PN Adult Medical Surgical Practice A
with NGN
Anurseiscaringforaclientwhoisscheduledforsurgeryandisexperiencinganxiety.Whichofthefollo
winginterventionsshouldthenurseidentifyasthepriority?-
Correctanswer~Determinetheclient'sunderstandingoftheprocedure.
Anurseiscontributingtotheplanofcareforaclientwhohasperipheralarterialdiseaseofthelowerex
tremities.Whichofthefollowinginterventionsshouldthenurseinclude?-
Correctanswer~Dangletheextremitiesoffthesideofthebed.
Anurseisassistingintheplanofcareforaclientwhohadarecentlefthemisphericstroke.Whichofthef
ollowingactionsshouldthenurseincludeintheplan?-
Correctanswer~Usesimpleverbalcueswhendirectingtasks.
Anurseisreinforcingteachingwiththecaregiverofaclientwhoisterminallyillaboutmanifestations
ofimpendingdeath.Whichofthefollowingmanifestationsshouldthenurseinclude?-
Correctanswer~Incontinenceofthebowelandbladder
Anurseispreparingtoremoveaclient'sNGtube.Whichofthefollowinginterventionsshouldthenur
setaketodecreasetheriskforaspiration?-Correctanswer~PinchtheNGtube.
AnurseiscaringforaclientwhoispreoperativeandisreceivinganIVinfusionofcefazolin.Tenminutes
afterbeginningtheinfusion,theclientreportsintenseitching.Whichofthefollowingactionsshould
thenursetakefirst?-Correctanswer~Stopthemedicationinfusion.
Anurseisreinforcingdischargeteachingwithaclientwhohascirrhosis.Whichofthefollowinginstru
ctionsshouldthenurseinclude?-Correctanswer~"Consumefoodsthatarelowinsodium."
, Anurseisreinforcingteachingwithaclientwhoisscheduledforaguaiacfecaloccultbloodtest.Which
ofthefollowinginstructionsshouldthenurseincludeintheteaching?-
Correctanswer~Avoideatingredmeatfor3dayspriortothetest.
Anurseispreparingtoadministerphytonadione7mgsubcutaneouslytoaclientwhohasanINRof4.
Availableisphytonadione10mg/mL.HowmanymLshouldthenurseadminister?(Roundtheanswe
rtothenearesttenth.Usealeadingzeroifitapplies.Donotuseatrailingzero.)-
Correctanswer~0.7mL
Anurseisreinforcingteachingwithaclientwhoistakinginsulinglargine.Whichofthefollowinginfor
mationshouldthenurseincludeintheteaching?-
Correctanswer~"Thistypeofinsulinshouldbegivenatthesametimeeveryday."
Anurseiscaringforaclientwhohasamethicillin-
resistantStaphylococcusaureus(MRSA)infectioninasurgicalwound.Whichofthefollowinginform
ationshouldthenurseplantosharewithvisitors?-
Correctanswer~Visitorsmustdonagownandglovespriortoenteringtheclient'sroom.
Anurseiscollectingdatafroma55-year-
oldfemaleclientwhoreportsvaginaldrynessandhotflashes.Theclientisinterestedintryinghormo
nereplacementtherapy(HRT).Whichofthefollowingshouldthenurserecognizeasacontraindicati
ontoHRT?-Correctanswer~Historyoftreatmentforbloodclots
Anurseisreinforcingteachingaboutmanagementofconstipationwithaclientwhohashypothyroid
ism.Whichofthefollowinginstructionsshouldthenurseincludeintheteaching?-
Correctanswer~Increaseintakeoffiber-richfoods.
Anurseisreinforcingteachingwithaclientwhohasmultiplesclerosisandanewprescriptionforbacl
ofen.Whichofthefollowinginstructionsshouldthenurseincludeintheteaching?-
Correctanswer~Avoidstoppingthismedicationsuddenly.
Anurseiscaringforaclientwhohasanareaindicatingpotentialbreakdownoverthesacrum.Whicho
fthefollowingactionsshouldthenursetake?-
Correctanswer~Minimizethetimetheheadofthebediselevated.
with NGN
Anurseiscaringforaclientwhoisscheduledforsurgeryandisexperiencinganxiety.Whichofthefollo
winginterventionsshouldthenurseidentifyasthepriority?-
Correctanswer~Determinetheclient'sunderstandingoftheprocedure.
Anurseiscontributingtotheplanofcareforaclientwhohasperipheralarterialdiseaseofthelowerex
tremities.Whichofthefollowinginterventionsshouldthenurseinclude?-
Correctanswer~Dangletheextremitiesoffthesideofthebed.
Anurseisassistingintheplanofcareforaclientwhohadarecentlefthemisphericstroke.Whichofthef
ollowingactionsshouldthenurseincludeintheplan?-
Correctanswer~Usesimpleverbalcueswhendirectingtasks.
Anurseisreinforcingteachingwiththecaregiverofaclientwhoisterminallyillaboutmanifestations
ofimpendingdeath.Whichofthefollowingmanifestationsshouldthenurseinclude?-
Correctanswer~Incontinenceofthebowelandbladder
Anurseispreparingtoremoveaclient'sNGtube.Whichofthefollowinginterventionsshouldthenur
setaketodecreasetheriskforaspiration?-Correctanswer~PinchtheNGtube.
AnurseiscaringforaclientwhoispreoperativeandisreceivinganIVinfusionofcefazolin.Tenminutes
afterbeginningtheinfusion,theclientreportsintenseitching.Whichofthefollowingactionsshould
thenursetakefirst?-Correctanswer~Stopthemedicationinfusion.
Anurseisreinforcingdischargeteachingwithaclientwhohascirrhosis.Whichofthefollowinginstru
ctionsshouldthenurseinclude?-Correctanswer~"Consumefoodsthatarelowinsodium."
, Anurseisreinforcingteachingwithaclientwhoisscheduledforaguaiacfecaloccultbloodtest.Which
ofthefollowinginstructionsshouldthenurseincludeintheteaching?-
Correctanswer~Avoideatingredmeatfor3dayspriortothetest.
Anurseispreparingtoadministerphytonadione7mgsubcutaneouslytoaclientwhohasanINRof4.
Availableisphytonadione10mg/mL.HowmanymLshouldthenurseadminister?(Roundtheanswe
rtothenearesttenth.Usealeadingzeroifitapplies.Donotuseatrailingzero.)-
Correctanswer~0.7mL
Anurseisreinforcingteachingwithaclientwhoistakinginsulinglargine.Whichofthefollowinginfor
mationshouldthenurseincludeintheteaching?-
Correctanswer~"Thistypeofinsulinshouldbegivenatthesametimeeveryday."
Anurseiscaringforaclientwhohasamethicillin-
resistantStaphylococcusaureus(MRSA)infectioninasurgicalwound.Whichofthefollowinginform
ationshouldthenurseplantosharewithvisitors?-
Correctanswer~Visitorsmustdonagownandglovespriortoenteringtheclient'sroom.
Anurseiscollectingdatafroma55-year-
oldfemaleclientwhoreportsvaginaldrynessandhotflashes.Theclientisinterestedintryinghormo
nereplacementtherapy(HRT).Whichofthefollowingshouldthenurserecognizeasacontraindicati
ontoHRT?-Correctanswer~Historyoftreatmentforbloodclots
Anurseisreinforcingteachingaboutmanagementofconstipationwithaclientwhohashypothyroid
ism.Whichofthefollowinginstructionsshouldthenurseincludeintheteaching?-
Correctanswer~Increaseintakeoffiber-richfoods.
Anurseisreinforcingteachingwithaclientwhohasmultiplesclerosisandanewprescriptionforbacl
ofen.Whichofthefollowinginstructionsshouldthenurseincludeintheteaching?-
Correctanswer~Avoidstoppingthismedicationsuddenly.
Anurseiscaringforaclientwhohasanareaindicatingpotentialbreakdownoverthesacrum.Whicho
fthefollowingactionsshouldthenursetake?-
Correctanswer~Minimizethetimetheheadofthebediselevated.
