MED SURG NUR 240/NUR240: COMPREHENSIVE QUESTIONS & CERTIFIED ANSWERS (LATEST 2025/2026 UPDATE)

MED SURG NUR 240/NUR240: COMPREHENSIVE QUESTIONS & CERTIFIED ANSWERS (LATEST 2025/2026 UPDATE) 100% CORRECT - DENVER COLLEGE OF NURSING A client on telemetry has a pattern of uncontrolled atrial fibrillation with a rapid ventricular response. Based on this finding, the nurse anticipates assisting the physician with which treatment? Administer lidocaine, 75 mg intravenous push. Perform synchronized cardioversion. Defibrillate the client as soon as possible. Administer atropine, 0.4 mg intravenous push. A practical nurse (PN) tells the charge nurse in a long-term facility that she does not want to be assigned to one particular resident. She reports that the male client keeps insisting that she is his daughter and begs her to stay in his room. What is the best managerial decision? Notify the family that the resident will have to be discharged if his behavior does not improve. Notify administration of the PN’s insubordination and need for counseling about her statements. Ask the PN what she has done to encourage the resident to believe that she is his daughter. Reassign the PN until the resident can be assessed more completely for reality orientation. Client census is often used to determine staffing needs. Which method of obtaining census determination for a particular unit provides the best formula for determining longrange staffing patterns? Midnight census Oncoming shift census Average daily census Hourly census The nurse is counseling a healthy 30-year-old female client regarding osteoporosis prevention. Which activity would be most beneficial in achieving the client’s goal of osteoporosis prevention? Cross-country skiing Scuba diving Horseback riding Kayaking Which condition should the nurse anticipate as a potential problem in a female client with a neurogenic bladder? Stress incontinence Infection Painless gross hematuria Peritonitis A client is being discharged following radioactive seed implantation for prostate cancer. What is the most important information that the nurse should provide to this client’s family? Follow exposure precautions. Encourage regular meals. Collect all urine. Avoid touching the client. In assessing a client with an arteriovenous (AV) shunt who is scheduled for dialysis today, the nurse notes the absence of a thrill or bruit at the shunt site. What action should the nurse take? Advise the client that the shunt is intact and ready for dialysis as scheduled. Encourage the client to keep the shunt site elevated above the level of the heart. Notify the healthcare provider of the findings immediately. Flush the site at least once with a heparinized saline solution. The nurse notes that the client’s drainage has decreased from 50 to 5 mL/hr 12 hours after chest tube insertion for hemothorax. What is the best initial action for the nurse to take? Document this expected decrease in drainage. Clamp the chest tube while assessing for air leaks. Milk the tube to remove any excessive blood clot buildup. Assess for kinks or dependent loops in the tubing. The nurse is assessing a 75-year-old client for symptoms of hyperglycemia. Which symptom of hyperglycemia is an older adult most likely to exhibit? Polyuria Polydipsia Weight loss Infection Which abnormal laboratory finding indicates that a client with diabetes needs further evaluation for diabetic nephropathy? Hypokalemia Microalbuminuria Elevated serum lipid levels Ketonuria Which change in laboratory values indicates to the nurse that a client with rheumatoid arthritis may be experiencing an adverse effect of methotrexate therapy? ncrease in rheumatoid factor Decrease in hemoglobin level Increase in blood glucose level Decrease in erythrocyte sedimentation rate (ESR; sed rate) Which consideration is most important when the nurse is assigning a room for a client being admitted with progressive systemic sclerosis (scleroderma)? Provide a room that can be kept warm. Make sure that the room can be kept dark. Keep the client close to the nursing unit. Select a room that is visible from the nurses’ desk. The nurse is reviewing routine medications taken by a client with chronic angle-closure glaucoma. Which medication prescription should the nurse question? Antianginal with a therapeutic effect of vasodilation Anticholinergic with a side effect of pupillary dilation Antihistamine with a side effect of sedation Corticosteroid with a side effect of hyperglycemia During the change of shift report, the charge nurse reviews the infusions being received by clients on the oncology unit. The client receiving which infusion should be assessed first? Continuous IV infusion of magnesium One-time infusion of albumin Continuous epidural infusion of morphine Intermittent infusion of IV vancomycin The nurse assesses a postoperative client whose skin is cool, pale, and moist.