PN Adult Medical Surgical Online
Practice 2023 B
A nurse is assisting with the care of the client. Drag 1 condition and 1 client finding to fill in each blank in
the following sentence.
The client is experiencing manifestations of ___ as evidenced by ___. - ANS -Pancreatitis
-Amylase and lipase
A nurse at a provider's office is assisting in the care of a client who is 2 weeks postoperative following a
gastrectomy.
A nurse is reinforcing teaching with the client. Which of the following instructions should the nurse
include?
Select all that apply. - ANS -avoid drinking fluids with meals
-eat several small meals per day
-Consume, high protein, snacks
A nurse is monitoring a client who has a cast and reports intense itching underneath the cast. Which of
the following actions should the nurse take? - ANS Blow cool air into the cast using a blow dryer on a
cool setting.
A nurse observes a client who is lying in bed and experiencing a tonic-clonic seizure. Which of the
following actions should the nurse take? - ANS Loosen clothing around the client's neck.
A nurse is reviewing the laboratory results of a female client who has chronic kidney failure and is
receiving epoetin alfa. The nurse should identify that which of the following laboratory values indicates
the treatment is effective? - ANS Hgb 11 g/dL (12 to 16 g/dL)
A nurse is reinforcing teaching with a client who is postoperative following a cemented total hip
arthroplasty. Which of the following instructions should the nurse include in the teaching? - ANS
Maintain hip exion at 90° or less when sitting.
,A nurse is reinforcing teaching with an adolescent client regarding testicular self-examination. Which of
the following statements by the client demonstrates an understanding of the teaching? - ANS "I
understand that testicular cancer is painless."
A nurse in a telemetry unit is collecting data from a client who has a newly inserted permanent
pacemaker. Which of the following findings should the nurse report to the provider? - ANS The client
experiences hiccups when sitting.
A nurse is assisting with the care of a client who is scheduled for a right total knee replacement.
A nurse is reinforcing preoperative teaching with a client. Which of the following statements by the
client indicates an understanding of the teaching?
Select all that apply. - ANS -I will need to do the breathing exercises every 1 to 2 hours after surgery
-I will use my PCA medication before my knee starts to hurt too bad
-I will probably be going home with a walker
A nurse is assisting with the care of a client who is 4 hr postoperative following a total vaginal
hysterectomy.
Click to highlight the findings the nurse should report to the charge nurse immediately. To deselect a
finding, click on the finding again. - ANS -Perineal pad is saturated with blood and large clots are present
-Blood pressure 98/56 mm Hg
-Heart rate 102/min
A nurse is assisting with the care for a client who reports shortness of breath and has an oxygen
saturation of 90%. Which of the following actions should the nurse take? - ANS Administer oxygen via
nasal cannula
A nurse is reinforcing teaching with the caregiver of a client who is terminally ill about manifestations of
impending death. Which of the following manifestations should the nurse include? - ANS Incontinence of
the bowel and bladder
, A nurse in a clinic is collecting data from a client who has hyperthyroidism and has been taking
methimazole for 4 weeks. Which of the following statements by the client indicates a therapeutic
response to the medication? - ANS "I have gained 3 lbs since my last appointment"
A nurse is contributing to the plan of care for a client who is postoperative following a total knee
arthroplasty. The client is using a continuous passive motion (CPM) machine. Which of the following
interventions should the nurse recommend for the plan of care? - ANS Keep a sheepskin pad between
the client's extremity and the CPM machine
A nurse is reinforcing teaching with a client about testicular self-examination. Which of the following
instructions should the nurse include in the teaching? - ANS "Perform testicular self-examination after
taking a warm shower."
A nurse is reinforcing discharge teaching for the caregivers of a client who has Parkinson's disease.
Which of the following information should the nurse include in the teaching? - ANS Remind the client to
avoid watching their feet when walking.
A home health nurse is assisting with the care for a client who has COPD. The client reports shortness of
breath while eating, despite the use of home oxygen. Which of the following recommendations should
the nurse make? - ANS "Use a bronchodilator 30 minutes before your meal."
A nurse is assisting with the care of a client who has a newly inserted water-seal closed chest tube.
Which of the following findings should the nurse report to the provider? - ANS Chest drainage is greater
than 70 mL/hr.
A nurse is assisting with the care for a client who has a compound fracture of the femur and was placed
in balanced suspension skeletal traction 4 days ago. Which of the following actions should the nurse
take? - ANS Perform pin site care daily.
R: The nurse should perform pin site care daily with chlorhexidine solution or use a solution according to
facility protocol. The nurse should also monitor the pin sites for manifestations of infection.
Practice 2023 B
A nurse is assisting with the care of the client. Drag 1 condition and 1 client finding to fill in each blank in
the following sentence.
The client is experiencing manifestations of ___ as evidenced by ___. - ANS -Pancreatitis
-Amylase and lipase
A nurse at a provider's office is assisting in the care of a client who is 2 weeks postoperative following a
gastrectomy.
A nurse is reinforcing teaching with the client. Which of the following instructions should the nurse
include?
Select all that apply. - ANS -avoid drinking fluids with meals
-eat several small meals per day
-Consume, high protein, snacks
A nurse is monitoring a client who has a cast and reports intense itching underneath the cast. Which of
the following actions should the nurse take? - ANS Blow cool air into the cast using a blow dryer on a
cool setting.
A nurse observes a client who is lying in bed and experiencing a tonic-clonic seizure. Which of the
following actions should the nurse take? - ANS Loosen clothing around the client's neck.
A nurse is reviewing the laboratory results of a female client who has chronic kidney failure and is
receiving epoetin alfa. The nurse should identify that which of the following laboratory values indicates
the treatment is effective? - ANS Hgb 11 g/dL (12 to 16 g/dL)
A nurse is reinforcing teaching with a client who is postoperative following a cemented total hip
arthroplasty. Which of the following instructions should the nurse include in the teaching? - ANS
Maintain hip exion at 90° or less when sitting.
,A nurse is reinforcing teaching with an adolescent client regarding testicular self-examination. Which of
the following statements by the client demonstrates an understanding of the teaching? - ANS "I
understand that testicular cancer is painless."
A nurse in a telemetry unit is collecting data from a client who has a newly inserted permanent
pacemaker. Which of the following findings should the nurse report to the provider? - ANS The client
experiences hiccups when sitting.
A nurse is assisting with the care of a client who is scheduled for a right total knee replacement.
A nurse is reinforcing preoperative teaching with a client. Which of the following statements by the
client indicates an understanding of the teaching?
Select all that apply. - ANS -I will need to do the breathing exercises every 1 to 2 hours after surgery
-I will use my PCA medication before my knee starts to hurt too bad
-I will probably be going home with a walker
A nurse is assisting with the care of a client who is 4 hr postoperative following a total vaginal
hysterectomy.
Click to highlight the findings the nurse should report to the charge nurse immediately. To deselect a
finding, click on the finding again. - ANS -Perineal pad is saturated with blood and large clots are present
-Blood pressure 98/56 mm Hg
-Heart rate 102/min
A nurse is assisting with the care for a client who reports shortness of breath and has an oxygen
saturation of 90%. Which of the following actions should the nurse take? - ANS Administer oxygen via
nasal cannula
A nurse is reinforcing teaching with the caregiver of a client who is terminally ill about manifestations of
impending death. Which of the following manifestations should the nurse include? - ANS Incontinence of
the bowel and bladder
, A nurse in a clinic is collecting data from a client who has hyperthyroidism and has been taking
methimazole for 4 weeks. Which of the following statements by the client indicates a therapeutic
response to the medication? - ANS "I have gained 3 lbs since my last appointment"
A nurse is contributing to the plan of care for a client who is postoperative following a total knee
arthroplasty. The client is using a continuous passive motion (CPM) machine. Which of the following
interventions should the nurse recommend for the plan of care? - ANS Keep a sheepskin pad between
the client's extremity and the CPM machine
A nurse is reinforcing teaching with a client about testicular self-examination. Which of the following
instructions should the nurse include in the teaching? - ANS "Perform testicular self-examination after
taking a warm shower."
A nurse is reinforcing discharge teaching for the caregivers of a client who has Parkinson's disease.
Which of the following information should the nurse include in the teaching? - ANS Remind the client to
avoid watching their feet when walking.
A home health nurse is assisting with the care for a client who has COPD. The client reports shortness of
breath while eating, despite the use of home oxygen. Which of the following recommendations should
the nurse make? - ANS "Use a bronchodilator 30 minutes before your meal."
A nurse is assisting with the care of a client who has a newly inserted water-seal closed chest tube.
Which of the following findings should the nurse report to the provider? - ANS Chest drainage is greater
than 70 mL/hr.
A nurse is assisting with the care for a client who has a compound fracture of the femur and was placed
in balanced suspension skeletal traction 4 days ago. Which of the following actions should the nurse
take? - ANS Perform pin site care daily.
R: The nurse should perform pin site care daily with chlorhexidine solution or use a solution according to
facility protocol. The nurse should also monitor the pin sites for manifestations of infection.
