RN Adult Med surg online Practice A Questions and
Answers Rated A
Client presents with abdominal pain in the upper receiving IV fluid therapy. Which of the following
left quadrant for the past two days. States pain client information should indicate to the nurse
became worse this morning and is radiating to that the client requires re-evaluation of the IV
the back. Rates pain as 8 on a scale of 0 to 10. therapy prescription?
Hypoactive bowel sounds; reports nausea, no
vomiting; client is passing flatus. Temperature - 98.8
Febrile, oriented to person, place and time. HR - 88/min
Tachypnea with diminished breath sounds. Sinus RR 18/min
tachycardia. Client voids 300mL of clear, amber BP - 118/6/
urine. O2 96%
0930: Client vomited 100mL brown liquid - Pain - 0
- Pancreatitis - The clients laboratory
results and physical assessment indicate the Hgb- 15.1
client is experiencing manifestations of Hct - 54.2%
pancreatitis. Client who have pancreatitis BUN - 292
experience an increase in pancreatic enzymes, Sodium 145
amylase, and lipase Potassium 4.7 - - BUN - The clients HCT
and BUN levels indicate dehydration and require
Amylase and lipase - The client's laboratory an increase in the IV fluid infusion rate.
results and physical assessment indicate the
client is experiencing manifestations of
pancreatitis. Clients who have pancreatitis A nurse is assessing a client while suctioning the
experience an increase pancreatic enzymes, client's tracheostomy tube. Which of the following
amylase, and lipase findings should indicate to the nurse the client is
experiencing hypoxia?
A nurse is caring for a client who is - The client starts to cough
postoperative. - The client's heart rate increases
Vital signs - Temperature 99.7 - The client is diaphoretic
Heart Rate - 114/min - The client's blood pressure decreases - -
RR - 22/min The client's heart rate increases
Blood pressure 88/54
O2 - 93% - - Insert large - gauge IV and Hypoxia related to suctioning can cause the
initiate a fluid challenge because the client is client's heart rate to increase. If this occurs, the
most likely experiencing hypovolemia as nurse should discontinue the suctioning and
evidenced by the client's restlessness, manually oxygenate the client with 100% oxygen/
tachycardia, hypotension, decreased pulses, The nurse should instruct the client to take three
cool extremities, and decreased urine output. or four deep breaths prior to suctioning to reduce
The nurse should monitor the client's urine the risk for hypoxia.
output and blood pressure to evaluate the
effectiveness of treatment.
A nurse is providing teaching to a client who
takes ginkgo biloba as an herbal supplement.
A nurse on a medical-surgical unit is reviewing Which of the following statements should the
the medical record of an older adult client who is nurse make?
,RN Adult Med surg online Practice A Questions and
Answers Rated A
postoperative following a total hip arthroplasty.
- Ginkgo biloba relieves nausea for people who Which of the following actions should the nurse
have vertigo take?
- Taking ginkgo biloba will help relieve your joint
pain - Maintain adduction for client's legs
Ginkgo biloba can cause an increased risk for - Encourage range of motion of the hip up to a
bleeding 120 angle
- Taking ginkgo biloba decreases the risk of - Place a pillow between the client's legs
migraine headache - - Ginkgo biloba can - Keep the client's hip internally rotated. - -
cause an increased risk for bleeding. Place a pillow between the client's legs.
Ginkgo biloba increases blood flow and is The nurse should place a pillow between the
effective in decreasing the pain associated with client's legs to prevent hip dislocation.
peripheral artery disease. The supplement also
decreases platelet aggregation, which in turn
increases the risk for bleeding. Clients who have A nurse is providing teaching to a client who has
been prescribed antiplatelet medications, such a gastric ulcer and a new prescription for
as aspirin, should avoid taking ginkgo biloba omeprazole. The nurse should instruct the client
without first speaking with their provider. that the medication provides relief by which of the
following actions?
A nurse is teaching a class about client rights. - Neutralizing gastric acid
Which of the following instructions should the -Reducing the growth of ulcer-causing bacteria
nurse include? - Coating the stomach lining
- Suppressing gastric acid production. - --
- A client should sing an informed consent before Suppressing gastric acid production
receiving a placebo during research trial
- A client cannot refuse to sign a consent form for Omeprazole is a proton pump inhibitor. It relieves
a life-saving treatment. manifestations of gastric ulcers by suppressing
- A client who has a mental illness is unable to gastric acid production.
give informed consent.
-A unemancipated minor needs guardian
consent for substance use disorder treatment. - A nurse is assessing a client who is
- A client should sign an informed consent postoperative following a thyroidectomy. Which of
before receiving a placebo during a research the following findings is the nurse's priority?
trial.
- Moderate sesrosanguinous drainage on the
A nurse should ensure a client has provided dressing.
informed consent before administering a - Calcium 9.5 mg/dL
placebo. Placebos should not be used outside of - Temperature 102F
approved clinical research in which the client has - Decreased bowel sounds - - Temperature
consented to participate. - 102
When using the urgent vs nonurgent approach to
A nurse is caring for a client who is 12hr
, RN Adult Med surg online Practice A Questions and
Answers Rated A
client care, the nurse should determine that the the client to increase fluid intake to facilitate the
priority finding is elevated temperature. An elimination of the barium used during the test.
elevated temperature is a manifestation of
excessive thyroid hormone release, or thyroid
storm, due to an increase in metabolic rate. The A nurse is providing education to a client who has
nurse should report this finding immediately to TB and their family. Which of the following
the provider because it can lead to seizures and information should the nurse include in the
coma. teaching?
- After 1 week of medication. TB is no longer
A nurse is assessing a client who has a communicable
diagnosis of rheumatoid arthritis. Which of the - Dispose of contaminated tissues in a paper bag.
following nonpharmacological interventions -Airborne precautions are necessary in the home
should the nurse suggest to the client to reduce - Family members in the household should
pain? undergo TB testing. - - Family members in
the household should undergo TB testing.
- Increase intake of foods containing calcium
- Alternate application of heat and cold to the Family members who live in the same household
affected joints. with the client have been exposed to TB.
- Keep the affected extremities elevated Therefore, the nurse should recommend TB
- Limit movement of the affected joints. - - screening to foster early detection and treatment
Alternate application of heat and cold to the of TB.
affected joints.
The nurse should instruct the client to alternate A nurse in an emergency department is
heat and cold applications to decrease joint assessing an older client who has a fractured
inflammation and pain. The application of cold wrist following a fall. During the assessment, the
can relieve joint swelling and the application of client states "Last week I crashed my car
heat can decrease joint stiffness and pain. because my vision suddenly became blurry."
Which of the following actions is the nurse's
priority.
A nurse is providing discharge instructions to a
client following an upper gastrointestinal series - Check the client's neurologic status
with barium contrast. Which of the following - Document the client's statements
information should the nurse provide? - Prepare the client for a CT scan
- Teach the client about using safety precautions
- Increase fluid intake for falls. - - Check the clients neurologic
- Take an over-the-counter antidiarrheal status
medication
- Expect black, tarry stools - The first action the nurse should take using the
- Follow a low-fiber diet. - - Increase fluid nursing process is to assess the client/
intake Therefore, the nurse should first check the
neurologic status of the client.
Increasing fluid intake will help prevent
constipation. Therefore, the nurse should instruct
Answers Rated A
Client presents with abdominal pain in the upper receiving IV fluid therapy. Which of the following
left quadrant for the past two days. States pain client information should indicate to the nurse
became worse this morning and is radiating to that the client requires re-evaluation of the IV
the back. Rates pain as 8 on a scale of 0 to 10. therapy prescription?
Hypoactive bowel sounds; reports nausea, no
vomiting; client is passing flatus. Temperature - 98.8
Febrile, oriented to person, place and time. HR - 88/min
Tachypnea with diminished breath sounds. Sinus RR 18/min
tachycardia. Client voids 300mL of clear, amber BP - 118/6/
urine. O2 96%
0930: Client vomited 100mL brown liquid - Pain - 0
- Pancreatitis - The clients laboratory
results and physical assessment indicate the Hgb- 15.1
client is experiencing manifestations of Hct - 54.2%
pancreatitis. Client who have pancreatitis BUN - 292
experience an increase in pancreatic enzymes, Sodium 145
amylase, and lipase Potassium 4.7 - - BUN - The clients HCT
and BUN levels indicate dehydration and require
Amylase and lipase - The client's laboratory an increase in the IV fluid infusion rate.
results and physical assessment indicate the
client is experiencing manifestations of
pancreatitis. Clients who have pancreatitis A nurse is assessing a client while suctioning the
experience an increase pancreatic enzymes, client's tracheostomy tube. Which of the following
amylase, and lipase findings should indicate to the nurse the client is
experiencing hypoxia?
A nurse is caring for a client who is - The client starts to cough
postoperative. - The client's heart rate increases
Vital signs - Temperature 99.7 - The client is diaphoretic
Heart Rate - 114/min - The client's blood pressure decreases - -
RR - 22/min The client's heart rate increases
Blood pressure 88/54
O2 - 93% - - Insert large - gauge IV and Hypoxia related to suctioning can cause the
initiate a fluid challenge because the client is client's heart rate to increase. If this occurs, the
most likely experiencing hypovolemia as nurse should discontinue the suctioning and
evidenced by the client's restlessness, manually oxygenate the client with 100% oxygen/
tachycardia, hypotension, decreased pulses, The nurse should instruct the client to take three
cool extremities, and decreased urine output. or four deep breaths prior to suctioning to reduce
The nurse should monitor the client's urine the risk for hypoxia.
output and blood pressure to evaluate the
effectiveness of treatment.
A nurse is providing teaching to a client who
takes ginkgo biloba as an herbal supplement.
A nurse on a medical-surgical unit is reviewing Which of the following statements should the
the medical record of an older adult client who is nurse make?
,RN Adult Med surg online Practice A Questions and
Answers Rated A
postoperative following a total hip arthroplasty.
- Ginkgo biloba relieves nausea for people who Which of the following actions should the nurse
have vertigo take?
- Taking ginkgo biloba will help relieve your joint
pain - Maintain adduction for client's legs
Ginkgo biloba can cause an increased risk for - Encourage range of motion of the hip up to a
bleeding 120 angle
- Taking ginkgo biloba decreases the risk of - Place a pillow between the client's legs
migraine headache - - Ginkgo biloba can - Keep the client's hip internally rotated. - -
cause an increased risk for bleeding. Place a pillow between the client's legs.
Ginkgo biloba increases blood flow and is The nurse should place a pillow between the
effective in decreasing the pain associated with client's legs to prevent hip dislocation.
peripheral artery disease. The supplement also
decreases platelet aggregation, which in turn
increases the risk for bleeding. Clients who have A nurse is providing teaching to a client who has
been prescribed antiplatelet medications, such a gastric ulcer and a new prescription for
as aspirin, should avoid taking ginkgo biloba omeprazole. The nurse should instruct the client
without first speaking with their provider. that the medication provides relief by which of the
following actions?
A nurse is teaching a class about client rights. - Neutralizing gastric acid
Which of the following instructions should the -Reducing the growth of ulcer-causing bacteria
nurse include? - Coating the stomach lining
- Suppressing gastric acid production. - --
- A client should sing an informed consent before Suppressing gastric acid production
receiving a placebo during research trial
- A client cannot refuse to sign a consent form for Omeprazole is a proton pump inhibitor. It relieves
a life-saving treatment. manifestations of gastric ulcers by suppressing
- A client who has a mental illness is unable to gastric acid production.
give informed consent.
-A unemancipated minor needs guardian
consent for substance use disorder treatment. - A nurse is assessing a client who is
- A client should sign an informed consent postoperative following a thyroidectomy. Which of
before receiving a placebo during a research the following findings is the nurse's priority?
trial.
- Moderate sesrosanguinous drainage on the
A nurse should ensure a client has provided dressing.
informed consent before administering a - Calcium 9.5 mg/dL
placebo. Placebos should not be used outside of - Temperature 102F
approved clinical research in which the client has - Decreased bowel sounds - - Temperature
consented to participate. - 102
When using the urgent vs nonurgent approach to
A nurse is caring for a client who is 12hr
, RN Adult Med surg online Practice A Questions and
Answers Rated A
client care, the nurse should determine that the the client to increase fluid intake to facilitate the
priority finding is elevated temperature. An elimination of the barium used during the test.
elevated temperature is a manifestation of
excessive thyroid hormone release, or thyroid
storm, due to an increase in metabolic rate. The A nurse is providing education to a client who has
nurse should report this finding immediately to TB and their family. Which of the following
the provider because it can lead to seizures and information should the nurse include in the
coma. teaching?
- After 1 week of medication. TB is no longer
A nurse is assessing a client who has a communicable
diagnosis of rheumatoid arthritis. Which of the - Dispose of contaminated tissues in a paper bag.
following nonpharmacological interventions -Airborne precautions are necessary in the home
should the nurse suggest to the client to reduce - Family members in the household should
pain? undergo TB testing. - - Family members in
the household should undergo TB testing.
- Increase intake of foods containing calcium
- Alternate application of heat and cold to the Family members who live in the same household
affected joints. with the client have been exposed to TB.
- Keep the affected extremities elevated Therefore, the nurse should recommend TB
- Limit movement of the affected joints. - - screening to foster early detection and treatment
Alternate application of heat and cold to the of TB.
affected joints.
The nurse should instruct the client to alternate A nurse in an emergency department is
heat and cold applications to decrease joint assessing an older client who has a fractured
inflammation and pain. The application of cold wrist following a fall. During the assessment, the
can relieve joint swelling and the application of client states "Last week I crashed my car
heat can decrease joint stiffness and pain. because my vision suddenly became blurry."
Which of the following actions is the nurse's
priority.
A nurse is providing discharge instructions to a
client following an upper gastrointestinal series - Check the client's neurologic status
with barium contrast. Which of the following - Document the client's statements
information should the nurse provide? - Prepare the client for a CT scan
- Teach the client about using safety precautions
- Increase fluid intake for falls. - - Check the clients neurologic
- Take an over-the-counter antidiarrheal status
medication
- Expect black, tarry stools - The first action the nurse should take using the
- Follow a low-fiber diet. - - Increase fluid nursing process is to assess the client/
intake Therefore, the nurse should first check the
neurologic status of the client.
Increasing fluid intake will help prevent
constipation. Therefore, the nurse should instruct
