RN Adult Medical Surgical Online Practice 2019 B

1) A nurse is providing teaching to a client who has a severe form of stage II Lyme disease.

Which of the following statements made by the client reflects an understanding of the

teaching?

a. “I will need to take antibiotics for 1 year.”

b. “My partner will need to take an antiviral medication.”

c. “My joints ache because I have Lyme Disease.”

d. “I bruise easily because I have Lyme Disease.”

2) A Nurse is caring for a client who is 4 hr postoperative following an open reduction

internal fixation of the right ankle. Which of the following assessment findings should

the nurse report to the provider?

a. Extremity cool upon palpation

b. Serosanguineous drainage on the dressing.

c. Capillary refill of 2 seconds.

d. Client report of discomfort when moving toes.

3) A nurse is assessing a client while suctioning the client’s tracheostomy tube. Which of

the following findings should indicate to the nurse the client is experiencing hypoxia?

a. The client starts to cough

b. The client’s heart rate increases

c. The client is diaphoretic

d. The client’s blood pressure decreases

4) 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?

a. Document the client’s intake and output.

b. Scan the bladder with a portable ultrasound.

c. Pour warm water over the client’s perineum.

d. Perform a straight catheterization.

5) A nurse is providing discharge instructions to a client who has active tuberculosis (TB).

Which of the following information should the nurse include in the instructions?

a. Sputum specimens are necessary every 2 to 4 weeks until there are three

negative cultures.

b. The contagious period generally lasts for 6 to 8 weeks after the initiation of

medication therapy.

c. Family members should follow airborne precautions at home.

d. A follow-up tuberculosis

6) A nurse is caring for a client who has increased intracranial pressure (ICP) and is

receiving mannitol via continuous IV infusion. Which of the following findings should the

nurse report to the provider as an adverse effect of this medication?

a. Decreased heart rate

b. Crackles heard on auscultation

c. Increased urinary output

d. Decreased deep tendon reflexes

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7) A nurse is providing discharge teaching to a client who is postoperative following a

modified radical mastectomy. Which of the following instructions should the nurse

include?

a. Flex the affected arm when ambulating

b. Numbness can occur along the inside of the affected arm

c. Begin active range-of-motion exercises 1 day after surgery

d. Dress in clothing that fits snugly

8) A nurse is providing education to a client who has tuberculosis (TB) and their family.

Which of the following information should the nurse include in the teaching?

a. After 1 week of medication, TB is no longer communicable.

b. Dispose of contaminated tissues in a paper bag.

c. Airborne precautions are necessary in the home.

d. Family members in the household should undergo TB testing.

9) A nurse is providing discharge teaching about infection prevention to a client who has

AIDS. Which of the following statements by the client indicates understanding of the

teaching?

a. “I will eat a salad at least once each day to increase my intake of vitamin K.”

b. “I can work in my flower garden as long as I wear gardening gloves to cover my

skin.”

c. “I will no longer floss my teeth after brushing my teeth.”

d. “I can sip on a glass of juice for at least 2 hours before I should discard it.”

10) A nurse is assessing a client who is at risk for the development of pernicious anemia

resulting from peptic ulcer disease. Which of the following images depicts a condition

caused by pernicious anemia?

a.

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11) A nurse is reviewing the laboratory results of a client who has aplastic anemia. Which of

the following findings indicates a potential complication?

a. RBC count 5.2 million/mm3

b. WBC count 2,000/mm3

c. Platelets 380,000/mm3

d. Potassium 4 mEq/L

12) A nurse is assessing heart sounds of a client who reports substernal precordial pain.

Identify which of the following sounds the nurse should document in the client’s medical

record by listening to the audio clip.

a. Murmur

b. S4

c. Pericardial friction rub

d. Ventricular gallop

13) A nurse is admitting a client who has active tuberculosis. Which of the following types of

transmission precautions should the nurse initiate?

a. Airborne

b. Droplet

c. Contact

d. Protective environment

14) A nurse is preparing to present a program about prevention of atherosclerosis at a

health fair. Which of the following recommendations should the nurse plant to include?

(select all that apply)

a. Follow a smoking cessation program

b. Maintain an appropriate weight

c. Eat a low-fat diet

d. Increase fluid intake

e. Decrease intake of complex carbohydrates

15) A home health nurse is providing teaching to a client who has a stage 1 pressure injury

on the greater trochanter of his left hip. Which of the following instructions should the

nurse include in the teaching?

a. Clean the wound daily with an antiseptic

b. Use a donut-shaped pillow when sitting in a chair

c. Change position every hour

d. Massage the area two times daily

16) A nurse is providing teaching to a client who takes ginkgo biloba as an herbal

supplement. Which of the following statements should the nurse make?

a. “Ginkgo biloba relieves nausea for people who have vertigo.”

b. “Taking ginkgo biloba will help relieve your joint pain.”

c. “Ginkgo biloba can cause an increased risk for bleeding.”

d. “Taking ginkgo biloba decreases the risk of migraine headache.”

17) A nurse is providing teaching to a client who has a new prescription for psyllium. Which

of the following information should the nurse include in the teaching?

a. Drink 240 mL (8 oz) of water after administration.

b. Expect results in 4 to 6 hr

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