PN ADULT MEDICAL SURGICAL 2023 WITH NGN questions and correct
answers Top score 100% success
A charge nurse is observing a newly licensed nurse care for a client
who is at risk for falls. Which of the following findings should the
nurse identify as a risk factor for falls?
a) Instructs the client to wear their own socks to
the bathroom
b) Keeps the client's bed in the low position
c) Positions the bedside table close to the client
d) Attaches the call light to the side rail of the
client's bed - CORRECT ANSWER-A. Instructs the client to wear their
own socks to the
bathroom
A nurse in a long-term care facility is providing care for a client who
has Alzheimer's disease and is
agitated. Which of the following interventions should the nurse
implement?
a) Encourage the client to ambulate with a staff member.
b) Isolate the client in their room.
c) Apply bilateral wrist restraints to the client.
d) Administer a prescribed oral dose of trazodone to the client. -
CORRECT ANSWER-A. Encourage the client to ambulate with a staff
member.
,A nurse is reinforcing teaching with a client who is to begin taking
lansoprazole. Which of the following statements by the client
indicates an understanding of the teaching?
a) "I should chew the capsule thoroughly."
b) "I should report episodes of diarrhea."
c) "I should take the medication following a meal."
d) "I should expect the medication to cause indigestion." - CORRECT
ANSWER-B. "I should report episodes of diarrhea."
An occupational health nurse is interpreting the results of a tuberculin
skin test for a group of clients
who received the test 48 hr ago. Which of the following clients should
the nurse identify as having a positive test result?
a) A client whose injection site has an elevated area measuring 15 mm
(0.6 in)
b) A client who injection site is scabbed
c) A client whose injection site is firm and measures 3 mm (0.1 in)
d) A client whose injection site is ecchymotic - CORRECT ANSWER-A. A
client whose injection site has an elevated area
measuring 15 mm (0.6 in)
A nurse is performing tracheostomy care for a client who has a chronic
tracheostomy. Which of the following actions should the nurse take?
,a) Suction the client for 20 seconds with each pass.
b) Apply suction pressure while inserting the catheter into the
trachea.
c) Sanitize around the stoma with
povidone-iodine.
d) Allow space for one finger to be placed under the tube ties. -
CORRECT ANSWER-D. Allow space for one finger to be placed under
the
tube ties.
A nurse is collecting data from a client who has gastroenteritis with
diarrhea and vomiting. Which of the following laboratory values
should alert the nurse that the client is at risk for fluid volume deficit?
a) Hematocrit 56 mg/dL
b) Creatinine 1.1 mg/dL
c) Sodium 140 mEq/L
d) Potassium 4.5 mEq/L - CORRECT ANSWER-A. Hematocrit 56 mg/dL
A nurse is caring for a client who is taking lithium
and reports persistent nausea and vomiting for 2
days. Which of the following laboratory values should
the nurse report to the provider?
a) Potassium 4.0 mEq/L
, b) Lithium 0.9 mEq/L
c) BUN 12 mg/dL
d) Sodium 132 mEq/L - CORRECT ANSWER-D. Sodium 132 mEq/L
A nurse is caring for a client who has cancer and has
a WBC count of 4,000/mm3. Which of the following
actions should the nurse take?
a) Cleanse the client's toothbrush with hydrogen
peroxide.
b) Instruct the client to use a disposable razor to
shave.
c) Decrease the client's protein intake.
d) Encourage the client to eat unpasteurized
dairy products. - CORRECT ANSWER-A. Cleanse the client's toothbrush
with hydrogen
peroxide.
A nurse enters a client's room and sees smoke coming from the
bathroom. Which of the following
actions should the nurse take first?
a) Activate the fire alarm system.
b) Use a fire extinguisher at the source of the
smoke.
answers Top score 100% success
A charge nurse is observing a newly licensed nurse care for a client
who is at risk for falls. Which of the following findings should the
nurse identify as a risk factor for falls?
a) Instructs the client to wear their own socks to
the bathroom
b) Keeps the client's bed in the low position
c) Positions the bedside table close to the client
d) Attaches the call light to the side rail of the
client's bed - CORRECT ANSWER-A. Instructs the client to wear their
own socks to the
bathroom
A nurse in a long-term care facility is providing care for a client who
has Alzheimer's disease and is
agitated. Which of the following interventions should the nurse
implement?
a) Encourage the client to ambulate with a staff member.
b) Isolate the client in their room.
c) Apply bilateral wrist restraints to the client.
d) Administer a prescribed oral dose of trazodone to the client. -
CORRECT ANSWER-A. Encourage the client to ambulate with a staff
member.
,A nurse is reinforcing teaching with a client who is to begin taking
lansoprazole. Which of the following statements by the client
indicates an understanding of the teaching?
a) "I should chew the capsule thoroughly."
b) "I should report episodes of diarrhea."
c) "I should take the medication following a meal."
d) "I should expect the medication to cause indigestion." - CORRECT
ANSWER-B. "I should report episodes of diarrhea."
An occupational health nurse is interpreting the results of a tuberculin
skin test for a group of clients
who received the test 48 hr ago. Which of the following clients should
the nurse identify as having a positive test result?
a) A client whose injection site has an elevated area measuring 15 mm
(0.6 in)
b) A client who injection site is scabbed
c) A client whose injection site is firm and measures 3 mm (0.1 in)
d) A client whose injection site is ecchymotic - CORRECT ANSWER-A. A
client whose injection site has an elevated area
measuring 15 mm (0.6 in)
A nurse is performing tracheostomy care for a client who has a chronic
tracheostomy. Which of the following actions should the nurse take?
,a) Suction the client for 20 seconds with each pass.
b) Apply suction pressure while inserting the catheter into the
trachea.
c) Sanitize around the stoma with
povidone-iodine.
d) Allow space for one finger to be placed under the tube ties. -
CORRECT ANSWER-D. Allow space for one finger to be placed under
the
tube ties.
A nurse is collecting data from a client who has gastroenteritis with
diarrhea and vomiting. Which of the following laboratory values
should alert the nurse that the client is at risk for fluid volume deficit?
a) Hematocrit 56 mg/dL
b) Creatinine 1.1 mg/dL
c) Sodium 140 mEq/L
d) Potassium 4.5 mEq/L - CORRECT ANSWER-A. Hematocrit 56 mg/dL
A nurse is caring for a client who is taking lithium
and reports persistent nausea and vomiting for 2
days. Which of the following laboratory values should
the nurse report to the provider?
a) Potassium 4.0 mEq/L
, b) Lithium 0.9 mEq/L
c) BUN 12 mg/dL
d) Sodium 132 mEq/L - CORRECT ANSWER-D. Sodium 132 mEq/L
A nurse is caring for a client who has cancer and has
a WBC count of 4,000/mm3. Which of the following
actions should the nurse take?
a) Cleanse the client's toothbrush with hydrogen
peroxide.
b) Instruct the client to use a disposable razor to
shave.
c) Decrease the client's protein intake.
d) Encourage the client to eat unpasteurized
dairy products. - CORRECT ANSWER-A. Cleanse the client's toothbrush
with hydrogen
peroxide.
A nurse enters a client's room and sees smoke coming from the
bathroom. Which of the following
actions should the nurse take first?
a) Activate the fire alarm system.
b) Use a fire extinguisher at the source of the
smoke.
