RN NGN ADULT MEDICAL SURGICAL ONLINE
PRACTICE 2023 B LATEST QUESTIONS AND
ANSWERS WITH RATIONALES GRADED A+
NEW!!! UPDATE
A nurse is caring for a client who has hepatic encephalopathy that is being
treated with lactulose. The client is experiencing excessive stools. Which of
the following findings is an adverse effect of this medication? - CORRECT
ANSWER>>Hypokalemia
Rationale: Lactulose works by stimulating the production of excess stores
to rid the body of excess ammonia. These excessive stores can result in a
hypo kalemia and dehydration.
A nurse is caring for a client who has emphysema and is receiving
mechanical ventilation. The client appears anxious and restless, and the
high-pressure alarm is sounding. Which of the following actions should the
nurse take first? - CORRECT ANSWER>>Instruct the client to allow the
machine to breathe for them.
Rationale: When providing client care, the nurse should first use the least
restrictive intervention. Therefore, the first action the nurse should take is to
provide verbal instructions in emotional support to help the client relax and
allow the ventilator to work. Clients can exhibit anxiety and restlessness
we're trying to "fight the ventilator."
,A nurse is teaching a client who has a family history of colorectal cancer.
To help mitigate this risk, which of the following dietary alterations should
the nurse recommend? - CORRECT ANSWER>>Add cabbage to the diet.
Rationale: To help reduce the risk for colorectal cancer, the client should
consume a diet that is high in fiber, low in fat, and low in refined
carbohydrates. Brassica vegetables, such as cabbage, cauliflower, and
broccoli, are all high in fiber.
A home health nurse is assigned to a client who was recently discharged
from a rehabilitation center after experiencing a right-hemispheric stroke.
Which of the following neurologic deficits should the nurse expect to find
when assessing the client? (Select all that apply.) - CORRECT
ANSWER>>Visual spatial deficits, Left hemianopsia, One-sided neglect.
Rationale: Visual spatial deficits and loss of depth perception occur
secondary to a right hemispheric stroke. Left hemianopsia, or blindness in
the left half of the visual field, occur secondary to right hemispheric stroke.
One-sided neglect, or in unawareness of the affected side, occur
secondary to a right hemispheric stroke.
A nurse is caring for a client who has viral pneumonia. The client's pulse
oximeter readings have fluctuated between 79% and 88% for the last 30
min. Which of the following oxygen delivery systems should the nurse
initiate to provide the highest concentration of oxygen? - CORRECT
ANSWER>>Nonrebreather mask
, Rationale: The nurse should initiate a nonrebreather mask to deliver
between 80% to 95% oxygen to the client. A client who has an unstable
respiratory status should receive oxygen via non-rebreather mask.
A nurse is caring for a client who has bilateral pneumonia and an SaO2 of
85%. The client has dyspnea with a productive cough and is using
accessory muscles to breathe. Which of the following actions should the
nurse take first? - CORRECT ANSWER>>Place the client in high-Fowler's
position.
Rationale: the greatest risk to this client is injury from airway obstruction.
Therefore, their priority intervention the nurse should take us to move the
client into high Fowlers position. High Fowlers position facilitate long
expansion and improves been elation and gas exchange
A nurse is planning care for a client who has extensive burn injuries and is
immunocompromised. Which of the following precautions should the nurse
include in the plan of care to prevent a Pseudomonas aeruginosa infection?
- CORRECT ANSWER>>Avoid placing plants or flowers in the client's
room.
Rationale: live plants can harbor P. Aeruginosa, And this bacterium can
infect burn moons and cause life-threatening complications. The nurse
should ensure no one brings live plants or flowers into the clients room.
An older adult client is brought to an emergency department by a family
member. Which of the following assessment findings should cause the
PRACTICE 2023 B LATEST QUESTIONS AND
ANSWERS WITH RATIONALES GRADED A+
NEW!!! UPDATE
A nurse is caring for a client who has hepatic encephalopathy that is being
treated with lactulose. The client is experiencing excessive stools. Which of
the following findings is an adverse effect of this medication? - CORRECT
ANSWER>>Hypokalemia
Rationale: Lactulose works by stimulating the production of excess stores
to rid the body of excess ammonia. These excessive stores can result in a
hypo kalemia and dehydration.
A nurse is caring for a client who has emphysema and is receiving
mechanical ventilation. The client appears anxious and restless, and the
high-pressure alarm is sounding. Which of the following actions should the
nurse take first? - CORRECT ANSWER>>Instruct the client to allow the
machine to breathe for them.
Rationale: When providing client care, the nurse should first use the least
restrictive intervention. Therefore, the first action the nurse should take is to
provide verbal instructions in emotional support to help the client relax and
allow the ventilator to work. Clients can exhibit anxiety and restlessness
we're trying to "fight the ventilator."
,A nurse is teaching a client who has a family history of colorectal cancer.
To help mitigate this risk, which of the following dietary alterations should
the nurse recommend? - CORRECT ANSWER>>Add cabbage to the diet.
Rationale: To help reduce the risk for colorectal cancer, the client should
consume a diet that is high in fiber, low in fat, and low in refined
carbohydrates. Brassica vegetables, such as cabbage, cauliflower, and
broccoli, are all high in fiber.
A home health nurse is assigned to a client who was recently discharged
from a rehabilitation center after experiencing a right-hemispheric stroke.
Which of the following neurologic deficits should the nurse expect to find
when assessing the client? (Select all that apply.) - CORRECT
ANSWER>>Visual spatial deficits, Left hemianopsia, One-sided neglect.
Rationale: Visual spatial deficits and loss of depth perception occur
secondary to a right hemispheric stroke. Left hemianopsia, or blindness in
the left half of the visual field, occur secondary to right hemispheric stroke.
One-sided neglect, or in unawareness of the affected side, occur
secondary to a right hemispheric stroke.
A nurse is caring for a client who has viral pneumonia. The client's pulse
oximeter readings have fluctuated between 79% and 88% for the last 30
min. Which of the following oxygen delivery systems should the nurse
initiate to provide the highest concentration of oxygen? - CORRECT
ANSWER>>Nonrebreather mask
, Rationale: The nurse should initiate a nonrebreather mask to deliver
between 80% to 95% oxygen to the client. A client who has an unstable
respiratory status should receive oxygen via non-rebreather mask.
A nurse is caring for a client who has bilateral pneumonia and an SaO2 of
85%. The client has dyspnea with a productive cough and is using
accessory muscles to breathe. Which of the following actions should the
nurse take first? - CORRECT ANSWER>>Place the client in high-Fowler's
position.
Rationale: the greatest risk to this client is injury from airway obstruction.
Therefore, their priority intervention the nurse should take us to move the
client into high Fowlers position. High Fowlers position facilitate long
expansion and improves been elation and gas exchange
A nurse is planning care for a client who has extensive burn injuries and is
immunocompromised. Which of the following precautions should the nurse
include in the plan of care to prevent a Pseudomonas aeruginosa infection?
- CORRECT ANSWER>>Avoid placing plants or flowers in the client's
room.
Rationale: live plants can harbor P. Aeruginosa, And this bacterium can
infect burn moons and cause life-threatening complications. The nurse
should ensure no one brings live plants or flowers into the clients room.
An older adult client is brought to an emergency department by a family
member. Which of the following assessment findings should cause the
