RN Adult Medical Surgical Online Practice
2024 A for NGN answers
A nurse is assessing a client who has had a plaster cast applied to their left leg 2 hr ago. Which
of the following actions should the nurse take? - ANSCheck that one finger fits between the cast
and the leg.
To make sure the cast is not too tight, the nurse should be able to slide one finger under the
cast. It is not uncommon for casts to loosen as swelling subsides, but that should not be an
issue 2 hr after application.
A nurse is providing teaching to a client who has esophageal cancer and is to undergo radiation
therapy. Which of the following statements should the nurse identify as an indication that the
client understands the teaching? - ANS"I will use my hands rather than a washcloth to clean the
radiation area."
The client should gently wash the radiation area with their hands using warm water and mild
soap to protect the skin from further irritation.
A nurse is planning to provide discharge teaching for the family of an older adult client who has
hemianopsia and is at risk for falls. Which of the following instructions should the nurse include?
- ANSRemind the client to scan their complete range of vision during ambulation.
The nurse should instruct the family to remind a client who has hemianopsia, or blindness in half
of the visual field, to use visual scanning to look over their complete range of vision during
ambulation. This practice can accommodate for the loss of vision and help to reduce the risk for
falls.
A nurse has received change-of-shift report for a group of clients. Which of the following clients
should the nurse assess first? - ANSA client who had a myocardial infarction (MI) 4 days ago
and is asking for a PRN sublingual nitroglycerin tablet
A nurse is caring for a client who is postoperative following a total hip arthroplasty. Which of the
following laboratory values should the nurse report to the provider? - ANSHgb 8 g/dL
A nurse in a provider's office is assessing a client who has migraine headaches and is taking
feverfew to prevent headaches. The nurse should identify that which of the following client
medications interacts with feverfew? - ANSNaproxen
An older adult client is brought to an emergency department by a family member. Which of the
following assessment findings should cause the nurse to suspect that the client has hypertonic
dehydration? - ANSUrine specific gravity 1.045
, A nurse is preparing to admit a client who has dysphagia. The nurse should plan to place which
of the following items at the client's bedside? - ANSSuction machine
A nurse in a provider's office is assessing a client who has hypertension and takes propranolol.
Which of the following findings should indicate to the nurse that the client is experiencing an
adverse reaction to this medication? - ANSReport of a night cough
A nurse is caring for a client who has a new prescription for total parenteral nutrition (TPN). The
client is to receive 2,000 kcal per day. The TPN solution has 500 kcal/L. The IV pump should be
set at how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if
it applies. Do not use a trailing zero.) - ANS167
X mL/hr = Volume (mL)/Time (hr)
X mL/hr =4000mL/24 hr
X mL/hr = 166.67
Round if necessary. 166.67 = 167 mL/hr
A nurse is caring for a client who is having a seizure. Which of the following interventions is the
nurse's priority? - ANSTurn the client to the side.
A nurse is creating a plan of care for a client who has neutropenia as a result of chemotherapy.
Which of the following interventions should the nurse include in the plan? - ANSMonitor the
client's temperature every 4 hr.
A nurse is planning care for a client who is undergoing brachytherapy via a sealed vaginal
implant to treat endometrial cancer. Which of the following actions should the nurse include in
the client's plan of care? - ANSWear a lead apron while providing care to the client.
A nurse is preparing to administer a unit of packed RBCs to a client. Which of the following
actions should the nurse take? - ANSRemain with the client for the first 15 min of the infusion.
A nurse is preparing a client who has supraventricular tachycardia for elective cardioversion.
Which of the following prescribed medications should the nurse instruct the client to withhold for
48 hr prior to cardioversion? - ANSDigoxin
A nurse is caring for a client who has anorexia, low-grade fever, night sweats, and a productive
cough. Which of the following actions should the nurse take first? - ANSInitiate airborne
precautions.
A nurse in a community clinic is caring for a client who reports an increase in the frequency of
migraine headaches. To help reduce the risk for migraine headaches, which of the following
foods should the nurse recommend the client avoid? - ANSAged cheese
2024 A for NGN answers
A nurse is assessing a client who has had a plaster cast applied to their left leg 2 hr ago. Which
of the following actions should the nurse take? - ANSCheck that one finger fits between the cast
and the leg.
To make sure the cast is not too tight, the nurse should be able to slide one finger under the
cast. It is not uncommon for casts to loosen as swelling subsides, but that should not be an
issue 2 hr after application.
A nurse is providing teaching to a client who has esophageal cancer and is to undergo radiation
therapy. Which of the following statements should the nurse identify as an indication that the
client understands the teaching? - ANS"I will use my hands rather than a washcloth to clean the
radiation area."
The client should gently wash the radiation area with their hands using warm water and mild
soap to protect the skin from further irritation.
A nurse is planning to provide discharge teaching for the family of an older adult client who has
hemianopsia and is at risk for falls. Which of the following instructions should the nurse include?
- ANSRemind the client to scan their complete range of vision during ambulation.
The nurse should instruct the family to remind a client who has hemianopsia, or blindness in half
of the visual field, to use visual scanning to look over their complete range of vision during
ambulation. This practice can accommodate for the loss of vision and help to reduce the risk for
falls.
A nurse has received change-of-shift report for a group of clients. Which of the following clients
should the nurse assess first? - ANSA client who had a myocardial infarction (MI) 4 days ago
and is asking for a PRN sublingual nitroglycerin tablet
A nurse is caring for a client who is postoperative following a total hip arthroplasty. Which of the
following laboratory values should the nurse report to the provider? - ANSHgb 8 g/dL
A nurse in a provider's office is assessing a client who has migraine headaches and is taking
feverfew to prevent headaches. The nurse should identify that which of the following client
medications interacts with feverfew? - ANSNaproxen
An older adult client is brought to an emergency department by a family member. Which of the
following assessment findings should cause the nurse to suspect that the client has hypertonic
dehydration? - ANSUrine specific gravity 1.045
, A nurse is preparing to admit a client who has dysphagia. The nurse should plan to place which
of the following items at the client's bedside? - ANSSuction machine
A nurse in a provider's office is assessing a client who has hypertension and takes propranolol.
Which of the following findings should indicate to the nurse that the client is experiencing an
adverse reaction to this medication? - ANSReport of a night cough
A nurse is caring for a client who has a new prescription for total parenteral nutrition (TPN). The
client is to receive 2,000 kcal per day. The TPN solution has 500 kcal/L. The IV pump should be
set at how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if
it applies. Do not use a trailing zero.) - ANS167
X mL/hr = Volume (mL)/Time (hr)
X mL/hr =4000mL/24 hr
X mL/hr = 166.67
Round if necessary. 166.67 = 167 mL/hr
A nurse is caring for a client who is having a seizure. Which of the following interventions is the
nurse's priority? - ANSTurn the client to the side.
A nurse is creating a plan of care for a client who has neutropenia as a result of chemotherapy.
Which of the following interventions should the nurse include in the plan? - ANSMonitor the
client's temperature every 4 hr.
A nurse is planning care for a client who is undergoing brachytherapy via a sealed vaginal
implant to treat endometrial cancer. Which of the following actions should the nurse include in
the client's plan of care? - ANSWear a lead apron while providing care to the client.
A nurse is preparing to administer a unit of packed RBCs to a client. Which of the following
actions should the nurse take? - ANSRemain with the client for the first 15 min of the infusion.
A nurse is preparing a client who has supraventricular tachycardia for elective cardioversion.
Which of the following prescribed medications should the nurse instruct the client to withhold for
48 hr prior to cardioversion? - ANSDigoxin
A nurse is caring for a client who has anorexia, low-grade fever, night sweats, and a productive
cough. Which of the following actions should the nurse take first? - ANSInitiate airborne
precautions.
A nurse in a community clinic is caring for a client who reports an increase in the frequency of
migraine headaches. To help reduce the risk for migraine headaches, which of the following
foods should the nurse recommend the client avoid? - ANSAged cheese
