RN Adult Medical Surgical Online Practice 2019 A

RN Adult Medical Surgical Online Practice 2019 A

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1. A nurse is caring for a client who is on bed rest and has a new prescription for enoxaparin

subcutaneous. Which of the following actions should the nurse take?

- Inject the medication into the anterolateral abdominal wall

2. A nurse in an emergency department is caring for a client who reports visiting 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

3. 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 legs

4. 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?

- Calcium carbonate

5. 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?

- Aged cheese

6. 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?

- Take daily cranberry supplements

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7. 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 first take?

- Call for help

8. A nurse in an emergency department is caring for a client who has full-thickness burns over 20%

of their 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

9. 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

10. A nurse is caring for a client 1 hr. following a cardiac catheterization. The nurse notes the

formation of a hematoma at the insertion side and a decreased pulse rate in the affected

extremity. Which of the following interventions is the nurse's priority?

- Apply firm pressure to the insertion site

11. A nurse is caring for a client who has DKA. Which of the following laboratory findings should

the nurse expect?

- Bun 32 mg/dl

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12. 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-eighth inch wider than the stoma

13. 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

14. A nurse and an assistive personnel are caring for a client who has bacterial meningitis. The nurse

should give the ap which of the following instructions?

- Wear a mask

15. A nurse is providing teaching to a client who has esophageal cancer and is to undergo radiation

therapy. Which of the following statements should the nurse identify as an indication that the

client understands the teaching?

- I will use my hands rather than a washcloth to clean the radiation area

16. A nurse is preparing to admit a client who has dysphagia. The nurse should plan to place which

of the following items at the client's bedside?

- Suction machine

17. A nurse is teaching a class about client rights. Which of the following instructions should the

nurse include?

- A client should sign an informed consent before receiving a placebo during a

research trial

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18. A nurse is preparing to administer a unit of packed RBCs to a client. Which of the following

actions should the nurse take?

- Remain with the client for the first 15 min of the infusion

19. 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?

- I used to never worry about my feet. Now, i inspect my feet every day with a mirror

20. A nurse is caring for a client who has a closed head injury and has an intravascular catheter

placed. Which of the following findings indicate that the client is experiencing increased

intracranial pressure (ICP)?

- Sleepiness exhibited by the client

- widening pulse pressure

- decerebrate posturing

21. 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

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