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Exam (elaborations)

PN Adult Medical Surgical with question and well verified ANSWERS @2026

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PN Adult Medical Surgical with question and well verified ANSWERS @2026

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PN Adult Medical Surgical with question and well
verified ANSWERS @2026
A nurse is preparing to administer furosemide to a client who has heart failure. Which of the following
findings should the nurse report before administering the medication?

Elevated sodium

Elevated blood pressure

Decreased potassium

Decreased urine output - ANSWERS💫✔️-Decreased potassium



A nurse is reviewing the chart of a client who is experiencing an adrenal crisis, which was precipitated by
the client not taking their medication for several days. The nurse should identify that withdrawal from
which of the following medications potentiated the adrenal crisis?

Metoprolol|

Methimazole

Furosemidel

Prednisone - ANSWERS💫✔️-Prednisone



A nurse is assisting with the care for a client who has a prescription for digoxin 0.25 mg PO daily. While
taking the client's apical pulse, the nurse notes a rate of 58/min. Which of the following actions should
the nurse take?

Give the dose as prescribed.

Use a different route to administer the medication.

Administer half of the prescribed dose.

Withhold the dose. - ANSWERS💫✔️-Withhold the dose.



A nurse is reinforcing teaching about glycosylated hemoglobin (HbA1c) testing with a client who has
diabetes mellitus. Which of the following statements indicates that the client understands the teaching?

"The HbA1c test should be performed 2 hr after I eat a meal that is high in carbohydrates."

"The HbA1c test can help detect the presence of ketones in my body.".

"I will have my HbA1c checked twice per year."

,"I will plan to fast before I have my HbA1c tested." - ANSWERS💫✔️-"I will have my HbA1c checked twice
per year."



A nurse is providing information regarding transmission-based precautions for a client who has
Clostridium difficile to an assistive personnel (AP). Which of the following instructions should the nurse
include? (Select all that apply.)

"Provide the client with disposable utensils and dishes for meals."|

"Leave blood pressure equipment in the client's room."

"Clean contaminated surfaces with a bleach solution."

"Use an alcohol-based hand sanitizer after client care."

"Wear a face mask when in the client's room."' - ANSWERS💫✔️-"Provide the client with disposable
utensils and dishes for meals."

"Leave blood pressure equipment in the client's room."

"Clean contaminated surfaces with a bleach solution."



A nurse is reinforcing teaching with a client who has coronary artery disease. Which of the following
instructions should the nurse include in the teaching?

"Maintain a fat intake of 40 percent of your total daily calories."

"Limit consumption of whole milk products to 8 ounces three times per week."

"Exercise for 20 minutes twice per week."

"Add oily fish to your diet twice weekly." - ANSWERS💫✔️-"Add oily fish to your diet twice weekly."



A nurse in an oncology clinic is reinforcing teaching about Mohs surgery with a client who has skin
cancer. Which of the following information should the nurse include in the teaching?

Mohs surgery is a horizontal shaving of thin layers of the tumor.

Mohs surgery uses liquid nitrogen to destroy the cancerous tissue.

Mohs surgery is the preferred treatment for melanoma skin cancer.

Mohs surgery is a palliative treatment for metastatic skin cancer. - ANSWERS💫✔️-Mohs surgery is a
horizontal shaving of thin layers of the tumor.

, A nurse is collecting data from an older adult client who has several concerns. Which of the following
concerns should the nurse recognize as an expected change associated with aging?

"I sweat more than I used to."

"Sometimes, I can't remember my kids' names."

"I seem to have more loose stools than I used to."

"My food tastes bland even after I ad - ANSWERS💫✔️-"My food tastes bland even after I add
seasoning."



A nurse is reinforcing dietary teaching with a client about increasing the intake of foods containing
vitamin C to enhance absorption of oral iron supplements. Which of the following food choices should
the nurse include in the teaching?

1 cup of cooked brown rice

1 cup of boiled broccoli

1 cup of cottage cheese

1 cup of scrambled eggs - ANSWERS💫✔️-1 cup of boiled broccoli



A nurse is assisting with the care for a client who is 2 hr postoperative following the amputation of a
foot. Which of the following actions should the nurse take first?

Obtain the client's temperature.

Observe for phantom pain.

Measure urinary output.

Check the incisional dressing. - ANSWERS💫✔️-Check the incisional dressing.



A nurse is assisting with the care of a client who is postoperative following abdominal surgery.

Which of the following actions should the nurse take?

Select all that apply.

Apply oxygen to the client via a face mask.

Instruct the client to splint their abdomen with a pillow when coughing.

Plan to ambulate the client as soon as possible.

Report the client's urinary output to the charge nurse.

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