COMPLEX CR 341
RN Adult Medical Surgical Proctored
Assessment Proctored Assessment Study guide
1. Latex Allergy
2. Cancer treatment options: safety precautions for a client who has a sealed radiation
implant
1. Wear a Lead apron to protect yourself from radiation
b. Cancer treatment options: teaching about brachytherapy treatment for cervical cancer
c. Infection control: precautions for a client who has positive culture for an infection
d. Verapamil drug
e. Mannitol drugs
f. Intervention for a transfusion reaction
g. Antibiotics affecting protein synthesis: adverse effects of aminoglycosides -anti infectives
1. This drug can be kidney toxic, so check kidney levels
b. Blood product transfusion steps to administering
c. Pain management considerations for older adults GI therapeutic procedures: glucose
monitoring for a client receiving TPN
d. Complications of DM: DKA
e. Postoperative nursing care for zenker's diverticulum
f. Respiratory management and mechanical ventilation: recognizing potential
complications
g. TB: discharge instructions
h. Inflammatory bowel disease: managing irritable bowel syndrome
i. Complications of DM: treatment plan for DKA
j. Emergency nursing principles and management: priority during an anaphylaxis reactions
k. Peptic ulcer disease: priority action for shock
l. Spinal cord injury: manifestations of autonomic dysreflexia
m. Renal calculi: identifying nephrostomy tube complications
n. Musculoskeletal trauma: monitoring lab values
o. COPD: interpreting ABG results
p. BPH, Erectile dysfunction: interventions for an indwelling catheter
q. Respiratory diagnosis procedure: Planning client care for a thoracentesis
r. Peptic ulcer disease: identify manifestations of pernicious anemia
s. Cancer: Caring for a pt who is post-op following a mastectomy
t. Musculoskeletal trauma: manifestations of compartmentalized syndrome
u. Alzheimer's disease: teaching a family about caring for pt with alzheimer's disease
v. Identifying risk factors for atherosclerosis
w. Nursing Process: identifying need to revise a plan of care
x. Heparin medications affecting coagulation: planning care for a patient receiving heparin
y. Alteplase: stroke: administration of tissue plasminogen activator
z. Asthma
aa. Manifestations of anemia
bb. Inflammatory bowel disorder
cc. Witnessing informed consent
dd. Complications of immobility
ee. Clients right to refuse
ff. Planning care for a client who has a halo device
,gg. Caring for a client who is receiving brachytherapy
hh. Caring for a client who has gastroenteritis
ii. Amputation: providing support for a client including body image
jj. Preoperative nursing care: priority action for a client who has alcohol intoxication
kk. Buns: indication of hypovolemic shock
ll. HF and Pulmonary Edema: Diet teaching about sodium restrictions
mm. Cardiovascular diagnosis and treatment: discharge teaching for peripherally
inserted Central catheter line
nn. Stroke: administration of tissue plasminogen activator
oo. IV therapy: Priority response to infusion pump alarms
pp. GI Problems: assessing a client for complications of TPN
qq. GI procedures: finding to report for a client who is receiving TPN
rr. Post Op nursing care: caring for a client following appendectomy
ss. Noninflammatory bowel disorder: Findings to report
tt. Respiratory diagnosis procedures: priority intervention following a bronchoscopy
uu. Ingestion, digestion, absorption, and metabolism: findings of malnutrition
vv. Legal responsibility: witnessing informed consent
ww. Hemodialysis and peritoneal dialysis: manifestations of peritonitis
xx. Cancer options: precautions for a client undergoing radiation
yy. Cardiovascular diagnostics: Assisting with placement of a central venous catheter
zz. Hemodialysis and peritoneal dialysis: proper administration of peritoneal dialysis
aaa. Respiratory diagnostic procedures: preparing a client for a thoracentesis
bbb. Respiratory management and mechanical ventilation: therapeutic effect of
positive end expiratory pressure
ccc. Polycystic kidney disease, AKI and CKD: findings to report
ddd. Anemia: manifestation of anemia
eee. Peripheral vascular disease: post op care following arterial revascularization
surgery
fff. Asthma: identifying pathophysiology
ggg. Medication: medication affecting coagulationv2
hhh. Teaching abuot prevention of UTI
iii. Musculoskeletal trauma: preventing complications
jjj. Burns: indicators of hypovolemic shock
kkk. DM: medications to withhold prior to CT scan with contrast = Metformin
Medications
lll. Discharge teaching for peripherally inserted central catheter
mmm. Administering valsartan for HF
nnn. IV therapy: priority response to infusion pump alarms
ooo. Discontinuing TPN
ppp. Findings to report for a client receiving TPN
qqq. Caring for a pt following an appendectomy
rrr. Digestion, absorption and metabolism: Findings of malnutrition
sss. Discharge teaching for a client who has an ileostomy
ttt. Precautions for a pt undergoing radiation therapy
uuu. Assisting with placement of central venous catheter
vvv. Proper administration of peritoneal dialysis
www. Post Op nursing care: identifying a gravity wound drain
xxx. Preparing a client for a thoracentesis
yyy. Priority intervention for hypokalemia
zzz. Brain tumors: pharmacological treatment for DI
aaaa. Teaching about left sided HF
, 1. Left think Lungs: they will have fluid buildup in lungs
2. At risk for fluid buildup so weight yourself every day and restrict salt
3. Restrict fluids (i know it sounds wrong but it's right)
b. HIV/AIDS priority teaching
c. ECG: identifying a medical emergency
d. Asthma
e.
#1 latex allergy:
A nurse is performing a preoperative assessment for a client. The nurse should identify that an
allergy to which of the following foods can indicate a latex allergy?
Avocados.
Rationale: Clients who have an avocado allergy might have an allergic reaction or a sensitivity to latex. Allergies to
certain fruits, such as strawberries and bananas, can also indicate latex allergy or sensitivity.
shellfish allergy = allergic reaction to povidone-iodine.
peanut allergy = allergic reaction to propofol.
egg allergy = allergic reaction to propofol.
A nurse is performing a preoperative assessment of a client about to undergo a
cholecystectomy. the nurse should identify a risk for a latex allergy when the client reports an
allergy to?
Bananas
#2 Cancer treatment options: safety precautions for a client who has a sealed radiation implant
A nurse is planning care for a client who is undergoing brachytherapy via a sealed vaginal
implant to treat endometrial cancer. Which of the following actions should the nurse include in
the client's plan of care?
wear a lead apron while providing care to the client.
The nurse should wear a lead apron when providing direct care to provide protection from the radiation source and
not turn their back toward the client, because the apron only shields the front of the body. The nurse should also wear
a dosimeter film badge to measure radiation exposure.
A nurse is planning care for a client who has a sealed radiation implant for cervical cancer.
Which of the following interventions should the nurse include in the plan of care?
Keep a lead-lined container in the client's room.
#3:
A nurse is caring for a client who will receive brachytherapy to treat uterine cancer. The nurse
should ensure the client understands that she will receive which of the following interventions?
RN Adult Medical Surgical Proctored
Assessment Proctored Assessment Study guide
1. Latex Allergy
2. Cancer treatment options: safety precautions for a client who has a sealed radiation
implant
1. Wear a Lead apron to protect yourself from radiation
b. Cancer treatment options: teaching about brachytherapy treatment for cervical cancer
c. Infection control: precautions for a client who has positive culture for an infection
d. Verapamil drug
e. Mannitol drugs
f. Intervention for a transfusion reaction
g. Antibiotics affecting protein synthesis: adverse effects of aminoglycosides -anti infectives
1. This drug can be kidney toxic, so check kidney levels
b. Blood product transfusion steps to administering
c. Pain management considerations for older adults GI therapeutic procedures: glucose
monitoring for a client receiving TPN
d. Complications of DM: DKA
e. Postoperative nursing care for zenker's diverticulum
f. Respiratory management and mechanical ventilation: recognizing potential
complications
g. TB: discharge instructions
h. Inflammatory bowel disease: managing irritable bowel syndrome
i. Complications of DM: treatment plan for DKA
j. Emergency nursing principles and management: priority during an anaphylaxis reactions
k. Peptic ulcer disease: priority action for shock
l. Spinal cord injury: manifestations of autonomic dysreflexia
m. Renal calculi: identifying nephrostomy tube complications
n. Musculoskeletal trauma: monitoring lab values
o. COPD: interpreting ABG results
p. BPH, Erectile dysfunction: interventions for an indwelling catheter
q. Respiratory diagnosis procedure: Planning client care for a thoracentesis
r. Peptic ulcer disease: identify manifestations of pernicious anemia
s. Cancer: Caring for a pt who is post-op following a mastectomy
t. Musculoskeletal trauma: manifestations of compartmentalized syndrome
u. Alzheimer's disease: teaching a family about caring for pt with alzheimer's disease
v. Identifying risk factors for atherosclerosis
w. Nursing Process: identifying need to revise a plan of care
x. Heparin medications affecting coagulation: planning care for a patient receiving heparin
y. Alteplase: stroke: administration of tissue plasminogen activator
z. Asthma
aa. Manifestations of anemia
bb. Inflammatory bowel disorder
cc. Witnessing informed consent
dd. Complications of immobility
ee. Clients right to refuse
ff. Planning care for a client who has a halo device
,gg. Caring for a client who is receiving brachytherapy
hh. Caring for a client who has gastroenteritis
ii. Amputation: providing support for a client including body image
jj. Preoperative nursing care: priority action for a client who has alcohol intoxication
kk. Buns: indication of hypovolemic shock
ll. HF and Pulmonary Edema: Diet teaching about sodium restrictions
mm. Cardiovascular diagnosis and treatment: discharge teaching for peripherally
inserted Central catheter line
nn. Stroke: administration of tissue plasminogen activator
oo. IV therapy: Priority response to infusion pump alarms
pp. GI Problems: assessing a client for complications of TPN
qq. GI procedures: finding to report for a client who is receiving TPN
rr. Post Op nursing care: caring for a client following appendectomy
ss. Noninflammatory bowel disorder: Findings to report
tt. Respiratory diagnosis procedures: priority intervention following a bronchoscopy
uu. Ingestion, digestion, absorption, and metabolism: findings of malnutrition
vv. Legal responsibility: witnessing informed consent
ww. Hemodialysis and peritoneal dialysis: manifestations of peritonitis
xx. Cancer options: precautions for a client undergoing radiation
yy. Cardiovascular diagnostics: Assisting with placement of a central venous catheter
zz. Hemodialysis and peritoneal dialysis: proper administration of peritoneal dialysis
aaa. Respiratory diagnostic procedures: preparing a client for a thoracentesis
bbb. Respiratory management and mechanical ventilation: therapeutic effect of
positive end expiratory pressure
ccc. Polycystic kidney disease, AKI and CKD: findings to report
ddd. Anemia: manifestation of anemia
eee. Peripheral vascular disease: post op care following arterial revascularization
surgery
fff. Asthma: identifying pathophysiology
ggg. Medication: medication affecting coagulationv2
hhh. Teaching abuot prevention of UTI
iii. Musculoskeletal trauma: preventing complications
jjj. Burns: indicators of hypovolemic shock
kkk. DM: medications to withhold prior to CT scan with contrast = Metformin
Medications
lll. Discharge teaching for peripherally inserted central catheter
mmm. Administering valsartan for HF
nnn. IV therapy: priority response to infusion pump alarms
ooo. Discontinuing TPN
ppp. Findings to report for a client receiving TPN
qqq. Caring for a pt following an appendectomy
rrr. Digestion, absorption and metabolism: Findings of malnutrition
sss. Discharge teaching for a client who has an ileostomy
ttt. Precautions for a pt undergoing radiation therapy
uuu. Assisting with placement of central venous catheter
vvv. Proper administration of peritoneal dialysis
www. Post Op nursing care: identifying a gravity wound drain
xxx. Preparing a client for a thoracentesis
yyy. Priority intervention for hypokalemia
zzz. Brain tumors: pharmacological treatment for DI
aaaa. Teaching about left sided HF
, 1. Left think Lungs: they will have fluid buildup in lungs
2. At risk for fluid buildup so weight yourself every day and restrict salt
3. Restrict fluids (i know it sounds wrong but it's right)
b. HIV/AIDS priority teaching
c. ECG: identifying a medical emergency
d. Asthma
e.
#1 latex allergy:
A nurse is performing a preoperative assessment for a client. The nurse should identify that an
allergy to which of the following foods can indicate a latex allergy?
Avocados.
Rationale: Clients who have an avocado allergy might have an allergic reaction or a sensitivity to latex. Allergies to
certain fruits, such as strawberries and bananas, can also indicate latex allergy or sensitivity.
shellfish allergy = allergic reaction to povidone-iodine.
peanut allergy = allergic reaction to propofol.
egg allergy = allergic reaction to propofol.
A nurse is performing a preoperative assessment of a client about to undergo a
cholecystectomy. the nurse should identify a risk for a latex allergy when the client reports an
allergy to?
Bananas
#2 Cancer treatment options: safety precautions for a client who has a sealed radiation implant
A nurse is planning care for a client who is undergoing brachytherapy via a sealed vaginal
implant to treat endometrial cancer. Which of the following actions should the nurse include in
the client's plan of care?
wear a lead apron while providing care to the client.
The nurse should wear a lead apron when providing direct care to provide protection from the radiation source and
not turn their back toward the client, because the apron only shields the front of the body. The nurse should also wear
a dosimeter film badge to measure radiation exposure.
A nurse is planning care for a client who has a sealed radiation implant for cervical cancer.
Which of the following interventions should the nurse include in the plan of care?
Keep a lead-lined container in the client's room.
#3:
A nurse is caring for a client who will receive brachytherapy to treat uterine cancer. The nurse
should ensure the client understands that she will receive which of the following interventions?
