RN Adult Medical Surgical Online Practice 2019 A
1.A home health nurse is assigned to a client who was recently discharged from a rehabilitation center after experiencing a right-hemispheric stroke. Which of the following neurologic deficits should the nurse expect to find when assessing the client? ( select all that apply)
Visual spatial deficits
Left hemianopsia ( blindness in the left half of the visual field)
2.A nurse is reviewing the health record of a client who is scheduled for allergy skin testing. The nurse should postpone the testing and report to the provider which of the following findings?
A client who is receiving preoperative teaching for a right knee arthroplasty
4.A nurse is caring for a client who is having a seizure. Which of the following interventions is the nurse’s priority?
Turn the client to the side
5.A nurse is caring for a client who is 12 hr postoperative following a total hip arthroplasty. Which of the following actions should the nurse take?
Place a pillow between the client’s leg
7.A nurse is planning teaching for a client who has bladder cancer and is to undergo a cutaneous diversion procedure to establish a ureterostomy. Which of the following statements should the nurse include in the teaching?
“You should cut the opening of the skin barrier one-eight inch wider than the stoma”
8.A nurse in an emergency department is caring for a client who reports vomiting and diarrhea for the past 3 days. Which of the following findings should indicate to the nurse that the client is experiencing fluid volume deficit?
Heart rate 110/min
9.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
10.A nurse is planning to provide discharge teaching for the family of an older adult client who has hemianopsia and is at risk for falls. Which of the following instructions should the nurse include?
Remind the client to scan their complete range of vision during ambulation
11.A nurse is planning care to decrease psychosocial health issues for a client who is starting dialysis treatments for chronic kidney disease. Which of the following interventions should the nurse include in the plan?
Tell the client that it is possible to return to similar previous levels of activity
12.A nurse is caring for a client who has a closed head injury and has an intraventricular catheter placed. Which of the following findings indicates that the client is experiencing increased intracranial pressure (ICP)
Sleepiness exhibited by the client
Widening pulse pressure
13.An older adult client is brought to an emergency department by a family member. Which of the following assessment findings should cause the nurse to suspect that the client has hypertonic dehydration?
Urine specific gravity 1.045
14.A nurse is caring for a client who has a prescription for enalapril. The nurse should identify which of the following findings as an adverse effect of the medication?
15.A nurse in a provider’s office is caring for a client who requests sildenafil to treat erectile dysfunction. Which of the following statements should the nurse make?
“ You will not be able to use sildenafil if you are taking nitroglycerin
Avoid placing plants or flowers in the client’s room
A client should sign an informed consent receiving a placebo during a research trial.
Instruct the client on alternative therapies for pain reduction
Apply firm pressure to the insertion site
The nurse should identify an outward protrusion of the eyes as exophthalmos, a common finding of graves’ disease. An overproduction of the thyroid hormone causes edema of the extraocular muscle and increases fatty tissue behind the eye, which results in the eyes protruding outward. Exophthalmos can cause the client to experience problems with vision,including focusing on objects, as well as pressure on the optic nerve.
Urine output 25 mL/hr
“ I will monitor my blood pressure while taking this medication
Increase fluid intake
25.A nurse is assessing a client who has acute cholecystitis. Which of the following findings is the nurse’s priority?
Add Cabbage to the diet
Instruct the client to allow the machine to breathe for them.
28.A nurse is providing preoperative teaching for a client who is scheduled for an open cholecystectomy. Which of the following actions should the nurse take?
Demonstrate ways to deep breathe and cough
29.A nurse and an assistive personnel(AP) are caring for a client who has bacterial meningitis. The nurse should give the AP which of the following instructions?
Remain with the client for the first 15 min of infusion
“I am taking this medication to increase my energy level”
“I am dieting to lose weight.”
“Take insulin even if you are unable to eat your regular diet.”
Inject the medication into the anterolateral abdominal wall.
BUN 32 mg/dL
39.A nurse is providing teaching to a client who has irritable bowel syndrome(IBS). Which of the following instructions should the nurse include in the teaching?
Increase fiber intake to at least 30 g per day
Stone fragments in the urine
Monitor the client’s temperature every 4 hr
43.A nurse is assessing a group of clients for indications of role changes.The nurse should identify that which of the following clients is at risk for experiencing a role change?
A client who has multiple sclerosis and is experiencing progressive difficulty ambulating
44.A nurse in a provider’s office is assessing a client who has migraine headaches and is taking feverfew to prevent headaches. The nurse should identify that which of the following client medications interacts with feverfew?
History of asthma
46.A nurse has received change-of-shift report for a group of clients. Which of the following clients should the nurse assess first?
A client who had a myocardial infarction (MI) 4 days ago and is asking for a PRN sublingual
47.A nurse is caring for a client who has anorexia, low-grade fever, night sweats, and a productive cough. Which of the following actions should the nurse take first?
Initiate airborne precautions
1/500x2000/24 = 0.16666667 round the answer to 167mL/hr
Use a 30-mL syringe
51.A nurse is providing teaching for a female client who has recurrent urinary tract infections. Which of the following information should the nurse include in the teaching?
Void before and after intercourse
52.A nurse is caring for a client who is experiencing supraventricular tachycardia. Upon assessing the client, the nurse observes the following findings: heart rate 200/min, blood pressure 78/40 mm Hg, and respiratory rate 30/min. Which of the following action should the nurse take?
Perform synchronized cardioversion
53.A nurse is providing teaching to an older adult client who has cancer and a new prescription for an opioid analgesic for pain management. Which of the following information should the nurse include in the teaching?
“You should void every 4 hours to decrease the risk of urinary retention.”
Ensure that the client has a patent IV
55.A nurse is providing teaching to a client who has a gastric ulcer and a new prescription for omeprazole. The nurse should instruct the client that the medication provides relief by which of the following actions?
Suppressing gastric acid production
Place the client in high-fowler’s position
57.A nurse is assessing a male client for an inguinal hernia. Which of the following areas should the nurse palpate to verify that the client has an inguinal hernia?
An inguinal hernia forms from the peritoneum, which contains part of the intestine, and can protrude into the scrotum in men.
58.A nurse in an emergency department is caring for a client who is experiencing a thyroid storm. Which of the following manifestations should the nurse expect?
59.A nurse is performing a dressing change for a client who is recovering from a hemicolectomy. When removing the dressing, the nurse notes that a large part of the bowel is protruding through the abdomen. Which of the following actions should the nurse take first?
Call for help
60.A nurse is providing discharge instructions to a client who has a partial-thickness burn on the hand. Which of the following instructions should the nurse include?
Wrap fingers with individual dressings
Decreased viral load
Administer dextrose 10% in water until the new bag arrives
Report of night cough
“ it’s like a curtain closed over my eye
Take daily cranberry supplements
67.A nurse in an emergency department is reviewing the provider’s prescriptions for a client who sustained a rattlesnake bite to the lower leg. Which of the following prescription should the nurse expect?
Administer an opioid analgesic to the client
68.A nurse is caring for a client who has chronic glomerulonephritis with oliguria. Which of the following findings should the nurse identify as a manifestation of chronic glomerulonephritis?
69.A nurse in a community clinic is caring for a client who reports an increase in the frequency of migraine headaches. To help reduce the risk of migraine headaches, which of the following foods should the nurse recommend?
Check that one finger fits between the cast and the leg
71.A nurse is caring for a client who has viral pneumonia. The client’s pulse oximeter readings have fluctuated between 79% and 88% for the last 30. Which of the following oxygen delivery systems should the nurse initiate to provide the highest concentration of oxygen?
Blood pressure 170/80 mm Hg
Roll each testicle between the thumb and fingers
74.A nurse is caring for a client who has a potassium level of 3 mEq/L. Which of the following assessment findings should the nurse expect?
Hypoactive bowel sounds
Elevated bilirubin level
76.A nurse is providing discharge teaching to a client who has heart failure and a new prescription for a potassium-sparing diuretic. Which of the following information should the nurse include in the teaching?
Try to walk at least three times per week for exercise
“I used to never worry about my feet. Now, I inspect my feet every day with a mirror.”
“I will use my hands rather than a washcloth to clean the radiation area.”
80.A nurse is performing a cardiac assessment for a client who had a myocardial infarction 2 days ago. Which of the following actions should the nurse take first after hearing the following sound?
Listen with the client on their left side
“I will wear clean graduated compression stockings every day.”
Loosen restrictive clothing
83.A nurse is caring for a client who presents to a clinic for a 1-week follow-up visit after hospitalization for heart failure. Based on the information in the client’s chart, which of the following findings should the nurse report to the provider?
Heart rate 55/min
84.A nurse is providing instructions to a client who has type 2 diabetes mellitus and a new prescription for metformin. Which of the following statements by the client indicates an understanding of the teaching?
“I should take this medication with a meal.”
Obtain Vital Signs
88.A nurse is caring for a client who is postoperative following a total hip arthroplasty. Which of the following laboratory values should the nurse report to the provider?
HGB 8 g/dl
Increased respiratory secretions
Our motto is deliver assignment on Time. Our Expert writers deliver quality assignments to the students.
Get reliable and unique assignments by using our 100% plagiarism-free.
Get connected 24*7 with our Live Chat support executives to receive instant solutions for your assignment.
Get Help with all the subjects like: Programming, Accounting, Finance, Engineering, Law and Marketing.
Get premium service at a pocket-friendly rate at AssignmentHippo
I was struggling so hard to complete my marketing assignment on brand development when I decided to finally reach to the experts of this portal. They certainly deliver perfect consistency and the desired format. The content prepared by the experts of this platform was simply amazing. I definitely owe my grades to them.