PN ADULT MEDICAL SURGICAL ONLINE
t t t t
t PRACTICE 2020 B QUESTIONS AND ANSWERS
t t t t t
A tnurse tis tassisting twith tthe tdevelopment tof ta tplan tof tcare tto tmanage
tpain tfor ta tclient twho thas therpes tzoster twith tlesions ton tthe tlower
textremities. tWhich tof tthe tfollowing tinterventions tshould tthe tnurse
tinclude tin tthe tplan tof tcare?
Keep tbed tlinens to tof tthe taffected tareas.
Position ta theat tlamp tover tthe tlower textremities.
Apply twarm, tmoist tcompresses tto tthe taffected tareas.
Initiate tdroplet tisolation tprecautions. t t t t t t t t tANS: t✔- tKeep tbed tlinens to
tof tthe taffected tareas.
A tnurse tin tan torthopedic tclinic tis treinforcing tteaching twith ta tclient
twho thas tosteoarthritis. tWhich tof tthe tfollowing tinstructions tshould tthe
tnurse tinclude tto tpromote tcomfort? t
,Sleep ton ta tfirm tmattress. t
Try tjogging tin tplace twhen tjoints tfeel tstiff. t
Use ta tsoft tchair tor trecliner tfor tsitting. t
Apply tice tpacks tto tpainful tjoints t t t t t t t t tANS: t✔- tSleep ton ta tfirm
tmattress.
A tnurse tis tcaring tfor ta tclient twho thas tan tintestinal tobstruction tand
treports ta tnew tonset tof tnausea. tThe tclient thas tan tNG ttube tset tat tlow
tintermittent tsuction tand tis treceiving tcontinuous tIV tinfusion tof t0.9%
tsodium tchloride. tWhich tof tthe tfollowing tactions tshould tthe tnurse ttake
tfirst? t
Check tfor tkinks tin tthe tNG ttube. t
Increase tthe tIV tuid trate. t
Provide tice tchips. t
Administer tan tantiemetic t t t t t t t t tANS: t✔- tCheck tfor tkinks tin tthe tNG
ttube.
A tnurse tis tassisting tin tthe tcare tof ta tclient twho thas tAIDS-related
tpneumonia. tThe tclient tis treceiving tantibiotic ttherapy tand talbuterol
tnebulizer ttreatments tdaily. tWhich tof tthe tfollowing tfindings tshould
tindicate tto tthe tnurse tthat tthe tclient's ttherapeutic tregimen tis teffective?
t
,Adventitious tlung tsounds t
Decrease tin texertional tdyspnea t
Respiratory trate tof t26/min twhile tsitting tin ta tchair t
Elevation tof tthe thead tof tthe tbed tis trequired tto tsleep t t t t t t t t tANS: t✔-
tDecrease tin texertional tdyspnea
A tnurse tis tcaring tfor ta tclient twho tis tin tBuck's ttraction tfor ta tfractured
thip. tThe tclient treports tincreased tpain tat tthe tsite tof tthe tfracture.
tWhich tof tthe tfollowing tactions tshould tthe tnurse ttake? t
Massage tthe tarea. t
Remove tthe tweights. t
Loosen tthe tropes. t
Reposition tthe tclient t t t t t t t t tANS: t✔- tReposition tthe tclient
A tnurse tis tcaring tfor ta tclient twho tbegins tto thave ta tseizure twhile
tambulating tin tthe thall. tIdentify tthe tsequence tof tactions tthe tnurse
tshould tfollow. t(Move tthe tsteps tinto tthe tbox ton tthe tright, tplacing tthem
tin tthe torder tof tperformance. tUse tall tthe tsteps.) t
Lower tthe tclient tto tthe tfloor. t
, Loosen tthe tclothing taround tthe tclient's tneck. t
Place ta tpad tbeneath tthe tclient's thead. t
Time tthe tlength tof tthe tclient's tseizure. t
Reorient tand treassure tthe tclient. t t t t t t t t tANS: t✔- tLower tthe tclient tto tthe
tfloor. t
Place ta tpad tbeneath tthe tclient's thead. t
Loosen tthe tclothing taround tthe tclient's tneck. t
Time tthe tlength tof tthe tclient's tseizure. t
Reorient tand treassure tthe tclient.
A tnurse tis treinforcing tteaching twith ta tclient twho thas tdiabetes tmellitus
tand ta tnew tprescription tfor tregular tand tNPH tinsulin. tWhich tof tthe
tfollowing tinstructions ton tpreparing tthe tinsulins tshould tthe tnurse
tinclude?
Withdraw tboth ttypes tof tinsulin tand tthen tadd t0.2 tmL tof tair tto tthe
tsyringe
Gently tshake tthe tNPH tinsulin tprior tto twithdrawing tthe tdose.
Withdraw tthe tregular tinsulin tbefore twithdrawing tthe tNPH tinsulin.
Inject tair tinto tthe tNPH tvial tafter twithdrawing tregular tinsulin. t t t t t t t t
tANS: t✔- tWithdraw tthe tregular tinsulin tbefore twithdrawing tthe tNPH
tinsulin.
t t t t
t PRACTICE 2020 B QUESTIONS AND ANSWERS
t t t t t
A tnurse tis tassisting twith tthe tdevelopment tof ta tplan tof tcare tto tmanage
tpain tfor ta tclient twho thas therpes tzoster twith tlesions ton tthe tlower
textremities. tWhich tof tthe tfollowing tinterventions tshould tthe tnurse
tinclude tin tthe tplan tof tcare?
Keep tbed tlinens to tof tthe taffected tareas.
Position ta theat tlamp tover tthe tlower textremities.
Apply twarm, tmoist tcompresses tto tthe taffected tareas.
Initiate tdroplet tisolation tprecautions. t t t t t t t t tANS: t✔- tKeep tbed tlinens to
tof tthe taffected tareas.
A tnurse tin tan torthopedic tclinic tis treinforcing tteaching twith ta tclient
twho thas tosteoarthritis. tWhich tof tthe tfollowing tinstructions tshould tthe
tnurse tinclude tto tpromote tcomfort? t
,Sleep ton ta tfirm tmattress. t
Try tjogging tin tplace twhen tjoints tfeel tstiff. t
Use ta tsoft tchair tor trecliner tfor tsitting. t
Apply tice tpacks tto tpainful tjoints t t t t t t t t tANS: t✔- tSleep ton ta tfirm
tmattress.
A tnurse tis tcaring tfor ta tclient twho thas tan tintestinal tobstruction tand
treports ta tnew tonset tof tnausea. tThe tclient thas tan tNG ttube tset tat tlow
tintermittent tsuction tand tis treceiving tcontinuous tIV tinfusion tof t0.9%
tsodium tchloride. tWhich tof tthe tfollowing tactions tshould tthe tnurse ttake
tfirst? t
Check tfor tkinks tin tthe tNG ttube. t
Increase tthe tIV tuid trate. t
Provide tice tchips. t
Administer tan tantiemetic t t t t t t t t tANS: t✔- tCheck tfor tkinks tin tthe tNG
ttube.
A tnurse tis tassisting tin tthe tcare tof ta tclient twho thas tAIDS-related
tpneumonia. tThe tclient tis treceiving tantibiotic ttherapy tand talbuterol
tnebulizer ttreatments tdaily. tWhich tof tthe tfollowing tfindings tshould
tindicate tto tthe tnurse tthat tthe tclient's ttherapeutic tregimen tis teffective?
t
,Adventitious tlung tsounds t
Decrease tin texertional tdyspnea t
Respiratory trate tof t26/min twhile tsitting tin ta tchair t
Elevation tof tthe thead tof tthe tbed tis trequired tto tsleep t t t t t t t t tANS: t✔-
tDecrease tin texertional tdyspnea
A tnurse tis tcaring tfor ta tclient twho tis tin tBuck's ttraction tfor ta tfractured
thip. tThe tclient treports tincreased tpain tat tthe tsite tof tthe tfracture.
tWhich tof tthe tfollowing tactions tshould tthe tnurse ttake? t
Massage tthe tarea. t
Remove tthe tweights. t
Loosen tthe tropes. t
Reposition tthe tclient t t t t t t t t tANS: t✔- tReposition tthe tclient
A tnurse tis tcaring tfor ta tclient twho tbegins tto thave ta tseizure twhile
tambulating tin tthe thall. tIdentify tthe tsequence tof tactions tthe tnurse
tshould tfollow. t(Move tthe tsteps tinto tthe tbox ton tthe tright, tplacing tthem
tin tthe torder tof tperformance. tUse tall tthe tsteps.) t
Lower tthe tclient tto tthe tfloor. t
, Loosen tthe tclothing taround tthe tclient's tneck. t
Place ta tpad tbeneath tthe tclient's thead. t
Time tthe tlength tof tthe tclient's tseizure. t
Reorient tand treassure tthe tclient. t t t t t t t t tANS: t✔- tLower tthe tclient tto tthe
tfloor. t
Place ta tpad tbeneath tthe tclient's thead. t
Loosen tthe tclothing taround tthe tclient's tneck. t
Time tthe tlength tof tthe tclient's tseizure. t
Reorient tand treassure tthe tclient.
A tnurse tis treinforcing tteaching twith ta tclient twho thas tdiabetes tmellitus
tand ta tnew tprescription tfor tregular tand tNPH tinsulin. tWhich tof tthe
tfollowing tinstructions ton tpreparing tthe tinsulins tshould tthe tnurse
tinclude?
Withdraw tboth ttypes tof tinsulin tand tthen tadd t0.2 tmL tof tair tto tthe
tsyringe
Gently tshake tthe tNPH tinsulin tprior tto twithdrawing tthe tdose.
Withdraw tthe tregular tinsulin tbefore twithdrawing tthe tNPH tinsulin.
Inject tair tinto tthe tNPH tvial tafter twithdrawing tregular tinsulin. t t t t t t t t
tANS: t✔- tWithdraw tthe tregular tinsulin tbefore twithdrawing tthe tNPH
tinsulin.
