PRACTICE 2020 A
CLEAN A 1/1/25 EXAM
,PN ADULT MEDICAL SURGICAL ONLINE PRACTICE 2020 A
PN ADULT MEDICAL SURGICAL ONLINE
PRACTICE 2020 A
A nurse is caring for a client who is 3 days postoperative following a total right hip
arthroplasty. Which of the following actions should the nurse take?
Use a traction boot to keep the client's right leg internally rotated.
Have the client sit in a reclining chair when out of bed.
Maintain abduction of the client's right leg while in bed.
Encourage the client to perform passive range-of-motion exercises. - Maintain
abduction of the client's right leg while in bed.
A nurse is caring for a client who has terminal pancreatic cancer. The client states,
"I don't think I can go on any longer." Which of the following responses should the
nurse make?
"Are you experiencing abdominal pain?"
"You should talk about this with the people you're closest to."
"Many people who have cancer feel this way."
"You feel like you want to discontinue treatment?" - "You feel like you want to
discontinue treatment?"
A nurse is contributing to the plan of care for a client who is having difficulty
eating following a stroke. Which of the following actions should the nurse take
first?
Collaborate with a dietitian.
PN ADULT MEDICAL SURGICAL ONLINE PRACTICE 2020 A
,PN ADULT MEDICAL SURGICAL ONLINE PRACTICE 2020 A
Ensure that the client is provided with a high-ber diet.
Implement recommendations from the speech-language pathologist.
Request a referral for an occupational therapist. - Implement recommendations
from the speech-language pathologist.
A nurse is contributing to the plan of care for a client who was admitted to the
neurological unit following a stroke 3 hr ago. Which of the following interventions
should the nurse identify as the priority?
Encourage the client to participate in self-care.
Assist the client with active range-of-motion exercises.
Keep the client in a side-lying position.
Maintain the client's body alignment - Keep the client in a side-lying position.
A nurse is participating in a health fair for older adult clients. Which of the
following vaccines should the nurse recommend for this age group?
Meningococcal
Herpes zoster
Human papillomavirus (HPV) Measles, mumps, and rubella (MMR) - Herpes
zoster
A nurse is contributing to the plan of care for a client who has a new prescription
for nystatin suspension for oral candidiasis. Which of the following interventions
should the nurse include in the plan?
PN ADULT MEDICAL SURGICAL ONLINE PRACTICE 2020 A
, PN ADULT MEDICAL SURGICAL ONLINE PRACTICE 2020 A
Use a commercial mouthwash before taking the medication.
Instruct the client to swish the medication in their mouth.
Discontinue the medication as soon as the lesions are healed.
Combine the medication with applesauce - Instruct the client to swish the
medication in their mouth.
A nurse is preparing to perform intermittent urinary catheterization for a female
client who has been unable to void following surgery 6 hr ago. Which of the
following catheters should the nurse use to perform this procedure? - intermittent
straight catheter (clear tube with blue top)
A nurse is preparing to auscultate the bowel sounds of a client who has a
mechanical bowel obstruction in the descending colon. When listening in the left
upper quadrant, the nurse should identify this sound as which of the following?
Hyperactive bowel sounds
Friction rub
Normal bowel sounds
Abdominal bruit - Hyperactive bowel sounds
A nurse is contributing to the plan of care for a client who has multiple sclerosis
and is taking dantrolene to manage muscle spasms. Which of the following
interventions should the nurse include?
Apply hot packs to the client's muscles.
Schedule physical therapy in the afternoon
PN ADULT MEDICAL SURGICAL ONLINE PRACTICE 2020 A