PN Adult Medical Surgical Online Practice 2025 Knowledge and Clinical Judgment- Advanced

1. A nurse is caring for a patient who has terminal pancreatic cancer. The patient is competent and has requested no resuscitative measures be taken in the event of respiratory or cardiac arrest. Which of the following is necessary to legally change the patients code status to do-not-resuscitate (DNR)? - A written Script from provider 2. A nurse is caring for a toddler who has acute otisis media and is prescribed benzocaine (Americaine) ear drops for pain relief. Which of the following actions by the nurse is appropriate when administering the ear drops? - warm refrigerated drops to room temp prior to installation 3. A nurse is caring for a patient who has a new colostomy. The patient is being discharged and plans to live with her daughter. Which of the following responses by the nurse is appropriate when the daughter states that she doesn't know how she is going to care for her mother's colostomy? - "What part of your mother's care concerns you?" 4. A nurse is caring for a patient who is diagnosed with bipolar and is taking lithium (Lithane). Which of the following lithium serum levels indicates the the patient dosage is appropriate for maintenance therapy? - 0.75mEq/L 5. A nurse is caring for a patient who is scheduled for a lumbar puncture. The nurse should teach the patient that which of the following is a post- procedure complication? 6. : - headache 7. A nurse is reinforcing teaching about a new prescription for cromolyn sodium (Intal) metered dose inhaler (MDI) to a school aged child who has asthma. Which of the following statements should indicate to the nurse that the child needs further teaching? - "I will use my cromolyn inhaler before using my albuterol inhaler." 8. A nurse is planning to obtain blood pressure of four patients. On which of the following patients should the nurse perform an electronic blood pressure measurement? - A patient who is recovering from a cardiac catheterization 9. A nurse is caring for a patient who weights 132 lbs and has been prescribed gentamicin (Garamycin) 5 mg/kg/day by IV bolus in 3 equal doses. Available on hand is 40 mg/mL that is to be added to 50 mL of 0.9% sodium chloride. How many mL should the nurse add to the solution per dose - 2.5mL