RN Adult Med surg online Practice A Questions with Verified Answers
Pancreatitis - The clients laboratory results and physical
Client presents with abdominal pain in the upper left
assessment indicate the client is experiencing manifesta-
quadrant for the past two days. States pain became worse
tions of pancreatitis. Client who have pancreatitis expe-
this morning and is radiating to the back. Rates pain as 8
rience an increase in pancreatic enzymes, amylase, and
on a scale of 0 to 10.
lipase
Hypoactive bowel sounds; reports nausea, no vomiting;
client is passing flatus.
Amylase and lipase - The client's laboratory results and
Febrile, oriented to person, place and time.
physical assessment indicate the client is experiencing
Tachypnea with diminished breath sounds. Sinus tachy-
manifestations of pancreatitis. Clients who have pancre-
cardia. Client voids 300mL of clear, amber urine.
atitis experience an increase pancreatic enzymes, amylase,
0930: Client vomited 100mL brown liquid
and lipase
Insert large - gauge IV and initiate a fluid challenge
A nurse is caring for a client who is postoperative.
because the client is most likely experiencing hypov-
Vital signs - Temperature 99.7
olemia as evidenced by the client's restlessness, tachycar-
Heart Rate - 114/min
dia, hypotension, decreased pulses, cool extremities, and
RR - 22/min
decreased urine output. The nurse should monitor the
Blood pressure 88/54
client's urine output and blood pressure to evaluate the
O2 - 93%
ettectiveness of treatment.
A nurse on a medical-surgical unit is reviewing the medical
record of an older adult client who is receiving IV fluid
therapy. Which of the following client information should
indicate to the nurse that the client requires re-evaluation
of the IV therapy prescription?
BUN - The clients HCT and BUN levels indicate dehydration
Temperature - 98.8
and require an increase in the IV fluid infusion rate.
HR - 88/min
RR 18/min
BP - 118/6/
O2 96%
Pain - 0
, RN Adult Med surg online Practice A Questions with Verified Answers
Hgb- 15.1
Hct - 54.2%
BUN - 292
Sodium 145
Potassium 4.7
A nurse is assessing a client while suctioning the client's
The client's heart rate increases
tracheostomy tube. Which of the following findings
should indicate to the nurse the client is experiencing Hypoxia related to suctioning can cause the client's heart
hypoxia? rate to increase. If this occurs, the nurse should discontin-
ue the suctioning and manually oxygenate the client with
- The client starts to cough
100% oxygen/ The nurse should instruct the client to take
- The client's heart rate increases
three or four deep breaths prior to suctioning to reduce
- The client is diaphoretic
the risk for hypoxia.
- The client's blood pressure decreases
A nurse is providing teaching to a client who takes ginkgo
Ginkgo biloba can cause an increased risk for bleeding.
biloba as an herbal supplement. Which of the following
statements should the nurse make? Ginkgo biloba increases blood flow and is ettective in
decreasing the pain associated with peripheral artery dis-
- Ginkgo biloba relieves nausea for people who have
ease. The supplement also decreases platelet aggrega-
vertigo
tion, which in turn increases the risk for bleeding. Clients
- Taking ginkgo biloba will help relieve your joint pain
who have been prescribed antiplatelet medications, such
Ginkgo biloba can cause an increased risk for bleeding
as aspirin, should avoid taking ginkgo biloba without first
- Taking ginkgo biloba decreases the risk of migraine
speaking with their provider.
headache
A nurse is teaching a class about client rights. Which of the
following instructions should the nurse include? A client should sign an informed consent before receiving
a placebo during a research trial.
- A client should sing an informed consent before receiv-
ing a placebo during research trial A nurse should ensure a client has provided informed
- A client cannot refuse to sign a consent form for a consent before administering a placebo. Placebos should
life-saving treatment.
, RN Adult Med surg online Practice A Questions with Verified Answers
- A client who has a mental illness is unable to give in-
formed consent. not be used outside of approved clinical research in which
-A unemancipated minor needs guardian consent for the client has consented to participate.
substance use disorder treatment.
A nurse is caring for a client who is 12hr postoperative
following a total hip arthroplasty. Which of the following
actions should the nurse take? Place a pillow between the client's legs.
- Maintain adduction for client's legs The nurse should place a pillow between the client's legs
- Encourage range of motion of the hip up to a 120 angle to prevent hip dislocation.
- Place a pillow between the client's legs
- Keep the client's hip internally rotated.
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 - Suppressing gastric acid production
relief by which of the following actions?
Omeprazole is a proton pump inhibitor. It relieves man-
- Neutralizing gastric acid ifestations of gastric ulcers by suppressing gastric acid
-Reducing the growth of ulcer-causing bacteria production.
- Coating the stomach lining
- Suppressing gastric acid production.
Temperature - 102
A nurse is assessing a client who is postoperative following
a thyroidectomy. Which of the following findings is the When using the urgent vs nonurgent approach to client
nurse's priority? care, the nurse should determine that the priority find-
ing is elevated temperature. An elevated temperature is
- Moderate sesrosanguinous drainage on the dressing.
a manifestation of excessive thyroid hormone release,
- Calcium 9.5 mg/dL
or thyroid storm, due to an increase in metabolic rate.
- Temperature 102F
The nurse should report this finding immediately to the
- Decreased bowel sounds
provider because it can lead to seizures and coma.
Pancreatitis - The clients laboratory results and physical
Client presents with abdominal pain in the upper left
assessment indicate the client is experiencing manifesta-
quadrant for the past two days. States pain became worse
tions of pancreatitis. Client who have pancreatitis expe-
this morning and is radiating to the back. Rates pain as 8
rience an increase in pancreatic enzymes, amylase, and
on a scale of 0 to 10.
lipase
Hypoactive bowel sounds; reports nausea, no vomiting;
client is passing flatus.
Amylase and lipase - The client's laboratory results and
Febrile, oriented to person, place and time.
physical assessment indicate the client is experiencing
Tachypnea with diminished breath sounds. Sinus tachy-
manifestations of pancreatitis. Clients who have pancre-
cardia. Client voids 300mL of clear, amber urine.
atitis experience an increase pancreatic enzymes, amylase,
0930: Client vomited 100mL brown liquid
and lipase
Insert large - gauge IV and initiate a fluid challenge
A nurse is caring for a client who is postoperative.
because the client is most likely experiencing hypov-
Vital signs - Temperature 99.7
olemia as evidenced by the client's restlessness, tachycar-
Heart Rate - 114/min
dia, hypotension, decreased pulses, cool extremities, and
RR - 22/min
decreased urine output. The nurse should monitor the
Blood pressure 88/54
client's urine output and blood pressure to evaluate the
O2 - 93%
ettectiveness of treatment.
A nurse on a medical-surgical unit is reviewing the medical
record of an older adult client who is receiving IV fluid
therapy. Which of the following client information should
indicate to the nurse that the client requires re-evaluation
of the IV therapy prescription?
BUN - The clients HCT and BUN levels indicate dehydration
Temperature - 98.8
and require an increase in the IV fluid infusion rate.
HR - 88/min
RR 18/min
BP - 118/6/
O2 96%
Pain - 0
, RN Adult Med surg online Practice A Questions with Verified Answers
Hgb- 15.1
Hct - 54.2%
BUN - 292
Sodium 145
Potassium 4.7
A nurse is assessing a client while suctioning the client's
The client's heart rate increases
tracheostomy tube. Which of the following findings
should indicate to the nurse the client is experiencing Hypoxia related to suctioning can cause the client's heart
hypoxia? rate to increase. If this occurs, the nurse should discontin-
ue the suctioning and manually oxygenate the client with
- The client starts to cough
100% oxygen/ The nurse should instruct the client to take
- The client's heart rate increases
three or four deep breaths prior to suctioning to reduce
- The client is diaphoretic
the risk for hypoxia.
- The client's blood pressure decreases
A nurse is providing teaching to a client who takes ginkgo
Ginkgo biloba can cause an increased risk for bleeding.
biloba as an herbal supplement. Which of the following
statements should the nurse make? Ginkgo biloba increases blood flow and is ettective in
decreasing the pain associated with peripheral artery dis-
- Ginkgo biloba relieves nausea for people who have
ease. The supplement also decreases platelet aggrega-
vertigo
tion, which in turn increases the risk for bleeding. Clients
- Taking ginkgo biloba will help relieve your joint pain
who have been prescribed antiplatelet medications, such
Ginkgo biloba can cause an increased risk for bleeding
as aspirin, should avoid taking ginkgo biloba without first
- Taking ginkgo biloba decreases the risk of migraine
speaking with their provider.
headache
A nurse is teaching a class about client rights. Which of the
following instructions should the nurse include? A client should sign an informed consent before receiving
a placebo during a research trial.
- A client should sing an informed consent before receiv-
ing a placebo during research trial A nurse should ensure a client has provided informed
- A client cannot refuse to sign a consent form for a consent before administering a placebo. Placebos should
life-saving treatment.
, RN Adult Med surg online Practice A Questions with Verified Answers
- A client who has a mental illness is unable to give in-
formed consent. not be used outside of approved clinical research in which
-A unemancipated minor needs guardian consent for the client has consented to participate.
substance use disorder treatment.
A nurse is caring for a client who is 12hr postoperative
following a total hip arthroplasty. Which of the following
actions should the nurse take? Place a pillow between the client's legs.
- Maintain adduction for client's legs The nurse should place a pillow between the client's legs
- Encourage range of motion of the hip up to a 120 angle to prevent hip dislocation.
- Place a pillow between the client's legs
- Keep the client's hip internally rotated.
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 - Suppressing gastric acid production
relief by which of the following actions?
Omeprazole is a proton pump inhibitor. It relieves man-
- Neutralizing gastric acid ifestations of gastric ulcers by suppressing gastric acid
-Reducing the growth of ulcer-causing bacteria production.
- Coating the stomach lining
- Suppressing gastric acid production.
Temperature - 102
A nurse is assessing a client who is postoperative following
a thyroidectomy. Which of the following findings is the When using the urgent vs nonurgent approach to client
nurse's priority? care, the nurse should determine that the priority find-
ing is elevated temperature. An elevated temperature is
- Moderate sesrosanguinous drainage on the dressing.
a manifestation of excessive thyroid hormone release,
- Calcium 9.5 mg/dL
or thyroid storm, due to an increase in metabolic rate.
- Temperature 102F
The nurse should report this finding immediately to the
- Decreased bowel sounds
provider because it can lead to seizures and coma.
