RN Adult Medical Surgical Online
Practice 2025 A for NGN QUESTIONS
&CORECT ANSWERS
Incentive spirometer - CORRECT ANSWER-Instruction: hold breaths about 3 to 5
seconds before exhaling
Low serum potassium level - CORRECT ANSWER-Intervention: initiate cardiac
monitoring for the client
Peritoneal dialysis - CORRECT ANSWER-Action: hang the drainage bag below the
client's abdomen
Impaired vestibulocochlear nerve - CORRECT ANSWER-Finding: disequilibrium with
movement
Postoperative care after cholecystectomy - CORRECT ANSWER-Intervention: apply
compression stockings to the lower extremities
Compartment syndrome - CORRECT ANSWER-Early signs: intense pain with
movement, capillary refill less than 2 seconds, erythema of the toes, bounding distal
pulses
Hemolytic transfusion reaction - CORRECT ANSWER-Manifestations: chills, back pain,
hypertension
Preventing hip dislocation - CORRECT ANSWER-Action: place two bed pillows
between the legs when in bed
, Allergic cross-reactivity - CORRECT ANSWER-Risk for client with allergy to bananas:
latex
Discharge teaching after mastectomy - CORRECT ANSWER-Statement: expect less
than 25 mL of secretions per day in the drainage devices
Using a metered-dose rescue inhaler - CORRECT ANSWER-Statement: exhale fully
before bringing the inhaler to your lips
Total parenteral nutrition (TPN) - CORRECT ANSWER-Finding requiring notification of
provider: calcium level 11.5 mg/dL
Setting up a sterile field - CORRECT ANSWER-Actions: grasp 2.5 cm (1 in) of the outer
edge to open the surgical wrap, place a surgical pack with a sterile drape on the work
surface, select a work surface at the nurse's waist level
Blood alcohol level - CORRECT ANSWER-Priority action: obtain consent for surgery
Increased intracranial pressure - CORRECT ANSWER-First sign of deteriorating
neurological status: altered level of consciousness
Skin cancer screening - CORRECT ANSWER-Finding indicating melanoma: raised
lesion with a rolled border
Diabetes insipidus - CORRECT ANSWER-Medication: desmopressin
Insertion of a non-tunneled central venous catheter - CORRECT ANSWER-Action:
confirm the correct position of the line by obtaining a blood sample
Discharge teaching for chronic urinary tract infections - CORRECT ANSWER-
Instruction: drink 2 to 3 L of fluids daily
Discharge teaching for HIV - CORRECT ANSWER-Priority information: describe your
daily medication schedule
Administering packed RBCs - CORRECT ANSWER-Action: stop the infusion
Thoracentesis - CORRECT ANSWER-Priority intervention: determine whether the client
has an allergy to local anesthetics
Practice 2025 A for NGN QUESTIONS
&CORECT ANSWERS
Incentive spirometer - CORRECT ANSWER-Instruction: hold breaths about 3 to 5
seconds before exhaling
Low serum potassium level - CORRECT ANSWER-Intervention: initiate cardiac
monitoring for the client
Peritoneal dialysis - CORRECT ANSWER-Action: hang the drainage bag below the
client's abdomen
Impaired vestibulocochlear nerve - CORRECT ANSWER-Finding: disequilibrium with
movement
Postoperative care after cholecystectomy - CORRECT ANSWER-Intervention: apply
compression stockings to the lower extremities
Compartment syndrome - CORRECT ANSWER-Early signs: intense pain with
movement, capillary refill less than 2 seconds, erythema of the toes, bounding distal
pulses
Hemolytic transfusion reaction - CORRECT ANSWER-Manifestations: chills, back pain,
hypertension
Preventing hip dislocation - CORRECT ANSWER-Action: place two bed pillows
between the legs when in bed
, Allergic cross-reactivity - CORRECT ANSWER-Risk for client with allergy to bananas:
latex
Discharge teaching after mastectomy - CORRECT ANSWER-Statement: expect less
than 25 mL of secretions per day in the drainage devices
Using a metered-dose rescue inhaler - CORRECT ANSWER-Statement: exhale fully
before bringing the inhaler to your lips
Total parenteral nutrition (TPN) - CORRECT ANSWER-Finding requiring notification of
provider: calcium level 11.5 mg/dL
Setting up a sterile field - CORRECT ANSWER-Actions: grasp 2.5 cm (1 in) of the outer
edge to open the surgical wrap, place a surgical pack with a sterile drape on the work
surface, select a work surface at the nurse's waist level
Blood alcohol level - CORRECT ANSWER-Priority action: obtain consent for surgery
Increased intracranial pressure - CORRECT ANSWER-First sign of deteriorating
neurological status: altered level of consciousness
Skin cancer screening - CORRECT ANSWER-Finding indicating melanoma: raised
lesion with a rolled border
Diabetes insipidus - CORRECT ANSWER-Medication: desmopressin
Insertion of a non-tunneled central venous catheter - CORRECT ANSWER-Action:
confirm the correct position of the line by obtaining a blood sample
Discharge teaching for chronic urinary tract infections - CORRECT ANSWER-
Instruction: drink 2 to 3 L of fluids daily
Discharge teaching for HIV - CORRECT ANSWER-Priority information: describe your
daily medication schedule
Administering packed RBCs - CORRECT ANSWER-Action: stop the infusion
Thoracentesis - CORRECT ANSWER-Priority intervention: determine whether the client
has an allergy to local anesthetics
