PN ADULT MEDICAL SURGICAL 2023 WITH NGN
AND PN ADULT MEDICAL SURGICAL 2023 EXAM
PLUS PRACTICE EXAM
1. TEST
A nurse is caring for a client who is taking lithium and reports persistent
nausea and vomiting for 2 days. Which of the following laboratory values
should the nurse report to the provider?
a) Potassium 4.0 mEq/L
b) Lithium 0.9 mEq/L
c) BUN 12 mg/dL
d) Sodium 132 mEq/L*Answer* D. Sodium
132 mEq/L Rationale:
The nurse should identify that a sodium level of 132 mEq/L is not within the expected reference range of 136 to 145
mEq/L. This finding indicates hyponatremia, which can lead to lithium accumulation and places the client at risk for
lithium toxicity. The nurse should report this finding to the provider.
,2. A nurse is caring for a client who has cancer and has a WBC count of
4,000/mm3. Which of the following
actions should the nurse take?
a) Cleanse the client's toothbrush with hydrogen peroxide.
b) Instruct the client to use a disposable razor to shave.
c) Decrease the client's protein intake.
d) Encourage the client to eat unpasteurized dairy products.
*Answer* A. Cleanse the client's toothbrush with hydrogen peroxide.
Rationale
A WBC count of 4,000/mm3 is considered low and is known as leukopenia. A low WBC count can be caused by cancer
or cancer treatment. The nurse should instruct the client to cleanse their toothbrush with hydrogen peroxide. People
with leukemia or leukopenia should avoid using disposable razors, which can cause cuts and bleeding that can lead
,to infections. Instead, they recommend using an electric razor to reduce the risk of injury. Encouraging the client to
eat unpasteurized dairy products is not recommended as they can contain harmful bacteria that can cause infections.
, Decreasing the client's protein intake is not recommended as protein is important for wound healing and immune
function
3. TEST
A nurse enters a client's room and sees smoke coming from the bathroom.
Which of the following actions should the nurse take first?
a) Activate the fire alarm system.
b) Use a fire extinguisher at the source of the
smoke.
c) Assist the client to a nearby common area.
d) Close the doors to the room and to the
bathroom.
*Answer* C. Assist the client to a nearby common area.
Rationale
AND PN ADULT MEDICAL SURGICAL 2023 EXAM
PLUS PRACTICE EXAM
1. TEST
A nurse is caring for a client who is taking lithium and reports persistent
nausea and vomiting for 2 days. Which of the following laboratory values
should the nurse report to the provider?
a) Potassium 4.0 mEq/L
b) Lithium 0.9 mEq/L
c) BUN 12 mg/dL
d) Sodium 132 mEq/L*Answer* D. Sodium
132 mEq/L Rationale:
The nurse should identify that a sodium level of 132 mEq/L is not within the expected reference range of 136 to 145
mEq/L. This finding indicates hyponatremia, which can lead to lithium accumulation and places the client at risk for
lithium toxicity. The nurse should report this finding to the provider.
,2. A nurse is caring for a client who has cancer and has a WBC count of
4,000/mm3. Which of the following
actions should the nurse take?
a) Cleanse the client's toothbrush with hydrogen peroxide.
b) Instruct the client to use a disposable razor to shave.
c) Decrease the client's protein intake.
d) Encourage the client to eat unpasteurized dairy products.
*Answer* A. Cleanse the client's toothbrush with hydrogen peroxide.
Rationale
A WBC count of 4,000/mm3 is considered low and is known as leukopenia. A low WBC count can be caused by cancer
or cancer treatment. The nurse should instruct the client to cleanse their toothbrush with hydrogen peroxide. People
with leukemia or leukopenia should avoid using disposable razors, which can cause cuts and bleeding that can lead
,to infections. Instead, they recommend using an electric razor to reduce the risk of injury. Encouraging the client to
eat unpasteurized dairy products is not recommended as they can contain harmful bacteria that can cause infections.
, Decreasing the client's protein intake is not recommended as protein is important for wound healing and immune
function
3. TEST
A nurse enters a client's room and sees smoke coming from the bathroom.
Which of the following actions should the nurse take first?
a) Activate the fire alarm system.
b) Use a fire extinguisher at the source of the
smoke.
c) Assist the client to a nearby common area.
d) Close the doors to the room and to the
bathroom.
*Answer* C. Assist the client to a nearby common area.
Rationale
