RN Adult Medical Surgical Online
Practice 2026 B
A home fitness nurse is assigned to a consumer who became recently discharged from a
rehabilitation middle after experiencing a right-hemispheric stroke. Which of the following
neurologic decits have to the nurse count on to nd whilst assessing the client? (Select all that
observe.) - ANS--Visual spatial deficits is correct. Visual spatial deficits and loss of depth notion
occur secondary to a right-hemispheric stroke.
-Left hemianopsia is correct. Left hemianopsia, or blindness inside the left half of of the visual
eld, happens secondary to a right-hemispheric stroke.
-One-sided overlook is accurate. One-sided neglect, or an unawareness of the aected side,
takes place secondary to a proper-hemispheric stroke.
A nurse and an assistive personnel (AP) are worrying for a consumer who has bacterial
meningitis. The nurse should provide the AP which of the following instructions? - ANS-• Wear a
masks.
Bacterial meningitis calls for droplet precautions. Therefore, the AP and the nurse have to wear
a masks while coming inside zero.Nine m (3 feet) of the patron till 24 hr after the purchaser has
started receiving antibiotic therapy.
A nurse at a provider's office is worrying for a customer who is 2 weeks
postoperative following a gastrectomy.
Medical History
Since discharge, customer reviews numerous episodes of
dizziness, "rapid" heartbeat, and abdominal cramping.
Client states, "I am afraid to consume."
A nurse is offering teaching for the consumer. Which of the following
commands need to the nurse consist of?
Select all that apply. - ANS--Avoid consuming fluids with meals is correct. The nurse need to
instruct the customer to drink fluids 30 min before or after meals.
-Eat numerous small meals in step with day is correct. The nurse ought to teach the purchaser
to eat several small, frequent food as opposed to 3 large
meals in keeping with day.
-Consume excessive-protein snacks is accurate. The purchaser have to eat snacks which are
excessive in protein and low in carbohydrates to prevent the gastric
meals boluses and reactive hypoglycemia in dumping syndrome.
-Avoid distinctly pro foods is correct. The nurse ought to educate the consumer to keep away
from excessive quantities of spices and salt.
,A nurse in a issuer's workplace is assessing a purchaser who has migraine headaches and is
taking feverfew to prevent headaches. The nurse should become aware of that which of the
subsequent purchaser medicines interacts with feverfew? - ANS-Both naproxen and feverfew
impair platelet aggregation and region the patron at danger for bleeding.
A nurse in an emergency branch is reviewing the provider's prescriptions for a customer who
sustained a rattlesnake chew to the lower leg. Which of the subsequent prescriptions have to
the nurse anticipate? - ANS-• Administer an opioid analgesic to the client.
The nurse have to count on a prescription for an opioid analgesic to sell consolation following a
rattlesnake chunk.
A nurse in an ICU is assessing a consumer who has a traumatic mind damage. Which of the
following ndings need to the nurse discover as a element of Cushing's triad? - ANS-Bradycardia
A nurse is assessing a purchaser following the management of magnesium sulfate 1 g IV bolus.
For which of the following damaging outcomes must the nurse monitor? - ANS-• Respiratory
paralysis
The nurse should display a customer who is receiving magnesium sulfate thru IV bolus closely
as the destructive eects can impact the CNS, the
cardiovascular device and the respiration device Respiratory paralysis is a
existence-threatening detrimental eect of magnesium sulfate
cardiovascular device, and the respiration machine. Respiratory paralysis is a existence
threatening unfavourable eect of magnesium sulfate.
A nurse is assessing a customer who has acute cholecystitis. Which of the following ndings is
the nurse's priority? - ANS-Tachycardia
A nurse is assessing a consumer who has diabetes insipidus. Which of the following ndings
ought to the nurse assume? - ANS-Low urine precise gravity
A nurse is assessing a client who has had a plaster cast implemented to their left leg 2 hr in the
past. Which of the subsequent moves need to the nurse take? - ANS-Check that one nger ts
among the solid and the leg.
A nurse is assessing a consumer who has peripheral arterial ailment. Which of the following
ndings ought to the nurse anticipate? - ANS-• Hair loss at the decrease legs
The nurse need to assume a consumer who has peripheral arterial ailment to have hair loss on
the lower legs because of impaired arterial flow affecting follicular growth.
, A nurse is assessing a patron who is at threat for the development of pernicious anemia due to
peptic ulcer disorder. Which of the subsequent images depicts a condition as a result of
pernicious anemia? - ANS-BEEFY RED
This photo depicts glossitis, which could imply pernicious anemia. Glossitis, a easy crimson
tongue, is likewise a manifestation of deficiencies in vitamin B6, zinc, niacin, or folic acid.
A nurse is assessing a client who is postoperative following a transurethral resection of the
prostate (TURP) and notes clots inside the purchaser's indwelling urinary catheter and a
decrease in urinary output. Which of the following actions should the nurse take? - ANS-•
Irrigate the indwelling urinary catheter.
The nurse ought to irrigate the consumer's catheter per facility protocol to cast off clots
obstructing the urine ow.
A nurse is assessing for compartment syndrome in a client who has a short leg forged. Which of
the following ndings have to the nurse perceive as a manifestation of this situation? - ANS-•
Pain that will increase with passive motion
A nurse is caring for a patron who has a brand new analysis of hyperthyroidism. Which of the
subsequent is the concern assessment nding that the nurse have to report to the issuer? -
ANS-Blood strain a hundred and seventy/80 mm Hg
A nurse is worrying for a client who has a new prescription for general parenteral vitamins
(TPN). The consumer is to obtain 2,000 kcal according to day. The TPN solution has 500 kcal/L.
The IV pump ought to be set at how many mL/hr? (Round the solution to the closest complete
number. Use a leading zero if it applies. Do now not use a trailing 0.) - ANS-167
A nurse is being concerned for a patron who has a pneumothorax and a closed-chest drainage
gadget. Which of the following ndings is a sign of lung re-expansion? - ANS-• Bubbling in the
water seal chamber has ceased.
A nurse is being concerned for a client who has a nice subculture for methicillin-resistant
Staphylococcus aureus (MRSA). Which of the following movements should the nurse take? -
ANS-Bathe the customer the use of chlorhexidine answer.
The nurse should bathe the consumer the usage of chlorhexidine solution as it reduces the
threat of transmission of MRSA to other areas of the body.
A nurse is caring for a patron who has a level 3 stress damage. Which of the following ndings
contributes to behind schedule wound recuperation? - ANS-Urine output 25 mL/hr
Urinary output displays fluid fame. Inadequate urine output can indicate dehydration, that may
put off wound recuperation.
Practice 2026 B
A home fitness nurse is assigned to a consumer who became recently discharged from a
rehabilitation middle after experiencing a right-hemispheric stroke. Which of the following
neurologic decits have to the nurse count on to nd whilst assessing the client? (Select all that
observe.) - ANS--Visual spatial deficits is correct. Visual spatial deficits and loss of depth notion
occur secondary to a right-hemispheric stroke.
-Left hemianopsia is correct. Left hemianopsia, or blindness inside the left half of of the visual
eld, happens secondary to a right-hemispheric stroke.
-One-sided overlook is accurate. One-sided neglect, or an unawareness of the aected side,
takes place secondary to a proper-hemispheric stroke.
A nurse and an assistive personnel (AP) are worrying for a consumer who has bacterial
meningitis. The nurse should provide the AP which of the following instructions? - ANS-• Wear a
masks.
Bacterial meningitis calls for droplet precautions. Therefore, the AP and the nurse have to wear
a masks while coming inside zero.Nine m (3 feet) of the patron till 24 hr after the purchaser has
started receiving antibiotic therapy.
A nurse at a provider's office is worrying for a customer who is 2 weeks
postoperative following a gastrectomy.
Medical History
Since discharge, customer reviews numerous episodes of
dizziness, "rapid" heartbeat, and abdominal cramping.
Client states, "I am afraid to consume."
A nurse is offering teaching for the consumer. Which of the following
commands need to the nurse consist of?
Select all that apply. - ANS--Avoid consuming fluids with meals is correct. The nurse need to
instruct the customer to drink fluids 30 min before or after meals.
-Eat numerous small meals in step with day is correct. The nurse ought to teach the purchaser
to eat several small, frequent food as opposed to 3 large
meals in keeping with day.
-Consume excessive-protein snacks is accurate. The purchaser have to eat snacks which are
excessive in protein and low in carbohydrates to prevent the gastric
meals boluses and reactive hypoglycemia in dumping syndrome.
-Avoid distinctly pro foods is correct. The nurse ought to educate the consumer to keep away
from excessive quantities of spices and salt.
,A nurse in a issuer's workplace is assessing a purchaser who has migraine headaches and is
taking feverfew to prevent headaches. The nurse should become aware of that which of the
subsequent purchaser medicines interacts with feverfew? - ANS-Both naproxen and feverfew
impair platelet aggregation and region the patron at danger for bleeding.
A nurse in an emergency branch is reviewing the provider's prescriptions for a customer who
sustained a rattlesnake chew to the lower leg. Which of the subsequent prescriptions have to
the nurse anticipate? - ANS-• Administer an opioid analgesic to the client.
The nurse have to count on a prescription for an opioid analgesic to sell consolation following a
rattlesnake chunk.
A nurse in an ICU is assessing a consumer who has a traumatic mind damage. Which of the
following ndings need to the nurse discover as a element of Cushing's triad? - ANS-Bradycardia
A nurse is assessing a purchaser following the management of magnesium sulfate 1 g IV bolus.
For which of the following damaging outcomes must the nurse monitor? - ANS-• Respiratory
paralysis
The nurse should display a customer who is receiving magnesium sulfate thru IV bolus closely
as the destructive eects can impact the CNS, the
cardiovascular device and the respiration device Respiratory paralysis is a
existence-threatening detrimental eect of magnesium sulfate
cardiovascular device, and the respiration machine. Respiratory paralysis is a existence
threatening unfavourable eect of magnesium sulfate.
A nurse is assessing a customer who has acute cholecystitis. Which of the following ndings is
the nurse's priority? - ANS-Tachycardia
A nurse is assessing a consumer who has diabetes insipidus. Which of the following ndings
ought to the nurse assume? - ANS-Low urine precise gravity
A nurse is assessing a client who has had a plaster cast implemented to their left leg 2 hr in the
past. Which of the subsequent moves need to the nurse take? - ANS-Check that one nger ts
among the solid and the leg.
A nurse is assessing a consumer who has peripheral arterial ailment. Which of the following
ndings ought to the nurse anticipate? - ANS-• Hair loss at the decrease legs
The nurse need to assume a consumer who has peripheral arterial ailment to have hair loss on
the lower legs because of impaired arterial flow affecting follicular growth.
, A nurse is assessing a patron who is at threat for the development of pernicious anemia due to
peptic ulcer disorder. Which of the subsequent images depicts a condition as a result of
pernicious anemia? - ANS-BEEFY RED
This photo depicts glossitis, which could imply pernicious anemia. Glossitis, a easy crimson
tongue, is likewise a manifestation of deficiencies in vitamin B6, zinc, niacin, or folic acid.
A nurse is assessing a client who is postoperative following a transurethral resection of the
prostate (TURP) and notes clots inside the purchaser's indwelling urinary catheter and a
decrease in urinary output. Which of the following actions should the nurse take? - ANS-•
Irrigate the indwelling urinary catheter.
The nurse ought to irrigate the consumer's catheter per facility protocol to cast off clots
obstructing the urine ow.
A nurse is assessing for compartment syndrome in a client who has a short leg forged. Which of
the following ndings have to the nurse perceive as a manifestation of this situation? - ANS-•
Pain that will increase with passive motion
A nurse is caring for a patron who has a brand new analysis of hyperthyroidism. Which of the
subsequent is the concern assessment nding that the nurse have to report to the issuer? -
ANS-Blood strain a hundred and seventy/80 mm Hg
A nurse is worrying for a client who has a new prescription for general parenteral vitamins
(TPN). The consumer is to obtain 2,000 kcal according to day. The TPN solution has 500 kcal/L.
The IV pump ought to be set at how many mL/hr? (Round the solution to the closest complete
number. Use a leading zero if it applies. Do now not use a trailing 0.) - ANS-167
A nurse is being concerned for a patron who has a pneumothorax and a closed-chest drainage
gadget. Which of the following ndings is a sign of lung re-expansion? - ANS-• Bubbling in the
water seal chamber has ceased.
A nurse is being concerned for a client who has a nice subculture for methicillin-resistant
Staphylococcus aureus (MRSA). Which of the following movements should the nurse take? -
ANS-Bathe the customer the use of chlorhexidine answer.
The nurse should bathe the consumer the usage of chlorhexidine solution as it reduces the
threat of transmission of MRSA to other areas of the body.
A nurse is caring for a patron who has a level 3 stress damage. Which of the following ndings
contributes to behind schedule wound recuperation? - ANS-Urine output 25 mL/hr
Urinary output displays fluid fame. Inadequate urine output can indicate dehydration, that may
put off wound recuperation.
