PN ADULT MEDICAL REVIEW EXAMINATION
ANSWERS AND QUESTIONS SET A+
✔✔A nurse is collecting data from the adult child of a client who is concerned about
their parent's development of dementia. Which of the following statements by the
client's child is the priorty? - ✔✔"Last week, I found my mother's cell phone in the
microwave."
✔✔A nurse is assisting w/ the admission of a client who has tuberculosis. Which of the
following actions should the nurse take? - ✔✔Wear a HEPA mask when providing care
for the client.
✔✔A nurse is reinforcing teaching w/ a client who has a new prescription for crutches
with no weight bearing on the left leg. Which of the following statements should the
nurse include? - ✔✔"Advance your right leg first when going up stairs."
✔✔A nurse is reinforcing teaching w/ a client who has a new prescription for
alendronate 35 mg PO to prevent osteoporosis. Which of the following instructions
should the nurse include? - ✔✔Drink a full glass of water when taking the medication.
✔✔A nurse is reviewing notes from change-of-shift report regarding the need to remove
a client's NG tube. Which of the following actions should the nurse take first? - ✔✔Verify
the provider's prescription to discontinue the tube.
✔✔A nurse is reviewing the plan of care for a client who is at risk for increased
intracranial pressure following a closed-head injury. Which of the following interventions
should the nurse identify as contraindicated for this client? - ✔✔Assist the client to
cough and deep breathe.
✔✔A nurse in reinforcing teaching w/ a client who has a history of pulmonary embolism
about reducing the risk of developing deep vein thrombosis (DVT) when traveling.
Which of the following statements should the nurse include in the teaching? - ✔✔Get up
and walk every 2 hours when traveling by car."
, ✔✔A nurse is assisting w/ the care of a client who has an estimated 15% of total body
surface area burn injury, is taking oral nutrition, and reports following a strict vegan diet.
Which of the following food choices should the nurse recommend? - ✔✔Black beans
and rice.
✔✔A nurse is caring for a client who is receiving intravenous therapy through a
peripheral catheter. The nurse notes that the skin around the client's IV catheter site
feels tight and cool to touch. Which of the following actions should the nurse take? -
✔✔Stop the infusion
✔✔A nurse is preparing to reinforce teaching w/ a client who is 1 day postoperative
following a bilateral mastectomy w/ drains. Which of the following information should the
nurse plan to include in the teaching? - ✔✔"Wear protective gloves if working in the
garden."
✔✔A nurse is reinforcing teaching w/ a client who has asthma and a new prescription
for salmeterol using a dry-powder inhaler. Which of the following statements by the
client demonstrates an understanding of the teaching? - ✔✔"I will hold my breath for 10
seconds after I remove the inhaler from my mouth."
✔✔A nurse is caring for a client who has returned to the clinic after receiving abnormal
cytology findings from a Papanicolaou (Pap) test. Which of the following procedures
should the nurse anticipate the client will undergo? - ✔✔Colposcopy wit directed biopsy
✔✔A nurse is reinforcing teaching about self-examination (BSE) w/ a group of client
who are premenopausal. At which of the following times should the nurse recommend
the clients perform BSE? - ✔✔One week after the menstrual cycle begins.
✔✔A nurse is collecting data from a client who has had an ileostomy for several years.
Which of the following findings is the priorty for the nurse to report to the charge nurse?
- ✔✔The stoma is pale in color.
✔✔A nurse is reinforcing teaching w/ a client who has rheumatoid arthritis and a new
prescription for methylprednisolone. Which of the following information should the nurse
include? - ✔✔"Avoid indiviuals who are sick."
✔✔A nurse is evaluating the laboratory results for a client who has malnutrition. Which
of the following laboratory results should the nurse expect ? - ✔✔Prealbumin 11 mg/dL
✔✔A nurse in a long-term care facility is reviewing ventilator setting w/ a newly licensed
nurse. Which of the following information should the nurse use to describe the assist-
ANSWERS AND QUESTIONS SET A+
✔✔A nurse is collecting data from the adult child of a client who is concerned about
their parent's development of dementia. Which of the following statements by the
client's child is the priorty? - ✔✔"Last week, I found my mother's cell phone in the
microwave."
✔✔A nurse is assisting w/ the admission of a client who has tuberculosis. Which of the
following actions should the nurse take? - ✔✔Wear a HEPA mask when providing care
for the client.
✔✔A nurse is reinforcing teaching w/ a client who has a new prescription for crutches
with no weight bearing on the left leg. Which of the following statements should the
nurse include? - ✔✔"Advance your right leg first when going up stairs."
✔✔A nurse is reinforcing teaching w/ a client who has a new prescription for
alendronate 35 mg PO to prevent osteoporosis. Which of the following instructions
should the nurse include? - ✔✔Drink a full glass of water when taking the medication.
✔✔A nurse is reviewing notes from change-of-shift report regarding the need to remove
a client's NG tube. Which of the following actions should the nurse take first? - ✔✔Verify
the provider's prescription to discontinue the tube.
✔✔A nurse is reviewing the plan of care for a client who is at risk for increased
intracranial pressure following a closed-head injury. Which of the following interventions
should the nurse identify as contraindicated for this client? - ✔✔Assist the client to
cough and deep breathe.
✔✔A nurse in reinforcing teaching w/ a client who has a history of pulmonary embolism
about reducing the risk of developing deep vein thrombosis (DVT) when traveling.
Which of the following statements should the nurse include in the teaching? - ✔✔Get up
and walk every 2 hours when traveling by car."
, ✔✔A nurse is assisting w/ the care of a client who has an estimated 15% of total body
surface area burn injury, is taking oral nutrition, and reports following a strict vegan diet.
Which of the following food choices should the nurse recommend? - ✔✔Black beans
and rice.
✔✔A nurse is caring for a client who is receiving intravenous therapy through a
peripheral catheter. The nurse notes that the skin around the client's IV catheter site
feels tight and cool to touch. Which of the following actions should the nurse take? -
✔✔Stop the infusion
✔✔A nurse is preparing to reinforce teaching w/ a client who is 1 day postoperative
following a bilateral mastectomy w/ drains. Which of the following information should the
nurse plan to include in the teaching? - ✔✔"Wear protective gloves if working in the
garden."
✔✔A nurse is reinforcing teaching w/ a client who has asthma and a new prescription
for salmeterol using a dry-powder inhaler. Which of the following statements by the
client demonstrates an understanding of the teaching? - ✔✔"I will hold my breath for 10
seconds after I remove the inhaler from my mouth."
✔✔A nurse is caring for a client who has returned to the clinic after receiving abnormal
cytology findings from a Papanicolaou (Pap) test. Which of the following procedures
should the nurse anticipate the client will undergo? - ✔✔Colposcopy wit directed biopsy
✔✔A nurse is reinforcing teaching about self-examination (BSE) w/ a group of client
who are premenopausal. At which of the following times should the nurse recommend
the clients perform BSE? - ✔✔One week after the menstrual cycle begins.
✔✔A nurse is collecting data from a client who has had an ileostomy for several years.
Which of the following findings is the priorty for the nurse to report to the charge nurse?
- ✔✔The stoma is pale in color.
✔✔A nurse is reinforcing teaching w/ a client who has rheumatoid arthritis and a new
prescription for methylprednisolone. Which of the following information should the nurse
include? - ✔✔"Avoid indiviuals who are sick."
✔✔A nurse is evaluating the laboratory results for a client who has malnutrition. Which
of the following laboratory results should the nurse expect ? - ✔✔Prealbumin 11 mg/dL
✔✔A nurse in a long-term care facility is reviewing ventilator setting w/ a newly licensed
nurse. Which of the following information should the nurse use to describe the assist-
