RN ADULT MEDICAL SURGICAL ONLINE PRACTICE 2019 A

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1) A nurse is caring for a client who has hepatic encephalopathy that is being treated with lactulose. The client is experiencing excessive stools. Which of the following findings is an adverse effe... ct of this medication? a. Hypokalemia b. Hypercalcemia c. Gastrointestinal bleeding d. Confusion 2) A nurse is caring for a client who has emphysema and is receiving mechanical ventilation. The client appears anxious and restless, and the high-pressure alarm is sounding. Which of the following actions should the nurse take first? a. Obtain ABGs b. Administer propofol to the client c. Instruct the client to allow the machine to breathe for them. d. Disconnect the machine and manually ventilate the client 3) A nurse is teaching a client who has family history of colorectal cancer. To help mitigate this risk, which of the following dietary alterations should the nurse recommend? a. Add full-fat yogurt to the diet b. Add cabbage to the diet c. Replace butter with coconut oil d. Replace shellfish with red meat 4) 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 neurological deficits should the nurse expect to find when assessing the client? (Select all that apply) a. Expressive aphasia b. Visual spatial deficits c. Left hemianopsia d. Right hemiplegia e. One-sided neglect 5) 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 min. Which of the following oxygen delivery systems should the nurse initiate to provide the highest concentration of oxygen? a. Nonrebreather mask b. Venturi mask c. Simple face mask d. Partial rebreather mask 6) A nurse is caring for a client who has bilateral pneumonia and an SaO2 of 85%. The client has dyspnea with a productive cough and it using accessory muscles to breathe. Which of the following actions should the nurse take first? a. Obtain a prescription for ABGS b. Administer IV antibiotics to the client c. Instruct the client to use the incentive spirometer d. Place the client in high-Fowler’s position 7) A nurse is planning care for a client who has extensive burn injuries and is immunocompromised. Which of the following precautions should the nurse include in the plan of care to prevent a Pseudomonas aeruginosa infection? a. Encourage the client eat raw fruits and vegetables. b. Avoid placing plants or flowers in the client’s room c. Limit visitors to members of the client’s immediate family d. Wear an N95 respirator mask when providing care to the client. 8) 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? a. Serum sodium level 145 mEq/L b. Forearm skin tents when pinched c. Respiratory rate decreased d. Urine specific gravity 1.045 9) A nurse is 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 prescriptions should the nurse expect? a. Apply ice to the client’s puncture wounds. b. Initiate corticosteroid therapy for the client c. Keep the client’s leg above heart level d. Administer an opioid analgesic to the client 10) A nurse is assessing a client who has had a suspected stroke. The nurse should place the priority on which of the following findings? a. Dysphagia b. Aphasia c. Ataxia d. Hemianopsia 11) A nurse is teaching a young adult client how to perform testicular self-examination. Which of the following instructions should the nurse include? a. Compare both testicles by examining them simultaneously b. Roll each testicle between the thumb and fingers c. Perform testicular self-examination before a warm bath or shower d. Perform self-examination of the testicles every 2 weeks 12) 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? a. “I will monitor my blood sugar carefully because the medication increases the secretion of insulin.” b. “I should take this medication with a meal.” c. “I can expect to gain weight while taking this medication.” d. “While taking this medication, I will experience flushing of my skin.” 13) A Nurse is teaching a client who has venous insufficiency about self-care. Which of the following statements should the nurse identify as an indication that the client understanding the teaching? a. “I should avoid walking as much as possible.” b. “I should sit down and read for several hours a day.” c. “I will wear clean graduated compression stockings every day.” d. “I will keep my legs level with my body when I sleep at night.:” 14) A nurse is assessing a client who has acute cholecystitis. Which of the following findings is the nurse’s priority? a. Anorexia b. Abdominal pain radiating to the right shoulder c. Tachycardia d. Rebound abdominal tenderness 15) 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. Disease processes b. Laboratory findings i. Blood glucose (fasting) 102 mg/dL ii. BUN 15 mg/dL iii. Creatinine 1 mg/dL iv. Prostate Specific Antigen (PSA) 1.5 mg/mL c. Current medic [Show More]

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