RN ADULT MEDICAL SURGICAL ONLINE PRACTICE
2019 A FOR NGN/90 QUESTIONS AND ANSWERS|A
GRADED|NEW!!
A nurse is assessing a client who has had a plaster cast applied to their left leg 2 hr ago. Which of the
following actions should the nurse take? - correct answer- Check that one finger fits between the cast
and the leg.
To make sure the cast is not too tight, the nurse should be able to slide one finger under the cast. It is
not uncommon for casts to loosen as swelling subsides, but that should not be an issue 2 hr after
application.
A nurse is providing teaching to a client who has esophageal cancer and is to undergo radiation therapy.
Which of the following statements should the nurse identify as an indication that the client understands
the teaching? - correct answer- "I will use my hands rather than a washcloth to clean the radiation
area."
The client should gently wash the radiation area with their hands using warm water and mild soap to
protect the skin from further irritation.
A nurse is planning to provide discharge teaching for the family of an older adult client who has
hemianopsia and is at risk for falls. Which of the following instructions should the nurse include? -
correct answer- Remind the client to scan their complete range of vision during ambulation.
The nurse should instruct the family to remind a client who has hemianopsia, or blindness in half of the
visual field, to use visual scanning to look over their complete range of vision during ambulation. This
practice can accommodate for the loss of vision and help to reduce the risk for falls.
A nurse has received change-of-shift report for a group of clients. Which of the following clients should
the nurse assess first? - correct answer- A client who had a myocardial infarction (MI) 4 days ago and is
asking for a PRN sublingual nitroglycerin tablet
, A nurse is caring for a client who is postoperative following a total hip arthroplasty. Which of the
following laboratory values should the nurse report to the provider? - correct answer- Hgb 8 g/dL
A nurse in a provider's office is assessing a client who has migraine headaches and is taking feverfew to
prevent headaches. The nurse should identify that which of the following client medications interacts
with feverfew? - correct answer- Naproxen
An older adult client is brought to an emergency department by a family member. Which of the
following assessment findings should cause the nurse to suspect that the client has hypertonic
dehydration? - correct answer- Urine specific gravity 1.045
A nurse is preparing to admit a client who has dysphagia. The nurse should plan to place which of the
following items at the client's bedside? - correct answer- Suction machine
A nurse in a provider's office is assessing a client who has hypertension and takes propranolol. Which of
the following findings should indicate to the nurse that the client is experiencing an adverse reaction to
this medication? - correct answer- Report of a night cough
A nurse is caring for a client who has a new prescription for total parenteral nutrition (TPN). The client is
to receive 2,000 kcal per day. The TPN solution has 500 kcal/L. The IV pump should be set at how many
mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a
trailing zero.) - correct answer- 167
X mL/hr = Volume (mL)/Time (hr)
X mL/hr =4000mL/24 hr
X mL/hr = 166.67
Round if necessary. 166.67 = 167 mL/hr
A nurse is caring for a client who is having a seizure. Which of the following interventions is the nurse's
priority? - correct answer- Turn the client to the side.
2019 A FOR NGN/90 QUESTIONS AND ANSWERS|A
GRADED|NEW!!
A nurse is assessing a client who has had a plaster cast applied to their left leg 2 hr ago. Which of the
following actions should the nurse take? - correct answer- Check that one finger fits between the cast
and the leg.
To make sure the cast is not too tight, the nurse should be able to slide one finger under the cast. It is
not uncommon for casts to loosen as swelling subsides, but that should not be an issue 2 hr after
application.
A nurse is providing teaching to a client who has esophageal cancer and is to undergo radiation therapy.
Which of the following statements should the nurse identify as an indication that the client understands
the teaching? - correct answer- "I will use my hands rather than a washcloth to clean the radiation
area."
The client should gently wash the radiation area with their hands using warm water and mild soap to
protect the skin from further irritation.
A nurse is planning to provide discharge teaching for the family of an older adult client who has
hemianopsia and is at risk for falls. Which of the following instructions should the nurse include? -
correct answer- Remind the client to scan their complete range of vision during ambulation.
The nurse should instruct the family to remind a client who has hemianopsia, or blindness in half of the
visual field, to use visual scanning to look over their complete range of vision during ambulation. This
practice can accommodate for the loss of vision and help to reduce the risk for falls.
A nurse has received change-of-shift report for a group of clients. Which of the following clients should
the nurse assess first? - correct answer- A client who had a myocardial infarction (MI) 4 days ago and is
asking for a PRN sublingual nitroglycerin tablet
, A nurse is caring for a client who is postoperative following a total hip arthroplasty. Which of the
following laboratory values should the nurse report to the provider? - correct answer- Hgb 8 g/dL
A nurse in a provider's office is assessing a client who has migraine headaches and is taking feverfew to
prevent headaches. The nurse should identify that which of the following client medications interacts
with feverfew? - correct answer- Naproxen
An older adult client is brought to an emergency department by a family member. Which of the
following assessment findings should cause the nurse to suspect that the client has hypertonic
dehydration? - correct answer- Urine specific gravity 1.045
A nurse is preparing to admit a client who has dysphagia. The nurse should plan to place which of the
following items at the client's bedside? - correct answer- Suction machine
A nurse in a provider's office is assessing a client who has hypertension and takes propranolol. Which of
the following findings should indicate to the nurse that the client is experiencing an adverse reaction to
this medication? - correct answer- Report of a night cough
A nurse is caring for a client who has a new prescription for total parenteral nutrition (TPN). The client is
to receive 2,000 kcal per day. The TPN solution has 500 kcal/L. The IV pump should be set at how many
mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a
trailing zero.) - correct answer- 167
X mL/hr = Volume (mL)/Time (hr)
X mL/hr =4000mL/24 hr
X mL/hr = 166.67
Round if necessary. 166.67 = 167 mL/hr
A nurse is caring for a client who is having a seizure. Which of the following interventions is the nurse's
priority? - correct answer- Turn the client to the side.
