PN Adult Medical Surgical Online
Practice 2023 A
The physician has ordered for your COPD patient to receive 80mg of Solu-Medrol IV
every 8 hours. The medication is supplied as 125 milligrams in a 2ml vial. How much of
the medication should the nurse administer to ensure the ordered dose is given. -
ansWrong Answer: 1.5ml
Which of the following PPE is required for the staff entering a patient's room who has
been diagnosed with pneumonia and is positive for MRSA - answrong answer: Gown
and mask
You are caring for a diabetic patient admitted for uncontrolled blood sugar. You observe
that the patient is non-compliant with her diet, complains of the meals offered by the
hospital, and saw her eat 3 large cookies brought in from home. You know the patient
needs further education when she states: - answrong answer: "I will just take extra units
of my insulin"
You are caring for a diabetic patient diagnosed with CHF. The patient is on lasix and
solumedrol IV. Which of the following educational topics would be appropriate for you to
include as part of patient teaching? - answrong answer: Report any visual disturbances
immediately while on the medications.
You are caring for a patient admitted with diverticulitis. The patient has NKDA. Which of
the following admission orders would you expect for this patient? - answrong answer:
NPO, antibiotic, anticholinergic
You are caring for a patient with a lower GI bleed. Which of the following is
characteristic of this diagnosis? - answrong answer: Black tarry stools
You enter your patient's room and find the patient unresponsive and without a pulse.
What should be your FIRST action - answrong answer: check the patients airway
Your patient has dysphagia. Which of the following should be implemented? - answrong
answer: NPO status
Your patient who was admitted 5 days ago begins to have diarrhea. After notifying the
physician, what action should you take NEXT? - answrong answer: Give prescribed
imodium
ansNormal sinus rhythm
- ansNormal sinus with VTach
- ansNot normal sinus rhythm into a flutter
Correct answer is ventricular fibrillation
,PN Adult Medical Surgical Online
Practice 2023 A
- ansPaced rhythm
- ansSinus tachycardia
- ansVentricular tachycardia
A 56-year-old man has an acute onset of shortness of breath, chest pain, apprehension,
rapid pulse, cough with bloody sputum, diaphoresis, and syncope. The symptoms are
indicative of: - ansPulmonary embolism?
NOT: tuberculosis
A patient suddenly complains of new onset of chest pain. The doctor is suspecting a
possible?... What is most likely to be ordered? - ansMorphine Duramorph, oxygen,
nitrates,
Aceticsalicylic acid, bayer buffered aspirin
A postoperative laparoscopic appendectomy patient is receiving morphine PCA for pain
findings with alert you to the potential of a narcotic overdose? - ansA respiratory rate of
8 breaths per minute
After a patient completes dialysis, you should anticipate seeing an improvement in
which of the following lab values? - ansNOT: ammonia
At 0500, you know your patient to be diaphoretic, clammy, and their hands are shaking.
The patient's blood sugar is currently 60. Which of the following is the most appropriate
intervention - ansHave the patient drink 120 ML's of orange juice
Calculate the 12 hour intake for a patient that has received the following during your
shift: normal saline 750 ML, 24 ounces of sprite, Levaquin 50 ML, 650 ML urine in Foley
catheter - ans1520
cardiac rhythm - ansV-Tach
Cardiac strip - ansSinus rhythm with PAC
Cardiac strip - ansUnable to determine
Deposition has ordered for your patience to begin a 24 hour urine collection. Your
patient voids for the first time two hours after the orders received. What should be done
with this urine sample? - ansDiscarded, then begin the 24 hour collection
Didn't nurse ask you about the typical signs and symptoms of myocardial infarction -
ansWomen could have pain in their arm, neck, back or jaw
,PN Adult Medical Surgical Online
Practice 2023 A
Heart rate - ans80
One of the signs of left sided heart failure is: - ansPulmonary edema
NOT: pedal edema
Patient is admitted for shortness of breath. Do you notice the spouse adjusting the
oxygen on the wall and she states "she always takes care of my husband" what would
be an appropriate response? - ansEducate the spouse on oxygen use as a medical
device in the hospital
The doctor ordered Lasix 40 mg IV push, 100mg/10 mL - ans4ml
The Glasgow, scale ranges from: - ans3 to 15
The nurse is taking care of a patient who is terminally ill and has a DNR on file. Their
patient has a sudden cardiac arrest and family wants CPR initiated. How should you
respond? - ansHonor the patient's wishes
The patient has a morphine PCA post operatively. On rounding you notice respirations
at eight per minute O2 saturation of 82%. What medication would be given in the
situation? - ansNarcan
What information is vital for you to know prior to administering an ordered dose of
digoxin - ansHeart rate
What is the first sign of increased intracranial pressure? - ansChange in LOC
When assessing a patient, you notice crepitus on the right upper shoulder. You notify
the physician and anticipate which diagnosis? - ansSubcutaneous emphysema
When caring for a patient experiencing a tonic clonic seizure, the most appropriate
nursing intervention is: - ansProtecting the patient's head and extremities from contact
with surrounding objects
When taking care of a patient with pancreatitis, which of the following lab should be
reviewed? - ansLipase and amylase
Which of the following actions would be considered a violation of Hyppa? - ansLooking
through the chart of a coworker admitted to your unit
Which of the following antidiabetic medication is contraindicated 48 hours after receiving
contrast dye - ansMetformin
, PN Adult Medical Surgical Online
Practice 2023 A
Which of the following assessment findings should you report immediately to the
physician for a patient who just had a bronchoscopy and biopsy? - ansSputum with
streaks of blood
NOT: increased salivation
Which of the following electrolyte value should be Addressed immediately by the nurse -
ansPotassium 2.5 mEq/L
Which of the following food items would you question in the menu of your patient who is
diagnosed with celiac disease? - ansWheat bread
Which of the following issues should be reported up the chain of command - ansA
coworker arriving to work under the influence of alcohol
Which of the following lab values would you expect to see in a patient diagnosed
with?.... - ansLipase - 196
Which of the following medication may cause urine discoloration - ansRifampin
While performing the narcotic count at the end of the shift, my coworker admits to
something, coworker to sign for the ways that you did not witness - ansRefused to sign
for the waste
You are providing patient education to a patient prior to administering IV Protonix....
When there is no history of GERD - ansProtonix is given as G.I. prophylaxis to prevent
stress ulcers
You are taking care of a patient who is admitted for left flank pain with a kidney stone of
1.5 cm. He asks you about the procedure what would be the most therapeutic
response? - ansDue to the size of the kidney stone it is an appropriate treatment?
NOT:Print reading materials about the subject and give it to the patient
You are to obtain informed consent for a Spanish-speaking patient scheduled for
surgery. You do not speak Spanish and are having difficulty communicating with your
patient. Which of the following resources would be most appropriate to utilize in order to
obtain consent? - ansThe hospitals language interpreter
You deserve the nurse aid removing her gloves and immediately using alcohol hand
sanitizer in a room with a patient who has C-Diff. What education should you provide to
the nurse aide - ansAnd washing with soap and water is mandatory because alcohol
based hand sanitizers do not kill C-diff
You went to the room of a 58-year-old female. You find that the patient's cardiac monitor
shows asystolye, what should be your first action? - ansAssess the patient
Practice 2023 A
The physician has ordered for your COPD patient to receive 80mg of Solu-Medrol IV
every 8 hours. The medication is supplied as 125 milligrams in a 2ml vial. How much of
the medication should the nurse administer to ensure the ordered dose is given. -
ansWrong Answer: 1.5ml
Which of the following PPE is required for the staff entering a patient's room who has
been diagnosed with pneumonia and is positive for MRSA - answrong answer: Gown
and mask
You are caring for a diabetic patient admitted for uncontrolled blood sugar. You observe
that the patient is non-compliant with her diet, complains of the meals offered by the
hospital, and saw her eat 3 large cookies brought in from home. You know the patient
needs further education when she states: - answrong answer: "I will just take extra units
of my insulin"
You are caring for a diabetic patient diagnosed with CHF. The patient is on lasix and
solumedrol IV. Which of the following educational topics would be appropriate for you to
include as part of patient teaching? - answrong answer: Report any visual disturbances
immediately while on the medications.
You are caring for a patient admitted with diverticulitis. The patient has NKDA. Which of
the following admission orders would you expect for this patient? - answrong answer:
NPO, antibiotic, anticholinergic
You are caring for a patient with a lower GI bleed. Which of the following is
characteristic of this diagnosis? - answrong answer: Black tarry stools
You enter your patient's room and find the patient unresponsive and without a pulse.
What should be your FIRST action - answrong answer: check the patients airway
Your patient has dysphagia. Which of the following should be implemented? - answrong
answer: NPO status
Your patient who was admitted 5 days ago begins to have diarrhea. After notifying the
physician, what action should you take NEXT? - answrong answer: Give prescribed
imodium
ansNormal sinus rhythm
- ansNormal sinus with VTach
- ansNot normal sinus rhythm into a flutter
Correct answer is ventricular fibrillation
,PN Adult Medical Surgical Online
Practice 2023 A
- ansPaced rhythm
- ansSinus tachycardia
- ansVentricular tachycardia
A 56-year-old man has an acute onset of shortness of breath, chest pain, apprehension,
rapid pulse, cough with bloody sputum, diaphoresis, and syncope. The symptoms are
indicative of: - ansPulmonary embolism?
NOT: tuberculosis
A patient suddenly complains of new onset of chest pain. The doctor is suspecting a
possible?... What is most likely to be ordered? - ansMorphine Duramorph, oxygen,
nitrates,
Aceticsalicylic acid, bayer buffered aspirin
A postoperative laparoscopic appendectomy patient is receiving morphine PCA for pain
findings with alert you to the potential of a narcotic overdose? - ansA respiratory rate of
8 breaths per minute
After a patient completes dialysis, you should anticipate seeing an improvement in
which of the following lab values? - ansNOT: ammonia
At 0500, you know your patient to be diaphoretic, clammy, and their hands are shaking.
The patient's blood sugar is currently 60. Which of the following is the most appropriate
intervention - ansHave the patient drink 120 ML's of orange juice
Calculate the 12 hour intake for a patient that has received the following during your
shift: normal saline 750 ML, 24 ounces of sprite, Levaquin 50 ML, 650 ML urine in Foley
catheter - ans1520
cardiac rhythm - ansV-Tach
Cardiac strip - ansSinus rhythm with PAC
Cardiac strip - ansUnable to determine
Deposition has ordered for your patience to begin a 24 hour urine collection. Your
patient voids for the first time two hours after the orders received. What should be done
with this urine sample? - ansDiscarded, then begin the 24 hour collection
Didn't nurse ask you about the typical signs and symptoms of myocardial infarction -
ansWomen could have pain in their arm, neck, back or jaw
,PN Adult Medical Surgical Online
Practice 2023 A
Heart rate - ans80
One of the signs of left sided heart failure is: - ansPulmonary edema
NOT: pedal edema
Patient is admitted for shortness of breath. Do you notice the spouse adjusting the
oxygen on the wall and she states "she always takes care of my husband" what would
be an appropriate response? - ansEducate the spouse on oxygen use as a medical
device in the hospital
The doctor ordered Lasix 40 mg IV push, 100mg/10 mL - ans4ml
The Glasgow, scale ranges from: - ans3 to 15
The nurse is taking care of a patient who is terminally ill and has a DNR on file. Their
patient has a sudden cardiac arrest and family wants CPR initiated. How should you
respond? - ansHonor the patient's wishes
The patient has a morphine PCA post operatively. On rounding you notice respirations
at eight per minute O2 saturation of 82%. What medication would be given in the
situation? - ansNarcan
What information is vital for you to know prior to administering an ordered dose of
digoxin - ansHeart rate
What is the first sign of increased intracranial pressure? - ansChange in LOC
When assessing a patient, you notice crepitus on the right upper shoulder. You notify
the physician and anticipate which diagnosis? - ansSubcutaneous emphysema
When caring for a patient experiencing a tonic clonic seizure, the most appropriate
nursing intervention is: - ansProtecting the patient's head and extremities from contact
with surrounding objects
When taking care of a patient with pancreatitis, which of the following lab should be
reviewed? - ansLipase and amylase
Which of the following actions would be considered a violation of Hyppa? - ansLooking
through the chart of a coworker admitted to your unit
Which of the following antidiabetic medication is contraindicated 48 hours after receiving
contrast dye - ansMetformin
, PN Adult Medical Surgical Online
Practice 2023 A
Which of the following assessment findings should you report immediately to the
physician for a patient who just had a bronchoscopy and biopsy? - ansSputum with
streaks of blood
NOT: increased salivation
Which of the following electrolyte value should be Addressed immediately by the nurse -
ansPotassium 2.5 mEq/L
Which of the following food items would you question in the menu of your patient who is
diagnosed with celiac disease? - ansWheat bread
Which of the following issues should be reported up the chain of command - ansA
coworker arriving to work under the influence of alcohol
Which of the following lab values would you expect to see in a patient diagnosed
with?.... - ansLipase - 196
Which of the following medication may cause urine discoloration - ansRifampin
While performing the narcotic count at the end of the shift, my coworker admits to
something, coworker to sign for the ways that you did not witness - ansRefused to sign
for the waste
You are providing patient education to a patient prior to administering IV Protonix....
When there is no history of GERD - ansProtonix is given as G.I. prophylaxis to prevent
stress ulcers
You are taking care of a patient who is admitted for left flank pain with a kidney stone of
1.5 cm. He asks you about the procedure what would be the most therapeutic
response? - ansDue to the size of the kidney stone it is an appropriate treatment?
NOT:Print reading materials about the subject and give it to the patient
You are to obtain informed consent for a Spanish-speaking patient scheduled for
surgery. You do not speak Spanish and are having difficulty communicating with your
patient. Which of the following resources would be most appropriate to utilize in order to
obtain consent? - ansThe hospitals language interpreter
You deserve the nurse aid removing her gloves and immediately using alcohol hand
sanitizer in a room with a patient who has C-Diff. What education should you provide to
the nurse aide - ansAnd washing with soap and water is mandatory because alcohol
based hand sanitizers do not kill C-diff
You went to the room of a 58-year-old female. You find that the patient's cardiac monitor
shows asystolye, what should be your first action? - ansAssess the patient
