RN Adult Medical Surgical Online Practice NGN\ RN Adult Medical
Surgical Online Practice ACTUAL EXAM WITH REAL QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) LATEST
|GUARANTEED A+
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?
A) Use pillows to support the client's head and neck.
B) Offer opioid medication.
C) Place a tracheostomy tray at the bedside.
D) Place the client in semi-Fowler's position. - CORRECT ANSWER c;
The priority action the nurse should take when using the airway,
breathing, and circulation approach to client care is to place a
tracheostomy tray at the client's bedside in case of airway
obstruction.
A nurse is planning discharge teaching for a client with an external
fixation device for a lower extremity fracture. Which of the following
instructions should the nurse include in the plan of care?
A) Secure the straps firmly around the boot.
B) Remove the device before showering.
C) Use crutches with rubber tips.
D) Adjust the screws to maintain alignment. - CORRECT ANSWER c;
Using crutches with rubber tips prevents the client from slipping and
decreases the risk of falls.
a - The surgeon directly applies the external fixation device to the
client's bone to form a rigid structure around the affected extremity.
Casts, boots, or splints are applied to the leg for internal fixation.
b - The client should wear external fixation devices continuously for a
period of 4 to 6 weeks. The nurse should teach the client to care for
the wound and pin sites at home.
,d - Only the provider should adjust the client's external fixation device
to maintain bone alignment.
A nurse is caring for a client who has DKA. Which of the following
findings should indicate to the nurse that the client's condition is
improving?
A) Potassium 3.5 mEq/L
B) pH 7.28
C) Glucose 272 mg/dL
D) HCO3- 14 mEq/L - CORRECT ANSWER c; A glucose reading less
than 300 mg/dL indicates improvement in the client's status.
A nurse is providing follow-up care for a client who sustained a
compound fracture 3 weeks ago. The nurse should recognize that an
unexpected finding for which of the following laboratory values is a
manifestation of osteomyelitis and should be reported to the provider?
A) Sedimentation rate
B) Hematocrit
C) Calcium
D) Acid phosphatase - CORRECT ANSWER a; An increased
sedimentation rate occurs when a client has any type of inflammatory
process, such as osteomyelitis.
A nurse is assessing a client following the completion of hemodialysis.
Which of the following findings is the nurse's priority to report to the
provider?
A) Temperature 37.2° C (99° F)
B) Blood pressure 100/70 mm Hg
C) Weight loss
D) Restlessness - CORRECT ANSWER d; Using the urgent vs.
nonurgent approach to client care, the nurse should determine that
the priority finding to report to the provider is restlessness, which can
be an indication the client is experiencing disequilibrium syndrome.
Disequilibrium syndrome is caused by the rapid removal of electrolytes
,from the client's blood and can lead to dysrhythmias or seizures. Other
manifestations include nausea, vomiting, fatigue, and headache.
A nurse is updating the care plan for a client receiving chemotherapy.
Which of the following findings should the nurse identify as the
priority?
A) Report of sore throat
B) Report of memory loss
C) Alopecia
D) Mucositis - CORRECT ANSWER a; When using the urgent vs.
nonurgent approach to client care, the nurse should determine that
the priority finding is a report of a sore throat, which could be a
manifestation of an infection. The client is at risk for neutropenia due
to myelosuppression; therefore, an infection could lead to sepsis.
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 three
negative cultures exist.
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 skin test is necessary in 2 months. -
CORRECT ANSWER a; After three negative sputum cultures, the
client is no longer considered infectious.
b - The client's infection is usually no longer contagious after taking
TB medications for 2 to 3 weeks.
c - Family members do not need to follow airborne precautions
because they have already been exposed to TB.
d - A follow-up evaluation of the client's TB should be performed using
a chest x-ray because the TB skin test is no longer considered
accurate after a person has tested positive.
, A nurse is assessing a client's hydration status. Which of the following
findings indicates fluid volume overload?
A) Warm, moist skin
B) Distended neck veins
C) Dark amber, odiferous urine
D) Orthostatic hypotension - CORRECT ANSWER b
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) Client report of discomfort when moving toes - CORRECT ANSWER
a; The nurse should report indicators of reduced circulation, such as
pallor, cool temperature, or paresthesia of the client's ext. These
findings can indicate that the client is at risk for developing acute
compremitiesartment syndrome.
A nurse is planning care for a client scheduled for a thoracentesis.
Which of the following interventions should the nurse include in the
plan?
A) Encourage the client to take deep breaths after the procedure.
B) Assist the client in holding their arms up during the procedure.
C) Instruct the client to remain NPO after midnight before the
procedure.
D) Keep the client on bed rest for 8 hr following the procedure. -
CORRECT ANSWER a
b - The nurse should place the client upright with their arms resting on
an overhead table to widen the intercostal space and spread the ribs
for tube insertion. The nurse should assist a client who cannot sit up
into a side-lying position with the affected side up.
Surgical Online Practice ACTUAL EXAM WITH REAL QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) LATEST
|GUARANTEED A+
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?
A) Use pillows to support the client's head and neck.
B) Offer opioid medication.
C) Place a tracheostomy tray at the bedside.
D) Place the client in semi-Fowler's position. - CORRECT ANSWER c;
The priority action the nurse should take when using the airway,
breathing, and circulation approach to client care is to place a
tracheostomy tray at the client's bedside in case of airway
obstruction.
A nurse is planning discharge teaching for a client with an external
fixation device for a lower extremity fracture. Which of the following
instructions should the nurse include in the plan of care?
A) Secure the straps firmly around the boot.
B) Remove the device before showering.
C) Use crutches with rubber tips.
D) Adjust the screws to maintain alignment. - CORRECT ANSWER c;
Using crutches with rubber tips prevents the client from slipping and
decreases the risk of falls.
a - The surgeon directly applies the external fixation device to the
client's bone to form a rigid structure around the affected extremity.
Casts, boots, or splints are applied to the leg for internal fixation.
b - The client should wear external fixation devices continuously for a
period of 4 to 6 weeks. The nurse should teach the client to care for
the wound and pin sites at home.
,d - Only the provider should adjust the client's external fixation device
to maintain bone alignment.
A nurse is caring for a client who has DKA. Which of the following
findings should indicate to the nurse that the client's condition is
improving?
A) Potassium 3.5 mEq/L
B) pH 7.28
C) Glucose 272 mg/dL
D) HCO3- 14 mEq/L - CORRECT ANSWER c; A glucose reading less
than 300 mg/dL indicates improvement in the client's status.
A nurse is providing follow-up care for a client who sustained a
compound fracture 3 weeks ago. The nurse should recognize that an
unexpected finding for which of the following laboratory values is a
manifestation of osteomyelitis and should be reported to the provider?
A) Sedimentation rate
B) Hematocrit
C) Calcium
D) Acid phosphatase - CORRECT ANSWER a; An increased
sedimentation rate occurs when a client has any type of inflammatory
process, such as osteomyelitis.
A nurse is assessing a client following the completion of hemodialysis.
Which of the following findings is the nurse's priority to report to the
provider?
A) Temperature 37.2° C (99° F)
B) Blood pressure 100/70 mm Hg
C) Weight loss
D) Restlessness - CORRECT ANSWER d; Using the urgent vs.
nonurgent approach to client care, the nurse should determine that
the priority finding to report to the provider is restlessness, which can
be an indication the client is experiencing disequilibrium syndrome.
Disequilibrium syndrome is caused by the rapid removal of electrolytes
,from the client's blood and can lead to dysrhythmias or seizures. Other
manifestations include nausea, vomiting, fatigue, and headache.
A nurse is updating the care plan for a client receiving chemotherapy.
Which of the following findings should the nurse identify as the
priority?
A) Report of sore throat
B) Report of memory loss
C) Alopecia
D) Mucositis - CORRECT ANSWER a; When using the urgent vs.
nonurgent approach to client care, the nurse should determine that
the priority finding is a report of a sore throat, which could be a
manifestation of an infection. The client is at risk for neutropenia due
to myelosuppression; therefore, an infection could lead to sepsis.
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 three
negative cultures exist.
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 skin test is necessary in 2 months. -
CORRECT ANSWER a; After three negative sputum cultures, the
client is no longer considered infectious.
b - The client's infection is usually no longer contagious after taking
TB medications for 2 to 3 weeks.
c - Family members do not need to follow airborne precautions
because they have already been exposed to TB.
d - A follow-up evaluation of the client's TB should be performed using
a chest x-ray because the TB skin test is no longer considered
accurate after a person has tested positive.
, A nurse is assessing a client's hydration status. Which of the following
findings indicates fluid volume overload?
A) Warm, moist skin
B) Distended neck veins
C) Dark amber, odiferous urine
D) Orthostatic hypotension - CORRECT ANSWER b
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) Client report of discomfort when moving toes - CORRECT ANSWER
a; The nurse should report indicators of reduced circulation, such as
pallor, cool temperature, or paresthesia of the client's ext. These
findings can indicate that the client is at risk for developing acute
compremitiesartment syndrome.
A nurse is planning care for a client scheduled for a thoracentesis.
Which of the following interventions should the nurse include in the
plan?
A) Encourage the client to take deep breaths after the procedure.
B) Assist the client in holding their arms up during the procedure.
C) Instruct the client to remain NPO after midnight before the
procedure.
D) Keep the client on bed rest for 8 hr following the procedure. -
CORRECT ANSWER a
b - The nurse should place the client upright with their arms resting on
an overhead table to widen the intercostal space and spread the ribs
for tube insertion. The nurse should assist a client who cannot sit up
into a side-lying position with the affected side up.
