RN Adult Medical Surgical 2019 B-Well Elaborated Questions and answers ( Download for best scores)

RN Adult Medical Surgical 2019 B 1) A nurse is providing teaching to a client who has a severe form of stage II Lyme disease. Which of the following statements made by the client reflects an understanding of the teaching? a. “I will need to take antibiotics for 1 year.” b. “My partner will need to take an antiviral medication.” c. “My joints ache because I have Lyme Disease.” d. “I bruise easily because I have Lyme Disease.” 2) A Nurse is caring for a client who is 4 hr postoperative following an open reduction internal fixation of the right ankle. Which of the following assessment findings should the nurse report to the provider? a. Extremity cool upon palpation b. Serosanguineous drainage on the dressing. c. Capillary refill of 2 seconds. d. Clientreport of discomfort when moving toes. 3) A nurse is assessing a client while suctioning the client’s tracheostomy tube. Which of the following findings should indicate to the nurse the client is experiencing hypoxia? a. The clientstarts to cough b. The client’s heart rate increases c. The client is diaphoretic d. The client’s blood pressure decreases 4) A nurse is caring for a client who is 8 hr postoperative following a total hip arthroplasty. The client is unable to void on the bedpan. Which of the following actions should the nurse take first? a. Document the client’sintake and output. b. Scan the bladder with a portable ultrasound. c. Pour warm water over the client’s perineum. d. Perform a straight catheterization. 5) A nurse is providing discharge instructions to a client who has active tuberculosis (TB). Which of the following information should the nurse include in the instructions? a. Sputum specimens are necessary every 2 to 4 weeks until there are three negative cultures. b. The contagious period generally lasts for 6 to 8 weeks after the initiation of medication therapy. c. Family members should follow airborne precautions at home. d. A follow-up tuberculosis 6) A nurse is caring for a client who has increased intracranial pressure (ICP) and is receiving mannitol via continuous IV infusion. Which of the following findings should the nurse report to the provider as an adverse effect of this medication? a. Decreased heart rate b. Crackles heard on auscultation c. Increased urinary output d. Decreased deep tendon reflexes 7) A nurse is providing discharge teaching to a client who is postoperative following a modified radical mastectomy. Which of the following instructions should the nurse include? a. Flex the affected arm when ambulating b. Numbness can occur along the inside of the affected arm c. Beginactive range-of-motion exercises 1 day after surgery d. Dress in clothing that fits snugly 8) A nurse is providing education to a client who has tuberculosis (TB) and their family. Which of the following information should the nurse include in the teaching? a. After 1 week of medication, TB is no longer communicable. b. Dispose of contaminated tissues in a paper bag. c. Airborne precautions are necessary in the home. d. Family members in the household should undergo TB testing. 9) A nurse is providing discharge teaching about infection prevention to a client who has AIDS. Which of the following statements by the client indicates understanding of the teaching? a. “I will eat a salad atleast once each day to increase my intake of vitamin K.” b. “I can work in my flower garden as long as I wear gardening gloves to cover my skin.” c. “I will no longerfloss my teeth after brushing my teeth.” d. “I can sip on a glass of juice for atleast 2 hours before Ishould discard it.” 10) A nurse is assessing a client who is at risk for the development of pernicious anemia resulting from peptic ulcer disease. Which of the following images depicts a condition caused by pernicious anemia? a. 11) A nurse is reviewing the laboratory results of a client who has aplastic anemia. Which of the following findings indicates a potential complication? a. RBC count 5.2 million/mm3 b. WBC count 2,000/mm3 c. Platelets 380,000/mm3 d. Potassium4 mEq/L