RN Adult Medical Surgical Online
Practice 2026 A
NGN
*0900:Client provides with abdominal pain within the higher left quadrant for the past 2 days.
States ache have become worse this morning and is radiating to the back. Rates pain as 8 on a
scale of 0 to ten.Hypoactive bowel sounds; reports nausea, no vomiting; client is passing
flatus.Febrile, oriented to character, location, and time.Tachypnea with diminished breath
sounds.Sinus tachycardia.Client voids 300 mL of clean, amber urine.
*0930:Client vomited a hundred mL brown liquid.
The client is experiencing manifestations of pancreatitis as evidenced by the amylase and
lipase.
Rational:
Drop Down 1:
Pancreatitis is correct. The consumer's laboratory consequences and physical evaluation imply
the customer is experiencing manifestations of pancreatitis. Clients who've pancreatitis
experience an growth in pancreatic enzymes, amylase, and lipase.
Paralytic ileus, grownup respiration misery syndrome (ARDS), cardiogenic surprise, and a
cerebral vascular accident (CVA) are wrong. The patron isn't always experiencing
manifestations of paralytic ileus because they have got bowel sounds and are passing flatus.
The customer isn't experiencing manifestations of ARDS due to the fact there's no indication the
customer is in respiratory distress. The client is not experiencing manifestations of cardiogenic
shock because there's no indication from the consumer's scientific record that there is a danger
for cardiogenic shock. The patron is not experiencing manifestations of a CVA due to the fact
there is no indication from the consumer's scientific record that there is a chance for a CVA.
Drop Down 2:
Amylase and lipase is correct. The patron's laboratory consequences and physical assessment
indicate the purchaser is experiencing manifestations of pancreatitis. Clients who have
pancreatitis revel in an boom in pancreatic enzymes, amylase, and lipase.
Oxygen saturation, urine output, platelet levels, and blood stress are incorrect. These findings
do not imply pancreatitis.
,A nurse is caring for a patron who is postoperative.
Client admitted to medical-surgical unit from PACU. Client reports incisional ache as 2 on a
scale of 0 to 10. Client seems stressed and regularly asks for water. Bilateral decrease
extremities cool with +1 pedal pulses. Urine output is 40 mL for the beyond 2 hr. Moderate
amount of brilliant red drainage cited on surgical incision dressing.
Complete the diagram by using dragging from the picks below to specify what condition the
purchaser is maximum probably experiencing, actions the nurse must take to deal with that
situation, and parameters the nurse must reveal to assess the consumer's progress.
Answer:
*Insert a big-gauge
*IV.Initiate a fluid assignment.
*Hypovolemia
*Urine output
*Blood pressure
Rational:
The nurse must insert a massive-gauge IV and provoke a fluid venture due to the fact the
customer is most likely experiencing hypovolemia as evidenced through the patron's
restlessness, tachycardia, hypotension, reduced pulses, cool extremities, and decreased urine
output. The nurse must reveal the purchaser's urine output and blood pressure to assess the
effectiveness of remedy.
A nurse on a medical-surgical unit is reviewing the medical report of an older grownup
consumer who is receiving IV fluid remedy. Which of the subsequent purchaser facts need to
indicate to the nurse that the customer calls for re-evaluation of the IV therapy prescription?
(Click on the "Exhibit" button for extra data about the client. There are 3 tabs that comprise
separate categories of facts.)
Answer:
BUN
,Rational:
The consumer's Hct and BUN tiers suggest dehydration and require an growth in the IV fluid
infusion fee.
A nurse is assessing a client even as suctioning the purchaser's tracheostomy tube. Which of
the following findings should indicate to the nurse the client is experiencing hypoxia?
The customer's heart price increases.
Rational:
Hypoxia associated with suctioning can purpose the purchaser's coronary heart charge to
growth. If this occurs, the nurse should discontinue the suctioning and manually oxygenate the
patron with one hundred% oxygen. The nurse ought to educate the consumer to take 3 or four
deep breaths prior to suctioning to reduce the hazard for hypoxia.
A nurse is presenting teaching to a purchaser who takes ginkgo biloba as an natural
supplement. Which of the subsequent statements need to the nurse make?
"Ginkgo biloba can cause an expanded chance for bleeding."
Rational:
Ginkgo biloba will increase blood flow and is effective in decreasing the pain related to
peripheral artery disease. The complement also decreases platelet aggregation, which in flip will
increase the risk for bleeding. Clients who have been prescribed antiplatelet medicinal drugs,
consisting of aspirin, should keep away from taking ginkgo biloba without first talking with their
company.
A nurse is coaching a class about client rights. Which of the following commands ought to the
nurse include?
A purchaser ought to signal an informed consent earlier than receiving a placebo at some stage
in a studies trial.
Rational:
A nurse should make certain a patron has supplied informed consent before administering a
placebo. Placebos need to no longer be used out of doors of permitted clinical research wherein
the patron has consented to take part.
, A nurse is caring for a patron who's 12 hr postoperative following a total hip arthroplasty. Which
of the following movements must the nurse take?
Place a pillow among the consumer's legs.
Rational:
The nurse should area a pillow among the patron's legs to save you hip dislocation.
A nurse is supplying coaching to a purchaser who has a gastric ulcer and a new prescription for
omeprazole. The nurse should instruct the purchaser that the medicine presents remedy by
using which of the subsequent actions?
Suppressing gastric acid production
Rational:
Omeprazole is a proton pump inhibitor. It relieves manifestations of gastric ulcers by way of
suppressing gastric acid production.
A nurse is assessing a patron who's postoperative following a thyroidectomy. Which of the
subsequent findings is the nurse's precedence?
Temperature 38.9° C (102° F)
Rational:
When the use of the pressing vs. Nonurgent approach to patron care, the nurse should
determine that the priority finding is an multiplied temperature. An extended temperature is a
manifestation of immoderate thyroid hormone release, or thyroid storm, due to an growth in
metabolic charge. The nurse need to file this locating right away to the provider because it may
result in seizures and coma.
A nurse is assessing a customer who has a prognosis of rheumatoid arthritis. Which of the
subsequent nonpharmacological interventions should the nurse endorse to the client to lessen
pain?
Alternate application of warmth and bloodless to the affected joints.
Rational:
The nurse have to train the consumer to trade warmth and cold packages to lower joint infection
and ache. The application of bloodless can relieve joint swelling and the software of heat can
lower joint stiffness and pain.
A nurse is supplying discharge instructions to a consumer following an top gastrointestinal
collection with barium assessment. Which of the following statistics have to the nurse provide?
Practice 2026 A
NGN
*0900:Client provides with abdominal pain within the higher left quadrant for the past 2 days.
States ache have become worse this morning and is radiating to the back. Rates pain as 8 on a
scale of 0 to ten.Hypoactive bowel sounds; reports nausea, no vomiting; client is passing
flatus.Febrile, oriented to character, location, and time.Tachypnea with diminished breath
sounds.Sinus tachycardia.Client voids 300 mL of clean, amber urine.
*0930:Client vomited a hundred mL brown liquid.
The client is experiencing manifestations of pancreatitis as evidenced by the amylase and
lipase.
Rational:
Drop Down 1:
Pancreatitis is correct. The consumer's laboratory consequences and physical evaluation imply
the customer is experiencing manifestations of pancreatitis. Clients who've pancreatitis
experience an growth in pancreatic enzymes, amylase, and lipase.
Paralytic ileus, grownup respiration misery syndrome (ARDS), cardiogenic surprise, and a
cerebral vascular accident (CVA) are wrong. The patron isn't always experiencing
manifestations of paralytic ileus because they have got bowel sounds and are passing flatus.
The customer isn't experiencing manifestations of ARDS due to the fact there's no indication the
customer is in respiratory distress. The client is not experiencing manifestations of cardiogenic
shock because there's no indication from the consumer's scientific record that there is a danger
for cardiogenic shock. The patron is not experiencing manifestations of a CVA due to the fact
there is no indication from the consumer's scientific record that there is a chance for a CVA.
Drop Down 2:
Amylase and lipase is correct. The patron's laboratory consequences and physical assessment
indicate the purchaser is experiencing manifestations of pancreatitis. Clients who have
pancreatitis revel in an boom in pancreatic enzymes, amylase, and lipase.
Oxygen saturation, urine output, platelet levels, and blood stress are incorrect. These findings
do not imply pancreatitis.
,A nurse is caring for a patron who is postoperative.
Client admitted to medical-surgical unit from PACU. Client reports incisional ache as 2 on a
scale of 0 to 10. Client seems stressed and regularly asks for water. Bilateral decrease
extremities cool with +1 pedal pulses. Urine output is 40 mL for the beyond 2 hr. Moderate
amount of brilliant red drainage cited on surgical incision dressing.
Complete the diagram by using dragging from the picks below to specify what condition the
purchaser is maximum probably experiencing, actions the nurse must take to deal with that
situation, and parameters the nurse must reveal to assess the consumer's progress.
Answer:
*Insert a big-gauge
*IV.Initiate a fluid assignment.
*Hypovolemia
*Urine output
*Blood pressure
Rational:
The nurse must insert a massive-gauge IV and provoke a fluid venture due to the fact the
customer is most likely experiencing hypovolemia as evidenced through the patron's
restlessness, tachycardia, hypotension, reduced pulses, cool extremities, and decreased urine
output. The nurse must reveal the purchaser's urine output and blood pressure to assess the
effectiveness of remedy.
A nurse on a medical-surgical unit is reviewing the medical report of an older grownup
consumer who is receiving IV fluid remedy. Which of the subsequent purchaser facts need to
indicate to the nurse that the customer calls for re-evaluation of the IV therapy prescription?
(Click on the "Exhibit" button for extra data about the client. There are 3 tabs that comprise
separate categories of facts.)
Answer:
BUN
,Rational:
The consumer's Hct and BUN tiers suggest dehydration and require an growth in the IV fluid
infusion fee.
A nurse is assessing a client even as suctioning the purchaser's tracheostomy tube. Which of
the following findings should indicate to the nurse the client is experiencing hypoxia?
The customer's heart price increases.
Rational:
Hypoxia associated with suctioning can purpose the purchaser's coronary heart charge to
growth. If this occurs, the nurse should discontinue the suctioning and manually oxygenate the
patron with one hundred% oxygen. The nurse ought to educate the consumer to take 3 or four
deep breaths prior to suctioning to reduce the hazard for hypoxia.
A nurse is presenting teaching to a purchaser who takes ginkgo biloba as an natural
supplement. Which of the subsequent statements need to the nurse make?
"Ginkgo biloba can cause an expanded chance for bleeding."
Rational:
Ginkgo biloba will increase blood flow and is effective in decreasing the pain related to
peripheral artery disease. The complement also decreases platelet aggregation, which in flip will
increase the risk for bleeding. Clients who have been prescribed antiplatelet medicinal drugs,
consisting of aspirin, should keep away from taking ginkgo biloba without first talking with their
company.
A nurse is coaching a class about client rights. Which of the following commands ought to the
nurse include?
A purchaser ought to signal an informed consent earlier than receiving a placebo at some stage
in a studies trial.
Rational:
A nurse should make certain a patron has supplied informed consent before administering a
placebo. Placebos need to no longer be used out of doors of permitted clinical research wherein
the patron has consented to take part.
, A nurse is caring for a patron who's 12 hr postoperative following a total hip arthroplasty. Which
of the following movements must the nurse take?
Place a pillow among the consumer's legs.
Rational:
The nurse should area a pillow among the patron's legs to save you hip dislocation.
A nurse is supplying coaching to a purchaser who has a gastric ulcer and a new prescription for
omeprazole. The nurse should instruct the purchaser that the medicine presents remedy by
using which of the subsequent actions?
Suppressing gastric acid production
Rational:
Omeprazole is a proton pump inhibitor. It relieves manifestations of gastric ulcers by way of
suppressing gastric acid production.
A nurse is assessing a patron who's postoperative following a thyroidectomy. Which of the
subsequent findings is the nurse's precedence?
Temperature 38.9° C (102° F)
Rational:
When the use of the pressing vs. Nonurgent approach to patron care, the nurse should
determine that the priority finding is an multiplied temperature. An extended temperature is a
manifestation of immoderate thyroid hormone release, or thyroid storm, due to an growth in
metabolic charge. The nurse need to file this locating right away to the provider because it may
result in seizures and coma.
A nurse is assessing a customer who has a prognosis of rheumatoid arthritis. Which of the
subsequent nonpharmacological interventions should the nurse endorse to the client to lessen
pain?
Alternate application of warmth and bloodless to the affected joints.
Rational:
The nurse have to train the consumer to trade warmth and cold packages to lower joint infection
and ache. The application of bloodless can relieve joint swelling and the software of heat can
lower joint stiffness and pain.
A nurse is supplying discharge instructions to a consumer following an top gastrointestinal
collection with barium assessment. Which of the following statistics have to the nurse provide?
