RN ADULT MEDICAL
SURGICAL ONLINE
PRACTICE 2024 NGN
TEST QUESTIONS WITH
ANSWERS
NGN
1000:
Clientvisvalertvandvorientedvandvreportsvnotvfeelingvwellvforvavfewvdays.vClientvisvonvc
ontinuousvambulatoryvperitonealvdialysisv(CAPD)vandvreportsvdialysatevappearedvcl
oudyvthisvmorning.
Reportsvabdominalvpainvasv4vonvavscalevofv0vtov10.
, Bowelvsoundsvactivevinvallvquadrants.
Peritonealvdialysisvaccessvsitevred,vwarmvtovtouch,vwithvavsmallvamountvofvpurulentv
drainagevnotedvonvdressing.1300:
Clientvisvlyingvinvbedvwithvthevkneesvflexed,vguardingvthevabdomen.vAbdomenvisvslig
htlyvdistended,vhypoactivevbowelvsounds.vClientvreportsvnausea.vReportsvpainvasv6v
onvavscalevofv0vtov10.vProvidervnotifiedvandvupdatedvwithvclientvconditionvandvdiagn
osticvresults.v-vcorrectvanswer-Thevclientvisvexperiencingvmanifestationsvofv
peritonitis
duevtov
x-rayvresults
.
NGN
Clientvadmittedvtovmedical-
surgicalvunitvfromvPACU.vClientvreportsvincisionalvpainvasv2vonvavscalevofv0vtov10.vC
lientvappearsvrestlessvandvfrequentlyvasksvforvwater.vBilateralvlowervextremitiesvcoolv
withv+1vpedalvpulses.vUrinevoutputvisv40vmLvforvthevpastv2vhr.vModeratevamountvofv
brightvredvdrainagevnotedvonvsurgicalvincisionvdressing.v-vcorrectvanswer-
Insertvavlarge-gaugevIV.
Initiatevavfluidvchallenge.
Hypovolemia
Urinevoutput
Bloodvpressure
Avnursevisvcaringvforvavclientvwhovhasvavpotassiumvlevelvofv3vmEq/L.vWhichvofvthevf
ollowingvassessmentvfindingsvshouldvthevnursevexpect?v-vcorrectvanswer-
HypoactivevBowelvSounds
NGN
0900:
Clientvpresentsvwithvabdominalvpainvinvthevuppervleftvquadrantvforvthevpastv2vdays.v
Statesvpainvbecamevworsevthisvmorningvandvisvradiatingvtovthevback.vRatesvpainvasv
8vonvavscalevofv0vtov10.
Hypoactivevbowelvsounds;vreportsvnausea,vnovvomiting;vclientvisvpassingvflatus.
Febrile,vorientedvtovperson,vplace,vandvtime.
Tachypneavwithvdiminishedvbreathvsounds.
Sinusvtachycardia.
Clientvvoidsv300vmLvofvclear,vambervurine.
0930:
Clientvvomitedv100vmLvbrownvliquid.v-vcorrectvanswer-
Thevclientvisvexperiencingvmanifestationsvofv
pancreatitis
asvevidencedvbyvthev
amylasevandvlipase
.
0530:
Clientvisvawakevandvalert.
SURGICAL ONLINE
PRACTICE 2024 NGN
TEST QUESTIONS WITH
ANSWERS
NGN
1000:
Clientvisvalertvandvorientedvandvreportsvnotvfeelingvwellvforvavfewvdays.vClientvisvonvc
ontinuousvambulatoryvperitonealvdialysisv(CAPD)vandvreportsvdialysatevappearedvcl
oudyvthisvmorning.
Reportsvabdominalvpainvasv4vonvavscalevofv0vtov10.
, Bowelvsoundsvactivevinvallvquadrants.
Peritonealvdialysisvaccessvsitevred,vwarmvtovtouch,vwithvavsmallvamountvofvpurulentv
drainagevnotedvonvdressing.1300:
Clientvisvlyingvinvbedvwithvthevkneesvflexed,vguardingvthevabdomen.vAbdomenvisvslig
htlyvdistended,vhypoactivevbowelvsounds.vClientvreportsvnausea.vReportsvpainvasv6v
onvavscalevofv0vtov10.vProvidervnotifiedvandvupdatedvwithvclientvconditionvandvdiagn
osticvresults.v-vcorrectvanswer-Thevclientvisvexperiencingvmanifestationsvofv
peritonitis
duevtov
x-rayvresults
.
NGN
Clientvadmittedvtovmedical-
surgicalvunitvfromvPACU.vClientvreportsvincisionalvpainvasv2vonvavscalevofv0vtov10.vC
lientvappearsvrestlessvandvfrequentlyvasksvforvwater.vBilateralvlowervextremitiesvcoolv
withv+1vpedalvpulses.vUrinevoutputvisv40vmLvforvthevpastv2vhr.vModeratevamountvofv
brightvredvdrainagevnotedvonvsurgicalvincisionvdressing.v-vcorrectvanswer-
Insertvavlarge-gaugevIV.
Initiatevavfluidvchallenge.
Hypovolemia
Urinevoutput
Bloodvpressure
Avnursevisvcaringvforvavclientvwhovhasvavpotassiumvlevelvofv3vmEq/L.vWhichvofvthevf
ollowingvassessmentvfindingsvshouldvthevnursevexpect?v-vcorrectvanswer-
HypoactivevBowelvSounds
NGN
0900:
Clientvpresentsvwithvabdominalvpainvinvthevuppervleftvquadrantvforvthevpastv2vdays.v
Statesvpainvbecamevworsevthisvmorningvandvisvradiatingvtovthevback.vRatesvpainvasv
8vonvavscalevofv0vtov10.
Hypoactivevbowelvsounds;vreportsvnausea,vnovvomiting;vclientvisvpassingvflatus.
Febrile,vorientedvtovperson,vplace,vandvtime.
Tachypneavwithvdiminishedvbreathvsounds.
Sinusvtachycardia.
Clientvvoidsv300vmLvofvclear,vambervurine.
0930:
Clientvvomitedv100vmLvbrownvliquid.v-vcorrectvanswer-
Thevclientvisvexperiencingvmanifestationsvofv
pancreatitis
asvevidencedvbyvthev
amylasevandvlipase
.
0530:
Clientvisvawakevandvalert.