PN ATI MED SURG EXAM |
(RATIONALES AVAILABLE) NEWEST
ACTUAL EXAM COMPREHENSIVE
QUESTIONS AND VERIFIED ANSWERS
GRADED A+ | 100% CORRECT | 2024
UPDATE!!
A home health nurse is reinforcing teaching with a client about
preventing complications of peripheral vascular disease. Which of the
following statements indicated that the client is adhering to the nurse's
instructions? - ✔✔✔ Correct Answer > "I don't cross my legs
anymore."
Rationale:
Clients who have peripheral vascular disease should not cross their legs
because it can impede circulation.
A nurse is contributing to the plan of care for a client who has a new
prescription for nystation suspension for oral candidiasis. Which of the
following interventions should the nurse include in the plan? - ✔✔✔
Correct Answer > Instruct the client to swish the medication in their
mouth.
,Rationale:
The nurse should instruct the client to place half the dose in each side
of their mouth, swish the medication, and then swallow. This action will
allow the medication to coat the entire oral mucosa and treat the
fungal infection.
--------------------------
The client should avoid commercial mouthwashes while the mouth
infection is present because using mouthwash can increase pain and
does not contribute to treatment of the infection.
The client should continue nystatin for 2 days after the lesions have
healed.
The client should not mix nystatin with food because it will alter the
absorption of the medication and prevent adequate coating of the oral
lesions.
A nurse is contributing to the plan of care to promote a restful night's
sleep for a client who has Alzheimer's disease. Which of the following
intervention should the nurse include in the plan? - ✔✔✔ Correct
Answer > Offer a small snack at bedtime.
Rationale:
,The nurse should offer the client a small snack of carbohydrates or a
glass of milk as part of the bedtime routine, which can help the client
relax and prepare for sleep.
A nurse is reinforcing teaching with a client who has a new diagnosis of
genital herpes. Which of the following information should the nurse
include? - ✔✔✔ Correct Answer > "The virus can be transmitted
without lesion being present."
Rationale:
The nurse should inform the client that viral shedding and spreading of
the infection can occur even when lesions are not present.
A nurse is monitoring a client who is taking acarbose. Which of the
following findings should the nurse identify as an adverse effect of the
medication? - ✔✔✔ Correct Answer > Abdominal cramps.
Rationale:
Acarbose affects the gastrointestinal system. Therefore, the nurse
should monitor the client for abdominal cramping, rumbling bowel
sounds, and diarrhea as adverse effects of this medication.
------------------
Polyuria is an adverse effect of furosemide.
, Long-term and high-dose use of acarbose can cause liver dysfunction,
not renal insufficiency.
Insomnia is an adverse effect of methylphenidate.
A nurse is performing an ECG on a client who is scheduled for surgery
the following morning. In which of the following locations should the
nurse place V1 electrode? - ✔✔✔ Correct Answer > C is correct. The
nurse should identify that the V1 electrode should be placed in the
fourth intercostal space just to the right of the sternum. Correct
placement of the electrodes is vital in obtaining accurate information
about the electrical activity of the heart.
A nurse is assisting in the plan of care for a client who had a recent left
hemispheric stroke. Which of the following actions should the nurse
include in the plan? - ✔✔✔ Correct Answer > Use simple verbal cues
when directing tasks.
The nurse should expect a client who had a left hemispheric stroke to
manifest some degree of expressive and/or receptive aphasia. Using
simple verbal cues will assist the client in understanding spoken
communication.
---------------------------
(RATIONALES AVAILABLE) NEWEST
ACTUAL EXAM COMPREHENSIVE
QUESTIONS AND VERIFIED ANSWERS
GRADED A+ | 100% CORRECT | 2024
UPDATE!!
A home health nurse is reinforcing teaching with a client about
preventing complications of peripheral vascular disease. Which of the
following statements indicated that the client is adhering to the nurse's
instructions? - ✔✔✔ Correct Answer > "I don't cross my legs
anymore."
Rationale:
Clients who have peripheral vascular disease should not cross their legs
because it can impede circulation.
A nurse is contributing to the plan of care for a client who has a new
prescription for nystation suspension for oral candidiasis. Which of the
following interventions should the nurse include in the plan? - ✔✔✔
Correct Answer > Instruct the client to swish the medication in their
mouth.
,Rationale:
The nurse should instruct the client to place half the dose in each side
of their mouth, swish the medication, and then swallow. This action will
allow the medication to coat the entire oral mucosa and treat the
fungal infection.
--------------------------
The client should avoid commercial mouthwashes while the mouth
infection is present because using mouthwash can increase pain and
does not contribute to treatment of the infection.
The client should continue nystatin for 2 days after the lesions have
healed.
The client should not mix nystatin with food because it will alter the
absorption of the medication and prevent adequate coating of the oral
lesions.
A nurse is contributing to the plan of care to promote a restful night's
sleep for a client who has Alzheimer's disease. Which of the following
intervention should the nurse include in the plan? - ✔✔✔ Correct
Answer > Offer a small snack at bedtime.
Rationale:
,The nurse should offer the client a small snack of carbohydrates or a
glass of milk as part of the bedtime routine, which can help the client
relax and prepare for sleep.
A nurse is reinforcing teaching with a client who has a new diagnosis of
genital herpes. Which of the following information should the nurse
include? - ✔✔✔ Correct Answer > "The virus can be transmitted
without lesion being present."
Rationale:
The nurse should inform the client that viral shedding and spreading of
the infection can occur even when lesions are not present.
A nurse is monitoring a client who is taking acarbose. Which of the
following findings should the nurse identify as an adverse effect of the
medication? - ✔✔✔ Correct Answer > Abdominal cramps.
Rationale:
Acarbose affects the gastrointestinal system. Therefore, the nurse
should monitor the client for abdominal cramping, rumbling bowel
sounds, and diarrhea as adverse effects of this medication.
------------------
Polyuria is an adverse effect of furosemide.
, Long-term and high-dose use of acarbose can cause liver dysfunction,
not renal insufficiency.
Insomnia is an adverse effect of methylphenidate.
A nurse is performing an ECG on a client who is scheduled for surgery
the following morning. In which of the following locations should the
nurse place V1 electrode? - ✔✔✔ Correct Answer > C is correct. The
nurse should identify that the V1 electrode should be placed in the
fourth intercostal space just to the right of the sternum. Correct
placement of the electrodes is vital in obtaining accurate information
about the electrical activity of the heart.
A nurse is assisting in the plan of care for a client who had a recent left
hemispheric stroke. Which of the following actions should the nurse
include in the plan? - ✔✔✔ Correct Answer > Use simple verbal cues
when directing tasks.
The nurse should expect a client who had a left hemispheric stroke to
manifest some degree of expressive and/or receptive aphasia. Using
simple verbal cues will assist the client in understanding spoken
communication.
---------------------------
