RN Adult Medical Surgical proctored
exams with verified questions and
answers
A home health nurse is assigned to a client who was recently discharged from a
rehabilitation center after experiencing a right-hemispheric stroke. Which of the
following neurologic deficits should the nurse expect to find when assessing the client?
- ANSWER-Expressive aphasia is incorrect. Expressive aphasia, or an inability to
express what one wants to convey, occurs secondary to a left-hemispheric stroke.Visual
spatial deficits is correct. Visual spatial deficits and loss of depth perception occur
secondary to a right-hemispheric stroke.Left hemianopsia is correct. Left hemianopsia,
or blindness in the left half of the visual field, occurs secondary to a right-hemispheric
stroke.Right hemiplegia is incorrect. Right hemiplegia occurs secondary to a left-
hemispheric stroke.One-sided neglect is correct. One-sided neglect, or an unawareness
of the affected side, occurs secondary to a right-hemispheric stroke.
A nurse and an assistive personnel (AP) are caring for a client who has bacterial
meningitis. The nurse should give the AP which of the following instructions?
- ANSWER-Wear a mask.
Bacterial meningitis requires droplet precautions. Therefore, the AP and the nurse
should wear a mask when coming within 0.9 m (3 ft) of the client until 24 hr after the
client has begun receiving antibiotic therapy.
Wear a gown.
,A nurse at a provider's office is caring for a client who is 2 weeks postoperative
following a gastrectomy.
Medical History
Since discharge, client reports several episodes of dizziness, "fast" heartbeat, and
abdominal cramping.
Client states, "I am afraid to eat."
A nurse is providing teaching for the client. Which of the following instructions should
the nurse include?
Select all that apply.
- ANSWER-Maintain a high carbohydrate intake is incorrect. Dumping syndrome
requires a low carbohydrate diet because of reactive hypoglycemia.
Eat five servings of fresh fruit per day is incorrect. The client should limit intake to three
servings of unsweetened cooked or canned fruit per day.
Avoid drinking fluids with meals is correct. The nurse should instruct the client to
drink fluids 30 min before or after meals.
Eat several small meals per day is correct. The nurse should instruct the client to eat
several small, frequent meals instead of three large meals per day.
Consume high-protein snacks is correct. The client should eat snacks that are high in
protein and low in carbohydrates to prevent the gastric food boluses and reactive
hypoglycemia in dumping syndrome.
Avoid highly seasoned foods is correct. The nurse should instruct the client to avoid
excessive amounts of spices and salt.
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?
- ANSWER-Naproxen
,Both naproxen and feverfew impair platelet aggregation and place the client at risk for
bleeding.
A nurse in an emergency department is reviewing the provider's prescriptions for a
client who sustained a rattlesnake bite to the lower leg. Which of the following
prescriptions should the nurse expect?
- ANSWER-Administer an opioid analgesic to the client.
The nurse should expect a prescription for an opioid analgesic to promote comfort
following a rattlesnake bite.
A nurse in an ICY is assessing a client who has a traumatic brain injury. Which of the
following findings should the nurse identify as a component of Cushing's triad?
- ANSWER-Bradycardia
A client who has increased intracranial pressure from a traumatic brain injury can
develop bradycardia, which is one component of Cushing's triad. The other
components of Cushing's triad are severe hypertension and a widened pulse pressure.
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?
- 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.
, A nurse is assessing a client who had a plaster cast applied to heir left leg 2 hr ago.
Which of the following actions should the nurse take?
- ANSWER-Check that one finger fits between the cast and the leg.
To make sure the cast is not too tight, the nurse should be able to slide one finger under
the cast. It is not uncommon for casts to loosen as swelling subsides, but that should not
be an issue 2 hr after application.
A nurse is assessing a client who has diabetes insidious. Which of the following
findings should the nurse expect?
- ANSWER-Low urine specific gravity
An expected finding for a client who has diabetes insipidus is a urine specific gravity
between 1.001 and 1.005. Decreased water reabsorption by the renal tubules is caused
by an alteration in antidiuretic hormone release or the kidneys' responsiveness to the
hormone.
A nurse is assessing a client who has peripheral arterial disease. Which of the following
findings should the nurse expect?
- ANSWER-Hair loss on the lower legs
The nurse should expect a client who has peripheral arterial disease to have hair loss on
the lower legs as a result of impaired arterial circulation affecting follicular growth.
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
cause by pernicious anemia?
- ANSWER-This image depicts glossitis, which can indicate pernicious anemia.
exams with verified questions and
answers
A home health nurse is assigned to a client who was recently discharged from a
rehabilitation center after experiencing a right-hemispheric stroke. Which of the
following neurologic deficits should the nurse expect to find when assessing the client?
- ANSWER-Expressive aphasia is incorrect. Expressive aphasia, or an inability to
express what one wants to convey, occurs secondary to a left-hemispheric stroke.Visual
spatial deficits is correct. Visual spatial deficits and loss of depth perception occur
secondary to a right-hemispheric stroke.Left hemianopsia is correct. Left hemianopsia,
or blindness in the left half of the visual field, occurs secondary to a right-hemispheric
stroke.Right hemiplegia is incorrect. Right hemiplegia occurs secondary to a left-
hemispheric stroke.One-sided neglect is correct. One-sided neglect, or an unawareness
of the affected side, occurs secondary to a right-hemispheric stroke.
A nurse and an assistive personnel (AP) are caring for a client who has bacterial
meningitis. The nurse should give the AP which of the following instructions?
- ANSWER-Wear a mask.
Bacterial meningitis requires droplet precautions. Therefore, the AP and the nurse
should wear a mask when coming within 0.9 m (3 ft) of the client until 24 hr after the
client has begun receiving antibiotic therapy.
Wear a gown.
,A nurse at a provider's office is caring for a client who is 2 weeks postoperative
following a gastrectomy.
Medical History
Since discharge, client reports several episodes of dizziness, "fast" heartbeat, and
abdominal cramping.
Client states, "I am afraid to eat."
A nurse is providing teaching for the client. Which of the following instructions should
the nurse include?
Select all that apply.
- ANSWER-Maintain a high carbohydrate intake is incorrect. Dumping syndrome
requires a low carbohydrate diet because of reactive hypoglycemia.
Eat five servings of fresh fruit per day is incorrect. The client should limit intake to three
servings of unsweetened cooked or canned fruit per day.
Avoid drinking fluids with meals is correct. The nurse should instruct the client to
drink fluids 30 min before or after meals.
Eat several small meals per day is correct. The nurse should instruct the client to eat
several small, frequent meals instead of three large meals per day.
Consume high-protein snacks is correct. The client should eat snacks that are high in
protein and low in carbohydrates to prevent the gastric food boluses and reactive
hypoglycemia in dumping syndrome.
Avoid highly seasoned foods is correct. The nurse should instruct the client to avoid
excessive amounts of spices and salt.
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?
- ANSWER-Naproxen
,Both naproxen and feverfew impair platelet aggregation and place the client at risk for
bleeding.
A nurse in an emergency department is reviewing the provider's prescriptions for a
client who sustained a rattlesnake bite to the lower leg. Which of the following
prescriptions should the nurse expect?
- ANSWER-Administer an opioid analgesic to the client.
The nurse should expect a prescription for an opioid analgesic to promote comfort
following a rattlesnake bite.
A nurse in an ICY is assessing a client who has a traumatic brain injury. Which of the
following findings should the nurse identify as a component of Cushing's triad?
- ANSWER-Bradycardia
A client who has increased intracranial pressure from a traumatic brain injury can
develop bradycardia, which is one component of Cushing's triad. The other
components of Cushing's triad are severe hypertension and a widened pulse pressure.
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?
- 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.
, A nurse is assessing a client who had a plaster cast applied to heir left leg 2 hr ago.
Which of the following actions should the nurse take?
- ANSWER-Check that one finger fits between the cast and the leg.
To make sure the cast is not too tight, the nurse should be able to slide one finger under
the cast. It is not uncommon for casts to loosen as swelling subsides, but that should not
be an issue 2 hr after application.
A nurse is assessing a client who has diabetes insidious. Which of the following
findings should the nurse expect?
- ANSWER-Low urine specific gravity
An expected finding for a client who has diabetes insipidus is a urine specific gravity
between 1.001 and 1.005. Decreased water reabsorption by the renal tubules is caused
by an alteration in antidiuretic hormone release or the kidneys' responsiveness to the
hormone.
A nurse is assessing a client who has peripheral arterial disease. Which of the following
findings should the nurse expect?
- ANSWER-Hair loss on the lower legs
The nurse should expect a client who has peripheral arterial disease to have hair loss on
the lower legs as a result of impaired arterial circulation affecting follicular growth.
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
cause by pernicious anemia?
- ANSWER-This image depicts glossitis, which can indicate pernicious anemia.
