NGN aTI-MedSurge 2023/2024 -Med/surg Focused
Review Updated for 2023
A client who is deaf and communicates using sign
language is being admitted by a nurse who does not
know sign language. Which of the following actions
should the nurse take?
Request an interpreter during the initial assessment.
A nurse is asking a preoperative client about food
allergies. Which of the following food allergies
indicates a potential reaction to Propofol?
Eggs
A nurse is caring for a client who has just returned
from surgery with an external fixator to the left tibia.
Which of the following assessment findings requires
immediate intervention by the nurse?
The client's capillary refill in the left toe is 6 seconds.
A nurse is caring for a client who requires protective
isolation following a hematopoietic stem cell
transplant. Which of the following interventions
should the nurse implement to protect the client from
infection?
Make sure dietary plates and utensils are disposable
A nurse is performing a cranial nerve assessment on
a client following a head injury. Which of the following
findings should the nurse expect if the client has
,impaired function of the vestibulocochlear nerve
(cranial nerve VII)?
Disequilibrium with movement
3 multiple choice options
A nurse is caring for a client who has an
arteriovenous graft. Which of the following findings
indicates adequate circulation of the graft?
Palpable thrill
3 multiple choice options
A nurse is reviewing the medical record of a client
who has acute gout. The nurse should expect an
increase in which of the following laboratory results?
Uric acid
3 multiple choice options
We have an expert-written solution to this problem!
A nurse is caring for a client who has a flail chest.
Which of the following actions should the nurse take?
Provide humidified oxygen
3 multiple choice options
A nurse is planning care for a client who has
hemiplegia. Which of the following interventions
should the nurse include?
Place pillows between the client's knees when in a side-
lying position
3 multiple choice options
A nurse is caring for a client who has a history of
chemotherapy-induced nausea and vomiting. Which
of the following medications should the nurse
administer prior to chemotherapy?
, Ondansetron
3 multiple choice options
A nurse on an intensive care unit is planning care for
a client who has increased intracranial pressure
following a head injury. Which of the following IV
medications should the nurse plan to administer?
Mannitol
3 multiple choice options
A nurse is caring for a client who is receiving
mechanical ventilation when the low-pressure alarm
sounds on the ventilator. Which of the following
actions should the nurse take?
Evaluate the client for a cuff leak
A nurse is caring for a client who has left-sided heart
failure. Which of the following manifestations should
the nurse expect?
Daytime oliguria
3 multiple choice options
A nurse enters a client's room and observes the client
having a tonic-clonic seizure. Which of the following
actions should the nurse take first?
Turn the client on their side
3 multiple choice options
A nurse is caring for a client who has acute heart
failure and received morphine IV 30 min ago. Which of
the following findings should the nurse identify as an
indication that the medication was effective?
Decreased anxiety
3 multiple choice options
Review Updated for 2023
A client who is deaf and communicates using sign
language is being admitted by a nurse who does not
know sign language. Which of the following actions
should the nurse take?
Request an interpreter during the initial assessment.
A nurse is asking a preoperative client about food
allergies. Which of the following food allergies
indicates a potential reaction to Propofol?
Eggs
A nurse is caring for a client who has just returned
from surgery with an external fixator to the left tibia.
Which of the following assessment findings requires
immediate intervention by the nurse?
The client's capillary refill in the left toe is 6 seconds.
A nurse is caring for a client who requires protective
isolation following a hematopoietic stem cell
transplant. Which of the following interventions
should the nurse implement to protect the client from
infection?
Make sure dietary plates and utensils are disposable
A nurse is performing a cranial nerve assessment on
a client following a head injury. Which of the following
findings should the nurse expect if the client has
,impaired function of the vestibulocochlear nerve
(cranial nerve VII)?
Disequilibrium with movement
3 multiple choice options
A nurse is caring for a client who has an
arteriovenous graft. Which of the following findings
indicates adequate circulation of the graft?
Palpable thrill
3 multiple choice options
A nurse is reviewing the medical record of a client
who has acute gout. The nurse should expect an
increase in which of the following laboratory results?
Uric acid
3 multiple choice options
We have an expert-written solution to this problem!
A nurse is caring for a client who has a flail chest.
Which of the following actions should the nurse take?
Provide humidified oxygen
3 multiple choice options
A nurse is planning care for a client who has
hemiplegia. Which of the following interventions
should the nurse include?
Place pillows between the client's knees when in a side-
lying position
3 multiple choice options
A nurse is caring for a client who has a history of
chemotherapy-induced nausea and vomiting. Which
of the following medications should the nurse
administer prior to chemotherapy?
, Ondansetron
3 multiple choice options
A nurse on an intensive care unit is planning care for
a client who has increased intracranial pressure
following a head injury. Which of the following IV
medications should the nurse plan to administer?
Mannitol
3 multiple choice options
A nurse is caring for a client who is receiving
mechanical ventilation when the low-pressure alarm
sounds on the ventilator. Which of the following
actions should the nurse take?
Evaluate the client for a cuff leak
A nurse is caring for a client who has left-sided heart
failure. Which of the following manifestations should
the nurse expect?
Daytime oliguria
3 multiple choice options
A nurse enters a client's room and observes the client
having a tonic-clonic seizure. Which of the following
actions should the nurse take first?
Turn the client on their side
3 multiple choice options
A nurse is caring for a client who has acute heart
failure and received morphine IV 30 min ago. Which of
the following findings should the nurse identify as an
indication that the medication was effective?
Decreased anxiety
3 multiple choice options
