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Exam (elaborations)

PN Adult Medical Surgical Online Practice 2025 A Complete Question Set with Correct Answers.

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PN Adult Medical Surgical Online Practice 2025 A Complete Question Set with Correct Answers.

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Uploaded on
June 20, 2025
Number of pages
16
Written in
2024/2025
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PN Adult Medical Surgical Online Practice
2025 A Complete Question Set with Correct
Answers

A nurse is providing information regarding transmission-based precautions for a client who has
Clostridium Difficile to an assistive personnel (AP). Which of the following instructions should the
nurse include? (Select all that apply.)

"Provide the client with disposable utensils and dishes for meals."

"Leave blood pressure equipment in the client's room"

"Clean contaminated surfaces with a bleach solution"




A nurse is contributing to the plan of care for a client who has just transferred to the medical-
surgical unit from the PACU following a right total knee arthroplasty. Which of the following
interventions should the nurse include in the plan?

Assist the client to change positions at least every 2 hr.




A nurse is preparing to administer scheduled medications to the client. Which of the following
prescriptions should the nurse verify with the provider? (Click on the exhibit tabs for additional
information about the client. There are three tabs that contain separate categories of data.)

Ceftriaxone




A nurse is examining a client's IV site and notes a hardened vein above their IV site. The client
reports a throbbing, burning pain at the IV site. The nurse should identify that the client's
manifestations indicate which of the following complications of IV therapy?

Thrombophlebitis




A nurse is reinforcing teaching with a client prior to the removal of a leg cast. Which of the following
statements should indicate to the nurse that the client understands the teaching?

"I will feel vibrations on my leg from the cast cutter."

,A nurse is collecting data from a client and notices several skin lesions. Which of the following
findings should the nurse report as possible melanoma?

Irregular borders




A nurse is assisting with the care for a client who has difficulty swallowing. Which of the following
actions should the nurse implement to prevent aspiration?

Give the client liquids with increased viscosity.




A nurse is reinforcing teaching regarding the use of a continuous passive motion (CPM) machine with
a client who is scheduled for a total knee arthroplasty. Which of the following information should
the nurse include in the teaching? (Select all that apply.)

"Your knee is flexed and extended as prescribed by your provider."

"The machine is padded with sheep skin."




A nurse is assisting with the care for a client who has a prescription for digoxin 0.25 mg PO daily.
While taking the client's apical pulse, the nurse notes a rate of 58/min. Which of the following
actions should the nurse take?

Withhold the dose.




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A nurse is collecting data from a 55-year-old female client who reports vaginal dryness and hot
flashes. The client is interested in trying hormone replacement therapy (HRT). Which of the following
should the nurse recognize as a contraindication to HRT?

History of treatment for blood clots

, A nurse is reinforcing teaching with a client who has diabetes mellitus and a new prescription for
regular and NPH insulin. Which of the following instructions on preparing the insulins should the
nurse include?

Withdraw the regular insulin before withdrawing the NPH insulin.




A nurse is reinforcing teaching about glycosylated hemoglobin (HbA1c) testing with a client who has
diabetes mellitus. Which of the following statements indicates that the client understands the
teaching?

"I will have my HbA1c checked twice per year."




A nurse is assisting in the care of a client who is receiving a continuous tube feeding of 60 mL/hr at
1.2 cal/mL. How many calories will the client receive in 12 hr? (Round the answer to the nearest
whole number. Use a leading zero if it applies. Do not use a trailing zero.)

864 calories




A nurse is assisting with the care for a client who is 2 hr postoperative following the amputation of a
foot. Which of the following actions should the nurse take first?

Check the incisional dressing.




A nurse in a health clinic is reinforcing teaching with a client about tuberculosis (TB). Which of the
following client statements indicates an understanding of the teaching?

"I can develop TB by breathing in the infection."




A nurse is preparing to assist a client out of bed 4 hr following a laparoscopic cholecystectomy.
Which of the following actions should the nurse take first?

Obtain the client's blood pressure.



A nurse is assisting with the care of a client who is postoperative following abdominal surgery.

Instruct the client to splint their abdomen with a pillow when coughing.

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