PN Adult Medical Surgical Online
Practice 2023 A
.Aknursekiskassistingkwithkthekcarekofkakclientkwhokhaskprostatekcancer.kThekclientkaskskthek
nursekwhyktheykarekhavingkdifficultykwithkurination.kWhichkofkthekfollowingkresponseskshoul
dktheknursekmake?k-kcorrectkanswer--
"Thektumorkcauseskobstructionkofkurinekfromkthekurethra."
Akhomekhealthknursekiskreinforcingkteachingkwithkakclientkaboutkpreventingkcomplicationsko
fkperipheralkvascularkdisease.kWhichkofkthekfollowingkstatementskindicateskthatkthekclientkisk
adheringktoktheknurse'skinstructions?k-kcorrectkanswer--"Ikdon'tkcrosskmyklegskanymore."
Aknursekinkakhealthkclinickiskreinforcingkteachingkwithkakclientkaboutktuberculosisk(TB).kWhic
hkofkthekfollowingkclientkstatementskindicateskankunderstandingkofkthekteaching?k-
kcorrectkanswer--"IkcankdevelopkTBkbykbreathingkinkthekinfection."
AknursekinkankoncologykclinickiskreinforcingkteachingkaboutkMohsksurgerykwithkakclientkwhok
haskskinkcancer.kWhichkofkthekfollowingkinformationkshouldktheknursekincludekinkthekteachin
g?k-kcorrectkanswer--Mohsksurgerykiskakhorizontalkshavingkofkthinklayerskofkthektumor.
Aknursekinkankorthopedickclinickiskreinforcingkteachingkwithkakclientkwhokhaskosteoarthritis.k
Whichkofkthekfollowingkinstructionskshouldktheknursekincludektokpromotekcomfort?k-
kcorrectkanswer--Sleepkonkakfirmkmattress.
AknursekiskassistingkinkthekcarekofkakclientkwhokhaskAIDS-
relatedkpneumonia.kThekclientkiskreceivingkantibioticktherapykandkalbuterolknebulizerktreat
mentskdaily.kWhichkofkthekfollowingkfindingskshouldkindicatektoktheknursekthatkthekclient'skth
erapeutickregimenkiskeffective?k-kcorrectkanswer--Decreasekinkexertionalkdyspnea
Aknursekiskassistingkinkthekcarekofkakclientkwhokiskexperiencingkwithdrawalkfromkheroin.kWhi
chkofkthekfollowingkmedicationskshouldktheknursekexpectkthekproviderktokprescribe?k-
kcorrectkanswer--Methadone
Aknursekiskassistingkinkthekcarekofkakclientkwhokiskreceivingkakcontinuousktubekfeedingkofk60k
mL/hrkatk1.2kcal/mL.kHowkmanykcalorieskwillkthekclientkreceivekink12khr?k(Roundkthekanswer
ktoktheknearestkwholeknumber.kUsekakleadingkzerokifkitkapplies.kDoknotkusekaktrailingkzero.)k-
kcorrectkanswer--864kcal
Aknursekiskassistingkwithkmonitoringkakclientkwhokiskreceivingkdialysisktreatment.
Exhibitk1
Nurses'kNotes
, 0530:Clientkiskawakekandkalert.kArteriovenouskfistulak(AVF)ktokrightkforearmkwithkthrillkpalpa
tedkandkauscultatedkforkbruit.kBreathksoundskarekclearkuponkauscultation;kclientkdeniesksho
rtnesskofkbreath.kNokperipheralkedemaknoted;kcapillarykrefillkisklesskthank3kseconds;k+2kbilat
eralkpedalkandkradialkpulses.AVFkaccesskpreparedkandkcannulatedktwicekwithknokdifficulty.k
Lineskarektapedkandksecured;ktreatmentkiskinitiated.0600:Clientkiskreadingkakbook.kAccesski
skvisible,kandklineskareksecure.kClientkreportsknokdiscomfortkorkpain.0630:Clientkreportskfeel
ingkwarm,knauseated,kandklightheaded;kappearskrestlesskandkslightlykconfused.
Exhibitk2
VitalkSigns
0530:Currentkweightk88kkgk(194klb)Temperaturek37°kCk(98.6°kF)Bloodkpressure•kLyingk-
k152/92kmmkHg•kSittingk-k148/90kmmkHg•kStandingk-
k144/88kmmkHgHeartkratek90/minRespirk-kcorrectkanswer--
Forkeachkpotentialknursingkintervention,kclickktokspecifykifkthekinterventionkiskindicatedkorkno
tkindicated.
NursingkIntervention
Requestkakchestkx-rayk-knotkindicated
PlacekthekclientkinkreversekTrendelenburgkpositionk-kindicated
Assistkwithkadministeringkak0.9%ksodiumkchloridek200kmLkIVkbolusk-kindicated
Applykoxygenkatk2kL/minkviaknasalkcannulak-kindicated
Notifykthekchargeknursekimmediatelyk-kindicated
Obtainkthekclient'skbloodkglucoseklevelk-knotkindicated
Aknursekiskassistingkwithkthekcarekforkakclientkfollowingkakgastrectomy.kWhichkofkthekfollowin
gkactionskshouldktheknursektakektokdecreasekepisodeskofkdumpingksyndrome?k-
kcorrectkanswer--Placekthekclientkinktheksupinekpositionkafterkmeals.
Aknursekiskassistingkwithkthekcarekforkakclientkwhokbeginsktokhavekakseizurekwhilekambulatin
gkinkthekhall.kIdentifyktheksequencekofkactionsktheknursekshouldkfollow.k(Movekthekstepskintok
thekboxkonkthekright,kplacingkthemkinkthekorderkofkperformance.kUsekallktheksteps.)k-
kcorrectkanswer--Lowerkclientktokthekfloor.
Placekakpadkbeneathkthekclient'skhead.
Loosenkthekclothingkaroundkthekclient'skneck.
Timektheklengthkofkthekclient'skseizure.
Reorientkandkreassurekthekclient.
Aknursekiskassistingkwithkthekcarekforkakclientkwhokhaskakhistorykofkbreastkcancer.kThekclientk
asksktheknursekaboutkbirthkcontrol.kWhichkofkthekfollowingkmethodskofkbirthkcontrolkiskcontra
indicatedkforkthiskclient?k-kcorrectkanswer--Combinationkoralkcontraceptives
Aknursekiskassistingkwithkthekcarekforkakclientkwhokhaskakprescriptionkforkdigoxink0.25kmgkPO
kdaily.kWhilektakingkthekclient'skapicalkpulse,ktheknurseknoteskakratekofk58/min.kWhichkofkthekf
ollowingkactionskshouldktheknursektake?k-kcorrectkanswer--Withholdkthekdose.
Practice 2023 A
.Aknursekiskassistingkwithkthekcarekofkakclientkwhokhaskprostatekcancer.kThekclientkaskskthek
nursekwhyktheykarekhavingkdifficultykwithkurination.kWhichkofkthekfollowingkresponseskshoul
dktheknursekmake?k-kcorrectkanswer--
"Thektumorkcauseskobstructionkofkurinekfromkthekurethra."
Akhomekhealthknursekiskreinforcingkteachingkwithkakclientkaboutkpreventingkcomplicationsko
fkperipheralkvascularkdisease.kWhichkofkthekfollowingkstatementskindicateskthatkthekclientkisk
adheringktoktheknurse'skinstructions?k-kcorrectkanswer--"Ikdon'tkcrosskmyklegskanymore."
Aknursekinkakhealthkclinickiskreinforcingkteachingkwithkakclientkaboutktuberculosisk(TB).kWhic
hkofkthekfollowingkclientkstatementskindicateskankunderstandingkofkthekteaching?k-
kcorrectkanswer--"IkcankdevelopkTBkbykbreathingkinkthekinfection."
AknursekinkankoncologykclinickiskreinforcingkteachingkaboutkMohsksurgerykwithkakclientkwhok
haskskinkcancer.kWhichkofkthekfollowingkinformationkshouldktheknursekincludekinkthekteachin
g?k-kcorrectkanswer--Mohsksurgerykiskakhorizontalkshavingkofkthinklayerskofkthektumor.
Aknursekinkankorthopedickclinickiskreinforcingkteachingkwithkakclientkwhokhaskosteoarthritis.k
Whichkofkthekfollowingkinstructionskshouldktheknursekincludektokpromotekcomfort?k-
kcorrectkanswer--Sleepkonkakfirmkmattress.
AknursekiskassistingkinkthekcarekofkakclientkwhokhaskAIDS-
relatedkpneumonia.kThekclientkiskreceivingkantibioticktherapykandkalbuterolknebulizerktreat
mentskdaily.kWhichkofkthekfollowingkfindingskshouldkindicatektoktheknursekthatkthekclient'skth
erapeutickregimenkiskeffective?k-kcorrectkanswer--Decreasekinkexertionalkdyspnea
Aknursekiskassistingkinkthekcarekofkakclientkwhokiskexperiencingkwithdrawalkfromkheroin.kWhi
chkofkthekfollowingkmedicationskshouldktheknursekexpectkthekproviderktokprescribe?k-
kcorrectkanswer--Methadone
Aknursekiskassistingkinkthekcarekofkakclientkwhokiskreceivingkakcontinuousktubekfeedingkofk60k
mL/hrkatk1.2kcal/mL.kHowkmanykcalorieskwillkthekclientkreceivekink12khr?k(Roundkthekanswer
ktoktheknearestkwholeknumber.kUsekakleadingkzerokifkitkapplies.kDoknotkusekaktrailingkzero.)k-
kcorrectkanswer--864kcal
Aknursekiskassistingkwithkmonitoringkakclientkwhokiskreceivingkdialysisktreatment.
Exhibitk1
Nurses'kNotes
, 0530:Clientkiskawakekandkalert.kArteriovenouskfistulak(AVF)ktokrightkforearmkwithkthrillkpalpa
tedkandkauscultatedkforkbruit.kBreathksoundskarekclearkuponkauscultation;kclientkdeniesksho
rtnesskofkbreath.kNokperipheralkedemaknoted;kcapillarykrefillkisklesskthank3kseconds;k+2kbilat
eralkpedalkandkradialkpulses.AVFkaccesskpreparedkandkcannulatedktwicekwithknokdifficulty.k
Lineskarektapedkandksecured;ktreatmentkiskinitiated.0600:Clientkiskreadingkakbook.kAccesski
skvisible,kandklineskareksecure.kClientkreportsknokdiscomfortkorkpain.0630:Clientkreportskfeel
ingkwarm,knauseated,kandklightheaded;kappearskrestlesskandkslightlykconfused.
Exhibitk2
VitalkSigns
0530:Currentkweightk88kkgk(194klb)Temperaturek37°kCk(98.6°kF)Bloodkpressure•kLyingk-
k152/92kmmkHg•kSittingk-k148/90kmmkHg•kStandingk-
k144/88kmmkHgHeartkratek90/minRespirk-kcorrectkanswer--
Forkeachkpotentialknursingkintervention,kclickktokspecifykifkthekinterventionkiskindicatedkorkno
tkindicated.
NursingkIntervention
Requestkakchestkx-rayk-knotkindicated
PlacekthekclientkinkreversekTrendelenburgkpositionk-kindicated
Assistkwithkadministeringkak0.9%ksodiumkchloridek200kmLkIVkbolusk-kindicated
Applykoxygenkatk2kL/minkviaknasalkcannulak-kindicated
Notifykthekchargeknursekimmediatelyk-kindicated
Obtainkthekclient'skbloodkglucoseklevelk-knotkindicated
Aknursekiskassistingkwithkthekcarekforkakclientkfollowingkakgastrectomy.kWhichkofkthekfollowin
gkactionskshouldktheknursektakektokdecreasekepisodeskofkdumpingksyndrome?k-
kcorrectkanswer--Placekthekclientkinktheksupinekpositionkafterkmeals.
Aknursekiskassistingkwithkthekcarekforkakclientkwhokbeginsktokhavekakseizurekwhilekambulatin
gkinkthekhall.kIdentifyktheksequencekofkactionsktheknursekshouldkfollow.k(Movekthekstepskintok
thekboxkonkthekright,kplacingkthemkinkthekorderkofkperformance.kUsekallktheksteps.)k-
kcorrectkanswer--Lowerkclientktokthekfloor.
Placekakpadkbeneathkthekclient'skhead.
Loosenkthekclothingkaroundkthekclient'skneck.
Timektheklengthkofkthekclient'skseizure.
Reorientkandkreassurekthekclient.
Aknursekiskassistingkwithkthekcarekforkakclientkwhokhaskakhistorykofkbreastkcancer.kThekclientk
asksktheknursekaboutkbirthkcontrol.kWhichkofkthekfollowingkmethodskofkbirthkcontrolkiskcontra
indicatedkforkthiskclient?k-kcorrectkanswer--Combinationkoralkcontraceptives
Aknursekiskassistingkwithkthekcarekforkakclientkwhokhaskakprescriptionkforkdigoxink0.25kmgkPO
kdaily.kWhilektakingkthekclient'skapicalkpulse,ktheknurseknoteskakratekofk58/min.kWhichkofkthekf
ollowingkactionskshouldktheknursektake?k-kcorrectkanswer--Withholdkthekdose.
