RN Adult Medical Surgical Online Practice 2025 A NGN

RN Adult Medical Surgical Online Practice 2023
A NGN - now

1. NGN
1000:
Client is alert and oriented and reports not feeling well for a
few days. Client
is on continuous ambulatory peritoneal dialysis (CAPD) and
reports dialysate
appeared cloudy this morning.
Reports abdominal pain as 4 on a scale of 0 to 10.
Bowel sounds active in all quadrants.
Peritoneal dialysis access site red, warm to touch, with a
small amount of
purulent drainage noted on dressing.1300:
Client is lying in bed with the knees flexed, guarding the
abdomen. Abdomen is
slightly distended, hypoactive bowel sounds. Client reports
nausea. Reports
pain as 6 on a scale of 0 to 10. Provider notified and updated
with client
condition and diagnostic results.: The client is experiencing
manifestations of
peritonitis
due to
x-ray results
.
2. NGN
Client admitted to medical-surgical unit from PACU. Client
reports incisional
pain as 2 on a scale of 0 to 10. Client appears restless and
frequently asks
for water. Bilateral lower extremities cool with +1 pedal
pulses. Urine output
1

,is 40 mL for the past 2 hr. Moderate amount of bright red
drainage noted on
surgical incision dressing.: Insert a large-gauge IV.
Initiate a fluid challenge.
Hypovolemia
Urine output
Blood pressure
3. A nurse is caring for a client who has a potassium level of
3 mEq/L. Which of
the following assessment findings should the nurse expect?:
Hypoactive Bowel
Sounds
4. NGN
0900:
Client presents with abdominal pain in the upper left
quadrant for the past 2
days. States pain became worse this morning and is
radiating to the back.
Rates pain as 8 on a scale of 0 to 10.
Hypoactive bowel sounds; reports nausea, no vomiting;
client is passing
flatus.
Febrile, oriented to person, place, and time.
Tachypnea with diminished breath sounds.
Sinus tachycardia.
Client voids 300 mL of clear, amber urine.
0930:
Client vomited 100 mL brown liquid.: The client is experiencing
manifestations of
pancreatitis
as evidenced by the
amylase and lipase
.
5. 0530:
Client is awake and alert.
2

, Arteriovenous fistula (AVF) to right forearm with thrill
palpated and auscultated
for bruit. Lung sounds clear upon auscultation; client denies
shortness of
breath. No peripheral edema noted; capillary refill is less
than 3 seconds; +2
bilateral pedal and radial pulses.
AVF access prepared and cannulated twice with no difficulty.
Lines are taped
and secured; treatment is initiated.0600:
Client is reading a book. Access is visible, and lines are
secure. Client reports
no discomfort or pain.0630:
Client reports feeling warm, nauseated, and lightheaded;
appears restless and
slightly confused.: Perform a 12-lead ECG is not indicated.
Place the client in Trendelenburg position is indicated.
Administer a 0.9% sodium chloride 200 mL IV bolus is indicated.
Apply oxygen at 2 L/min via nasal cannula is indicated
Notify the provider immediately is indicated
Obtain the client's blood glucose level is not indicated.
6. 1800:
Emergency medical team removed client's shirt at the scene
and initiated
18-gauge IV therapy in the right antecubital space.
Client has full-thickness burns over the upper half of the
chest and both
forearms; partial-thickness burns are present on the client's
face and neck.
Sinus tachycardia, pulses to brachial extremities palpable. 1+
edema to upper
extremities.
Respirations even, labored with scattered rhonchi. Soot
noted to the client's
mouth and nose. Oxygen 40% via face tent applied.
3