PN Adult Medical Surgical Online Practice 2020 B Exam with 100% Correct Answers

PN Adult Medical Surgical Online Practice 2020 B A nurse is assisting with the development of a plan of care to manage pain for a client who has herpes zoster with lesions on the lower extremities. Which of the following interventions should the nurse include in the plan of care? Keep bed linens o of the affected areas. Position a heat lamp over the lower extremities. Apply warm, moist compresses to the affected areas. Initiate droplet isolation precautions. - Correct answer-Keep bed linens o of the affected areas. A nurse in an orthopedic clinic is reinforcing teaching with a client who has osteoarthritis. Which of the following instructions should the nurse include to promote comfort? Sleep on a firm mattress. Try jogging in place when joints feel stiff. Use a soft chair or recliner for sitting. Apply ice packs to painful joints - Correct answer-Sleep on a firm mattress. A nurse is caring for a client who has an intestinal obstruction and reports a new onset of nausea. The client has an NG tube set at low intermittent suction and is receiving continuous IV infusion of 0.9% sodium chloride. Which of the following actions should the nurse take first? Check for kinks in the NG tube. Increase the IV uid rate. Provide ice chips. Administer an antiemetic - Correct answer-Check for kinks in the NG tube. A nurse is assisting in the care of a client who has AIDS-related pneumonia. The client is receiving antibiotic therapy and albuterol nebulizer treatments daily. Which of the following findings should indicate to the nurse that the client's therapeutic regimen is effective? Adventitious lung sounds Decrease in exertional dyspnea Respiratory rate of 26/min while sitting in a chair Elevation of the head of the bed is required to sleep - Correct answer-Decrease in exertional dyspnea A nurse is caring for a client who is in Buck's traction for a fractured hip. The client reports increased pain at the site of the fracture. Which of the following actions should the nurse take? Massage the area. Remove the weights. Loosen the ropes. Reposition the client - Correct answer-Reposition the client A nurse is caring for a client who begins to have a seizure while ambulating in the hall. Identify the sequence of actions the nurse should follow. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.) Lower the client to the floor. Loosen the clothing around the client's neck. Place a pad beneath the client's head. Time the length of the client's seizure. Reorient and reassure the client. - Correct answer-Lower the client to the floor. Place a pad beneath the client's head. Loosen the clothing around the client's neck. Time the length of the client's seizure. Reorient and reassure the client. A nurse is reinforcing teaching with a client who has diabetes mellitus and a new prescription for regular and NPH insulin. Which of the following instructions on preparing the insulins should the nurse include? Withdraw both types of insulin and then add 0.2 mL of air to the syringe Gently shake the NPH insulin prior to withdrawing the dose. Withdraw the regular insulin before withdrawing the NPH insulin. Inject air into the NPH vial after withdrawing regular insulin. - Correct answer-Withdraw the regular insulin before withdrawing the NPH insulin. A nurse is reinforcing teaching with a client who has type 1 diabetes mellitus about glycosylated hemoglobin (HbA1c) testing. Which of the following information should the nurse include in the teaching? The expected therapeutic reference range for HbA1c for a client who has diabetes mellitus is 9.5% to 10%. An HbA1c level below the expected reference range indicates ineffective glucose control HbA1c results measure glucose control for the prior 3 months. HbA1c testing is used to provide a diagnosis of diabetes mellitus - Correct answerHbA1c results measure glucose control for the prior 3 months. A nurse is collecting data from a client who has 30% body surface area deep partialthickness and full-thickness burns. Which of the following findings indicates that fluid resuscitation is adequate? Granulation tissue is present. Urine output is 50 mL/hr. Lung sounds are clear. Oxygen saturation level is 95%. - Correct answer-Urine output is 50 mL/hr. A nurse is planning care for a group of clients after receiving change-of-shift report. Which of the following clients should the nurse plan to see first? A client who had a colectomy 2 days ago and has a nasogastric tube attached to low suction A client who is dehydrated, has mental confusion, and has tried to get out of bed several times during the night A client who had a right lower lobectomy 4 days ago and has 50 mL/hr of serous drainage from a chest tube A client who has pneumonia, has an elevated oral temperature, and is requesting medication for a cough - Correct answer-A client who is dehydrated, has mental confusion, and has tried to get out of bed several times during the night A nurse is reinforcing teaching with a client who has a new diagnosis of genital herpes. Which of the following information should the nurse include? "Use barrier methods for sexual contact when lesions are present." "Look for lesions that have a wart-like appearance." "The virus can be transmitted without lesions being present." "The lesions resolve in 2 weeks and usually do not recur." - Correct answer-"The virus can be transmitted without lesions being present." A nurse is collecting data from a client who has an obstructive pulmonary disorder. The nurse should document the sound as which of the following? (Click on the audio button to listen to the clip.) Pleural friction rub Wheezes Vesicular Crackles - Correct answer-Wheezes A nurse is reviewing the medication record of a client who is taking digoxin. Which of the following medications should the nurse identify as increasing the risk for the client to develop digoxin toxicity? Potassium chloride Famotidine Levothyroxine Furosemide - Correct answer-Furosemide A nurse is changing the dressing for a client who has an abdominal incision and a closed-suction drain. Which of the following actions should the nurse take? Secure the drainage tube to the client's bedding. Wear sterile gloves to empty the drainage system. Cut an absorbent gauze dressing to t around the drainage tube. Cleanse the drainage plug with alcohol swabs. - Correct answer-Cleanse the drainage plug with alcohol swabs. A nurse is caring for a client who has end-stage liver disease and just underwent an abdominal paracentesis. For which of the following manifestations should the nurse monitor as an adverse effect of the procedure? Changes in the client's sputum Decreased blood pressure Changes in neurological status Increased urinary output - Correct answer-Decreased blood pressure A nurse is reinforcing teaching with a client who has chronic kidney disease about disease management. Which of the following statements by the client indicates an understanding of the teaching? "I will add a banana to my morning cereal." "I will decrease my intake of carbohydrates." "I will limit my daily intake of protein." "I will season my foods with a salt substitute. - Correct answer-"I will limit my daily intake of protein." A nurse is reinforcing instructions with a client who has a new hearing aid. Which of the following instructions should the nurse include? "Change the batteries if you hear a whistling sound." "Adjust the volume to a level where you can hear others speak at a distance of 3 feet." "Keep the hearing aid in place while showering." "Clean the hearing aid with a bristle brush to remove excess cerumen." - Correct answer-"Adjust the volume to a level where you can hear others speak at a distance of 3 feet." A nurse is caring for a client who is postoperative following an above-the-knee amputation of the right leg and reports pain in the absent portion of the limb. The client received an opioid analgesic 1 hr prior. Which of the following actions should the nurse take? Recommend a referral for a mental health provider to begin lithium therapy. Remind the client that the portion of the limb where they feel pain is gone. Ask the provider to increase the frequency of the client's opioid medication. Collaborate with the physical therapist to initiate alternative pain therapies - Correct answer-Collaborate with the physical therapist to initiate alternative pain therapies A nurse is caring for a client who has restricted movement of the chest due to a burn injury. The nurse should anticipate preparing the client for which of the following procedures? Fasciotomy Escharotomy Skin grafting Hyperbaric oxygen therapy - Correct answer-Escharotomy A nurse is caring for a client who is 2 hr postoperative following the amputation of a foot. Which of the following actions should the nurse take first? Obtain the client's temperature. Observe for phantom pain. Measure urinary output. Check the incisional dressing - Correct answer-Check the incisional dressing A nurse is assisting with the care of a client who had a stroke and is unable to speak. The nurse should identify that the client's injury occurred in which of the following lobes of the brain? (You will nd hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.) - Correct answer-A is correct. Injury to the frontal lobe can result in alterations to motor function or voluntary movement. This involves the ability to speak and the ability to move purposefully. A nurse is repositioning a client who has low back pain. Which of the following positions is should the nurse place the client in? Semi-Fowler's with knees flexed Orthopneic Dorsal recumbent Prone with legs straight - Correct answer-Semi-Fowler's with knees flexed A nurse is reinforcing teaching about pursed-lip breathing with a client who has a new diagnosis of COPD. The nurse should identify that which of the following client statements indicates an understanding of the teaching? "I should perform pursed-lip breathing exercises before going to bed." "When I'm fatigued, I should inhale slowly through pursed lips." "Pursed-lip breathing works best for activities like walking up stairs." "I will exhale through my nose after breathing in through pursed lips." - Correct answer- "Pursed-lip breathing works best for activities like walking up stairs." A nurse is reinforcing discharge teaching with a client who has leukemia and is receiving chemotherapy. Which of the following statements should the nurse include in the teaching? "You should thaw frozen meat at room temperature." "You should use paprika as a seasoning for your food." "You should place your toothbrush in hydrogen peroxide." "You should use a glycerin-based soap while bathing." - Correct answer-"You should place your toothbrush in hydrogen peroxide." A nurse is reviewing the medication administration record of a client who has osteoarthritis. Which of the following analgesic prescriptions should the nurse expect to administer when the client reports pain? Methotrexate Acetaminophen Gabapentin Etanercept - Correct answer-Acetaminophen A nurse is reinforcing teaching regarding the use of a continuous passive motion (CPM) machine with a client who is scheduled for a total knee arthroplasty. Which of the following information should the nurse include in the teaching? (Select all that apply.) "Your knee is flexed and extended as prescribed by your provider." "The machine is padded with sheep skin." "You might have the head of the bed elevated to 45 degrees while using this machine." "To use the machine, you must pedal as if you are riding a bike." "We will store the CPM machine on the oor under the bed when not in use." - Correct answer-"Your knee is flexed and extended as prescribed by your provider." "The machine is padded with sheep skin." A nurse is contributing to the plan of care for a client who had a stroke. For which of the following interprofessional team members should the nurse recommend a referral prior to initiating oral intake for the client? Occupational therapist Speech-language pathologist Physical therapist Case manager - Correct answer-Speech-language pathologist A nurse in a clinic is assisting with the development of a pamphlet about STIs. Which of the following information should the nurse recommend including in the pamphlet? The number of sexual partners does not affect the risk for STIs. Oral contraceptive use decreases the risk for STIs. Males seek treatment for STIs later than females. Females have a higher risk for contracting STIs than males. - Correct answer-Females have a higher risk for contracting STIs than males. A nurse is reinforcing teaching with a client who has coronary artery disease. Which of the following instructions should the nurse include in the teaching? "Maintain a fat intake of 40 percent of your total daily calories." "Limit consumption of whole milk products to 8 ounces three times per week." "Exercise for 20 minutes twice per week." "Add oily fish to your diet twice weekly." - Correct answer-"Add oily fish to your diet twice weekly." A nurse is caring for a client who is receiving a continuous tube feeding of 60 mL/hr at 1.2 cal/mL. How many calories will the client receive in 12 hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) - Correct answer-864 A nurse is preparing a client for a cardiac catheterization. Which of the following actions should the nurse take rst? Verify the client has given informed consent. Administer preoperative medication. Mark the location of the pedal pulses. Have the client void. - Correct answer-Verify the client has given informed consent. A nurse is reinforcing discharge teaching with a client who has hearing loss. Which of the following actions should the nurse take when communicating with the client? Rephrase client instructions when not understood. Cup hands around the mouth and direct speech toward the client. Accentuate vowel sounds by using a higher pitch when speaking. Sit to the side of the client and speak instructions into their best ear. - Correct answerRephrase client instructions when not understood. A nurse is caring for a client who is 24 hr postoperative following an abdominal surgery. Which of the following findings requires immediate attention from the nurse? Reported pain level of 6 on a scale of 0 to 10 Urinary output of 110 mL in the past 4 hr Temperature of 38º C (100.4º F) Oxygen saturation of 88% - Correct answer-Oxygen saturation of 88% A nurse in a clinic is collecting data from a client who has hyperthyroidism and has been taking methimazole for 4 weeks. Which of the following statements by the client indicates a therapeutic response to the medication? "I have been sleeping less since I started the medication." "I have gained 3 pounds since my last appointment." "My bowel movements have become more frequent." "I urinate more often than before." - Correct answer-"I have gained 3 pounds since my last appointment." A nurse is reviewing the medical record of a client who is postoperative. Which of the following findings should the nurse identify as a complication of surgery? Serous drainage from the incision WBC count of 15,000/mm3 Temperature of 37.2° C (99° F) Urine output of 400 mL over the past 8 hr - Correct answer-WBC count of 15,000/mm3 A nurse is reinforcing discharge teaching with a client who has Crohn's disease. Which of the following statements should the nurse include in the teaching? "Increase your intake of dietary fat." "Maintain a low-residue diet." "Avoid taking antidiarrheal medications." "Plan to weigh yourself weekly." - Correct answer-"Maintain a low-residue diet." A nurse is caring for a client who has age-related macular degeneration. Which of the following findings should the nurse expect? Seeing halos around artificial lights Distorted central vision of the eyes Colored spots before the visual fields Spontaneous tearing of the eyes - Correct answer-Distorted central vision of the eyes A nurse is collecting data from a client who is receiving sumatriptan. Which of the following is an expected outcome? Reduced cough Diminished headache Relaxed muscles Decreased peripheral edema - Correct answer-Diminished headache A nurse is reinforcing teaching with a client who is taking levothyroxine. Which of the following statements by the client indicates an understanding of the teaching? "I will need to take the medication until my thyroid function returns to normal." "The medication should be taken before I eat breakfast every morning.