RN ADULT MEDICAL SURGICAL ONLINE PRACTICE 2023 A
LATEST VERSION UPDATED AND REVISED IN 2025
A nurse is caring for a client who is receiving dialysis treatment.
0530:
Client is awake and alert.
Arteriovenous fistula (AVF) to right forearm. - ANSWER -
>Indicated: Notify the provider immediately, Administer 0.9%
sodium chloride 200 mL IV bolus, Apply oxygen at 2 L/min via
nasal cannula, Position the client's legs elevated
Not indicated: Perform a 12-lead ECG, Obtain blood glucose
level is not indicated
A nurse is caring for a client who is postoperative following
abdominal surgery.
1100: Client received from PACU; initial vital signs recorded. -
ANSWER ->Instruct the client to splint the abdomen with a
pillow for coughing.
Plan to ambulate the client as soon as possible
Report urinary output to the provider
,Ask the client to rate their pain 0 to 10 pain scale
A nurse is caring for a client who is receiving total parenteral
nutrition (TPN). a new bag is not available when the current
infusion is nearly completed. - ANSWER ->Administer dextrose
10% in water until the new bag arrives.
A nurse is caring for a client who had a nephrostomy tube
inserted 12 hr ago. - ANSWER ->The client reports back pain.
A nurse is caring for a client who is having a seizure. - ANSWER -
>Turn the client to the side.
A nurse in a provider's office is assessing a client who has
hypertension and takes propranolol. - ANSWER ->Reports of a
night cough.
A nurse is planning to irrigate and dress a clean, granulating
wound for a client who has a pressure injury. - ANSWER ->Use a
30 mL syringe.
A nurse is assessing a client who has graves disease. Which of
the following images should indicate to the nurse that the client
has exophthalmos - ANSWER ->Choose the one that's not a guy.
It should be one with big bulging eyes staring at you.
, A nurse is caring for a client who has DKA. Which of the
following findings indicate improving? - ANSWER ->Glucose 272
mg/dL
A nurse is caring for a client who has hypothyroidism. Which of
the following manifestations should the nurse expect? -
ANSWER ->Constipation
A nurse is preparing to administer a blood transfusion to a
client who has anemia. - ANSWER ->check for the type and
number of units of blood to administer.
a nurse is caring for a client who has a leg cast and is returning
to demonstrate on the proper use of crutches while climbing
stairs. - ANSWER ->Place body weight on the crutches
Advances the unaffected leg onto the stair
Shifts weight from the crutches to the unaffected leg
Brings the crutches and the affected leg up to the stair.
A nurse is teaching a group of newly licensed nurses about pain
management for older adult clients. - ANSWER ->Ibuprofen can
cause gastrointestinal bleeding in older adult clients.
A nurse is teaching a client who has a family history of
colorectal cancer. to help mitigate this risk, - ANSWER ->Add
cabbage to the diet
LATEST VERSION UPDATED AND REVISED IN 2025
A nurse is caring for a client who is receiving dialysis treatment.
0530:
Client is awake and alert.
Arteriovenous fistula (AVF) to right forearm. - ANSWER -
>Indicated: Notify the provider immediately, Administer 0.9%
sodium chloride 200 mL IV bolus, Apply oxygen at 2 L/min via
nasal cannula, Position the client's legs elevated
Not indicated: Perform a 12-lead ECG, Obtain blood glucose
level is not indicated
A nurse is caring for a client who is postoperative following
abdominal surgery.
1100: Client received from PACU; initial vital signs recorded. -
ANSWER ->Instruct the client to splint the abdomen with a
pillow for coughing.
Plan to ambulate the client as soon as possible
Report urinary output to the provider
,Ask the client to rate their pain 0 to 10 pain scale
A nurse is caring for a client who is receiving total parenteral
nutrition (TPN). a new bag is not available when the current
infusion is nearly completed. - ANSWER ->Administer dextrose
10% in water until the new bag arrives.
A nurse is caring for a client who had a nephrostomy tube
inserted 12 hr ago. - ANSWER ->The client reports back pain.
A nurse is caring for a client who is having a seizure. - ANSWER -
>Turn the client to the side.
A nurse in a provider's office is assessing a client who has
hypertension and takes propranolol. - ANSWER ->Reports of a
night cough.
A nurse is planning to irrigate and dress a clean, granulating
wound for a client who has a pressure injury. - ANSWER ->Use a
30 mL syringe.
A nurse is assessing a client who has graves disease. Which of
the following images should indicate to the nurse that the client
has exophthalmos - ANSWER ->Choose the one that's not a guy.
It should be one with big bulging eyes staring at you.
, A nurse is caring for a client who has DKA. Which of the
following findings indicate improving? - ANSWER ->Glucose 272
mg/dL
A nurse is caring for a client who has hypothyroidism. Which of
the following manifestations should the nurse expect? -
ANSWER ->Constipation
A nurse is preparing to administer a blood transfusion to a
client who has anemia. - ANSWER ->check for the type and
number of units of blood to administer.
a nurse is caring for a client who has a leg cast and is returning
to demonstrate on the proper use of crutches while climbing
stairs. - ANSWER ->Place body weight on the crutches
Advances the unaffected leg onto the stair
Shifts weight from the crutches to the unaffected leg
Brings the crutches and the affected leg up to the stair.
A nurse is teaching a group of newly licensed nurses about pain
management for older adult clients. - ANSWER ->Ibuprofen can
cause gastrointestinal bleeding in older adult clients.
A nurse is teaching a client who has a family history of
colorectal cancer. to help mitigate this risk, - ANSWER ->Add
cabbage to the diet
