RN Adult Medical Surgical Online Practice A for NGN questions with correct answers
A nurse in a providers office is caring fro a client who requests sildenafil to treat erectile dysfunction. Which of the following statements should the nurse make? CORRECT ANSWER-"You will not be able to use sildenafil if you are taking nitroglycerin."
The client should not use sildenafil when taking nitroglycerin because both medications can cause vasodilation and lead to significant hypotension.
A nurse is assessing a client following the administration of magnesium sulfate 1 g
IV bolus. For which of the following adverse effects should the nurse monitor? CORRECT ANSWER-Respiratory paralysis - The nurse should monitor a client who is receiving magnesium sulfate via IV bolus closely as the adverse effects can impact the CNS, the cardiovascular system, and the respiratory system. Respiratory
paralysis is a life-threatening adverse effect of magnesium sulfate. Tachycardia- Magnesium sulfate is used to treat cardiac dysrhythmias, such as torsades de pointes and refractory ventricular fibrillation. Depressed cardiac function, including heart block, is an adverse effect of magnesium sulfate. Increased BP- Magnesium sulfate is used to treat cardiac dysthymias, such as torsades des pointes and refractory ventricular fibrillation. However, magnesium sulfate administration can result in systemic vasodilation and subsequent hypotension. *hyperreflexia- Hyperreflexia is seen in clients who have hypomagnesemia. Depressed or absent reflexes are an adverse effect of magnesium sulfate. A nurse is providing teaching to a client who has chronic kidney disease and a new
prescription for erythropoietin. Which of the following statements by the client indicates an understanding of the teaching? CORRECT ANSWER-"I am taking this medication to increase my energy level."
The goal of erythropoietin therapy is to increase the level of hematocrit in clients who have anemia. When the medication is effective, the client should have a decrease in fatigue and an improvement in activity tolerance.
A nurse is caring for a client has who has chronic glomerulonephritis with oliguria.
Which of the following findings should the nurse identify as a manifestation of chronic glomerulonephritis? CORRECT ANSWER-Hyperkalemia
The nurse should identify that a client who has chronic glomerulonephritis can experience hyperkalemia as a result of kidney failure. Kidney failure results in decreased excretion of potassium.
A nurse in a provider's office is assessing a client who has migraine headaches and is taking feverfew to prevent headaches. The nurse should identify that which of the following client medications interacts with feverfew? CORRECT ANSWER-
Naproxen
Both naproxen and feverfew impair platelet aggregation and place the client at risk for bleeding.
A nurse is teaching a client who has a family history of colorectal cancer. To help mitigate this risk, which of the following dietary alterations should the nurse recommend? CORRECT ANSWER-Add cabbage to the diet. To help reduce the risk for colorectal cancer, the client should consume a diet that is high in fiber, low in fat, and low in refined carbohydrates. Brassica vegetables, such as cabbage, cauliflower, and broccoli, are high in fiber.
A nurse is preparing to admit a client who has dysphagia. The nurse should plan to place which of the following items at the client's bedside? CORRECT ANSWER-
Suction machine
The nurse should ensure that a suction machine is at the bedside of a client who has dysphagia to clear the client's airway as needed and reduce the risk for aspiration.
A nurse is conducting an admission history for a client who is to undergo a CT scan with an IV contrast agent. The nurse should identify that which of the following findings requires further assessment? CORRECT ANSWER-History of asthma
A client who has a history of asthma has a greater risk of reacting to the contrast dye used during the procedure. Other conditions that can result in a reaction to contrast media include allergies to foods, such as shellfish, eggs, milk, and chocolate.
A nurse is assessing a client who has Graves' disease. Which of the following images should indicate to the nurse that the client has exophthalmos? CORRECT ANSWER-D (부릅 뜬 눈) The nurse should identify an outward protrusion of the eyes as exophthalmos, a common finding of Graves' disease. An overproduction of the thyroid hormone causes edema of the extraocular muscle and increases fatty tissue behind the eye, which results in the eyes protruding outward. Exophthalmos can cause the client to experience problems with vision, including focusing on objects, as well as pressure
on the optic nerve.
A nurse in an acute care facility is caring for a client who is at risk for seizures. Which of the following precautions should the nurse implement? CORRECT ANSWER-Ensure the client has a patient IV.
The nurse should ensure the client has IV access in the event that the client requires medication to stop seizure activity.
A nurse is caring for a client who is postoperative following a total hip arthroplasty. Which of the following laboratory values should the nurse report to the provider? CORRECT ANSWER-Hgb 8 g/dL
The nurse should report an Hgb level of 8 g/dL, which is below the expected reference range and is an indicator of postoperative hemorrhage or anemia.
A nurse is assessing a client who had extracorporeal shock wave lithotripsy (ESWL) 6 hr ago. Which of the following findings should the nurse expect? CORRECT ANSWER-Stone fragments in the urine
ESWL is an effort to break the calculi so that the fragments pass down the ureter, into the bladder, and through the urethra during voiding. Following the procedure, the nurse should strain the client's urine to confirm the passage of stones.
A nurse is caring for a client who has anorexia, low-grade fever, night sweats, and a productive cough. Which of the following actions should the nurse take first? CORRECT ANSWER-Initiate airborne precautions.
A nurse in a providers office is caring fro a client who requests sildenafil to treat erectile dysfunction. Which of the following statements should the nurse make? CORRECT ANSWER-"You will not be able to use sildenafil if you are taking nitroglycerin."
The client should not use sildenafil when taking nitroglycerin because both medications can cause vasodilation and lead to significant hypotension.
A nurse is assessing a client following the administration of magnesium sulfate 1 g
IV bolus. For which of the following adverse effects should the nurse monitor? CORRECT ANSWER-Respiratory paralysis - The nurse should monitor a client who is receiving magnesium sulfate via IV bolus closely as the adverse effects can impact the CNS, the cardiovascular system, and the respiratory system. Respiratory
paralysis is a life-threatening adverse effect of magnesium sulfate. Tachycardia- Magnesium sulfate is used to treat cardiac dysrhythmias, such as torsades de pointes and refractory ventricular fibrillation. Depressed cardiac function, including heart block, is an adverse effect of magnesium sulfate. Increased BP- Magnesium sulfate is used to treat cardiac dysthymias, such as torsades des pointes and refractory ventricular fibrillation. However, magnesium sulfate administration can result in systemic vasodilation and subsequent hypotension. *hyperreflexia- Hyperreflexia is seen in clients who have hypomagnesemia. Depressed or absent reflexes are an adverse effect of magnesium sulfate. A nurse is providing teaching to a client who has chronic kidney disease and a new
prescription for erythropoietin. Which of the following statements by the client indicates an understanding of the teaching? CORRECT ANSWER-"I am taking this medication to increase my energy level."
The goal of erythropoietin therapy is to increase the level of hematocrit in clients who have anemia. When the medication is effective, the client should have a decrease in fatigue and an improvement in activity tolerance.
A nurse is caring for a client has who has chronic glomerulonephritis with oliguria.
Which of the following findings should the nurse identify as a manifestation of chronic glomerulonephritis? CORRECT ANSWER-Hyperkalemia
The nurse should identify that a client who has chronic glomerulonephritis can experience hyperkalemia as a result of kidney failure. Kidney failure results in decreased excretion of potassium.
A nurse in a provider's office is assessing a client who has migraine headaches and is taking feverfew to prevent headaches. The nurse should identify that which of the following client medications interacts with feverfew? CORRECT ANSWER-
Naproxen
Both naproxen and feverfew impair platelet aggregation and place the client at risk for bleeding.
A nurse is teaching a client who has a family history of colorectal cancer. To help mitigate this risk, which of the following dietary alterations should the nurse recommend? CORRECT ANSWER-Add cabbage to the diet. To help reduce the risk for colorectal cancer, the client should consume a diet that is high in fiber, low in fat, and low in refined carbohydrates. Brassica vegetables, such as cabbage, cauliflower, and broccoli, are high in fiber.
A nurse is preparing to admit a client who has dysphagia. The nurse should plan to place which of the following items at the client's bedside? CORRECT ANSWER-
Suction machine
The nurse should ensure that a suction machine is at the bedside of a client who has dysphagia to clear the client's airway as needed and reduce the risk for aspiration.
A nurse is conducting an admission history for a client who is to undergo a CT scan with an IV contrast agent. The nurse should identify that which of the following findings requires further assessment? CORRECT ANSWER-History of asthma
A client who has a history of asthma has a greater risk of reacting to the contrast dye used during the procedure. Other conditions that can result in a reaction to contrast media include allergies to foods, such as shellfish, eggs, milk, and chocolate.
A nurse is assessing a client who has Graves' disease. Which of the following images should indicate to the nurse that the client has exophthalmos? CORRECT ANSWER-D (부릅 뜬 눈) The nurse should identify an outward protrusion of the eyes as exophthalmos, a common finding of Graves' disease. An overproduction of the thyroid hormone causes edema of the extraocular muscle and increases fatty tissue behind the eye, which results in the eyes protruding outward. Exophthalmos can cause the client to experience problems with vision, including focusing on objects, as well as pressure
on the optic nerve.
A nurse in an acute care facility is caring for a client who is at risk for seizures. Which of the following precautions should the nurse implement? CORRECT ANSWER-Ensure the client has a patient IV.
The nurse should ensure the client has IV access in the event that the client requires medication to stop seizure activity.
A nurse is caring for a client who is postoperative following a total hip arthroplasty. Which of the following laboratory values should the nurse report to the provider? CORRECT ANSWER-Hgb 8 g/dL
The nurse should report an Hgb level of 8 g/dL, which is below the expected reference range and is an indicator of postoperative hemorrhage or anemia.
A nurse is assessing a client who had extracorporeal shock wave lithotripsy (ESWL) 6 hr ago. Which of the following findings should the nurse expect? CORRECT ANSWER-Stone fragments in the urine
ESWL is an effort to break the calculi so that the fragments pass down the ureter, into the bladder, and through the urethra during voiding. Following the procedure, the nurse should strain the client's urine to confirm the passage of stones.
A nurse is caring for a client who has anorexia, low-grade fever, night sweats, and a productive cough. Which of the following actions should the nurse take first? CORRECT ANSWER-Initiate airborne precautions.
