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Exam (elaborations)

PN Adult Medical Surgical Practice A with NGN

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PN Adult Medical Surgical Practice A with NGN

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PN Adult Medical SurgicalNGN
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PN Adult Medical SurgicalNGN
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PN Adult Medical SurgicalNGN

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Uploaded on
July 29, 2025
Number of pages
14
Written in
2024/2025
Type
Exam (elaborations)
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PN Adult Medical Surgical Practice A
with NGN


Anurseiscaringforaclientwhoisscheduledforsurgeryandisexperiencinganxiety.Whichofthefollo
winginterventionsshouldthenurseidentifyasthepriority?-
Correctanswer~Determinetheclient'sunderstandingoftheprocedure.



Anurseiscontributingtotheplanofcareforaclientwhohasperipheralarterialdiseaseofthelowerex
tremities.Whichofthefollowinginterventionsshouldthenurseinclude?-
Correctanswer~Dangletheextremitiesoffthesideofthebed.



Anurseisassistingintheplanofcareforaclientwhohadarecentlefthemisphericstroke.Whichofthef
ollowingactionsshouldthenurseincludeintheplan?-
Correctanswer~Usesimpleverbalcueswhendirectingtasks.



Anurseisreinforcingteachingwiththecaregiverofaclientwhoisterminallyillaboutmanifestations
ofimpendingdeath.Whichofthefollowingmanifestationsshouldthenurseinclude?-
Correctanswer~Incontinenceofthebowelandbladder



Anurseispreparingtoremoveaclient'sNGtube.Whichofthefollowinginterventionsshouldthenur
setaketodecreasetheriskforaspiration?-Correctanswer~PinchtheNGtube.



AnurseiscaringforaclientwhoispreoperativeandisreceivinganIVinfusionofcefazolin.Tenminutes
afterbeginningtheinfusion,theclientreportsintenseitching.Whichofthefollowingactionsshould
thenursetakefirst?-Correctanswer~Stopthemedicationinfusion.



Anurseisreinforcingdischargeteachingwithaclientwhohascirrhosis.Whichofthefollowinginstru
ctionsshouldthenurseinclude?-Correctanswer~"Consumefoodsthatarelowinsodium."

, Anurseisreinforcingteachingwithaclientwhoisscheduledforaguaiacfecaloccultbloodtest.Which
ofthefollowinginstructionsshouldthenurseincludeintheteaching?-
Correctanswer~Avoideatingredmeatfor3dayspriortothetest.



Anurseispreparingtoadministerphytonadione7mgsubcutaneouslytoaclientwhohasanINRof4.
Availableisphytonadione10mg/mL.HowmanymLshouldthenurseadminister?(Roundtheanswe
rtothenearesttenth.Usealeadingzeroifitapplies.Donotuseatrailingzero.)-
Correctanswer~0.7mL



Anurseisreinforcingteachingwithaclientwhoistakinginsulinglargine.Whichofthefollowinginfor
mationshouldthenurseincludeintheteaching?-
Correctanswer~"Thistypeofinsulinshouldbegivenatthesametimeeveryday."



Anurseiscaringforaclientwhohasamethicillin-
resistantStaphylococcusaureus(MRSA)infectioninasurgicalwound.Whichofthefollowinginform
ationshouldthenurseplantosharewithvisitors?-
Correctanswer~Visitorsmustdonagownandglovespriortoenteringtheclient'sroom.



Anurseiscollectingdatafroma55-year-
oldfemaleclientwhoreportsvaginaldrynessandhotflashes.Theclientisinterestedintryinghormo
nereplacementtherapy(HRT).Whichofthefollowingshouldthenurserecognizeasacontraindicati
ontoHRT?-Correctanswer~Historyoftreatmentforbloodclots



Anurseisreinforcingteachingaboutmanagementofconstipationwithaclientwhohashypothyroid
ism.Whichofthefollowinginstructionsshouldthenurseincludeintheteaching?-
Correctanswer~Increaseintakeoffiber-richfoods.



Anurseisreinforcingteachingwithaclientwhohasmultiplesclerosisandanewprescriptionforbacl
ofen.Whichofthefollowinginstructionsshouldthenurseincludeintheteaching?-
Correctanswer~Avoidstoppingthismedicationsuddenly.



Anurseiscaringforaclientwhohasanareaindicatingpotentialbreakdownoverthesacrum.Whicho
fthefollowingactionsshouldthenursetake?-
Correctanswer~Minimizethetimetheheadofthebediselevated.
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