2023 A
1. A nurse is assisting with the care of a client who is postoperative
following abdominal surgery.: Instruct the client to splint their abdomen with a pillow
when coughing.
Plan to ambulate the client as soon as possible.
Monitor the client's pain level.
2. A nurse is reviewing the laboratory reports of a client who reports
chest pain. Which of the following laboratory results indicates the
client is experiencing a myocardial infarction?: Elevated Troponin
3. For each finding, click to specify if the finding is consistent with
emphyse- ma, asthma, or pneumonia. Each finding may support
more than 1 disease process.: Temperature- Pneumonia
Breath Sounds- Emphysema, Asthma,
Pneumonia Respiratory Rate- Emphysema,
Asthma, Pneumonia Cough- Emphysema,
Asthma, Pneumonia
4. A nurse is assisting with the care for a client who is suspected of
having a myocardial infarction. Which of the following actions should
the nurse take to prepare the client for an ECG?: Cleanse the client's skin prior to
electrode placement.
5. Drag 1 condition and 1 client finding to fill in each blank in the
following sentence.: The client is experiencing manifestations of peritonitis due to the client's
abdominal x-ray results.
6. A nurse is assisting in the care of a client who is experiencing
withdrawal from heroin. Which of the following medications should
the nurse expect the provider to prescribe?: Methadone
7. A nurse is preparing to remove a client's NG tube. Which of the
following interventions should the nurse take to decrease the risk for
aspiration?: Pinch the NG tube.
8. A nurse is reinforcing teaching with a client who is on a low-
sodium diet and asks about how to improve the taste of bland food.
Which of the following foods should the nurse recommend?: Lemon
Juice
, PN Adult Medical Surgical Online Practice
2023 A
9. A nurse is assisting in the care of a client who has AIDS-related
pneumonia. The client is receiving antibiotic therapy and albuterol
nebulizer treatments daily. Which of the following findings should
indicate to the nurse that the client's therapeutic regimen is effective?:
Decrease in exertion dyspnea.
, PN Adult Medical Surgical Online Practice
2023 A
10. A nurse is assisting with the care for a client who is
postoperative and has an epidural infusion. Which of the following
findings should the nurse recognize as the priority?: Dyspnea
11. A nurse is providing information regarding transmission-based
precautions for a client who has Clostridium Difficile to an assistive
personnel (AP). Which of the following instructions should the nurse
include? (Select all that apply.): - "Provide the client with disposable utensils and
dishes for meals."
"Leave blood pressure equipment in the client's
room" "Clean contaminated surfaces with a bleach
solution"
12. A nurse is contributing to the plan of care for a client who
has just trans- ferred to the medical-surgical unit from the PACU
following a right total knee arthroplasty. Which of the following
interventions should the nurse include in the plan?: Assist the client to change
positions at least every 2 hr.
13. A nurse is preparing to administer scheduled medications
to the client. Which of the following prescriptions should the nurse
verify with the provider? (Click on the exhibit tabs for additional
information about the client. There are three tabs that contain
separate categories of data.): Ceftriaxone
14. A nurse is examining a client's IV site and notes a hardened
vein above their IV site. The client reports a throbbing, burning pain
at the IV site. The nurse should identify that the client's
manifestations indicate which of the following complications of IV
therapy?: Thrombophlebitis
15. A nurse is reinforcing teaching with a client prior to the removal
of a leg cast. Which of the following statements should indicate to the
nurse that the client understands the teaching?: "I will feel vibrations on my leg
from the cast cutter."
16. A nurse is collecting data from a client and notices several
skin lesions. Which of the following findings should the nurse report as