RN adult medical surgical online practice 2019 B with NGN
1.
2. A nurse is assessing for compartment syndrome in a client who has a
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short leg cast. Which of the following findings should the nurse identify as a manife
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station of this condition? z z z
A. Bounding pedal pulse z z
B. Capillary refill less than 2 seconds z z z z z
C. Pain that increases with passive movement
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D. Areas of warmth on the cast: C. Pain that increases with passive movement
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3. A nurse is providing teaching to a client who has a severe form of stage II Lyme di
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sease. Which of the following statements made by the client reflects an understandi
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ng of the teaching?
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A. "I will need to take antibiotics for 1 year"
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B. "My partner will need to take an antiviral medication"
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C. "My joints ache because I have Lyme disease"
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D. "I will bruise easily because I have Lyme disease": C. "My joints ache because I have
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zLyme disease" z
4. A nurse is preparing to administer phenytoin 600 mg PO daily to a client. The amo
z z z z z z z z z z z z z z z
unt available is oral solution 125 mg/5 mL. How many mL should the nurse administe
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r?: 24 z
5. A nurse is caring for a client who has an arterial line. Which of the following actions s
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hould the nurse take? z z z
A. Flush the line before administering antibiotics
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B. Position the client in Trendelenburg to obtain measurements
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C. Have the client bear down when readings are obtained
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D. Place a pressure bag around the flush solution: D. Place a pressure bag aroun
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d the flush solution
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6. A nurse is updating the plan of care for a client who is receiving chemother-
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zapy. Which of the following findings should the nurse identify as the priority?
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A. Report of sore throat z z z
B. Report of memory loss z z z
C. Alopecia
D. Mucositis: A. Report of sore throat z z z z z
7. A nurse is planning care for a client who is postoperative following a parathyroide
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ctomy. Which of the following actions should the nurse identify as the priority?
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A. Use pillows to support the client's head and neck
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B. Offer opioid medication z z
C. Place a tracheostomy tray at the bedside z z z z z z
D. Place the client in semi- z z z z
1
z/z18
,Fowler's position: C. Place a tracheostomy tray at the bedside
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2
z/z18
, 8. A nurse is assessing a client who has diabetes insipidus. Which of the
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following findings should the nurse expect? z z z z z
A. Low urine specific gravity z z z
B. Hypertension
C. Bounding peripheral pulses z z
D. Hyperglycemia: A. Low urine specific gravity z z z z z
9. A nurse is providing teaching to a client who has stage II cervical cancer and is sched
z z z z z z z z z z z z z z z z
uled for brachytherapy.Which of the following instructions should the nurse include?
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A. "You will have an implant placed twice each month for the duration of the treatme
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nt"
B. "You should remain at least 6 feet away from others between treatments"
z z z z z z z z z z z
C. "You should expect to have blood in your urine for a few days after treat- ment"
z z z z z z z z z z z z z z z
D. "You will need to stay still in the bed during each treatment session": D. "You will need
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zto stay still in the bed during each treatment session"
z z z z z z z z z
10. A nurse is planning care for a client who is scheduled for a thoracentesis. Which
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zof the following interventions should the nurse include in the plan?
z z z z z z z z z z
A. Encourage the client to take deep breaths after the procedure z z z z z z z z z
B. Assist the client to hold their arms up during the procedure
z z z z z z z z z z
C. Instruct the client to remain NPO after midnight prior to the procedure
z z z z z z z z z z z
D. Keep the client on bedrest for 8 hr following the procedure: A. Encourage the client t
z z z z z z z z z z z z z z z
o take deep breaths after the procedure
z z z z z z
11. A nurse is caring for a client who is receiving a blood transfusion.The client become
z z z z z z z z z z z z z z
s restless, dyspneic, and has crackles noted to the lung bases. Which of the following
z z z z z z z z z z z z z z z
actions should the nurse anticipate taking?
z z z z z
A. Administer an antihistamine z z
B. Slow the infusion rate z z z
C. Give the client a corticosteriod z z z z
D. Elevate the client's lower extremities: B. Slow the infusion rate
z z z z z z z z z
12. A nurse is providing preoperative teaching for a client who is scheduled for a mas
z z z z z z z z z z z z z z
tectomy. Which of the following statements should the nurse make?
z z z z z z z z z
A. "You should accept your body image change before discharge"
z z z z z z z z
B. "It is important for you to look at the incisional site when the dressings are removed
z z z z z z z z z z z z z z z
"
C. "I will refer you to community resources that can provide support"
z z z z z z z z z z
D. "The scar will remain red and raised for many years after surgery": C. "I will refer yo
z z z z z z z z z z z z z z z z
u to community resources that can provide support"
z z z z z z z
3
z/z18
1.
2. A nurse is assessing for compartment syndrome in a client who has a
z z z z z z z z z z z z
short leg cast. Which of the following findings should the nurse identify as a manife
z z z z z z z z z z z z z z
station of this condition? z z z
A. Bounding pedal pulse z z
B. Capillary refill less than 2 seconds z z z z z
C. Pain that increases with passive movement
z z z z z
D. Areas of warmth on the cast: C. Pain that increases with passive movement
z z z z z z z z z z z z
3. A nurse is providing teaching to a client who has a severe form of stage II Lyme di
z z z z z z z z z z z z z z z z z
sease. Which of the following statements made by the client reflects an understandi
z z z z z z z z z z z z
ng of the teaching?
z z z
A. "I will need to take antibiotics for 1 year"
z z z z z z z z
B. "My partner will need to take an antiviral medication"
z z z z z z z z
C. "My joints ache because I have Lyme disease"
z z z z z z z
D. "I will bruise easily because I have Lyme disease": C. "My joints ache because I have
z z z z z z z z z z z z z z z
zLyme disease" z
4. A nurse is preparing to administer phenytoin 600 mg PO daily to a client. The amo
z z z z z z z z z z z z z z z
unt available is oral solution 125 mg/5 mL. How many mL should the nurse administe
z z z z z z z z z z z z z z
r?: 24 z
5. A nurse is caring for a client who has an arterial line. Which of the following actions s
z z z z z z z z z z z z z z z z z
hould the nurse take? z z z
A. Flush the line before administering antibiotics
z z z z z
B. Position the client in Trendelenburg to obtain measurements
z z z z z z z
C. Have the client bear down when readings are obtained
z z z z z z z z
D. Place a pressure bag around the flush solution: D. Place a pressure bag aroun
z z z z z z z z z z z z z
d the flush solution
z z z
6. A nurse is updating the plan of care for a client who is receiving chemother-
z z z z z z z z z z z z z z
zapy. Which of the following findings should the nurse identify as the priority?
z z z z z z z z z z z z
A. Report of sore throat z z z
B. Report of memory loss z z z
C. Alopecia
D. Mucositis: A. Report of sore throat z z z z z
7. A nurse is planning care for a client who is postoperative following a parathyroide
z z z z z z z z z z z z z
ctomy. Which of the following actions should the nurse identify as the priority?
z z z z z z z z z z z z
A. Use pillows to support the client's head and neck
z z z z z z z z
B. Offer opioid medication z z
C. Place a tracheostomy tray at the bedside z z z z z z
D. Place the client in semi- z z z z
1
z/z18
,Fowler's position: C. Place a tracheostomy tray at the bedside
z z z z z z z z z
2
z/z18
, 8. A nurse is assessing a client who has diabetes insipidus. Which of the
z z z z z z z z z z z z
following findings should the nurse expect? z z z z z
A. Low urine specific gravity z z z
B. Hypertension
C. Bounding peripheral pulses z z
D. Hyperglycemia: A. Low urine specific gravity z z z z z
9. A nurse is providing teaching to a client who has stage II cervical cancer and is sched
z z z z z z z z z z z z z z z z
uled for brachytherapy.Which of the following instructions should the nurse include?
z z z z z z z z z z z
A. "You will have an implant placed twice each month for the duration of the treatme
z z z z z z z z z z z z z z
nt"
B. "You should remain at least 6 feet away from others between treatments"
z z z z z z z z z z z
C. "You should expect to have blood in your urine for a few days after treat- ment"
z z z z z z z z z z z z z z z
D. "You will need to stay still in the bed during each treatment session": D. "You will need
z z z z z z z z z z z z z z z z
zto stay still in the bed during each treatment session"
z z z z z z z z z
10. A nurse is planning care for a client who is scheduled for a thoracentesis. Which
z z z z z z z z z z z z z z
zof the following interventions should the nurse include in the plan?
z z z z z z z z z z
A. Encourage the client to take deep breaths after the procedure z z z z z z z z z
B. Assist the client to hold their arms up during the procedure
z z z z z z z z z z
C. Instruct the client to remain NPO after midnight prior to the procedure
z z z z z z z z z z z
D. Keep the client on bedrest for 8 hr following the procedure: A. Encourage the client t
z z z z z z z z z z z z z z z
o take deep breaths after the procedure
z z z z z z
11. A nurse is caring for a client who is receiving a blood transfusion.The client become
z z z z z z z z z z z z z z
s restless, dyspneic, and has crackles noted to the lung bases. Which of the following
z z z z z z z z z z z z z z z
actions should the nurse anticipate taking?
z z z z z
A. Administer an antihistamine z z
B. Slow the infusion rate z z z
C. Give the client a corticosteriod z z z z
D. Elevate the client's lower extremities: B. Slow the infusion rate
z z z z z z z z z
12. A nurse is providing preoperative teaching for a client who is scheduled for a mas
z z z z z z z z z z z z z z
tectomy. Which of the following statements should the nurse make?
z z z z z z z z z
A. "You should accept your body image change before discharge"
z z z z z z z z
B. "It is important for you to look at the incisional site when the dressings are removed
z z z z z z z z z z z z z z z
"
C. "I will refer you to community resources that can provide support"
z z z z z z z z z z
D. "The scar will remain red and raised for many years after surgery": C. "I will refer yo
z z z z z z z z z z z z z z z z
u to community resources that can provide support"
z z z z z z z
3
z/z18
