RN Adult Medical Surgical Online Practice A 2025
1. A nurse is caring for a client who is receiving dialysis treatment.
For each potential nursing intervention, click to specify if the intervention is
indicated or not indicated.: Perform a 12-lead ECG is not indicated. The client is
not reporting chest pain; therefore, a 12-lead ECG is not indicated at this time.
Place the client in Trendelenburg position is indicated. The client should be
placed in the Trendelenburg position to increase blood flow to the heart,
improving cardiac output and organ perfusion.
Administer a 0.9% sodium chloride 200 mL IV bolus is indicated. The nurse
should administer 200 mL of 0.9% sodium chloride IV bolus to increase fluid
volume and the client's blood pressure.
Apply oxygen at 2 L/min via nasal cannula is indicated. The nurse should
administer oxygen at 2 L/min via nasal cannula to increase the amount of
oxygen carried in the blood.
Notify the provider immediately is indicated. The nurse should notify the
provider immediately as part of the nurse's role to provide an update on the
client's condition.
Obtain the client's blood glucose level is not indicated. There is no indication that
the client is experiencing hypoglycemia; therefore, obtaining a blood glucose
level is not indicated.
2. A nurse is caring for a client who is postoperative following abdominal
surgery.
A nurse is caring for a client who is postoperative. Which of the following
actions should the nurse take?: Apply oxygen via a face mask is incorrect. It is
not necessary to place a face mask on the client because their SaO2 is within the
expected reference range of 95% to 100%.
Instruct the client to splint the abdomen with a pillow for coughing is
correct. It is important for the client to turn, cough, and deep breathe to
reduce the risk for
respiratory complications. The nurse should instruct the client to splint the
incision while performing these actions to reduce the risk of complications to
the surgical incision.
Plan to ambulate the client as soon as possible is correct. The nurse should plan
, RN Adult Medical Surgical Online Practice A 2025
to ambulate the client as soon as possible to promote ventilation and decrease
the risk of thrombosis.
, RN Adult Medical Surgical Online Practice A 2025
Report urinary output to the provider is correct. The client should produce at
least 30 mL of urine per hour. Therefore, the nurse should report this finding to
the provider.
Ask the client to rate their pain on a 0 to 10 pain scale is correct. The nurse
should have the client rate their pain prior to and following the administration
of pain medication to evaluate its effectiveness.
3. A nurse is caring for a client who is receiving total parenteral nutrition (TPN). A
new bag is not available when the current infusion is nearly completed. which
actions should the nurse take?
Keep the line open with 0.9% sodium chloride until the new bag arrives.
Administer dextrose 10% in water until the new bag arrives.
Flush the line and cap the port until the new bag arrives.
Decrease the infusion rate until the new bag arrives.: Administer dextrose 10%
in water until the new bag arrives
4. A nurse is caring for a client who had a nephrostomy tube inserted 12 hr.
ago. Which of the following findings should the nurse report to the provider?
The client's urinary output has increased. The
client reports back pain.
The client's urine color is red tinged.
The client's tube requires irrigation.: The client reports back pain
The nurse should notify the provider if the client reports back pain, which can
indicate that the nephrostomy tube is dislodged or clogged.
5. A nurse is caring for a client who is having a seizure. Which of the following
interventions is the nurse's priority?: Turn the client to the side.
6. A nurse in a provider's office is assessing a client who has hypertension and
takes propranolol. Which of the following findings should indicate to the nurse
that the client is experiencing an adverse reaction to this medication?: Report of
a night cough.
(the nurse should recognize that this is an early indication of heart failure and
report this adverse reaction to the provider)
7. A nurse is planning to irrigate and dress a clean, granulating wound for a
client who has a pressure injury. Which of the following actions should the
nurse take?: Use a 30-mL syringe.
(Nurse should use a 30-60 mL syringe with an 18 or 19-gauge catheter to
1. A nurse is caring for a client who is receiving dialysis treatment.
For each potential nursing intervention, click to specify if the intervention is
indicated or not indicated.: Perform a 12-lead ECG is not indicated. The client is
not reporting chest pain; therefore, a 12-lead ECG is not indicated at this time.
Place the client in Trendelenburg position is indicated. The client should be
placed in the Trendelenburg position to increase blood flow to the heart,
improving cardiac output and organ perfusion.
Administer a 0.9% sodium chloride 200 mL IV bolus is indicated. The nurse
should administer 200 mL of 0.9% sodium chloride IV bolus to increase fluid
volume and the client's blood pressure.
Apply oxygen at 2 L/min via nasal cannula is indicated. The nurse should
administer oxygen at 2 L/min via nasal cannula to increase the amount of
oxygen carried in the blood.
Notify the provider immediately is indicated. The nurse should notify the
provider immediately as part of the nurse's role to provide an update on the
client's condition.
Obtain the client's blood glucose level is not indicated. There is no indication that
the client is experiencing hypoglycemia; therefore, obtaining a blood glucose
level is not indicated.
2. A nurse is caring for a client who is postoperative following abdominal
surgery.
A nurse is caring for a client who is postoperative. Which of the following
actions should the nurse take?: Apply oxygen via a face mask is incorrect. It is
not necessary to place a face mask on the client because their SaO2 is within the
expected reference range of 95% to 100%.
Instruct the client to splint the abdomen with a pillow for coughing is
correct. It is important for the client to turn, cough, and deep breathe to
reduce the risk for
respiratory complications. The nurse should instruct the client to splint the
incision while performing these actions to reduce the risk of complications to
the surgical incision.
Plan to ambulate the client as soon as possible is correct. The nurse should plan
, RN Adult Medical Surgical Online Practice A 2025
to ambulate the client as soon as possible to promote ventilation and decrease
the risk of thrombosis.
, RN Adult Medical Surgical Online Practice A 2025
Report urinary output to the provider is correct. The client should produce at
least 30 mL of urine per hour. Therefore, the nurse should report this finding to
the provider.
Ask the client to rate their pain on a 0 to 10 pain scale is correct. The nurse
should have the client rate their pain prior to and following the administration
of pain medication to evaluate its effectiveness.
3. A nurse is caring for a client who is receiving total parenteral nutrition (TPN). A
new bag is not available when the current infusion is nearly completed. which
actions should the nurse take?
Keep the line open with 0.9% sodium chloride until the new bag arrives.
Administer dextrose 10% in water until the new bag arrives.
Flush the line and cap the port until the new bag arrives.
Decrease the infusion rate until the new bag arrives.: Administer dextrose 10%
in water until the new bag arrives
4. A nurse is caring for a client who had a nephrostomy tube inserted 12 hr.
ago. Which of the following findings should the nurse report to the provider?
The client's urinary output has increased. The
client reports back pain.
The client's urine color is red tinged.
The client's tube requires irrigation.: The client reports back pain
The nurse should notify the provider if the client reports back pain, which can
indicate that the nephrostomy tube is dislodged or clogged.
5. A nurse is caring for a client who is having a seizure. Which of the following
interventions is the nurse's priority?: Turn the client to the side.
6. A nurse in a provider's office is assessing a client who has hypertension and
takes propranolol. Which of the following findings should indicate to the nurse
that the client is experiencing an adverse reaction to this medication?: Report of
a night cough.
(the nurse should recognize that this is an early indication of heart failure and
report this adverse reaction to the provider)
7. A nurse is planning to irrigate and dress a clean, granulating wound for a
client who has a pressure injury. Which of the following actions should the
nurse take?: Use a 30-mL syringe.
(Nurse should use a 30-60 mL syringe with an 18 or 19-gauge catheter to
