PN ADULT MEDICAL SURGICAL 2023 WITH
NGN AND PN ADULT MEDICAL SURGICAL
2023 EXAM PLUS PRACTICE EXAM
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TEST D. Sodium 132 mEq/L
A nurse is caring for a client who is
taking lithium and reports persistent Rationale:
nausea and vomiting for 2 days.
Which of the following laboratory The nurse should identify that a sodium level of 132
values should the nurse report to the mEq/L is not within the expected reference range
provider? of 136 to 145 mEq/L. This finding indicates
hyponatremia, which can lead to lithium
a) Potassium 4.0 mEq/L accumulation and places the client at risk for
b) Lithium 0.9 mEq/L lithium toxicity. The nurse should report this finding
c) BUN 12 mg/dL to the provider.
d) Sodium 132 mEq/L
,A nurse is caring for a client who has A. Cleanse the client's toothbrush with hydrogen
cancer and has a WBC count of peroxide.
4,000/mm3. Which of the following
actions should the nurse take? Rationale:
a) Cleanse the client's toothbrush A WBC count of 4,000/mm3 is considered low and
with hydrogen peroxide. is known as leukopenia. A low WBC count can be
b) Instruct the client to use a caused by cancer or cancer treatment. The nurse
disposable razor to shave. should instruct the client to cleanse their
c) Decrease the client's protein toothbrush with hydrogen peroxide. People with
intake. leukemia or leukopenia should avoid using
d) Encourage the client to eat disposable razors, which can cause cuts and
unpasteurized dairy products. bleeding that can lead to infections. Instead, they
recommend using an electric razor to reduce the
risk of injury. Encouraging the client to eat
unpasteurized dairy products is not recommended
as they can contain harmful bacteria that can cause
infections. Decreasing the client's protein intake is
not recommended as protein is important for
wound healing and immune function
TEST C. Assist the client to a nearby common area.
A nurse enters a client's room and
sees smoke coming from the Rationale:
bathroom. Which of the following
actions should the nurse take first? use
Rescue
a) Activate the fire alarm system. Alarm
b) Use a fire extinguisher at the Contain
source of the Extinguish
smoke.
c) Assist the client to a nearby
common area.
d) Close the doors to the room and
to the
bathroom.
,TEST A. Apply foam handles to the client's eating
A nurse is contributing to the plan of utensils.
care for a client who reports
difficulty eating due to chronic Rationale:
arthritis. Which of the following
interventions should the nurse To help a client with chronic arthritis who
include in the plan? experiences difficulty eating, applying foam
handles to the eating utensils can provide a larger,
a) Apply foam handles to the client's more comfortable grip and reduce strain on the
eating utensils. joints. Asking for a puree diet may not be necessary
b) Obtain a referral for physical unless swallowing difficulties are present. Having
therapy. an assistive personnel feed the client may not
c) Have an assistive personnel feed promote independence. While obtaining a referral
the client. for physical therapy may be beneficial for overall
d) Ask the provider for a prescription mobility, it does not directly address the client's
for a pureed diet. difficulty with eating.
, A nurse is providing directions to an C. "Face in the direction of the client's movement."
assistive personnel about moving a
client up in bed. Rational:
a. "Place a pillow under the client's When moving a client up in bed, it is important for
head prior to repositioning." the nurse to face in the direction of the client's
b. "Keep your feet close together movement to maintain proper body mechanics and
while moving the client" ensure safe transfer.
c "Face in the direction of the client's
movement" 1)Adjust the head of the bed to a flat position.
d. "Move the client's arms to his sides 2)Remove all pillows from under the client.
prior to repositioning." 3)Position the UAP on the side opposite the nurse.
4)Place a friction-reducing sheet under the client.
5)Ask the client to bend the legs and place the chin
on the chest.
6)Grasp the sheet and move the client on the count
of three.
A nurse is obtaining a medication C. Sildenafil
history from a client who is to start
taking nitroglycerin for chest Rationale:
discomfort with activity. Which of the
following medications should the Sildenafil treats PAH (pulmonary arterial
nurse instruct the client to avoid hypertension) by relaxing the blood vessels in the
taking within 24 hrs of using lungs to allow blood to flow easily.
nitroglycerin?
Same as, nitroglycerin is a vaso-dilator which is
a) Atorvastatin primarily to treat anginal chest pain and thereby it
b) Metformin reduces blood pressure.
c) Sildenafil Remaining drugs like omeprazole and atorvastatin
d) Omeprazole can be given for patients with in 24hrs of
nitroglycerin administration.
NGN AND PN ADULT MEDICAL SURGICAL
2023 EXAM PLUS PRACTICE EXAM
Leave the first rating
Save
Terms in this set (223) Hide definitions
TEST D. Sodium 132 mEq/L
A nurse is caring for a client who is
taking lithium and reports persistent Rationale:
nausea and vomiting for 2 days.
Which of the following laboratory The nurse should identify that a sodium level of 132
values should the nurse report to the mEq/L is not within the expected reference range
provider? of 136 to 145 mEq/L. This finding indicates
hyponatremia, which can lead to lithium
a) Potassium 4.0 mEq/L accumulation and places the client at risk for
b) Lithium 0.9 mEq/L lithium toxicity. The nurse should report this finding
c) BUN 12 mg/dL to the provider.
d) Sodium 132 mEq/L
,A nurse is caring for a client who has A. Cleanse the client's toothbrush with hydrogen
cancer and has a WBC count of peroxide.
4,000/mm3. Which of the following
actions should the nurse take? Rationale:
a) Cleanse the client's toothbrush A WBC count of 4,000/mm3 is considered low and
with hydrogen peroxide. is known as leukopenia. A low WBC count can be
b) Instruct the client to use a caused by cancer or cancer treatment. The nurse
disposable razor to shave. should instruct the client to cleanse their
c) Decrease the client's protein toothbrush with hydrogen peroxide. People with
intake. leukemia or leukopenia should avoid using
d) Encourage the client to eat disposable razors, which can cause cuts and
unpasteurized dairy products. bleeding that can lead to infections. Instead, they
recommend using an electric razor to reduce the
risk of injury. Encouraging the client to eat
unpasteurized dairy products is not recommended
as they can contain harmful bacteria that can cause
infections. Decreasing the client's protein intake is
not recommended as protein is important for
wound healing and immune function
TEST C. Assist the client to a nearby common area.
A nurse enters a client's room and
sees smoke coming from the Rationale:
bathroom. Which of the following
actions should the nurse take first? use
Rescue
a) Activate the fire alarm system. Alarm
b) Use a fire extinguisher at the Contain
source of the Extinguish
smoke.
c) Assist the client to a nearby
common area.
d) Close the doors to the room and
to the
bathroom.
,TEST A. Apply foam handles to the client's eating
A nurse is contributing to the plan of utensils.
care for a client who reports
difficulty eating due to chronic Rationale:
arthritis. Which of the following
interventions should the nurse To help a client with chronic arthritis who
include in the plan? experiences difficulty eating, applying foam
handles to the eating utensils can provide a larger,
a) Apply foam handles to the client's more comfortable grip and reduce strain on the
eating utensils. joints. Asking for a puree diet may not be necessary
b) Obtain a referral for physical unless swallowing difficulties are present. Having
therapy. an assistive personnel feed the client may not
c) Have an assistive personnel feed promote independence. While obtaining a referral
the client. for physical therapy may be beneficial for overall
d) Ask the provider for a prescription mobility, it does not directly address the client's
for a pureed diet. difficulty with eating.
, A nurse is providing directions to an C. "Face in the direction of the client's movement."
assistive personnel about moving a
client up in bed. Rational:
a. "Place a pillow under the client's When moving a client up in bed, it is important for
head prior to repositioning." the nurse to face in the direction of the client's
b. "Keep your feet close together movement to maintain proper body mechanics and
while moving the client" ensure safe transfer.
c "Face in the direction of the client's
movement" 1)Adjust the head of the bed to a flat position.
d. "Move the client's arms to his sides 2)Remove all pillows from under the client.
prior to repositioning." 3)Position the UAP on the side opposite the nurse.
4)Place a friction-reducing sheet under the client.
5)Ask the client to bend the legs and place the chin
on the chest.
6)Grasp the sheet and move the client on the count
of three.
A nurse is obtaining a medication C. Sildenafil
history from a client who is to start
taking nitroglycerin for chest Rationale:
discomfort with activity. Which of the
following medications should the Sildenafil treats PAH (pulmonary arterial
nurse instruct the client to avoid hypertension) by relaxing the blood vessels in the
taking within 24 hrs of using lungs to allow blood to flow easily.
nitroglycerin?
Same as, nitroglycerin is a vaso-dilator which is
a) Atorvastatin primarily to treat anginal chest pain and thereby it
b) Metformin reduces blood pressure.
c) Sildenafil Remaining drugs like omeprazole and atorvastatin
d) Omeprazole can be given for patients with in 24hrs of
nitroglycerin administration.
