RN Adult Medical Surical Online Practice 2019 A for NN
answers Exam 2024
A nurse is assessin a client who has had a plaster cast applied to their left le 2 hr ao. Which of
the followin actions should the nurse take? - ANSWER Check that one finer fits between
the cast and the le.
To make sure the cast is not too tiht, the nurse should be able to slide one finer under the
cast. It is not uncommon for casts to loosen as swellin subsides, but that should not be an
issue 2 hr after application.
A nurse is providin teachin to a client who has esophaeal cancer and is to undero radiation
therapy. Which of the followin statements should the nurse identify as an indication that
the client understands the teachin? - ANSWER "I will use my hands rather
than a washcloth to clean the radiation area."
The client should ently wash the radiation area with their hands usin warm water and mild
soap to protect the skin from further irritation.
A nurse is plannin to provide dischare teachin for the family of an older adult client who
has hemianopsia and is at risk for falls. Which of the followin instructions should the nurse
include? - ANSWER Remind the client to scan their complete rane of vision durin
ambulation.
The nurse should instruct the family to remind a client who has hemianopsia, or blindness in
half of the visual field, to use visual scannin to look over their complete rane of vision durin
ambulation. This practice can accommodate for the loss of vision and help to reduce the risk
for falls.
A nurse has received chane-of-shift report for a roup of clients. Which of the followin
clients should the nurse assess first? - ANSWER A client who had a myocardial infarction
(MI) 4 days ao and is askin for a PRN sublinual nitrolycerin tablet
A nurse is carin for a client who is postoperative followin a total hip arthroplasty. Which of
the followin laboratory values should the nurse report to the provider? - ANSWER Hb 8
/dL
A nurse in a provider's office is assessin a client who has miraine headaches and is takin
feverfew to prevent headaches. The nurse should identify that which of the followin client
medications interacts with feverfew? - ANSWER Naproxen
, An older adult client is brouht to an emerency department by a family member. Which of
the followin assessment findins should cause the nurse to suspect that the client has
hypertonic dehydration? - ANSWER Urine specific ravity 1.045
A nurse is preparin to admit a client who has dysphaia. The nurse should plan to place
which of the followin items at the client's bedside? - ANSWER Suction machine
A nurse in a provider's office is assessin a client who has hypertension and takes propranolol.
Which of the followin findins should indicate to the nurse that the client is experiencin an
adverse reaction to this medication? - ANSWER Report of a niht couh
A nurse is carin for a client who has a new prescription for total parenteral nutrition (TPN).
The client is to receive 2,000 kcal per day. The TPN solution has 500 kcal/L. The IV pump
should be set at how many mL/hr? (Round the answer to the nearest whole number. Use a
leadin zero if it applies. Do not use a trailin zero.) - ANSWER 167
X mL/hr = Volume (mL)/Time (hr)
X mL/hr =4000mL/24 hr
X mL/hr = 166.67
Round if necessary. 166.67 = 167 mL/hr
A nurse is carin for a client who is havin a seizure. Which of the followin interventions is
the nurse's priority? - ANSWER Turn the client to the side.
A nurse is creatin a plan of care for a client who has neutropenia as a result of
chemotherapy. Which of the followin interventions should the nurse include in the plan? -
ANSWER Monitor the client's temperature every 4 hr.
A nurse is plannin care for a client who is underoin brachytherapy via a sealed vainal
implant to treat endometrial cancer. Which of the followin actions should the nurse include
in the client's plan of care? - ANSWER Wear a lead apron while providin care to the client.
A nurse is preparin to administer a unit of packed RBCs to a client. Which of the followin
actions should the nurse take? - ANSWER Remain with the client for the first 15 min of the
infusion.
A nurse is preparin a client who has supraventricular tachycardia for elective cardioversion.
Which of the followin prescribed medications should the nurse instruct the client to withhold
for 48 hr prior to cardioversion? - ANSWER Dioxin
A nurse is carin for a client who has anorexia, low-rade fever, niht sweats, and a
answers Exam 2024
A nurse is assessin a client who has had a plaster cast applied to their left le 2 hr ao. Which of
the followin actions should the nurse take? - ANSWER Check that one finer fits between
the cast and the le.
To make sure the cast is not too tiht, the nurse should be able to slide one finer under the
cast. It is not uncommon for casts to loosen as swellin subsides, but that should not be an
issue 2 hr after application.
A nurse is providin teachin to a client who has esophaeal cancer and is to undero radiation
therapy. Which of the followin statements should the nurse identify as an indication that
the client understands the teachin? - ANSWER "I will use my hands rather
than a washcloth to clean the radiation area."
The client should ently wash the radiation area with their hands usin warm water and mild
soap to protect the skin from further irritation.
A nurse is plannin to provide dischare teachin for the family of an older adult client who
has hemianopsia and is at risk for falls. Which of the followin instructions should the nurse
include? - ANSWER Remind the client to scan their complete rane of vision durin
ambulation.
The nurse should instruct the family to remind a client who has hemianopsia, or blindness in
half of the visual field, to use visual scannin to look over their complete rane of vision durin
ambulation. This practice can accommodate for the loss of vision and help to reduce the risk
for falls.
A nurse has received chane-of-shift report for a roup of clients. Which of the followin
clients should the nurse assess first? - ANSWER A client who had a myocardial infarction
(MI) 4 days ao and is askin for a PRN sublinual nitrolycerin tablet
A nurse is carin for a client who is postoperative followin a total hip arthroplasty. Which of
the followin laboratory values should the nurse report to the provider? - ANSWER Hb 8
/dL
A nurse in a provider's office is assessin a client who has miraine headaches and is takin
feverfew to prevent headaches. The nurse should identify that which of the followin client
medications interacts with feverfew? - ANSWER Naproxen
, An older adult client is brouht to an emerency department by a family member. Which of
the followin assessment findins should cause the nurse to suspect that the client has
hypertonic dehydration? - ANSWER Urine specific ravity 1.045
A nurse is preparin to admit a client who has dysphaia. The nurse should plan to place
which of the followin items at the client's bedside? - ANSWER Suction machine
A nurse in a provider's office is assessin a client who has hypertension and takes propranolol.
Which of the followin findins should indicate to the nurse that the client is experiencin an
adverse reaction to this medication? - ANSWER Report of a niht couh
A nurse is carin for a client who has a new prescription for total parenteral nutrition (TPN).
The client is to receive 2,000 kcal per day. The TPN solution has 500 kcal/L. The IV pump
should be set at how many mL/hr? (Round the answer to the nearest whole number. Use a
leadin zero if it applies. Do not use a trailin zero.) - ANSWER 167
X mL/hr = Volume (mL)/Time (hr)
X mL/hr =4000mL/24 hr
X mL/hr = 166.67
Round if necessary. 166.67 = 167 mL/hr
A nurse is carin for a client who is havin a seizure. Which of the followin interventions is
the nurse's priority? - ANSWER Turn the client to the side.
A nurse is creatin a plan of care for a client who has neutropenia as a result of
chemotherapy. Which of the followin interventions should the nurse include in the plan? -
ANSWER Monitor the client's temperature every 4 hr.
A nurse is plannin care for a client who is underoin brachytherapy via a sealed vainal
implant to treat endometrial cancer. Which of the followin actions should the nurse include
in the client's plan of care? - ANSWER Wear a lead apron while providin care to the client.
A nurse is preparin to administer a unit of packed RBCs to a client. Which of the followin
actions should the nurse take? - ANSWER Remain with the client for the first 15 min of the
infusion.
A nurse is preparin a client who has supraventricular tachycardia for elective cardioversion.
Which of the followin prescribed medications should the nurse instruct the client to withhold
for 48 hr prior to cardioversion? - ANSWER Dioxin
A nurse is carin for a client who has anorexia, low-rade fever, niht sweats, and a
