RN Adult Medical Surgical Proctored Exam 2019 B
RN Adult Medical Surgical Proctored Exam 2019 B
,RN Adult Medical Surgical Proctored Exam 2019 B
1) A nurse is providing discharge teaching to a client who is
postoperative following a modified radical mastectomy. Which of
the following instructions should the nurse include?
a. Flex the affected arm when ambulating
b. Numbness can occur along the inside of the affected arm
c. Begin active range-of-motion exercises 1 day after surgery
d. Dress in clothing that fits snugly
2) A nurse is providing education to a client who has tuberculosis (TB)
and their family. Which of the following information should the nurse
include in the teaching?
a. After 1 week of medication, TB is no longer communicable.
b. Dispose of contaminated tissues in a paper bag.
c. Airborne precautions are necessary in the home.
d. Family members in the household should undergo TB testing.
3) A nurse is providing discharge teaching about infection prevention to a
client who has AIDS. Which of the following statements by the client
indicates understanding of the teaching?
a. “I will eat a salad at least once each day to increase my intake of vitamin K.”
b. “I can work in my flower garden as long as I wear gardening gloves
to cover my skin.”
c. “I will no longer floss my teeth after brushing my teeth.”
d. “I can sip on a glass of juice for at least 2 hours before I should discard it.”
4) A nurse is assessing a client who is at risk for the development of
pernicious anemia resulting from peptic ulcer disease. Which of the
following images depicts a condition caused by pernicious anemia?
a.
, 5) A nurse is reviewing the laboratory results of a client who has aplastic
anemia. Which of the following findings indicates a potential
complication?
a. RBC count 5.2
million/mm3 b. WBC
count 2,000/mm3
c. Platelets 380,000/mm3
d. Potassium 4 mEq/L
6) A nurse is assessing heart sounds of a client who reports substernal
precordial pain. Identify which of the following sounds the nurse should
document in the client’s medical record by listening to the audio clip.
a. Murmur
b. S4
c. Pericardial friction rub
d. Ventricular gallop
7) A nurse is admitting a client who has active tuberculosis. Which of the
following types of transmission precautions should the nurse initiate?
a. Airborne
b. Droplet
c. Contact
d. Protective environment
8) A nurse is preparing to present a program about prevention of
atherosclerosis at a health fair. Which of the following recommendations
should the nurse plant to include? (select all that apply)
a. Follow a smoking cessation
program b. Maintain an