PN Adult Medical Surgical Online Practice (2025)

PN Adult Medical Surgical Online
Practice (2025) Questions And Answers


AVnurseVisVpreparingVtoVadministerVfurosemideVtoVaVclientVwhoVhasVheartVfailure.VWhichVofVtheVfoll
owingVfindingsVshouldVtheVnurseVreportVbeforeVadministeringVtheVmedication?V-VAnswerV-
VDecreasedVpotassium




AVnurseVisVreviewingVtheVchartVofVaVclientVwhoVisVexperiencingVanVadrenalVcrisis,VwhichVwasVprecipi
tatedVbyVtheVclientVnotVtakingVtheirVmedicationVforVseveralVdays.VTheVnurseVshouldVidentifyVthatVwit
hdrawalVfromVwhichVofVtheVfollowingVmedicationsVpotentiatedVtheVadrenalVcrisis?V-VAnswerV-
VPrednisone




AVnurseVisVassistingVwithVtheVcareVforVaVclientVwhoVhasVaVprescriptionVforVdigoxinV0.25VmgVPOVdaily
.VWhileVtakingVtheVclient'sVapicalVpulse,VtheVnurseVnotesVaVrateVofV58/min.VWhichVofVtheVfollowingV
actionsVshouldVtheVnurseVtake?V-VAnswerV-VWithholdVtheVdose.



AVnurseVisVreinforcingVteachingVaboutVglycosylatedVhemoglobinV(HbA1c)VtestingVwithVaVclientVwhoVh
asVdiabetesVmellitus.VWhichVofVtheVfollowingVstatementsVindicatesVthatVtheVclientVunderstandsVtheVt
eaching?V-VAnswerV-V"IVwillVhaveVmyVHbA1cVcheckedVtwiceVperVyear."



AVnurseVisVprovidingVinformationVregardingVtransmission-
basedVprecautionsVforVaVclientVwhoVhasVClostridiumVdifficileVtoVanVassistiveVpersonnelV(AP).VWhichVo
fVtheVfollowingVinstructionsVshouldVtheVnurseVinclude?V(SelectVallVthatVapply.)V-VAnswerV-
V"ProvideVtheVclientVwithVdisposableVutensilsVandVdishesVforVmeals."

"LeaveVbloodVpressureVequipmentVinVtheVclient'sVroom."

"CleanVcontaminatedVsurfacesVwithVaVbleachVsolution."



AVnurseVisVreinforcingVteachingVwithVaVclientVwhoVhasVcoronaryVarteryVdisease.VWhichVofVtheVfollow
ingVinstructionsVshouldVtheVnurseVincludeVinVtheVteaching?V-VAnswerV-
V"AddVoilyVfishVtoVyourVdietVtwiceVweekly."

,AVnurseVinVanVoncologyVclinicVisVreinforcingVteachingVaboutVMohsVsurgeryVwithVaVclientVwhoVhasVski
nVcancer.VWhichVofVtheVfollowingVinformationVshouldVtheVnurseVincludeVinVtheVteaching?V-VAnswerV-
VMohsVsurgeryVisVaVhorizontalVshavingVofVthinVlayersVofVtheVtumor.




AVnurseVisVcollectingVdataVfromVanVolderVadultVclientVwhoVhasVseveralVconcerns.VWhichVofVtheVfollo
wingVconcernsVshouldVtheVnurseVrecognizeVasVanVexpectedVchangeVassociatedVwithVaging?V-
VAnswerV-V"MyVfoodVtastesVblandVevenVafterVIVaddVseasoning."




AVnurseVisVreinforcingVdietaryVteachingVwithVaVclientVaboutVincreasingVtheVintakeVofVfoodsVcontainin
gVvitaminVCVtoVenhanceVabsorptionVofVoralVironVsupplements.VWhichVofVtheVfollowingVfoodVchoicesV
shouldVtheVnurseVincludeVinVtheVteaching?V-VAnswerV-V1VcupVofVboiledVbroccoli



AVnurseVisVassistingVwithVtheVcareVforVaVclientVwhoVisV2VhrVpostoperativeVfollowingVtheVamputationV
ofVaVfoot.VWhichVofVtheVfollowingVactionsVshouldVtheVnurseVtakeVfirst?V-VAnswerV-
VCheckVtheVincisionalVdressing.




AVnurseVisVassistingVwithVtheVcareVofVaVclientVwhoVisVpostoperativeVfollowingVabdominalVsurgery.

ExhibitV1

Nurses'VNotes

1100:

ClientVreceivedVfromVPACU;VinitialVvitalVsignsVrecorded.VClientVisVdrowsyVbutVarousesVtoVverbalVstim
uli.VOrientedVtoVperson,Vplace,VandVtime.VClientVisVableVtoVmoveVallVextremities.VNormalVsinusVrhyth
mVnoted.VBreathVsoundsVareVclearVuponVauscultation.VDressingVtoVabdomenVisVintactVwithVaVsmallVa
mountVofVserosanguinousVdrainageVnotedVandVmarked.VNoVbowelVsoundsVinVallVfourVquadrants.VInd
wellingVurinaryVcatheterVisVinVplaceVandVdrainingVclear,VyellowVurine.VLactatedVRinger'sVisVinfusingVat
V100VmL/hrVviaVIVVcatheterVinVtheVrightVforearm.1200:

ClientVreportsVnauseaVandVpainVasVanV8VonVaVscaleVofV0VtoV10.VAbdominalVdressingVisVintactVwithVn
oVfurtherVdrainageVnoted.VUrineVoutputVofV15VmLVnotedVsinceVarrivalVfromVPACU.VAnalgesicVandVan
tiemeticVwereVadministeredVasVprescribed.1230:

ClientVreportsVrelV-VAnswerV-VWhichVofVtheVfollowingVactionsVshouldVtheVnurseVtake?

SelectVallVthatVapply.

InstructVtheVclientVtoVsplintVtheirVabdomenVwithVaVpillowVwhenVcoughing.

ReportVtheVclient'sVurinaryVoutputVtoVtheVchargeVnurse.

MonitorVtheVclient'sVpainVlevel.

, AVnurseVisVassistingVwithVmonitoringVaVclientVwhoVisVreceivingVdialysisVtreatment.

ExhibitV1

Nurses'VNotes

0530:ClientVisVawakeVandValert.VArteriovenousVfistulaV(AVF)VtoVrightVforearmVwithVthrillVpalpatedVan
dVauscultatedVforVbruit.VBreathVsoundsVareVclearVuponVauscultation;VclientVdeniesVshortnessVofVbrea
th.VNoVperipheralVedemaVnoted;VcapillaryVrefillVisVlessVthanV3Vseconds;V+2VbilateralVpedalVandVradial
Vpulses.AVFVaccessVpreparedVandVcannulatedVtwiceVwithVnoVdifficulty.VLinesVareVtapedVandVsecured;
VtreatmentVisVinitiated.0600:ClientVisVreadingVaVbook.VAccessVisVvisible,VandVlinesVareVsecure.VClientV
reportsVnoVdiscomfortVorVpain.0630:ClientVreportsVfeelingVwarm,Vnauseated,VandVlightheaded;Vappea
rsVrestlessVandVslightlyVconfused.

ExhibitV2

VitalVSigns

0530:CurrentVweightV88VkgV(194Vlb)TemperatureV37°VCV(98.6°VF)BloodVpressure•VLyingV-
V152/92VmmVHg•VSittingV-V148/90VmmVHg•VStandingV-V144/88VmmVHgHeartVrateV90/minRespirV-
VAnswerV-
VForVeachVpotentialVnursingVintervention,VclickVtoVspecifyVifVtheVinterventionVisVindicatedVorVnotVindi
cated.



NursingVIntervention

RequestVaVchestVx-rayV-VnotVindicated

PlaceVtheVclientVinVreverseVTrendelenburgVpositionV-Vindicated

AssistVwithVadministeringVaV0.9%VsodiumVchlorideV200VmLVIVVbolusV-Vindicated

ApplyVoxygenVatV2VL/minVviaVnasalVcannulaV-Vindicated

NotifyVtheVchargeVnurseVimmediatelyV-Vindicated

ObtainVtheVclient'sVbloodVglucoseVlevelV-VnotVindicated



AVnurseVisVcontributingVtoVtheVplanVofVcareVforVaVclientVwhoVhasVaVnewVprescriptionVforVnystatinVsu
spensionVforVoralVcandidiasis.VWhichVofVtheVfollowingVinterventionsVshouldVtheVnurseVincludeVinVthe
Vplan?V-VAnswerV-VRemindVtheVclientVtoVswishVtheVmedicationVinVtheirVmouth.




AVnurseVisVreinforcingVteachingVwithVtheVcaregiverVofVaVclientVwhoVhasVaVcervicalVinjuryVandVhasVaV
haloVvestVinVplace.VWhichVofVtheVfollowingVsafetyVprecautionsVshouldVtheVnurseVincludeVinVtheVteac
hing?V-VAnswerV-VChangeVtheVsheepskinVlinerVweekly.