[Company name]
2019 NGN MED SURG PROCTORED EXAM
GUIDE Updated 2023
[Document subtitle]
, lOMoARcPSD|30860778
1. The nurse is preparing the discontinue long term TPN therapy for a client. The nurse should plan to
discontinue the TPN gradually to reduce the risk of which of the following adverse effects?
a. Hyperglycemia
b. Diarrhea
c. Constipation
d. Hypoglycemia- You taper it off to avoid this!!!
Rationale PDF p.298: Never abruptly stop TPN. Speeding up/slowing down the rate is contraindicated.
An abrupt rate change can alter blood glucose levels significantly.
Rationale PDF nutrition p.58: don’t discontinue abruptly, must taper to prevent rebound hypoglycemia
2. A nurse is preparing a client for an ECG. The client is anxious and says that he is afraid the equipment
will give him an electric shock. Which of the following is an appropriate response by the nurse?
a. The machine only senses and records electrical currents coming from your heart – pg.170
➢ Electrocardiography uses an electrocardiograph to record the electrical activity of the
heart over time.
b. The lead wires and cables are insulated for your safety
c. The electrode pads will prevent the conduction of electricity to your skin
d. The machine voltage delivery is low enough that you won’t feel any discomfort
3. A nurse is caring for client who has hypertension and has a new prescription for lisinopril. The nurse
should consult with the provider about which of the following medications in the client’s medication
administration record?
a. Potassium chloride
b. Levothyroxine
c. Acetaminophen
d. Metformin
4. A nurse is administering furosemide 80 mg PO twice daily to a client who has pulmonary edema. Which
of the following assessment findings indicates to the nurse that the medication is effective?
a. Elevation in blood pressure
b. Adventitious breath sounds
c. Weight loss of 1.8 kg (4 lb) in the past 24 hr
d. Respiratory rate of 24/min
5. Couldn't paste the picture on here. But it asked where u can hear pericardial friction rub the best at…
Erb’s Point (3rd Intercostal, Central)
6. A nurse is completing discharge teaching with a client who has a new diagnosis of AIDS. Which of the
following statements by the nurse indicates an understanding of the teaching?
)
2019 NGN MED SURG PROCTORED EXAM
GUIDE Updated 2023
[Document subtitle]
, lOMoARcPSD|30860778
1. The nurse is preparing the discontinue long term TPN therapy for a client. The nurse should plan to
discontinue the TPN gradually to reduce the risk of which of the following adverse effects?
a. Hyperglycemia
b. Diarrhea
c. Constipation
d. Hypoglycemia- You taper it off to avoid this!!!
Rationale PDF p.298: Never abruptly stop TPN. Speeding up/slowing down the rate is contraindicated.
An abrupt rate change can alter blood glucose levels significantly.
Rationale PDF nutrition p.58: don’t discontinue abruptly, must taper to prevent rebound hypoglycemia
2. A nurse is preparing a client for an ECG. The client is anxious and says that he is afraid the equipment
will give him an electric shock. Which of the following is an appropriate response by the nurse?
a. The machine only senses and records electrical currents coming from your heart – pg.170
➢ Electrocardiography uses an electrocardiograph to record the electrical activity of the
heart over time.
b. The lead wires and cables are insulated for your safety
c. The electrode pads will prevent the conduction of electricity to your skin
d. The machine voltage delivery is low enough that you won’t feel any discomfort
3. A nurse is caring for client who has hypertension and has a new prescription for lisinopril. The nurse
should consult with the provider about which of the following medications in the client’s medication
administration record?
a. Potassium chloride
b. Levothyroxine
c. Acetaminophen
d. Metformin
4. A nurse is administering furosemide 80 mg PO twice daily to a client who has pulmonary edema. Which
of the following assessment findings indicates to the nurse that the medication is effective?
a. Elevation in blood pressure
b. Adventitious breath sounds
c. Weight loss of 1.8 kg (4 lb) in the past 24 hr
d. Respiratory rate of 24/min
5. Couldn't paste the picture on here. But it asked where u can hear pericardial friction rub the best at…
Erb’s Point (3rd Intercostal, Central)
6. A nurse is completing discharge teaching with a client who has a new diagnosis of AIDS. Which of the
following statements by the nurse indicates an understanding of the teaching?
)
