client who has advanced COPD. Which of the
following results should the nurse expect? - Correct Answer -PaCO2 56 mm Hg
A client who has COPD retains PaCO2 duet to the weakening and the collapse of the alveolar
sacs, which is decreases the area in the lings for gas exchange and causes the PaCO2 to
increase above the expected reference range.
A nurse is assessing a client who has peripheral arterial disease. Which of the following
findings should the nurse expect? - Correct Answer -Hair loss on the lower legs
The nurse should expect a client who has a peripheral arterial disease to have hair loss on the
lower legs as a result of impaired arterial circulation affecting follicular growth.
A nurse is caring for a client who has breast cancer and tells the nurse that they would like to
have acupuncture because it provides greater relief than pain medication Which of the
following statements should the nurse make? - Correct Answer -" I can speak to the provider
about incorporating acupuncture into your treatment plan."
2
, The nurse should serve as an advocate for the client by acting on behalf of the client and
offering to speak with the provider. The client has the right to make choices and decisions
about their treatment and the nurse should support these decisions and assist the client to
carry them out.
A nurse is providing teaching to a client who has hypertension and a NEW prescription for
verapamil. Which of the following information should the nurse include in the teaching? -
Correct Answer -" Increase fiber intake to avoid constipation."
The nurse should instruct the client that constipation is an adverse effect of verapamil. The
client should increase fiber intake to promote regular bowel function.
A nurse is planning care for a client who is scheduled for a thoracentesis. Which of the
following interventions should the nurse include in the plan? - Correct Answer -Encourage
the client to take deep breaths after the procedure
After a thoracentesis, the client should deep breathe to re-expand the lung.
A nurse is reviewing the medical record of a client who has osteomyelitis and a prescription
for gentamicin. Which of the following findings from the client's medical record should
indicate to the nurse the need to withhold the medication and notify the provider? - Correct
Answer -Serum Creatinine
A client who has an elevated serum creatinine level should not receive gentamicin because
the medication is nephrotoxic.
A nurse is providing postoperative teaching for a client who had a total knee arthroplasty.
Which of the following instructions should the nurse include? - Correct Answer -Flex the
foot every hour when awake
The nurse should instruct the client to flex the foot every hour to reduce the risk for
thromboembolism and promote venous return.
A nurse is teaching a group of newly licensed nurses about pain management for older adult
clients. Which of the following statements by a newly licensed nurse indicates an
understanding of the teaching? - Correct Answer -"Ibuprofen can cause gastrointestinal
bleeding in older adult clients."
3
