Practice Assessment- Adult Medical Surgical Online Practice A 2016

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Practice Assessment- Adult Medical Surgical Online Practice A 2016 (A Guaranteed) A nurse is providing teaching to a client who has chronic kidney disease and a new prescription for erythropoietin. W... hich of the following statements by the client indicates an understanding of the teaching? “I should take calcium supplements, so the medication will work better in my system.” “I am taking this medication to increase my energy level.” “This medication can cause my blood pressure to drop.” “I will not need to restrict protein in my diet while taking this medication.” 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 might need to take a stool softerner while taking this medication. You will not be able to use sildenafil if you have diabetes. You will need to limit your caffeine intake if you start taking sildenafil. You will not be able to use sildenafil if you are taking nitroglycerin. A nurse is caring for 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? Restlessness T3 level 215 ng/dL Blood pressure 170/80 mm Hg Decreased weight A nurse on a medical-surgical unit is receiving change-of-shift report on four clients. Which of the following clients should the nurse identify as having the greatest risk for developing an infection? A client who has a closed fracture of the arm and is receiving an opioid pain medication A client who has COPD and is receiving steroid therapy A client who is postoperative following a laparoscopic appendectomy and is receiving an antibiotic A client who has a deep vein thrombosis and is receiving anticoagulant therapy A nurse in an emergency department is assessing an older adult client who has a fractured wrist following a fall. During the assessment, the client states, "Last week I crashed my car because my vision suddenly became blurry." Which of the following actions is the nurse's priority? Check the client’s neurological status Document the client’s statements Prepare the client for a CT scan Teach the client about using safety precautions for falls A nurse is providing preoperative teaching for a client who his scheduled for an open cholecystectomy. Which of the following actions should the nurse take? Teach the importance of a clear liquid diet after discharge Tell the client to remove incisional adhesive strips 3 days after discharge Demonstrate ways to deep breath and cough Instruct the client to maintain bedrest for 48 hours A nurse in an emergency department is caring for a client who has full-thickness burns over 20% of his total body surface area. After ensuring a patent airway and administering oxygen, which of the following items should the nurse prepare to administer first? IV fluids Analgesia Antibiotics Tetanus toxoid A nurse in a provider's office is assessing a client who has migraine headaches and is taking feverfew to prevent her headaches. The nurse should identify that which of the following client medications interacts with feverfew? Metoprolol Bupropion Naproxen Atorvastatin A nurse is providing discharge instructions to a client who has laryngeal cancer and is receiving radiation treatment. Which of the following statements by the client indicates an understanding of the teaching? I will wear a badge to measure how much radiation I am receiving I will remove the markings on my akin after each radiation treatment I will avoid direct exposure to the sun I will rinse my mouth with a commercial mouthwash A nurse is preparing to administer a blood transfusion to a client who has anemia. Which of the following actions should the nurse take first? Obtain the client’s vital signs Describe the blood transfusion procedure to the client Check for the type and number of units of blood to administer Initiate a peripheral IV 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? Bradycardia Tremors Orthostatic hypotension Drowsiness A nurse is assessing for compartment syndrome in a client who has a short leg cast. Which of the following findings should the nurse identify as a manifestation of this condition? Bounding pedal pulse Capillary refill less than 2 seconds Pain that increases with passive movement Areas of warmth on the cast A nurse is providing teaching to a client who has anemia and a new prescription for an oral iron supplement. Which of the following statements by the client indicates an understanding of the teaching? I will take my iron with a glass of milk I will take an antacid with my iron I will limit my intake of red meat I will eat more high-fiber foods A nurse is teaching an older adult client about osteoporosis prevention. The nurse should instruct the client that which of the following medications can increase her risk for developing osteoporosis? Conjugated estrogens Enalapril Fludrocortisone Colchicine A nurse is planning care for a client who is scheduled for a thoracentesis. Which of the following interventions should the nurse include in the plan? Encourage the client to take deep breaths after the procedure Assist the client to hold her arms up during the procedure Instruct the client to remain NPO after midnight prior to the procedure Keep the client on bed rest for 8 hour following the procedure A nurse is providing discharge to a client who is to self-administer heparin subcutaneously. Which of the following responses by the client indicates an understanding of the teaching? I can expect to have blood in my urine during the first week of injections I will floss my teeth after each meal I will gently massage the site after I inject the medication I will use an electric razor to shave. A nurse is caring for a client who is receiving mechanical ventilation via a tracheostomy tube. The nurse should recognize that which of the following complications is associated with long-term mechanical ventilation? Elevated blood pressure Dehydration Stress ulcers Hypernatremia A nurse is caring for a client who has a positive culture for C-diff. Which of the following action should the nurse take? Put on sterile gloves after entering the client’s room Implement contact precautions for the client Use alcohol-based hand cleansers when caring for the client Instruct the client to wear a mask when being transported from the room A nurse is teaching a client who has end-stage kidney disease about organ donation. Which of the following information should the nurse include in the teaching? The organ donor will require immunosuppressive therapy following the transplant The organ donor will need to make adjustments to live with one kidney after the transplant. The client’s nonfunctioning kidney is removed before receiving the donor kidney The client who receives a kidney from a live donor has a lower rate of transplant rejection A nurse is caring for a client who is 8 hr postoperative following a total hip arthroplasty. The client is unable to void on the bedpan. Which of the following actions should the nurse take first? Document the client’s intake and output Scan the bladder with a portable ultrasound Pour warm water over the client’s perineum Perform a straight catheterization A nurse is caring for a client who had a nephrostomy tube inserted 12 hr ago. Which of the following findings should the nurse report to the provider? The client’s urinary output has increased The client reports back pain The client’s urine color is red tinged The client’s BUN is 18 mg/dL A nurse is caring for 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 actions should then nurse take? Defibrillate the client’s heart Perform synchronized cardioversion Begin cardiopulmonary resuscitation Administer lidocaine IV bolus 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? Neutralizing gastric acid Reducing the growth of ulcer-causing bacteria Coating the stomach lining Suppressing gastric acid production 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? Place the client in a supine position Measure vital signs Cover the wound with a sterile, saline-moistened dressing Call for help A nurse is reviewing the lab results of a client who has a new diagnosis of acute leukemia. Which of the following findings should the nurse identify as an expected finding? Decreased amylase Decreased aPTT Increased WBC count Increased hemoglobin A nurse is caring for a client who is exhibiting manifestations of a febrile reaction while receiving a blood transfusion. Which of the following medications should the nurse administer? Cephalexin Acetaminophen Furosemide Diphenhydramine A nurse is caring for a client who is receiving TPN. A new bag is not available when the current infusion is nearly completes. Which of the following action should the nurse take? Keep the line open with 0.9% sodium chloride until the new bag arrives Administer dextrose 10% in water until the new bag arrives Flush the line and cap the port until the new bag arrives Decrease the infusion rate until the new bag arrives A nurse is planning care for a client who his having a modified radical mastectomy of the right breast. Which of the following interventions should the nurse include in the plan of care? Instruct the client that the drain is removed when there is 25 mL of output or less over a 24-hr period Assist the client to start arm exercises 48 hr after surgery Maintain the right arm in an extended position at the client’s side when in bed Place the client in a supine position for the first 24 hour after surgery A nurse is reviewing the ABG results of a client who has advanced COPD. Which of the following results should the nurse expect? CO2 56 PH 7.38 HCO3 24 O2 90 A nurse is preparing to assist with the insertion of a nontunneled percutaneous central venous catheter into a client's subclavian vein. The nurse should plan to place the client in which of the following positions? Prone Left side-lying Semi-fowlers Trendelenburg A nurse at an urgent care clinic is caring for a client who is experienc 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? “I should take calcium supplements, so the medication will work better in my system.” “I am taking this medication to increase my energy level.” “This medication can cause my blood pressure to drop.” “I will not need to restrict protein in my diet while taking this medication.” 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 might need to take a stool softerner while taking this medication. You will not be able to use sildenafil if you have diabetes. You will need to limit your caffeine intake if you start taking sildenafil. You will not be able to use sildenafil if you are taking nitroglycerin. A nurse is caring for 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? Restlessness T3 level 215 ng/dL Blood pressure 170/80 mm Hg Decreased weight A nurse on a medical-surgical unit is receiving change-of-shift report on four clients. Which of the following clients should the nurse identify as having the greatest risk for developing an infection? A client who has a closed fracture of the arm and is receiving an opioid pain medication A client who has COPD and is receiving steroid therapy A client who is postoperative following a laparoscopic appendectomy and is receiving an antibiotic A client who has a deep vein thrombosis and is receiving anticoagulant therapy A nurse in an emergency department is assessing an older adult client who has a fractured wrist following a fall. During the assessment, the client states, "Last week I crashed my car because my vision suddenly became blurry." Which of the following actions is the nurse's priority? Check the client’s neurological status Document the client’s statements Prepare the client for a CT scan Teach the client about using safety precautions for falls A nurse is providing preoperative teaching for a client who his scheduled for an open cholecystectomy. Which of the following actions should the nurse take? Teach the importance of a clear liquid diet after discharge Tell the client to remove incisional adhesive strips 3 days after discharge Demonstrate ways to deep breath and cough Instruct the client to maintain bedrest for 48 hours A nurse in an emergency department is caring for a client who has full-thickness burns over 20% of his total body surface area. After ensuring a patent airway and administering oxygen, which of the following items should the nurse prepare to administer first? IV fluids Analgesia Antibiotics Tetanus toxoid A nurse in a provider's office is assessing a client who has migraine headaches and is taking feverfew to prevent her headaches. The nurse should identify that which of the following client medications interacts with feverfew? Metoprolol Bupropion Naproxen Atorvastatin A nurse is providing discharge instructions to a client who has laryngeal cancer and is receiving radiation treatment. Which of the following statements by the client indicates an understanding of the teaching? I will wear a badge to measure how much radiation I am receiving I will remove the markings on my akin after each radiation treatment I will avoid direct exposure to the sun I will rinse my mouth with a commercial mouthwash A nurse is preparing to administer a blood transfusion to a client who has anemia. Which of the following actions should the nurse take first? Obtain the client’s vital signs Describe the blood transfusion procedure to the client Check for the type and number of units of blood to administer Initiate a peripheral IV 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? Bradycardia Tremors Orthostatic hypotension Drowsiness A nurse is assessing for compartment syndrome in a client who has a short leg cast. Which of the following findings should the nurse identify as a manifestation of this condition? Bounding pedal pulse Capillary refill less than 2 seconds Pain that increases with passive movement Areas of warmth on the cast A nurse is providing teaching to a client who has anemia and a new prescription for an oral iron supplement. Which of the following statements by the client indicates an understanding of the teaching? I will take my iron with a glass of milk I will take an antacid with my iron I will limit my intake of red meat I will eat more high-fiber foods A nurse is teaching an older adult client about osteoporosis prevention. The nurse should instruct the client that which of the following medications can increase her risk for developing osteoporosis? Conjugated estrogens Enalapril Fludrocortisone Colchicine A nurse is planning care for a client who is scheduled for a thoracentesis. Which of the following interventions should the nurse include in the plan? Encourage the client to take deep breaths after the procedure Assist the client to hold her arms up during the procedure Instruct the client to remain NPO after midnight prior to the procedure Keep the client on bed rest for 8 hour following the procedure A nurse is providing discharge to a client who is to self-administer heparin subcutaneously. Which of the following responses by the client indicates an understanding of the teaching? I can expect to have blood in my urine during the first week of injections I will floss my teeth after each meal I will gently massage the site after I inject the medication I will use an electric razor to shave. A nurse is caring for a client who is receiving mechanical ventilation via a tracheostomy tube. The nurse should recognize that which of the following complications is associated with long-term mechanical ventilation? Elevated blood pressure Dehydration Stress ulcers Hypernatremia A nurse is caring for a client who has a positive culture for C-diff. Which of the following action should the nurse take? Put on sterile gloves after entering the client’s room Implement contact precautions for the client Use alcohol-based hand cleansers when caring for the client Instruct the client to wear a mask when being transported from the room A nurse is teaching a client who has end-stage kidney disease about organ donation. Which of the following information should the nurse include in the teaching? The organ donor will require immunosuppressive therapy following the transplant The organ donor will need to make adjustments to live with one kidney after the transplant. The client’s nonfunctioning kidney is removed before receiving the donor kidney The client who receives a kidney from a live donor has a lower rate of transplant rejection A nurse is caring for a client who is 8 hr postoperative following a total hip arthroplasty. The client is unable to void on the bedpan. Which of the following actions should the nurse take first? Document the client’s intake and output Scan the bladder with a portable ultrasound Pour warm water over the client’s perineum Perform a straight catheterization A nurse is caring for a client who had a nephrostomy tube inserted 12 hr ago. Which of the following findings should the nurse report to the provider? The client’s urinary output has increased The client reports back pain The client’s urine color is red tinged The client’s BUN is 18 mg/dL A nurse is caring for 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 actions should then nurse take? Defibrillate the client’s heart Perform synchronized cardioversion Begin cardiopulmonary resuscitation Administer lidocaine IV bolus 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? Neutralizing gastric acid Reducing the growth of ulcer-causing bacteria Coating the stomach lining Suppressing gastric acid production 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? Place the client in a supine position Measure vital signs Cover the wound with a sterile, saline-moistened dressing Call for help A nurse is reviewing the lab results of a client who has a new diagnosis of acute leukemia. Which of the following findings should the nurse identify as an expected finding? Decreased amylase Decreased aPTT Increased WBC count Increased hemoglobin A nurse is caring for a client who is exhibiting manifestations of a febrile reaction while receiving a blood transfusion. Which of the following medications should the nurse administer? Cephalexin Acetaminophen Furosemide Diphenhydramine A nurse is caring for a client who is receiving TPN. A new bag is not available when the current infusion is nearly completes. Which of the following action should the nurse take? Keep the line open with 0.9% sodium chloride until the new bag arrives Administer dextrose 10% in water until the new bag [Show More]

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