RN Adult Medical Surgical Online Practice 2019 B
1.A nurse is assessing for compartment syndrome in a client who has a
short leg cast. Which of the following findings should the nurse identify as a manifestation of this condition?
Bounding pedal pulse
Capillary refill less than 2 seconds
Pain that increases with passive movement
Areas of warmth on the cast: Pain that increases with passive movement
2.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?
"I will need to take antibiotics for 1 year."
"My partner will need to take an antiviral medication."
"My joints ache because I have Lyme disease."
"I bruise easily because I have Lyme disease.": My joints ache because I have Lyme disease
3.A nurse is preparing to administer phenytoin 600 mg PO daily to a client. The amount available is oral solution 125 mg/5 mL. How many mL should the
nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.): 24
4.A nurse is caring for a client who has an arterial line. Which of the following actions should the nurse take?
Flush the line before administering antibiotics
Position the client in Trendelenburg to obtain measurements.
Have the client bear down when readings are obtained.
Place a pressure bag around the flush solution.: place a pressure bag around the flush solution
5.A nurse is updating the plan of care for a client who is receiving chemother- apy. Which of the following findings should the nurse identify as
the priority?
Report of sore throat Report of memory loss
Alopecia
Mucositis: Report of sore throat
6.A nurse is reviewing the medical record of a client who has systemic lupus erythematosus (SLE). Which of the following findings should the nurse expect? Facial butterfly rash Bradycardia Esophagitis
Interstitial fibrosis: Facial butterfly rash
7.A nurse is planning care for a client who is postoperative following a parathyroidectomy. Which of the following actions should the nurse identify as the priority?
Use pillows to support the client's head and neck. Offer opioid medication.
Place a tracheostomy tray at the bedside.
Place the client in semi-Fowler's position.: Place tach tray at the bedside
8.A nurse is assessing a client who has diabetes insipidus. Which of the following findings should the nurse expect?
Low urine specific gravity Hypertension
Bounding peripheral pulses Hyperglycemia: Low urine specific gravity
9.A nurse is providing teaching to a client who has stage II cervical cancer
and is scheduled for brachytherapy. Which of the following instructions
should the nurse include? "You will have an implant placed twice each month for the duration of the treatment."
"You should remain at least 6 feet away from others between treatments." "You should expect to have blood in your urine for a few days after treatment." "You will need to stay still in the bed during each treatment session.": You will need to stay still in the bed during each treatment session."
10.A nurse is planning care for a client who is scheduled for a thoracentesis. Which of the following interventions should the nurse include
in the plan?
Encourage the client to take deep breaths after the procedure. Assist the client to hold their arms up during the procedure.
Instruct the client to remain NPO after midnight prior to the procedure. Keep the client on bed rest for 8 hr following the procedure.a: Encourage the client to take deep breaths after the procedure
1.A nurse is assessing for compartment syndrome in a client who has a
short leg cast. Which of the following findings should the nurse identify as a manifestation of this condition?
Bounding pedal pulse
Capillary refill less than 2 seconds
Pain that increases with passive movement
Areas of warmth on the cast: Pain that increases with passive movement
2.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?
"I will need to take antibiotics for 1 year."
"My partner will need to take an antiviral medication."
"My joints ache because I have Lyme disease."
"I bruise easily because I have Lyme disease.": My joints ache because I have Lyme disease
3.A nurse is preparing to administer phenytoin 600 mg PO daily to a client. The amount available is oral solution 125 mg/5 mL. How many mL should the
nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.): 24
4.A nurse is caring for a client who has an arterial line. Which of the following actions should the nurse take?
Flush the line before administering antibiotics
Position the client in Trendelenburg to obtain measurements.
Have the client bear down when readings are obtained.
Place a pressure bag around the flush solution.: place a pressure bag around the flush solution
5.A nurse is updating the plan of care for a client who is receiving chemother- apy. Which of the following findings should the nurse identify as
the priority?
Report of sore throat Report of memory loss
Alopecia
Mucositis: Report of sore throat
6.A nurse is reviewing the medical record of a client who has systemic lupus erythematosus (SLE). Which of the following findings should the nurse expect? Facial butterfly rash Bradycardia Esophagitis
Interstitial fibrosis: Facial butterfly rash
7.A nurse is planning care for a client who is postoperative following a parathyroidectomy. Which of the following actions should the nurse identify as the priority?
Use pillows to support the client's head and neck. Offer opioid medication.
Place a tracheostomy tray at the bedside.
Place the client in semi-Fowler's position.: Place tach tray at the bedside
8.A nurse is assessing a client who has diabetes insipidus. Which of the following findings should the nurse expect?
Low urine specific gravity Hypertension
Bounding peripheral pulses Hyperglycemia: Low urine specific gravity
9.A nurse is providing teaching to a client who has stage II cervical cancer
and is scheduled for brachytherapy. Which of the following instructions
should the nurse include? "You will have an implant placed twice each month for the duration of the treatment."
"You should remain at least 6 feet away from others between treatments." "You should expect to have blood in your urine for a few days after treatment." "You will need to stay still in the bed during each treatment session.": You will need to stay still in the bed during each treatment session."
10.A nurse is planning care for a client who is scheduled for a thoracentesis. Which of the following interventions should the nurse include
in the plan?
Encourage the client to take deep breaths after the procedure. Assist the client to hold their arms up during the procedure.
Instruct the client to remain NPO after midnight prior to the procedure. Keep the client on bed rest for 8 hr following the procedure.a: Encourage the client to take deep breaths after the procedure
