NEW VERSION EXAM QUESTIONS RN ADULT MEDICAL SURGICAL ONLINE PRACTICE 2019 A (Questions and answers)

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NEW VERSION EXAM QUESTIONS RN ADULT MEDICAL SURGICAL ONLINE PRACTICE 2019 A (Questions and answers) A nurse is caring for a client who has hepatic encephalopathy that is being treated with lactulos... e. The client is experiencing excessive stools. Which of the following findings is an adverse effect of this medication? Correct Answer: Hypokalemia 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? Correct Answer: Instruct the client to allow the machine to breathe for them. A nurse is teaching a client who has a family history of colorectal cancer. To help mitigate this risk, which of the following dietary alterations should the nurse recommend? Correct Answer: Add cabbage to the diet. 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.) Correct Answer: Visual spatial deficits, Left hemianopsia, One-sided neglect 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? Correct Answer: Nonrebreather mask 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 is using accessory muscles to breathe. Which of the following actions should the nurse take first? Correct Answer: Place the client in high-Fowler's position. 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? Correct Answer: Avoid placing plants or flowers in the client's room. 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? Correct Answer: Urine specific gravity 1.045 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 prescriptions should the nurse expect? Correct Answer: Administer an opioid analgesic to the client. A nurse is assessing a client who has had a suspected stroke. The nurse should place the priority on which of the following findings? Correct Answer: Dysphagia A nurse is teaching a young adult client how to perform testicular self-examination. Which of the following instructions should the nurse include? Correct Answer: Roll each testicle between the thumb and fingers. 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? Correct Answer: "I should take this medication with a meal." 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 understands the teaching? Correct Answer: "I will wear clean graduated compression stockings every day." A nurse is assessing a client who has acute cholecystitis. Which of the following findings is the nurse's priority? Correct Answer: Tachycardia 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? (Click on the "Exhibit" button for additional information about the client. There are three tabs that contain separate categories of data.) Correct Answer: Current medications A nurse is caring for a group of clients. The nurse should plan to make a referral to physical therapy for which of the following clients? Correct Answer: A client who is receiving preoperative teaching for a right knee arthroplasty A nurse is caring for a client who has diabetic ketoacidosis (DKA). Which of the following laboratory findings should the nurse expect? Correct Answer: BUN 32 mg/dL 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? Correct Answer: "You should cut the opening of the skin barrier one-eighth inch wider than the stoma." 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? Correct Answer: Void before and after intercourse. 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? Correct Answer: Wear a mask. 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? Correct Answer: Place a pillow between the client's legs. 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? Correct Answer: Naproxen A nurse is caring for a client who has pancreatitis. The nurse should expect which of the following laboratory results to be below the expected reference range? Correct Answer: Calcium A nurse is providing discharge instructions to a client following an upper gastrointestinal series with barium contrast. Which of the following information should the nurse provide? Correct Answer: Increase fluid intake. A nurse is assessing a client who had extracorporeal shock wave lithotripsy (ESWL) 6 hr ago. Which of the following findings should the nurse expect? Correct Answer: Stone fragments in the urine 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? Correct Answer: A client who has multiple sclerosis and is experiencing progressive difficulty ambulating A nurse is caring for a client who has a new diagnosis of hyperthyroidism. Which of the following is the priority assessment finding that the nurse should report to the provider? Correct Answer: Blood pressure 170/80 mm Hg 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? Correct Answer: Wrap fingers with individual dressings. A nurse is providing teaching to a client who is receiving chemotherapy and has a new prescription for epoetin alfa. Which of the following client statements indicates an understanding of the teaching? Correct Answer: "I will monitor my blood pressure while taking this medication." 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? Correct Answer: Try to walk at least three times per week for exercise. A nurse is caring for a client who has HIV. Which of the following findings indicates a positive response to the prescribed HIV treatment? Correct Answer: Decreased viral load 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? Correct Answer: Hgb 8 g/dL A nurse is assessing a client who has had a plaster cast applied to their left leg 2 hr ago. Which of the following actions should the nurse take? Correct Answer: Check that one finger fits between the cast and the leg. A nurse is providing teaching to a client who has chronic kidney disease and a new prescription for erythropoietin. Which of the following statements by the client indicates an understanding of the teaching? Correct Answer: "I am taking this medication to increase my energy level." A nurse is caring for a client who is undergoing hemodialysis to treat end-stage kidney disease (ESKD). The client reports muscle cramps and a tingling sensation in their hands. Which of the following medications should the nurse plan to administer? Correct Answer: Calcium carbonate 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 for migraine headaches, which of the following foods should the nurse recommend the client avoid? Correct Answer: Aged cheese A nurse is providing teaching to a female client who has a history of urinary tract infections (UTIs). Which of the following information should the nurse include in the teaching? Correct Answer: Take daily cranberry supplements. 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? Correct Answer: Call for help. A nurse is preparing to administer a unit of packed RBCs to a client. Which of the following actions should the nurse take? Correct Answer: Remain with the client for the first 15 min of the infusion. A nurse is evaluating a client who has a new diagnosis of type 1 diabetes mellitus. Which of the following client statements indicates the client is successfully coping with the change? Correct Answer: "I used to never worry about my feet. Now, I inspect my feet every day with a mirror." 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)? (Select all that apply.) Correct Answer: Sleepiness, Widening pulse pressure, Decerbrate posturing 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? Correct Answer: Remind the client to scan their complete range of vision during ambulation. 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? Correct Answer: Heart rate 110/min [Show More]

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