RN Adult Medical Surgical Online Practice A for NGN and
Answers
A nurse is assessing a client who has had a ANSWERS - A client who had a myocardial
plaster cast applied to their left leg 2 hr ago. infarction (MI) 4 days ago and is asking for a
Which of the following actions should the nurse PRN sublingual nitroglycerin tablet
take? - ANSWERS - Check that one finger
fits between the cast and the leg.
To make sure the cast is not too tight, the nurse A nurse is caring for a client who is postoperative
should be able to slide one finger under the cast. following a total hip arthroplasty. Which of the
It is not uncommon for casts to loosen as following laboratory values should the nurse
swelling subsides, but that should not be an report to the provider? - ANSWERS - Hgb 8
issue 2 hr after application. g/dL
A nurse is providing teaching to a client who has A nurse in a provider's office is assessing a client
esophageal cancer and is to undergo radiation who has migraine headaches and is taking
therapy. Which of the following statements feverfew to prevent headaches. The nurse should
should the nurse identify as an indication that the identify that which of the following client
client understands the teaching? - medications interacts with feverfew? -
ANSWERS - "I will use my hands rather ANSWERS - Naproxen
than a washcloth to clean the radiation area."
The client should gently wash the radiation area
with their hands using warm water and mild soap An older adult client is brought to an emergency
to protect the skin from further irritation. department by a family member. Which of the
following assessment findings should cause the
nurse to suspect that the client has hypertonic
A nurse is planning to provide discharge dehydration? - ANSWERS - Urine specific
teaching for the family of an older adult client gravity 1.045
who has hemianopsia and is at risk for falls.
Which of the following instructions should the
nurse include? - ANSWERS - Remind the A nurse is preparing to admit a client who has
client to scan their complete range of vision dysphagia. The nurse should plan to place which
during ambulation. of the following items at the client's bedside? -
The nurse should instruct the family to remind a ANSWERS - Suction machine
client who has hemianopsia, or blindness in half
of the visual field, to use visual scanning to look
over their complete range of vision during A nurse in a provider's office is assessing a client
ambulation. This practice can accommodate for who has hypertension and takes propranolol.
the loss of vision and help to reduce the risk for Which of the following findings should indicate to
falls. the nurse that the client is experiencing an
adverse reaction to this medication? -
ANSWERS - Report of a night cough
A nurse has received change-of-shift report for a
group of clients. Which of the following clients
should the nurse assess first? -
A nurse is caring for a client who has a new
1/9
, RN Adult Medical Surgical Online Practice A for NGN and
Answers
prescription for total parenteral nutrition (TPN). cardioversion. Which of the following prescribed
The client is to receive 2,000 kcal per day. The medications should the nurse instruct the client to
TPN solution has 500 kcal/L. The IV pump withhold for 48 hr prior to cardioversion? -
should be set at how many mL/hr? (Round the ANSWERS - Digoxin
answer to the nearest whole number. Use a
leading zero if it applies. Do not use a trailing
zero.) - ANSWERS - 167 A nurse is caring for a client who has anorexia,
X mL/hr = Volume (mL)/Time (hr) low-grade fever, night sweats, and a productive
X mL/hr =4000mL/24 hr cough. Which of the following actions should the
X mL/hr = 166.67 nurse take first? - ANSWERS - Initiate
Round if necessary. 166.67 = 167 mL/hr airborne precautions.
A nurse is caring for a client who is having a A nurse in a community clinic is caring for a client
seizure. Which of the following interventions is who reports an increase in the frequency of
the nurse's priority? - ANSWERS - Turn the migraine headaches. To help reduce the risk for
client to the side. migraine headaches, which of the following foods
should the nurse recommend the client avoid? -
ANSWERS - Aged cheese
A nurse is creating a plan of care for a client who
has neutropenia as a result of chemotherapy.
Which of the following interventions should the A nurse is caring for a client who has hepatic
nurse include in the plan? - ANSWERS - encephalopathy that is being treated with
Monitor the client's temperature every 4 hr. lactulose. The client is experiencing excessive
stools. Which of the following findings is an
adverse effect of this medication? -
A nurse is planning care for a client who is ANSWERS - Hypokalemia
undergoing brachytherapy via a sealed vaginal
implant to treat endometrial cancer. Which of the
following actions should the nurse include in the A nurse is assessing a client who had
client's plan of care? - ANSWERS - Wear a extracorporeal shock wave lithotripsy (ESWL) 6
lead apron while providing care to the client. hr ago. Which of the following findings should the
nurse expect? - ANSWERS - Stone
fragments in the urine
A nurse is preparing to administer a unit of
packed RBCs to a client. Which of the following
actions should the nurse take? - A nurse in a provider's office is caring for a client
ANSWERS - Remain with the client for the who requests sildenafil to treat erectile
first 15 min of the infusion. dysfunction. Which of the following statements
should the nurse make? - ANSWERS -
"You will not be able to use sildenafil if you are
A nurse is preparing a client who has taking nitroglycerin."
supraventricular tachycardia for elective
2/9
Answers
A nurse is assessing a client who has had a ANSWERS - A client who had a myocardial
plaster cast applied to their left leg 2 hr ago. infarction (MI) 4 days ago and is asking for a
Which of the following actions should the nurse PRN sublingual nitroglycerin tablet
take? - ANSWERS - Check that one finger
fits between the cast and the leg.
To make sure the cast is not too tight, the nurse A nurse is caring for a client who is postoperative
should be able to slide one finger under the cast. following a total hip arthroplasty. Which of the
It is not uncommon for casts to loosen as following laboratory values should the nurse
swelling subsides, but that should not be an report to the provider? - ANSWERS - Hgb 8
issue 2 hr after application. g/dL
A nurse is providing teaching to a client who has A nurse in a provider's office is assessing a client
esophageal cancer and is to undergo radiation who has migraine headaches and is taking
therapy. Which of the following statements feverfew to prevent headaches. The nurse should
should the nurse identify as an indication that the identify that which of the following client
client understands the teaching? - medications interacts with feverfew? -
ANSWERS - "I will use my hands rather ANSWERS - Naproxen
than a washcloth to clean the radiation area."
The client should gently wash the radiation area
with their hands using warm water and mild soap An older adult client is brought to an emergency
to protect the skin from further irritation. department by a family member. Which of the
following assessment findings should cause the
nurse to suspect that the client has hypertonic
A nurse is planning to provide discharge dehydration? - ANSWERS - Urine specific
teaching for the family of an older adult client gravity 1.045
who has hemianopsia and is at risk for falls.
Which of the following instructions should the
nurse include? - ANSWERS - Remind the A nurse is preparing to admit a client who has
client to scan their complete range of vision dysphagia. The nurse should plan to place which
during ambulation. of the following items at the client's bedside? -
The nurse should instruct the family to remind a ANSWERS - Suction machine
client who has hemianopsia, or blindness in half
of the visual field, to use visual scanning to look
over their complete range of vision during A nurse in a provider's office is assessing a client
ambulation. This practice can accommodate for who has hypertension and takes propranolol.
the loss of vision and help to reduce the risk for Which of the following findings should indicate to
falls. the nurse that the client is experiencing an
adverse reaction to this medication? -
ANSWERS - Report of a night cough
A nurse has received change-of-shift report for a
group of clients. Which of the following clients
should the nurse assess first? -
A nurse is caring for a client who has a new
1/9
, RN Adult Medical Surgical Online Practice A for NGN and
Answers
prescription for total parenteral nutrition (TPN). cardioversion. Which of the following prescribed
The client is to receive 2,000 kcal per day. The medications should the nurse instruct the client to
TPN solution has 500 kcal/L. The IV pump withhold for 48 hr prior to cardioversion? -
should be set at how many mL/hr? (Round the ANSWERS - Digoxin
answer to the nearest whole number. Use a
leading zero if it applies. Do not use a trailing
zero.) - ANSWERS - 167 A nurse is caring for a client who has anorexia,
X mL/hr = Volume (mL)/Time (hr) low-grade fever, night sweats, and a productive
X mL/hr =4000mL/24 hr cough. Which of the following actions should the
X mL/hr = 166.67 nurse take first? - ANSWERS - Initiate
Round if necessary. 166.67 = 167 mL/hr airborne precautions.
A nurse is caring for a client who is having a A nurse in a community clinic is caring for a client
seizure. Which of the following interventions is who reports an increase in the frequency of
the nurse's priority? - ANSWERS - Turn the migraine headaches. To help reduce the risk for
client to the side. migraine headaches, which of the following foods
should the nurse recommend the client avoid? -
ANSWERS - Aged cheese
A nurse is creating a plan of care for a client who
has neutropenia as a result of chemotherapy.
Which of the following interventions should the A nurse is caring for a client who has hepatic
nurse include in the plan? - ANSWERS - encephalopathy that is being treated with
Monitor the client's temperature every 4 hr. lactulose. The client is experiencing excessive
stools. Which of the following findings is an
adverse effect of this medication? -
A nurse is planning care for a client who is ANSWERS - Hypokalemia
undergoing brachytherapy via a sealed vaginal
implant to treat endometrial cancer. Which of the
following actions should the nurse include in the A nurse is assessing a client who had
client's plan of care? - ANSWERS - Wear a extracorporeal shock wave lithotripsy (ESWL) 6
lead apron while providing care to the client. hr ago. Which of the following findings should the
nurse expect? - ANSWERS - Stone
fragments in the urine
A nurse is preparing to administer a unit of
packed RBCs to a client. Which of the following
actions should the nurse take? - A nurse in a provider's office is caring for a client
ANSWERS - Remain with the client for the who requests sildenafil to treat erectile
first 15 min of the infusion. dysfunction. Which of the following statements
should the nurse make? - ANSWERS -
"You will not be able to use sildenafil if you are
A nurse is preparing a client who has taking nitroglycerin."
supraventricular tachycardia for elective
2/9
