RN Adult Medical Surgical Online Practice B NGN Questions
with Verified Answers Rated A
1800: repositioning. Client voided 125 mL of blood-
Emergency medical team removed client's shirt tinged urine into bedpan. Perineal pad saturated
at the scene and initiated 18-gauge IV therapy in with blood, large clots present.
the right antecubital space.
Client has full-thickness burns over the upper Click to highlight the findings the nurse should
half of the chest and both forearms; partial- report to the provider immediately.
thickness burns are present on the client's face
and neck. - Client sleeping, arouses to verbal stimuli
Sinus tachycardia, pulses to brachial extremities - Respiratory rate 14/min
palpable. 1+ edema to upper extremities. - Oxygen saturation 95% on room air, breath
Respirations even, labored with scattered sounds clear
rhonchi. Soot noted to the client's mouth and - Reports pain as 2 on scale of 0 to 10
nose. Oxygen 40% via face tent applied. - Perineal pad saturated with blood, large clots
Hypoactive bowel sounds. present
16 French indwelling urinary catheter inserted - Change of blood pressure, heart rate of 102/min
with return of 250 mL of yellow urine. - ANSWERS - - Perineal pad saturated with
Lactated Ringer's infusing to right antecubital. blood, large clots present
Provider preparing to insert right femoral central - Change of blood pressure, heart rate of 102/min
line catheter.
During the emergent phase of burn care, the 0900:
client is at risk for developing ____________ and 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
- curling's ulcer the back. Rates pain as 8 on a scale of 0 to 10.
- hypovolemia Hypoactive bowel sounds; reports nausea, no
- hyperthermia vomiting; client is passing flatus.
- hypokalemia Febrile, oriented to person, place, and time.
- respiratory failure - ANSWERS - - Tachypnea with diminished breath sounds.
hypovolemia Sinus tachycardia.
- respiratory failure Client voids 300 mL of clear, amber urine.
0930:
Client vomited 100 mL brown liquid.
2000:
Client reports pain as 3 on a scale of 0 to 10. Drag 1 condition and 1 client finding to fill in each
Breath sounds clear and present throughout. blank in the following sentence.
Three abdominal bandages to abdomen, dry and
intact with no drainage noted. Client voided 90 The client is experiencing manifestations of
mL of clear-yellow urine into bedpan. Perineal Condition as evidenced by the Client Finding.
pad with small amount of blood, no clots;
perineal pad changed at this time. Condition:
2400: - a cerebral vascular accident (CVA)
Client sleeping, arouses to verbal stimuli. - cardiogenic shock
Reports pain as 2 on a scale of 0 to 10 with - paralytic ileus
1/6
, RN Adult Medical Surgical Online Practice B NGN Questions
with Verified Answers Rated A
- adult respiratory distress syndrome History and Physical
- pancreatitis Client admitted to the medical-surgical unit with
severe, acute abdominal pain, abdominal
Client finding: distention, diarrhea, mucus and small amount of
- blood pressure blood in the stool, and a 12% weight loss over
- amylase and lipase the past 2 months.
-oxygen saturation Client's weight 2 months ago was 100.3 kg
- platelets levels (221.1 lb). Client has a history of Crohn's disease
- urine output - ANSWERS - Condition: and a seizure disorder that is managed with diet
- pancreatitis and medication.
Respirations are equal and unlabored. S1S2
Client findings: heart tones auscultated. Abdominal assessment
- amylase and lipase performed with muscle guarding and tenderness
in the right lower quadrant noted on palpation.
Abdomen is firm and rigid upon examination.
History and Physical Abdominal pain rated as an 8 on a scale of 0 to
Client admitted to the medical-surgical unit with 10. Client states that pain is constant and
severe, acute abdominal pain, abdominal localized in the lower right abdominal quadrant.
distention, diarrhea, mucus and small amount of Reports anorexia. Hypoactive bowel sounds
blood in the stool, and a 12% weight loss over noted upon auscultation.
the past 2 months.
Client's weight 2 months ago was 100.3 kg The nurse is performing an assessment on the
(221.1 lb). Client has a history of Crohn's disease client.
and a seizure disorder that is managed with diet For each assessment finding, click to specify if
and medication. the fin - ANSWERS - Appendicitis
Respirations are equal and unlabored. S1S2 - pain in right lower quadrant
heart tones auscultated. Abdominal assessment - nausea
performed with muscle guarding and tenderness
in the right lower quadrant noted on palpation. Diverticular Disease
Abdomen is firm and rigid upon examination. - blood in stool
Abdominal pain rated as an 8 on a scale of 0 to - nausea
10. Client states that pain is constant and
localized in the lower right abdominal quadrant. Crohn's disease
Reports anorexia. Hypoactive bowel sounds - blood in stool
noted upon auscultation. - pain in right lower quadrant
- diarrhea
Complete the following sentence by using the - nausea
lists of options.
After reviewing the findings in the client's - Drag 1 condition and 1 client finding to fill in each
ANSWERS - - abdominal distention blank in the following sentence.
- acute pain
The nurse is caring for the client who has
manifestations of Condition; therefore, the priority
2/6
with Verified Answers Rated A
1800: repositioning. Client voided 125 mL of blood-
Emergency medical team removed client's shirt tinged urine into bedpan. Perineal pad saturated
at the scene and initiated 18-gauge IV therapy in with blood, large clots present.
the right antecubital space.
Client has full-thickness burns over the upper Click to highlight the findings the nurse should
half of the chest and both forearms; partial- report to the provider immediately.
thickness burns are present on the client's face
and neck. - Client sleeping, arouses to verbal stimuli
Sinus tachycardia, pulses to brachial extremities - Respiratory rate 14/min
palpable. 1+ edema to upper extremities. - Oxygen saturation 95% on room air, breath
Respirations even, labored with scattered sounds clear
rhonchi. Soot noted to the client's mouth and - Reports pain as 2 on scale of 0 to 10
nose. Oxygen 40% via face tent applied. - Perineal pad saturated with blood, large clots
Hypoactive bowel sounds. present
16 French indwelling urinary catheter inserted - Change of blood pressure, heart rate of 102/min
with return of 250 mL of yellow urine. - ANSWERS - - Perineal pad saturated with
Lactated Ringer's infusing to right antecubital. blood, large clots present
Provider preparing to insert right femoral central - Change of blood pressure, heart rate of 102/min
line catheter.
During the emergent phase of burn care, the 0900:
client is at risk for developing ____________ and 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
- curling's ulcer the back. Rates pain as 8 on a scale of 0 to 10.
- hypovolemia Hypoactive bowel sounds; reports nausea, no
- hyperthermia vomiting; client is passing flatus.
- hypokalemia Febrile, oriented to person, place, and time.
- respiratory failure - ANSWERS - - Tachypnea with diminished breath sounds.
hypovolemia Sinus tachycardia.
- respiratory failure Client voids 300 mL of clear, amber urine.
0930:
Client vomited 100 mL brown liquid.
2000:
Client reports pain as 3 on a scale of 0 to 10. Drag 1 condition and 1 client finding to fill in each
Breath sounds clear and present throughout. blank in the following sentence.
Three abdominal bandages to abdomen, dry and
intact with no drainage noted. Client voided 90 The client is experiencing manifestations of
mL of clear-yellow urine into bedpan. Perineal Condition as evidenced by the Client Finding.
pad with small amount of blood, no clots;
perineal pad changed at this time. Condition:
2400: - a cerebral vascular accident (CVA)
Client sleeping, arouses to verbal stimuli. - cardiogenic shock
Reports pain as 2 on a scale of 0 to 10 with - paralytic ileus
1/6
, RN Adult Medical Surgical Online Practice B NGN Questions
with Verified Answers Rated A
- adult respiratory distress syndrome History and Physical
- pancreatitis Client admitted to the medical-surgical unit with
severe, acute abdominal pain, abdominal
Client finding: distention, diarrhea, mucus and small amount of
- blood pressure blood in the stool, and a 12% weight loss over
- amylase and lipase the past 2 months.
-oxygen saturation Client's weight 2 months ago was 100.3 kg
- platelets levels (221.1 lb). Client has a history of Crohn's disease
- urine output - ANSWERS - Condition: and a seizure disorder that is managed with diet
- pancreatitis and medication.
Respirations are equal and unlabored. S1S2
Client findings: heart tones auscultated. Abdominal assessment
- amylase and lipase performed with muscle guarding and tenderness
in the right lower quadrant noted on palpation.
Abdomen is firm and rigid upon examination.
History and Physical Abdominal pain rated as an 8 on a scale of 0 to
Client admitted to the medical-surgical unit with 10. Client states that pain is constant and
severe, acute abdominal pain, abdominal localized in the lower right abdominal quadrant.
distention, diarrhea, mucus and small amount of Reports anorexia. Hypoactive bowel sounds
blood in the stool, and a 12% weight loss over noted upon auscultation.
the past 2 months.
Client's weight 2 months ago was 100.3 kg The nurse is performing an assessment on the
(221.1 lb). Client has a history of Crohn's disease client.
and a seizure disorder that is managed with diet For each assessment finding, click to specify if
and medication. the fin - ANSWERS - Appendicitis
Respirations are equal and unlabored. S1S2 - pain in right lower quadrant
heart tones auscultated. Abdominal assessment - nausea
performed with muscle guarding and tenderness
in the right lower quadrant noted on palpation. Diverticular Disease
Abdomen is firm and rigid upon examination. - blood in stool
Abdominal pain rated as an 8 on a scale of 0 to - nausea
10. Client states that pain is constant and
localized in the lower right abdominal quadrant. Crohn's disease
Reports anorexia. Hypoactive bowel sounds - blood in stool
noted upon auscultation. - pain in right lower quadrant
- diarrhea
Complete the following sentence by using the - nausea
lists of options.
After reviewing the findings in the client's - Drag 1 condition and 1 client finding to fill in each
ANSWERS - - abdominal distention blank in the following sentence.
- acute pain
The nurse is caring for the client who has
manifestations of Condition; therefore, the priority
2/6
