RN Adult Medical Surgical Proctored Exam 2019 B 1) A nurse is providing teaching to a client who has a severe fo rm of stage II Lyme disease. Which of the following statements made by the client re flects an understanding of the teaching?
a. “I will need to take antibiotics for 1 year.”
b. “My partner will need to take an antiviral medication.” c. “My joints ache because I have Lyme Disease.”
d. “I bruise easily because I have Lyme Disease.”
2) A Nurse is caring for a client who is 4 hr postoperative foll owing an open reduction internal fixation of the right ankle. Which of the following a ssessment findings should the nurse report to the provider?
a.Extremity cool upon palpation
b. Serosanguineous drainage on the dressing.
c. Capillary refill of 2 seconds.
d. Client report of discomfort when moving toes.
3) A nurse is assessing a client while suctioning the client’s tracheost omy tube. Which of the following findings should indicate to the nurse the client i s experiencing hypoxia?
a. The client starts to cough
b.The client’s heart rate increases
c. The client is diaphoretic
d. The client’s blood pressure decreases
4) A nurse is caring for a client who is 8 hr postoperative foll owing a total hip arthroplasty. The client is unable to void on the bedpan. Which of t he following actions should the nurse take first?
a. Document the client’s intake and output.
b.Scan the bladder with a portable ultrasound.
c. Pour warm water over the client’s perineum.
d. Perform a straight catheterization.
5) A nurse is providing discharge instructions to a client who has activ e tuberculosis (TB). Which of the following information should the nurse include in the instructions?
a.Sputum specimens are necessary every 2 to 4 weeks until there are three negative cultures.
b. The contagious period generally lasts for 6 to 8 weeks a fter the initiation of medication therapy.
c. Family members should follow airborne precautions at home.
d. A follow-up tuberculosis
6) A nurse is caring for a client who has increased intracranial pr essure (ICP) and is receiving mannitol via continuous IV infusion. Which of the foll owing findings should the nurse report to the provider as an adverse effect of this medication?
a. Decreased heart rate
b.Crackles heard on auscultation
c. Increased urinary outputStuvia.com - The Marketplace to Buy and Sell your Study Material
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d. Decreased deep tendon reflexesStuvia.com - The Marketplace to Buy and Sell your Study Material
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7) A nurse is providing discharge teaching to a client who is postoperative following
a modified radical mastectomy. Which of the following instr uctions 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
8) A nurse is providing education to a client who has tuberculosis (T B) and their family. Which of the following information should the nurse incl ude 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.
9) A nurse is providing discharge teaching about infection prevention to a client who has AIDS. Which of the following statements by the client indica tes 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 gar dening 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.”
10) 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 imag es depicts a condition caused by pernicious anemia?
a.
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a. “I will need to take antibiotics for 1 year.”
b. “My partner will need to take an antiviral medication.” c. “My joints ache because I have Lyme Disease.”
d. “I bruise easily because I have Lyme Disease.”
2) A Nurse is caring for a client who is 4 hr postoperative foll owing an open reduction internal fixation of the right ankle. Which of the following a ssessment findings should the nurse report to the provider?
a.Extremity cool upon palpation
b. Serosanguineous drainage on the dressing.
c. Capillary refill of 2 seconds.
d. Client report of discomfort when moving toes.
3) A nurse is assessing a client while suctioning the client’s tracheost omy tube. Which of the following findings should indicate to the nurse the client i s experiencing hypoxia?
a. The client starts to cough
b.The client’s heart rate increases
c. The client is diaphoretic
d. The client’s blood pressure decreases
4) A nurse is caring for a client who is 8 hr postoperative foll owing a total hip arthroplasty. The client is unable to void on the bedpan. Which of t he following actions should the nurse take first?
a. Document the client’s intake and output.
b.Scan the bladder with a portable ultrasound.
c. Pour warm water over the client’s perineum.
d. Perform a straight catheterization.
5) A nurse is providing discharge instructions to a client who has activ e tuberculosis (TB). Which of the following information should the nurse include in the instructions?
a.Sputum specimens are necessary every 2 to 4 weeks until there are three negative cultures.
b. The contagious period generally lasts for 6 to 8 weeks a fter the initiation of medication therapy.
c. Family members should follow airborne precautions at home.
d. A follow-up tuberculosis
6) A nurse is caring for a client who has increased intracranial pr essure (ICP) and is receiving mannitol via continuous IV infusion. Which of the foll owing findings should the nurse report to the provider as an adverse effect of this medication?
a. Decreased heart rate
b.Crackles heard on auscultation
c. Increased urinary outputStuvia.com - The Marketplace to Buy and Sell your Study Material
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d. Decreased deep tendon reflexesStuvia.com - The Marketplace to Buy and Sell your Study Material
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7) A nurse is providing discharge teaching to a client who is postoperative following
a modified radical mastectomy. Which of the following instr uctions 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
8) A nurse is providing education to a client who has tuberculosis (T B) and their family. Which of the following information should the nurse incl ude 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.
9) A nurse is providing discharge teaching about infection prevention to a client who has AIDS. Which of the following statements by the client indica tes 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 gar dening 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.”
10) 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 imag es depicts a condition caused by pernicious anemia?
a.
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