PN ADULT MEDICAL SURGICAL ONLINE
PRACTICE A QUESTIONS AND
ANSWERS
Abnursebisbpreparingbtobadministerbfurosemidebtobabclientbwhobhasbheartbfailure
.bWhichbofbthebfollowingbfindingsbshouldbthebnursebreportbbeforebadministeringbt
hebmedication?
Elevatedbsodium
Elevatedbbloodbpressure
Decreasedbpotassium
Decreasedburineboutputb-bans-Decreasedbpotassium
Abnursebisbreviewingbthebchartbofbabclientbwhobisbexperiencingbanbadrenalbcrisi
s,bwhichbwasbprecipitatedbbybthebclientbnotbtakingbtheirbmedicationbforbseveralb
days.bThebnursebshouldbidentifybthatbwithdrawalbfrombwhichbofbthebfollowingbme
dicationsbpotentiatedbthebadrenalbcrisis?
Metoprolol|
Methimazole
Furosemidel
Prednisoneb-bans-Prednisone
Abnursebisbassistingbwithbthebcarebforbabclientbwhobhasbabprescriptionbforbdigo
xinb0.25bmgbPObdaily.bWhilebtakingbthebclient'sbapicalbpulse,bthebnursebnotesb
abratebofb58/min.bWhichbofbthebfollowingbactionsbshouldbthebnursebtake?
Givebthebdosebasbprescribed.
Usebabdifferentbroutebtobadministerbthebmedication.
Administerbhalfbofbthebprescribedbdose.
Withholdbthebdose.b-bans-Withholdbthebdose.
Abnursebisbreinforcingbteachingbaboutbglycosylatedbhemoglobinb(HbA1c)btestingb
withbabclientbwhobhasbdiabetesbmellitus.bWhichbofbthebfollowingbstatementsbindi
catesbthatbthebclientbunderstandsbthebteaching?
"ThebHbA1cbtestbshouldbbebperformedb2bhrbafterbIbeatbabmealbthatbisbhighbinb
carbohydrates."
"ThebHbA1cbtestbcanbhelpbdetectbthebpresencebofbketonesbinbmybbody.".
"IbwillbhavebmybHbA1cbcheckedbtwicebperbyear."
"IbwillbplanbtobfastbbeforebIbhavebmybHbA1cbtested."b-
bans-"IbwillbhavebmybHbA1cbcheckedbtwicebperbyear."
,Abnursebisbprovidingbinformationbregardingbtransmission-
basedbprecautionsbforbabclientbwhobhasbClostridiumbdifficilebtobanbassistivebpers
onnelb(AP).bWhichbofbthebfollowingbinstructionsbshouldbthebnursebinclude?
b(Selectballbthatbapply.)
"Providebthebclientbwithbdisposablebutensilsbandbdishesbforbmeals."|
"Leavebbloodbpressurebequipmentbinbthebclient'sbroom."
"Cleanbcontaminatedbsurfacesbwithbabbleachbsolution."
"Usebanbalcohol-basedbhandbsanitizerbafterbclientbcare."
"Wearbabfacebmaskbwhenbinbthebclient'sbroom."'b-
bans-"Providebthebclientbwithbdisposablebutensilsbandbdishesbforbmeals."
"Leavebbloodbpressurebequipmentbinbthebclient'sbroom."
"Cleanbcontaminatedbsurfacesbwithbabbleachbsolution."
Abnursebisbreinforcingbteachingbwithbabclientbwhobhasbcoronarybarterybdisease.b
Whichbofbthebfollowingbinstructionsbshouldbthebnursebincludebinbthebteaching?
"Maintainbabfatbintakebofb40bpercentbofbyourbtotalbdailybcalories."
"Limitbconsumptionbofbwholebmilkbproductsbtob8bouncesbthreebtimesbperbweek."
"Exercisebforb20bminutesbtwicebperbweek."
"Addboilybfishbtobyourbdietbtwicebweekly."b-
bans-"Addboilybfishbtobyourbdietbtwicebweekly."
AbnursebinbanboncologybclinicbisbreinforcingbteachingbaboutbMohsbsurgerybwithb
abclientbwhobhasbskinbcancer.bWhichbofbthebfollowingbinformationbshouldbthebnu
rsebincludebinbthebteaching?
Mohsbsurgerybisbabhorizontalbshavingbofbthinblayersbofbthebtumor.
Mohsbsurgerybusesbliquidbnitrogenbtobdestroybthebcancerousbtissue.
Mohsbsurgerybisbthebpreferredbtreatmentbforbmelanomabskinbcancer.
Mohsbsurgerybisbabpalliativebtreatmentbforbmetastaticbskinbcancer.b-bans-
Mohsbsurgerybisbabhorizontalbshavingbofbthinblayersbofbthebtumor.
Abnursebisbcollectingbdatabfrombanbolderbadultbclientbwhobhasbseveralbconcerns
.bWhichbofbthebfollowingbconcernsbshouldbthebnursebrecognizebasbanbexpectedb
changebassociatedbwithbaging?
"IbsweatbmorebthanbIbusedbto."
"Sometimes,bIbcan'tbrememberbmybkids'bnames."
"IbseembtobhavebmorebloosebstoolsbthanbIbusedbto."
"MybfoodbtastesbblandbevenbafterbIbadb-
bans-"MybfoodbtastesbblandbevenbafterbIbaddbseasoning."
Abnursebisbreinforcingbdietarybteachingbwithbabclientbaboutbincreasingbthebintake
bofbfoodsbcontainingbvitaminbCbtobenhancebabsorptionbofboralbironbsupplements.
bWhichbofbthebfollowingbfoodbchoicesbshouldbthebnursebincludebinbthebteaching?
1bcupbofbcookedbbrownbrice
1bcupbofbboiledbbroccoli
1bcupbofbcottagebcheese
1bcupbofbscrambledbeggsb-bans-1bcupbofbboiledbbroccoli
, Abnursebisbassistingbwithbthebcarebforbabclientbwhobisb2bhrbpostoperativebfollo
wingbthebamputationbofbabfoot.bWhichbofbthebfollowingbactionsbshouldbthebnurse
btakebfirst?
Obtainbthebclient'sbtemperature.
Observebforbphantombpain.
Measureburinaryboutput.
Checkbthebincisionalbdressing.b-bans-Checkbthebincisionalbdressing.
Abnursebisbassistingbwithbthebcarebofbabclientbwhobisbpostoperativebfollowingba
bdominalbsurgery.
Whichbofbthebfollowingbactionsbshouldbthebnursebtake?
Selectballbthatbapply.
Applyboxygenbtobthebclientbviababfacebmask.
Instructbthebclientbtobsplintbtheirbabdomenbwithbabpillowbwhenbcoughing.
Planbtobambulatebthebclientbasbsoonbasbpossible.
Reportbthebclient'sburinaryboutputbtobthebchargebnurse.
Monitorbthebclient'sbpainblevel.b-bans-
Instructbthebclientbtobsplintbtheirbabdomenbwithbabpillowbwhenbcoughing.
Reportbthebclient'sburinaryboutputbtobthebchargebnurse.
Monitorbthebclient'sbpainblevel.
Planbtobambulatebasbsoonbasbpossible
Abnursebisbassistingbwithbmonitoringbabclientbwhobisbreceivingbdialysisbtreatment
.
Exhibitb1
Nurses'bNotes
0530:Clientbisbawakebandbalert.bArteriovenousbfistulab(AVF)btobrightbforearmbwith
bthrillbpalpatedbandbauscultatedbforbbruit.bBreathbsoundsbarebclearbuponbauscult
ation;bclientbdeniesbshortnessbofbbreath.bNobperipheralbedemabnoted;bcapillarybr
efillbisblessbthanb3bseconds;b+2bbilateralbpedalbandbradialbpulses.AVFbaccessbp
reparedbandbcannulatedbtwicebwithbnobdifficulty.bLinesbarebtapedbandbsecured;bt
reatmentbisbinitiated.0600:Clientbisbreadingbabbook.bAccessbisbvisible,bandblinesb
arebsecure.bClientbreportsbnobdiscomfortborbpain.0630:Clientbreportsbfeelingbwar
m,bnauseated,bandblightheaded;bappearsbrestlessbandbslightlybconfused.
Exhibitb2
VitalbSigns
0530:Currentbweightb88bkgb(194blb)Temperatureb37°bCb(98.6°bF)Bloodbpressure•
bLyingb-b152/92bmmbHg•bSittingb-b148/90bmmbHg•bStandingb-
b144/88bmmbHgHeartbrateb90/minRespirb-bans-
Forbeachbpotentialbnursingbintervention,bclickbtobspecifybifbthebinterventionbisbind
icatedborbnotbindicated.
NursingbIntervention
Requestbabchestbx-rayb-bnotbindicated
PlacebthebclientbinbreversebTrendelenburgbpositionb-bindicated
PRACTICE A QUESTIONS AND
ANSWERS
Abnursebisbpreparingbtobadministerbfurosemidebtobabclientbwhobhasbheartbfailure
.bWhichbofbthebfollowingbfindingsbshouldbthebnursebreportbbeforebadministeringbt
hebmedication?
Elevatedbsodium
Elevatedbbloodbpressure
Decreasedbpotassium
Decreasedburineboutputb-bans-Decreasedbpotassium
Abnursebisbreviewingbthebchartbofbabclientbwhobisbexperiencingbanbadrenalbcrisi
s,bwhichbwasbprecipitatedbbybthebclientbnotbtakingbtheirbmedicationbforbseveralb
days.bThebnursebshouldbidentifybthatbwithdrawalbfrombwhichbofbthebfollowingbme
dicationsbpotentiatedbthebadrenalbcrisis?
Metoprolol|
Methimazole
Furosemidel
Prednisoneb-bans-Prednisone
Abnursebisbassistingbwithbthebcarebforbabclientbwhobhasbabprescriptionbforbdigo
xinb0.25bmgbPObdaily.bWhilebtakingbthebclient'sbapicalbpulse,bthebnursebnotesb
abratebofb58/min.bWhichbofbthebfollowingbactionsbshouldbthebnursebtake?
Givebthebdosebasbprescribed.
Usebabdifferentbroutebtobadministerbthebmedication.
Administerbhalfbofbthebprescribedbdose.
Withholdbthebdose.b-bans-Withholdbthebdose.
Abnursebisbreinforcingbteachingbaboutbglycosylatedbhemoglobinb(HbA1c)btestingb
withbabclientbwhobhasbdiabetesbmellitus.bWhichbofbthebfollowingbstatementsbindi
catesbthatbthebclientbunderstandsbthebteaching?
"ThebHbA1cbtestbshouldbbebperformedb2bhrbafterbIbeatbabmealbthatbisbhighbinb
carbohydrates."
"ThebHbA1cbtestbcanbhelpbdetectbthebpresencebofbketonesbinbmybbody.".
"IbwillbhavebmybHbA1cbcheckedbtwicebperbyear."
"IbwillbplanbtobfastbbeforebIbhavebmybHbA1cbtested."b-
bans-"IbwillbhavebmybHbA1cbcheckedbtwicebperbyear."
,Abnursebisbprovidingbinformationbregardingbtransmission-
basedbprecautionsbforbabclientbwhobhasbClostridiumbdifficilebtobanbassistivebpers
onnelb(AP).bWhichbofbthebfollowingbinstructionsbshouldbthebnursebinclude?
b(Selectballbthatbapply.)
"Providebthebclientbwithbdisposablebutensilsbandbdishesbforbmeals."|
"Leavebbloodbpressurebequipmentbinbthebclient'sbroom."
"Cleanbcontaminatedbsurfacesbwithbabbleachbsolution."
"Usebanbalcohol-basedbhandbsanitizerbafterbclientbcare."
"Wearbabfacebmaskbwhenbinbthebclient'sbroom."'b-
bans-"Providebthebclientbwithbdisposablebutensilsbandbdishesbforbmeals."
"Leavebbloodbpressurebequipmentbinbthebclient'sbroom."
"Cleanbcontaminatedbsurfacesbwithbabbleachbsolution."
Abnursebisbreinforcingbteachingbwithbabclientbwhobhasbcoronarybarterybdisease.b
Whichbofbthebfollowingbinstructionsbshouldbthebnursebincludebinbthebteaching?
"Maintainbabfatbintakebofb40bpercentbofbyourbtotalbdailybcalories."
"Limitbconsumptionbofbwholebmilkbproductsbtob8bouncesbthreebtimesbperbweek."
"Exercisebforb20bminutesbtwicebperbweek."
"Addboilybfishbtobyourbdietbtwicebweekly."b-
bans-"Addboilybfishbtobyourbdietbtwicebweekly."
AbnursebinbanboncologybclinicbisbreinforcingbteachingbaboutbMohsbsurgerybwithb
abclientbwhobhasbskinbcancer.bWhichbofbthebfollowingbinformationbshouldbthebnu
rsebincludebinbthebteaching?
Mohsbsurgerybisbabhorizontalbshavingbofbthinblayersbofbthebtumor.
Mohsbsurgerybusesbliquidbnitrogenbtobdestroybthebcancerousbtissue.
Mohsbsurgerybisbthebpreferredbtreatmentbforbmelanomabskinbcancer.
Mohsbsurgerybisbabpalliativebtreatmentbforbmetastaticbskinbcancer.b-bans-
Mohsbsurgerybisbabhorizontalbshavingbofbthinblayersbofbthebtumor.
Abnursebisbcollectingbdatabfrombanbolderbadultbclientbwhobhasbseveralbconcerns
.bWhichbofbthebfollowingbconcernsbshouldbthebnursebrecognizebasbanbexpectedb
changebassociatedbwithbaging?
"IbsweatbmorebthanbIbusedbto."
"Sometimes,bIbcan'tbrememberbmybkids'bnames."
"IbseembtobhavebmorebloosebstoolsbthanbIbusedbto."
"MybfoodbtastesbblandbevenbafterbIbadb-
bans-"MybfoodbtastesbblandbevenbafterbIbaddbseasoning."
Abnursebisbreinforcingbdietarybteachingbwithbabclientbaboutbincreasingbthebintake
bofbfoodsbcontainingbvitaminbCbtobenhancebabsorptionbofboralbironbsupplements.
bWhichbofbthebfollowingbfoodbchoicesbshouldbthebnursebincludebinbthebteaching?
1bcupbofbcookedbbrownbrice
1bcupbofbboiledbbroccoli
1bcupbofbcottagebcheese
1bcupbofbscrambledbeggsb-bans-1bcupbofbboiledbbroccoli
, Abnursebisbassistingbwithbthebcarebforbabclientbwhobisb2bhrbpostoperativebfollo
wingbthebamputationbofbabfoot.bWhichbofbthebfollowingbactionsbshouldbthebnurse
btakebfirst?
Obtainbthebclient'sbtemperature.
Observebforbphantombpain.
Measureburinaryboutput.
Checkbthebincisionalbdressing.b-bans-Checkbthebincisionalbdressing.
Abnursebisbassistingbwithbthebcarebofbabclientbwhobisbpostoperativebfollowingba
bdominalbsurgery.
Whichbofbthebfollowingbactionsbshouldbthebnursebtake?
Selectballbthatbapply.
Applyboxygenbtobthebclientbviababfacebmask.
Instructbthebclientbtobsplintbtheirbabdomenbwithbabpillowbwhenbcoughing.
Planbtobambulatebthebclientbasbsoonbasbpossible.
Reportbthebclient'sburinaryboutputbtobthebchargebnurse.
Monitorbthebclient'sbpainblevel.b-bans-
Instructbthebclientbtobsplintbtheirbabdomenbwithbabpillowbwhenbcoughing.
Reportbthebclient'sburinaryboutputbtobthebchargebnurse.
Monitorbthebclient'sbpainblevel.
Planbtobambulatebasbsoonbasbpossible
Abnursebisbassistingbwithbmonitoringbabclientbwhobisbreceivingbdialysisbtreatment
.
Exhibitb1
Nurses'bNotes
0530:Clientbisbawakebandbalert.bArteriovenousbfistulab(AVF)btobrightbforearmbwith
bthrillbpalpatedbandbauscultatedbforbbruit.bBreathbsoundsbarebclearbuponbauscult
ation;bclientbdeniesbshortnessbofbbreath.bNobperipheralbedemabnoted;bcapillarybr
efillbisblessbthanb3bseconds;b+2bbilateralbpedalbandbradialbpulses.AVFbaccessbp
reparedbandbcannulatedbtwicebwithbnobdifficulty.bLinesbarebtapedbandbsecured;bt
reatmentbisbinitiated.0600:Clientbisbreadingbabbook.bAccessbisbvisible,bandblinesb
arebsecure.bClientbreportsbnobdiscomfortborbpain.0630:Clientbreportsbfeelingbwar
m,bnauseated,bandblightheaded;bappearsbrestlessbandbslightlybconfused.
Exhibitb2
VitalbSigns
0530:Currentbweightb88bkgb(194blb)Temperatureb37°bCb(98.6°bF)Bloodbpressure•
bLyingb-b152/92bmmbHg•bSittingb-b148/90bmmbHg•bStandingb-
b144/88bmmbHgHeartbrateb90/minRespirb-bans-
Forbeachbpotentialbnursingbintervention,bclickbtobspecifybifbthebinterventionbisbind
icatedborbnotbindicated.
NursingbIntervention
Requestbabchestbx-rayb-bnotbindicated
PlacebthebclientbinbreversebTrendelenburgbpositionb-bindicated
