RN Adult Medical Surgical Online Practice 2019 A for NGN CORRECT answers REVISED 2023//2024

RN Adult Medical Surgical Online Practice 2019 A for NGN CORRECT answers REVISED 2023//2024 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? - 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? - 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? - 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? - 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? - 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? - 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? - 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? - 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? - 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.) - 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? - ANSWER Turn the client to the side. A nurse is creating a plan of care for a client who has neutropenia as a result of chemotherapy. Which of the following interventions should the nurse include in the plan? - ANSWER Monitor the client's temperature every 4 hr. A nurse is planning care for a client who is undergoing brachytherapy via a sealed vaginal implant to treat endometrial cancer. Which of the following actions should the nurse include in the client's plan of care? - ANSWER Wear a lead apron while providing care to the client. A nurse is preparing to administer a unit of packed RBCs to a client. Which of the following actions should the nurse take? - ANSWER Remain with the client for the first 15 min of the infusion. A nurse is preparing a client who has supraventricular tachycardia for elective cardioversion. Which of the following prescribed medications should the nurse instruct the client to withhold for 48 hr prior to cardioversion? - ANSWER Digoxin A nurse is caring for a client who has anorexia, low-grade fever, night sweats, and a productive cough. Which of the following actions should the nurse take first? - ANSWER Initiate airborne precautions. A nurse in a community clinic is caring for a client who reports an increase in the frequency of migraine headaches. To help reduce the risk for migraine headaches, which of the following foods should the nurse recommend the client avoid? - ANSWER Aged cheese A nurse is caring for a client who has hepatic encephalopathy that is being treated with lactulose. The client is experiencing excessive stools. Which of the following findings is an adverse effect of this medication? - ANSWER Hypokalemia A nurse is assessing a client who had extracorporeal shock wave lithotripsy (ESWL) 6 hr ago. Which of the following findings should the nurse expect? - ANSWER Stone fragments in the urine A nurse in a provider's office is caring for a client who requests sildenafil to treat erectile dysfunction. Which of the following statements should the nurse make? - ANSWER "You will not be able to use sildenafil if you are taking nitroglycerin." A nurse is providing preoperative teaching for a client who is scheduled for an open cholecystectomy. Which of the following actions should the nurse take? - ANSWER Demonstrate ways to deep breathe and cough