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