RN Adult Medical Surgical Online Practice ACTUAL EXAM WITH REAL
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) LATEST |GUARANTEED A+
A nurse is providing teaching to a client who has esophageal cancer
and is to undergo radiation therapy. which of the following statements
should the nurse identify as an indication that the client understands
the teaching?
A) After each treatment, I will wash the ink markings off the radiation
area."
B) "I will use my hands rather than a washcloth to clean the radiation
area."
C) I can be out in the sun 1 month after my radiation treatments are
over."
D) "I will use a heating pad on my neck if it becomes sore during the
radiation therapy." - CORRECT ANSWER b; The client should gently
wash the radiation area with their hands using warm water and mild
soap to protect the skin from further irritation.
a - The ink markings designate the exact radiation area. The client
should not remove these markings until they complete the radiation
treatment.
c - Radiation therapy causes skin to become sensitive to the effects of
sun exposure and increases the risk of developing skin cancer. The
client should avoid direct sunlight during the radiation treatments and
for at least 1 year following the conclusion of the therapy.
d - The client should avoid exposing the treatment area to heat as this
can cause further irritation to the skin.
Clinic for a 1-week follow-up visit after hospitalization for heart failure.
What should the nurse report
Discharge:
- Weight 66.7 kg (147 lb)
- SaO2 94%
,- 2+ pedal edema
- Heart rate 74/min
Current:
- Weight 67.1 kg (148 lb)
- SaO2 92%
- 1+ pedal edema
- Heart rate 55/min
A) Potassium 4.1 mEq/L
B) Heart rate 55/min
C) SaO2 92%
D) Weight 67.1 kg (148 lb) - CORRECT ANSWER b; The client's heart
rate of 55/min is a decrease from the client's baseline of 74/min, and it
can indicate the development of digoxin toxicity. The nurse should
report this finding to the provider.
A nurse is planning to irrigate and dress a clean, granulating wound for
a pressure injury client. Which of the following actions should the
nurse take?
A) Apply a wet-to-dry gauze dressing.
B) Irrigate with hydrogen peroxide solution.
C) Use a 30-mL syringe.
D) Attach a 24-gauge angiocatheter to the syringe. - CORRECT ANSWER
c; the nurse should use a 30-mL to 60-mL syringe with an 18- or 19-
gauge catheter to deliver the ideal pressure of 8 pounds per square
inch (psi) when irrigating a wound. To maintain healthy granulation
tissue, the wound irrigation should be delivered at between 4 and 15
psi.
a - The nurse should not apply wet-to-dry dressings to clean,
granulating wounds as they interrupt viable, healing tissues when
removed. Appropriate dressings for a wound that is developing
granulation tissue include a hydrocolloid dressing and a transparent
film dressing.
,b - The nurse should use hydrogen peroxide to clean contaminated
surfaces. Hydrogen peroxide should not be used on a pressure injury
wound because it destroys newly granulated tissue. Instead, the nurse
should use solutions specifically designed as wound cleansers or 0.9%
sodium chloride irrigation to irrigate the wound.
d - The nurse should use an 18- or 19-gauge catheter that will apply
the appropriate irrigation pressure. A 24-gauge angiocatheter delivers
solutions at a higher pressure than necessary for irrigation and a can
potentially damage the developing granulation tissues
A nurse is providing teaching to a female client who has a history of
urinary tract infections (UTIs). Which of the following information
should the nurse include in the teaching?
A) Avoid foods that are high in ascorbic acid.
B) Add oatmeal to the water when taking a tub bath.
C) Urinate every 6 hr.
D) Take daily cranberry supplements. - CORRECT ANSWER d - The
client should take cranberry supplements or drink low-fructose
cranberry juice because it contains compounds that adhere to the
urinary tract wall, decreasing the risk of developing a UTI.
a - A client at risk for developing UTIs should increase intake of
ascorbic acid to acidify the urine.
b - A client at risk for developing UTIs should take showers rather than
tub baths because bacteria in the bath water can enter the urethra.
c - A client who is at risk for developing UTIs should urinate every 2 to
4 hr.
What pH urine favors preventing UTIs. Acidic urine or basic urine? -
CORRECT ANSWER Acidic urine
A client who is at risk for developing UTIs should urinate every ____-
_____ hrs - CORRECT ANSWER 2-4
, A nurse is providing teaching to a client who is receiving
chemotherapy and has a new prescription for epoetin alfa. Which of
the following client statements indicates an understanding of the
teaching?
A) "I will monitor my blood pressure while taking this medication."
B) "I should take a vitamin D supplement to increase the effectiveness
of the medication."
C) "I should inform the provider if I experience an increased appetite
while taking this medication."
D) "I will decrease the amount of protein in my diet while taking this
medication." - CORRECT ANSWER a; The client should monitor their
blood pressure while taking this medication because hypertension is a
common adverse effect and can lead to hypertensive encephalopathy.
b - The client requires an adequate intake of iron, folic acid, and
vitamin B12 while taking this medication because they are essential to
producing erythrocytes.
c - Increased appetite is not an adverse effect of epoetin alfa. Adverse
effects of epoetin alfa include seizures, heart failure, myocardial
infarction, stroke, thrombolytic events, and hypertension.
d - The client should increase the amount of protein in their diet while
receiving chemotherapy to decrease the risk of infection
While receiving chemotherapy, a pt should _______________ the amount
of protein in their diet to decrease the risk for infection - CORRECT
ANSWER protein
a nurse is caring for a client for 1 hour following cardiac
catheterization; the nurse notes the formation of a hematoma at the
insertion site and a decreased pulse rate in the affected extremity;
which of the following interventions is the nurse's priority?
A) Initiate oxygen at 2 L/min via nasal cannula.
B) Apply firm pressure to the insertion site.
C) Take the client's vital signs.
QUESTIONS AND CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) LATEST |GUARANTEED A+
A nurse is providing teaching to a client who has esophageal cancer
and is to undergo radiation therapy. which of the following statements
should the nurse identify as an indication that the client understands
the teaching?
A) After each treatment, I will wash the ink markings off the radiation
area."
B) "I will use my hands rather than a washcloth to clean the radiation
area."
C) I can be out in the sun 1 month after my radiation treatments are
over."
D) "I will use a heating pad on my neck if it becomes sore during the
radiation therapy." - CORRECT ANSWER b; The client should gently
wash the radiation area with their hands using warm water and mild
soap to protect the skin from further irritation.
a - The ink markings designate the exact radiation area. The client
should not remove these markings until they complete the radiation
treatment.
c - Radiation therapy causes skin to become sensitive to the effects of
sun exposure and increases the risk of developing skin cancer. The
client should avoid direct sunlight during the radiation treatments and
for at least 1 year following the conclusion of the therapy.
d - The client should avoid exposing the treatment area to heat as this
can cause further irritation to the skin.
Clinic for a 1-week follow-up visit after hospitalization for heart failure.
What should the nurse report
Discharge:
- Weight 66.7 kg (147 lb)
- SaO2 94%
,- 2+ pedal edema
- Heart rate 74/min
Current:
- Weight 67.1 kg (148 lb)
- SaO2 92%
- 1+ pedal edema
- Heart rate 55/min
A) Potassium 4.1 mEq/L
B) Heart rate 55/min
C) SaO2 92%
D) Weight 67.1 kg (148 lb) - CORRECT ANSWER b; The client's heart
rate of 55/min is a decrease from the client's baseline of 74/min, and it
can indicate the development of digoxin toxicity. The nurse should
report this finding to the provider.
A nurse is planning to irrigate and dress a clean, granulating wound for
a pressure injury client. Which of the following actions should the
nurse take?
A) Apply a wet-to-dry gauze dressing.
B) Irrigate with hydrogen peroxide solution.
C) Use a 30-mL syringe.
D) Attach a 24-gauge angiocatheter to the syringe. - CORRECT ANSWER
c; the nurse should use a 30-mL to 60-mL syringe with an 18- or 19-
gauge catheter to deliver the ideal pressure of 8 pounds per square
inch (psi) when irrigating a wound. To maintain healthy granulation
tissue, the wound irrigation should be delivered at between 4 and 15
psi.
a - The nurse should not apply wet-to-dry dressings to clean,
granulating wounds as they interrupt viable, healing tissues when
removed. Appropriate dressings for a wound that is developing
granulation tissue include a hydrocolloid dressing and a transparent
film dressing.
,b - The nurse should use hydrogen peroxide to clean contaminated
surfaces. Hydrogen peroxide should not be used on a pressure injury
wound because it destroys newly granulated tissue. Instead, the nurse
should use solutions specifically designed as wound cleansers or 0.9%
sodium chloride irrigation to irrigate the wound.
d - The nurse should use an 18- or 19-gauge catheter that will apply
the appropriate irrigation pressure. A 24-gauge angiocatheter delivers
solutions at a higher pressure than necessary for irrigation and a can
potentially damage the developing granulation tissues
A nurse is providing teaching to a female client who has a history of
urinary tract infections (UTIs). Which of the following information
should the nurse include in the teaching?
A) Avoid foods that are high in ascorbic acid.
B) Add oatmeal to the water when taking a tub bath.
C) Urinate every 6 hr.
D) Take daily cranberry supplements. - CORRECT ANSWER d - The
client should take cranberry supplements or drink low-fructose
cranberry juice because it contains compounds that adhere to the
urinary tract wall, decreasing the risk of developing a UTI.
a - A client at risk for developing UTIs should increase intake of
ascorbic acid to acidify the urine.
b - A client at risk for developing UTIs should take showers rather than
tub baths because bacteria in the bath water can enter the urethra.
c - A client who is at risk for developing UTIs should urinate every 2 to
4 hr.
What pH urine favors preventing UTIs. Acidic urine or basic urine? -
CORRECT ANSWER Acidic urine
A client who is at risk for developing UTIs should urinate every ____-
_____ hrs - CORRECT ANSWER 2-4
, A nurse is providing teaching to a client who is receiving
chemotherapy and has a new prescription for epoetin alfa. Which of
the following client statements indicates an understanding of the
teaching?
A) "I will monitor my blood pressure while taking this medication."
B) "I should take a vitamin D supplement to increase the effectiveness
of the medication."
C) "I should inform the provider if I experience an increased appetite
while taking this medication."
D) "I will decrease the amount of protein in my diet while taking this
medication." - CORRECT ANSWER a; The client should monitor their
blood pressure while taking this medication because hypertension is a
common adverse effect and can lead to hypertensive encephalopathy.
b - The client requires an adequate intake of iron, folic acid, and
vitamin B12 while taking this medication because they are essential to
producing erythrocytes.
c - Increased appetite is not an adverse effect of epoetin alfa. Adverse
effects of epoetin alfa include seizures, heart failure, myocardial
infarction, stroke, thrombolytic events, and hypertension.
d - The client should increase the amount of protein in their diet while
receiving chemotherapy to decrease the risk of infection
While receiving chemotherapy, a pt should _______________ the amount
of protein in their diet to decrease the risk for infection - CORRECT
ANSWER protein
a nurse is caring for a client for 1 hour following cardiac
catheterization; the nurse notes the formation of a hematoma at the
insertion site and a decreased pulse rate in the affected extremity;
which of the following interventions is the nurse's priority?
A) Initiate oxygen at 2 L/min via nasal cannula.
B) Apply firm pressure to the insertion site.
C) Take the client's vital signs.
