RN Adult Medical Surgical Online Practice 2024 A NGN QUESTIONS AND CORRECT ANSWERS 100- Top

RN Adult Medical Surgical Online Practice 2023 A
NGN QUESTIONS AND CORRECT ANSWERS 100%
Top Score



NGN

1000:

Client is alert and oriented and reports not feeling well for a few days. Client is on continuous ambulatory
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peritoneal dialysis (CAPD) and reports dialysate appeared cloudy this morning.
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Reports abdominal pain as 4 on a scale of 0 to 10.
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Bowel sounds active in all quadrants.
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Peritoneal dialysis access site red, warm to touch, with a small amount of purulent drainage noted on
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dressing.1300:
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Client is lying in bed with the knees flexed, guarding the abdomen. Abdomen is slightly distended,
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hypoactive bowel sounds. Client reports nausea. Reports pain as 6 on a scale of 0 to 10. Provider notified
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and updated with client condition and diagnostic results. - correct Answers ✔✔ -The client is
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experiencing manifestations of
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peritonitis

due to`i `i




x-ray results `i




.

NGN

Client admitted to medical-surgical unit from PACU. Client reports incisional pain as 2 on a scale of 0 to
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10. Client appears restless and frequently asks for water. Bilateral lower extremities cool with +1 pedal
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pulses. Urine output is 40 mL for the past 2 hr. Moderate amount of bright red drainage noted on
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surgical incision dressing. - correct Answers ✔✔ -Insert a large-gauge IV.
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Initiate a fluid challenge. `i `i `i

,Hypovolemia



Urine output `i




Blood pressure `i




A nurse is caring for a client who has a potassium level of 3 mEq/L. Which of the following assessment
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findings should the nurse expect? - correct Answers ✔✔ -Hypoactive Bowel Sounds
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NGN

0900:

Client presents with abdominal pain in the upper left quadrant for the past 2 days. States pain became
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worse this morning and is radiating to the back. Rates pain as 8 on a scale of 0 to 10.
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Hypoactive bowel sounds; reports nausea, no vomiting; client is passing flatus.
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Febrile, oriented to person, place, and time.
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Tachypnea with diminished breath sounds. `i `i `i `i




Sinus tachycardia. `i




Client voids 300 mL of clear, amber urine.
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0930:

Client vomited 100 mL brown liquid. - correct Answers ✔✔ -The client is experiencing manifestations of
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pancreatitis

as evidenced by the
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amylase and lipase `i `i




.

0530:

Client is awake and alert.
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Arteriovenous fistula (AVF) to right forearm with thrill palpated and auscultated for bruit. Lung sounds
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clear upon auscultation; client denies shortness of breath. No peripheral edema noted; capillary refill is
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less than 3 seconds; +2 bilateral pedal and radial pulses.
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, AVF access prepared and cannulated twice with no difficulty. Lines are taped and secured; treatment is
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initiated.0600:
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Client is reading a book. Access is visible, and lines are secure. Client reports no discomfort or pain.0630:
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Client reports feeling warm, nauseated, and lightheaded; appears restless and slightly confused. - correct
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Answers ✔✔ -Perform a 12-lead ECG is not indicated.
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Place the client in Trendelenburg position is indicated.
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Administer a 0.9% sodium chloride 200 mL IV bolus is indicated. `i `i `i `i `i `i `i `i `i `i `i




Apply oxygen at 2 L/min via nasal cannula is indicated
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Notify the provider immediately is indicated
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Obtain the client's blood glucose level is not indicated.
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1800:

Emergency medical team removed client's shirt at the scene and initiated 18-gauge IV therapy in the
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right antecubital space.
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Client has full-thickness burns over the upper half of the chest and both forearms; partial-thickness burns
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are present on the client's face and neck.
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Sinus tachycardia, pulses to brachial extremities palpable. 1+ edema to upper extremities.
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Respirations even, labored with scattered rhonchi. Soot noted to the client's mouth and nose. Oxygen
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40% via face tent applied.
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Hypoactive bowel sounds. `i `i




16 French indwelling urinary catheter inserted with return of 250 mL of yellow urine.
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Lactated Ringer's infusing to right antecubital. Provider preparing to insert right femoral central line
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catheter.
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1830: