RN ADULT MED SURG ONLINE PRACTICE
EXAM.WITH CORRECT ANSWERS.
Client presents with abdominal pain in the upper left quadrant for the past
two 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
300mL of clear, amber urine.
0930: Client vomited 100mL brown liquid - CorreCt Answers -Pancreatitis
- The clients laboratory results and physical assessment indicate the client
is experiencing manifestations of pancreatitis. Client who have pancreatitis
experience an increase in pancreatic enzymes, amylase, and lipase
Amylase and lipase - The client's laboratory results and physical assessment
indicate the client is experiencing manifestations of pancreatitis. Clients
who have pancreatitis experience an increase pancreatic enzymes, amylase,
and lipase
The nurse is caring for a client 1hr following chest tune insertion.
- Client reports pain as 3 on a scale of 0 to 10
- Client reports shortness of breath has decreased
- Client reports nausea, awaiting prescription for nausea.
- Transfused 1 unit of packed RBCs, awaiting second unit.
,- Wound dressing is dry and intact
- Respiratory rate 24/min
- Blood pressure 108/74 mm Hg
- Oxygen saturation of 95% on 2 L/min via nasal cannula. - CorreCt
Answers -Client reports pain as a scale of 0 to 10.
- Rationale: The nurse should identify that the clients pain has decreased,
indicating their condition is improving.
Client reports SOB is decreasing.
- Rationale: The nurse should identify that the client's SOB has decreased,
indicating their condition is improving.
Wound dressing is dry and intact.
- Rationale:
The nurse should identify that a dry and intact wound dressing indicates
the client's wound is no longer bleeding.
Respiratory rate 24/min, blood pressure 108/74 mmHg, and oxygen
saturation 95% on 2L/min via nasal cannula
Rationale: The nurse should identify that the clients vitals signs have
improved, indicating hemodynamic function.
A nurse is caring for a client who has hypothyroidism. Which of the
following manifestations should the nurse expect?
- Constipation
- Insomnia
,- Tachycardia
- Diaphoresis - CorreCt Answers -Constipation
Rationale:
A client who has hypothyroidism can experience constipation due to
decrease in the clients metabolism, resulting in slow motility of the GI tract.
The nurse should instruct the client to increase fiber and fluid intake to
reduce the risk for constipation
A nurse is caring for a client who has an arterial line. Which of the following
actions should the nurse take?
- Flush the line before administering antibiotics
- Position the client in Trendelenburg to obtain measurements.
- Have the client bear down when readings are obtained.
- Place a pressure bag around the flush solution - CorreCt Answers -Place a
pressure bag around the flush solution.
Rationale:
The nurse should place a pressure bag around the flush solution of 0.9%
sodium chloride because the pressure from an artery is greater than that of
the line.
A nurse is preparing a program about prevention of atherosclerosis at a
health fair. Which of the following recommendations should the nurse plan
to include?
, - Follow a smoking cessation program.
- Maintain an appropriate weight
- Eat a low-fat-diet
- Increase fluid intake
- Decrease intake of complex carbohydrates. - CorreCt Answers -Follow a
smoking cessation program.
Rationale: Smoking cessation is an important lifestyle modification to
prevent atherosclerosis.
Maintain an appropriate weight.
Rationale: Preventing obesity through diet and exercise can help to prevent
atherosclerosis.
Eat a low fat diet.
Rationale: Eating a low fat diet decreases LDL, cholesterol, and can prevent
atherosclerosis.
A nurse is caring for a client who is receiving a blood transfusion. The client
becomes restless, dyspneic, and has crackles noted to the lung bases. Which
of the following actions should the nurse anticipate taking? - CorreCt
Answers -Slow the infusion rate.
Rationale:
Dyspnea, restlessness, and the onset of crackles during a blood transfusion
are manifestations of circulatory overload. The nurse should slow or stop
the infusion to improve the client's ability to breathe, place the client in an
upright position, and notify the provider. The provider might prescribe a
diuretic to alleviate the fluid overload.
EXAM.WITH CORRECT ANSWERS.
Client presents with abdominal pain in the upper left quadrant for the past
two 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
300mL of clear, amber urine.
0930: Client vomited 100mL brown liquid - CorreCt Answers -Pancreatitis
- The clients laboratory results and physical assessment indicate the client
is experiencing manifestations of pancreatitis. Client who have pancreatitis
experience an increase in pancreatic enzymes, amylase, and lipase
Amylase and lipase - The client's laboratory results and physical assessment
indicate the client is experiencing manifestations of pancreatitis. Clients
who have pancreatitis experience an increase pancreatic enzymes, amylase,
and lipase
The nurse is caring for a client 1hr following chest tune insertion.
- Client reports pain as 3 on a scale of 0 to 10
- Client reports shortness of breath has decreased
- Client reports nausea, awaiting prescription for nausea.
- Transfused 1 unit of packed RBCs, awaiting second unit.
,- Wound dressing is dry and intact
- Respiratory rate 24/min
- Blood pressure 108/74 mm Hg
- Oxygen saturation of 95% on 2 L/min via nasal cannula. - CorreCt
Answers -Client reports pain as a scale of 0 to 10.
- Rationale: The nurse should identify that the clients pain has decreased,
indicating their condition is improving.
Client reports SOB is decreasing.
- Rationale: The nurse should identify that the client's SOB has decreased,
indicating their condition is improving.
Wound dressing is dry and intact.
- Rationale:
The nurse should identify that a dry and intact wound dressing indicates
the client's wound is no longer bleeding.
Respiratory rate 24/min, blood pressure 108/74 mmHg, and oxygen
saturation 95% on 2L/min via nasal cannula
Rationale: The nurse should identify that the clients vitals signs have
improved, indicating hemodynamic function.
A nurse is caring for a client who has hypothyroidism. Which of the
following manifestations should the nurse expect?
- Constipation
- Insomnia
,- Tachycardia
- Diaphoresis - CorreCt Answers -Constipation
Rationale:
A client who has hypothyroidism can experience constipation due to
decrease in the clients metabolism, resulting in slow motility of the GI tract.
The nurse should instruct the client to increase fiber and fluid intake to
reduce the risk for constipation
A nurse is caring for a client who has an arterial line. Which of the following
actions should the nurse take?
- Flush the line before administering antibiotics
- Position the client in Trendelenburg to obtain measurements.
- Have the client bear down when readings are obtained.
- Place a pressure bag around the flush solution - CorreCt Answers -Place a
pressure bag around the flush solution.
Rationale:
The nurse should place a pressure bag around the flush solution of 0.9%
sodium chloride because the pressure from an artery is greater than that of
the line.
A nurse is preparing a program about prevention of atherosclerosis at a
health fair. Which of the following recommendations should the nurse plan
to include?
, - Follow a smoking cessation program.
- Maintain an appropriate weight
- Eat a low-fat-diet
- Increase fluid intake
- Decrease intake of complex carbohydrates. - CorreCt Answers -Follow a
smoking cessation program.
Rationale: Smoking cessation is an important lifestyle modification to
prevent atherosclerosis.
Maintain an appropriate weight.
Rationale: Preventing obesity through diet and exercise can help to prevent
atherosclerosis.
Eat a low fat diet.
Rationale: Eating a low fat diet decreases LDL, cholesterol, and can prevent
atherosclerosis.
A nurse is caring for a client who is receiving a blood transfusion. The client
becomes restless, dyspneic, and has crackles noted to the lung bases. Which
of the following actions should the nurse anticipate taking? - CorreCt
Answers -Slow the infusion rate.
Rationale:
Dyspnea, restlessness, and the onset of crackles during a blood transfusion
are manifestations of circulatory overload. The nurse should slow or stop
the infusion to improve the client's ability to breathe, place the client in an
upright position, and notify the provider. The provider might prescribe a
diuretic to alleviate the fluid overload.
