RN Adult Medical Surgical Online Practice 2023 B
x x x x x x x
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1. A nurse is caring for a client who presents to a clinic for a 1-week follow-
x x x x x x x x x x x x x x x
up visit after hospitalization for heart failure. Based on the information in the c
x x x x x x x x x x x x x
lient's chart, which of the following findings should the nurse report to the pro
x x x x x x x x x x x x x
vider? (Click on the "Exhibit" button for additional information about the clien
x x x x x x x x x x x
t. There are three tabs that contain separate categories of data.): Heart rate 55/
x x x x x x x x x x x x x
min
Rational:
The client's heart rate of 55/min is a decrease from the client's baseline of 74/min, an
x x x x x x x x x x x x x x x
d it can indicate the development of digoxin toxicity. The nurse should report this findi
x x x x x x x x x x x x x x
ng to the provider.
x x x
2. A nurse is teaching a client about the use of transcutaneous electrical nerve s
x x x x x x x x x x x x x
timulation (TENS) for the management of bone cancer pain. Thenurse should ex
x x x x x x x x x x x
plain that applying a TENS unit to the painful area has which of the following effe
x x x x x x x x x x x x x x x
cts?: A tingling sensation replacing the pain
x x x x x x
Rational:
A TENS unit applies small electric currents to the painful area, with the client increasin
x x x x x x x x x x x x x x
g the current until the "pins and needles" sensation overrides the pain.
x x x x x x x x x x x
3. A nurse in an ICU is assessing a client who has a traumatic brain injury. W
x x x x x x x x x x x x x x x
hich of the following findings should the nurse identify as a componentof Cu
x x x x x x x x x x x x
shing's triad?: Bradycardia x x
Rational:
A client who has increased intracranial pressure from a traumatic brain injury can dev
x x x x x x x x x x x x x
elop bradycardia, which is one component of Cushing's triad. The other compo-
x x x x x x x x x x x
nents of Cushing's triad are severe hypertension and a widened pulse pressure.
x x x x x x x x x x x x
4. A nurse is teaching a family about the care of a parent who has a new di-
x x x x x x x x x x x x x x x x
agnosis of Alzheimer's disease. Which of the following information shouldthe
x x x x x x x x x x x
nurse include in the teaching?: Create complete outfits and allow the client to sele
x x x x x x x x x x x x x
ct one each day.
x x x
Rational:
The family should place completed outfits on hangers and allow the client to select wh
x x x x x x x x x x x x x x
ch one to wear each day.
x x x x x
5. A nurse is planning care for a client who has extensive burn injuries and is i
x x x x x x x x x x x x x x x
mmunocompromised. Which of the following precautions should thenurse incl x x x x x x x x
ude in the plan of care to prevent a Pseudomonas aeruginosa infection?-
x x x x x x x x x x x
: Avoid placing plants or flowers in the client's room.
x x x x x x x x x
1x/x27
, RN Adult Medical Surgical Online Practice 2023 B
x x x x x x x
Studyxonlinexatxhttps://quizlet.com/_e5fqys
Rational:
Live plants can harbor P. aeruginosa, and this bacterium can infect burn wounds and
x x x x x x x x x x x x x
cause life- x
threatening complications. The nurse should ensure no one brings live plants or flowe
x x x x x x x x x x x x
s into the client's room.
x x x x
6. A nurse is providing teaching to a client who has irritable bowel syndrome (I
x x x x x x x x x x x x x
BS). Which of the following instructions should the nurse include in the teachi
x x x x x x x x x x x x
ng?: Increase fiber intake to at least 30 g per day.
x x x x x x x x x x
Rational:
Dietary fiber helps produce bulky, soft stools and establish regular bowel patterns.
x x x x x x x x x x x
7. A nurse is assessing a client who has diabetes insipidus. Which of the f
x x x x x x x x x x x x x
ollowing findings should the nurse expect?: Low urine specific gravity
x x x x x x x x x
Rational:
An expected finding for a client who has diabetes insipidus is a urine specific gravity be
x x x x x x x x x x x x x x x
ween 1.001 and 1.005. Decreased water reabsorption by the renal tubules is caused
x x x x x x x x x x x x x
by an alteration in antidiuretic hormone release or the kidneys' responsive-
x x x x x x x x x x
xness to the hormone. x x x
8. A nurse is caring for a client who has a new prescription for total parenteral n
x x x x x x x x x x x x x x x
utrition (TPN). The client is to receive 2,000 kcal per day. The TPN solution has
x x x x x x x x x x x x x x x
500 kcal/L. The IV pump should be set at how many mL/hr? (Round the answer
x x x x x x x x x x x x x x
xto the nearest whole number. Use a leading zero if it applies. Do not use a trail
x x x x x x x x x x x x x x x x
ing zero.): 167 mL/hr
x x x
Rational:
mL/hr = x
4000/24 = 166.6 = 167 x x x x
9. A nurse is caring for a client who is 4 hr postoperative following a totalvagi-
x x x x x x x x x x x x x x
nal hysterectomy.Click to highlight the findings the nurse should report to the
x x x x x x x x x x x x x
provider immediately.: Perineal pad saturated with blood, large clots present
x x x x x x x x x
Change of blood pressure, heart rate of 102/min Ration
x x x x x x x x
al:
Perineal pad saturated with blood, large clots present, blood pressure trend, and hear
x x x x x x x x x x x x
rate of 102/min are correct. The client has manifestations of vaginal he-
x x x x x x x x x x x x
morrhage, including vaginal bleeding, blood clots, reduced blood pressure, and tach
x x x x x x x x x x x
cardia. The nurse should report these findings to the provider.
x x x x x x x x x
2x/x27
, RN Adult Medical Surgical Online Practice 2023 B
x x x x x x x
Studyxonlinexatxhttps://quizlet.com/_e5fqys
10. A nurse is preparing to admit a client who has dysphagia.The nurse should p
x x x x x x x x x x x x x x
lan to place which of the following items at the client's bedside?: Suction machi
x x x x x x x x x x x x x
ne
Rational:
The nurse should ensure that a suction machine is at the bedside of a client who has dys
x x x x x x x x x x x x x x x x x
phagia to clear the client's airway as needed and reduce the risk for aspiration.
x x x x x x x x x x x x x
11. A nurse is providing discharge teaching about infection prevention to a cli
x x x x x x x x x x x
ent who is receiving chemotherapy. Which of the following statements by the
x x x x x x x x x x x x
client indicates understanding of the teaching?: "I can ask a friend to change my ca
x x x x x x x x x x x x x x
ts litter box."x x
Rational:
Changing a pet's litter box increases the client's risk of being exposed to toxoplas-
x x x x x x x x x x x x x
xmosis.Therefore, the client should wear gloves or avoid changing the pet's litter box.
x x x x x x x x x x x x x
12. A nurse is assessing a client who has had a plaster cast applied to their lef
x x x x x x x x x x x x x x x
t leg 2 hr ago. Which of the following actions should the nurse take?: Check that
x x x x x x x x x x x x x x x x
one finger fits between the cast and the leg.
x x x x x x x x
Rational:
To make sure the cast is not too tight, the nurse should be able to slide one finger und
x x x x x x x x x x x x x x x x x x
er the cast. It is not uncommon for casts to loosen as swelling subsides, but that should
x x x x x x x x x x x x x x x x
not be an issue 2 hr after application.
x x x x x x x
13. A nurse is performing a preoperative assessment for a client. The nurse s
x x x x x x x x x x x x
hould identify that an allergy to which of the following foods can indicate a lat
x x x x x x x x x x x x x x
ex allergy?: Avocados
x x
Rational:
Clients who have an avocado allergy might have an allergic reaction or a sensitivity to lat
x x x x x x x x x x x x x x x
ex. Allergies to certain fruits, such as strawberries and bananas, can also indicate late
x x x x x x x x x x x x x
x allergy or sensitivity.
x x x
14. A nurse is caring for a client who has diabetic ketoacidosis (DKA). Which o
x x x x x x x x x x x x x
f the following should the nurse plan to administer?: Regular insulin 20 units IV
x x x x x x x x x x x x x x
bolus
Rational:
DKA is a complication of diabetes mellitus that results in dehydration, ketosis, metabo
x x x x x x x x x x x x
lic acidosis, and elevated blood glucose levels. Management of DKA involves providing
x x x x x x x x x x x
hydration, correcting acid-base imbalances, and decreasing blood glucose
x x x x x x x
3x/x27
x x x x x x x
Studyxonlinexatxhttps://quizlet.com/_e5fqys
1. A nurse is caring for a client who presents to a clinic for a 1-week follow-
x x x x x x x x x x x x x x x
up visit after hospitalization for heart failure. Based on the information in the c
x x x x x x x x x x x x x
lient's chart, which of the following findings should the nurse report to the pro
x x x x x x x x x x x x x
vider? (Click on the "Exhibit" button for additional information about the clien
x x x x x x x x x x x
t. There are three tabs that contain separate categories of data.): Heart rate 55/
x x x x x x x x x x x x x
min
Rational:
The client's heart rate of 55/min is a decrease from the client's baseline of 74/min, an
x x x x x x x x x x x x x x x
d it can indicate the development of digoxin toxicity. The nurse should report this findi
x x x x x x x x x x x x x x
ng to the provider.
x x x
2. A nurse is teaching a client about the use of transcutaneous electrical nerve s
x x x x x x x x x x x x x
timulation (TENS) for the management of bone cancer pain. Thenurse should ex
x x x x x x x x x x x
plain that applying a TENS unit to the painful area has which of the following effe
x x x x x x x x x x x x x x x
cts?: A tingling sensation replacing the pain
x x x x x x
Rational:
A TENS unit applies small electric currents to the painful area, with the client increasin
x x x x x x x x x x x x x x
g the current until the "pins and needles" sensation overrides the pain.
x x x x x x x x x x x
3. A nurse in an ICU is assessing a client who has a traumatic brain injury. W
x x x x x x x x x x x x x x x
hich of the following findings should the nurse identify as a componentof Cu
x x x x x x x x x x x x
shing's triad?: Bradycardia x x
Rational:
A client who has increased intracranial pressure from a traumatic brain injury can dev
x x x x x x x x x x x x x
elop bradycardia, which is one component of Cushing's triad. The other compo-
x x x x x x x x x x x
nents of Cushing's triad are severe hypertension and a widened pulse pressure.
x x x x x x x x x x x x
4. A nurse is teaching a family about the care of a parent who has a new di-
x x x x x x x x x x x x x x x x
agnosis of Alzheimer's disease. Which of the following information shouldthe
x x x x x x x x x x x
nurse include in the teaching?: Create complete outfits and allow the client to sele
x x x x x x x x x x x x x
ct one each day.
x x x
Rational:
The family should place completed outfits on hangers and allow the client to select wh
x x x x x x x x x x x x x x
ch one to wear each day.
x x x x x
5. A nurse is planning care for a client who has extensive burn injuries and is i
x x x x x x x x x x x x x x x
mmunocompromised. Which of the following precautions should thenurse incl x x x x x x x x
ude in the plan of care to prevent a Pseudomonas aeruginosa infection?-
x x x x x x x x x x x
: Avoid placing plants or flowers in the client's room.
x x x x x x x x x
1x/x27
, RN Adult Medical Surgical Online Practice 2023 B
x x x x x x x
Studyxonlinexatxhttps://quizlet.com/_e5fqys
Rational:
Live plants can harbor P. aeruginosa, and this bacterium can infect burn wounds and
x x x x x x x x x x x x x
cause life- x
threatening complications. The nurse should ensure no one brings live plants or flowe
x x x x x x x x x x x x
s into the client's room.
x x x x
6. A nurse is providing teaching to a client who has irritable bowel syndrome (I
x x x x x x x x x x x x x
BS). Which of the following instructions should the nurse include in the teachi
x x x x x x x x x x x x
ng?: Increase fiber intake to at least 30 g per day.
x x x x x x x x x x
Rational:
Dietary fiber helps produce bulky, soft stools and establish regular bowel patterns.
x x x x x x x x x x x
7. A nurse is assessing a client who has diabetes insipidus. Which of the f
x x x x x x x x x x x x x
ollowing findings should the nurse expect?: Low urine specific gravity
x x x x x x x x x
Rational:
An expected finding for a client who has diabetes insipidus is a urine specific gravity be
x x x x x x x x x x x x x x x
ween 1.001 and 1.005. Decreased water reabsorption by the renal tubules is caused
x x x x x x x x x x x x x
by an alteration in antidiuretic hormone release or the kidneys' responsive-
x x x x x x x x x x
xness to the hormone. x x x
8. A nurse is caring for a client who has a new prescription for total parenteral n
x x x x x x x x x x x x x x x
utrition (TPN). The client is to receive 2,000 kcal per day. The TPN solution has
x x x x x x x x x x x x x x x
500 kcal/L. The IV pump should be set at how many mL/hr? (Round the answer
x x x x x x x x x x x x x x
xto the nearest whole number. Use a leading zero if it applies. Do not use a trail
x x x x x x x x x x x x x x x x
ing zero.): 167 mL/hr
x x x
Rational:
mL/hr = x
4000/24 = 166.6 = 167 x x x x
9. A nurse is caring for a client who is 4 hr postoperative following a totalvagi-
x x x x x x x x x x x x x x
nal hysterectomy.Click to highlight the findings the nurse should report to the
x x x x x x x x x x x x x
provider immediately.: Perineal pad saturated with blood, large clots present
x x x x x x x x x
Change of blood pressure, heart rate of 102/min Ration
x x x x x x x x
al:
Perineal pad saturated with blood, large clots present, blood pressure trend, and hear
x x x x x x x x x x x x
rate of 102/min are correct. The client has manifestations of vaginal he-
x x x x x x x x x x x x
morrhage, including vaginal bleeding, blood clots, reduced blood pressure, and tach
x x x x x x x x x x x
cardia. The nurse should report these findings to the provider.
x x x x x x x x x
2x/x27
, RN Adult Medical Surgical Online Practice 2023 B
x x x x x x x
Studyxonlinexatxhttps://quizlet.com/_e5fqys
10. A nurse is preparing to admit a client who has dysphagia.The nurse should p
x x x x x x x x x x x x x x
lan to place which of the following items at the client's bedside?: Suction machi
x x x x x x x x x x x x x
ne
Rational:
The nurse should ensure that a suction machine is at the bedside of a client who has dys
x x x x x x x x x x x x x x x x x
phagia to clear the client's airway as needed and reduce the risk for aspiration.
x x x x x x x x x x x x x
11. A nurse is providing discharge teaching about infection prevention to a cli
x x x x x x x x x x x
ent who is receiving chemotherapy. Which of the following statements by the
x x x x x x x x x x x x
client indicates understanding of the teaching?: "I can ask a friend to change my ca
x x x x x x x x x x x x x x
ts litter box."x x
Rational:
Changing a pet's litter box increases the client's risk of being exposed to toxoplas-
x x x x x x x x x x x x x
xmosis.Therefore, the client should wear gloves or avoid changing the pet's litter box.
x x x x x x x x x x x x x
12. A nurse is assessing a client who has had a plaster cast applied to their lef
x x x x x x x x x x x x x x x
t leg 2 hr ago. Which of the following actions should the nurse take?: Check that
x x x x x x x x x x x x x x x x
one finger fits between the cast and the leg.
x x x x x x x x
Rational:
To make sure the cast is not too tight, the nurse should be able to slide one finger und
x x x x x x x x x x x x x x x x x x
er the cast. It is not uncommon for casts to loosen as swelling subsides, but that should
x x x x x x x x x x x x x x x x
not be an issue 2 hr after application.
x x x x x x x
13. A nurse is performing a preoperative assessment for a client. The nurse s
x x x x x x x x x x x x
hould identify that an allergy to which of the following foods can indicate a lat
x x x x x x x x x x x x x x
ex allergy?: Avocados
x x
Rational:
Clients who have an avocado allergy might have an allergic reaction or a sensitivity to lat
x x x x x x x x x x x x x x x
ex. Allergies to certain fruits, such as strawberries and bananas, can also indicate late
x x x x x x x x x x x x x
x allergy or sensitivity.
x x x
14. A nurse is caring for a client who has diabetic ketoacidosis (DKA). Which o
x x x x x x x x x x x x x
f the following should the nurse plan to administer?: Regular insulin 20 units IV
x x x x x x x x x x x x x x
bolus
Rational:
DKA is a complication of diabetes mellitus that results in dehydration, ketosis, metabo
x x x x x x x x x x x x
lic acidosis, and elevated blood glucose levels. Management of DKA involves providing
x x x x x x x x x x x
hydration, correcting acid-base imbalances, and decreasing blood glucose
x x x x x x x
3x/x27
