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

NEW VERSION EXAM QUESTIONS RN ADULT MEDICAL SURGICAL ONLINE

PRACTICE 2019 A (Questions and answers)

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 effect of the medication?

- CORRECT ANSWER hypokalemia

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?

- CORRECT ANSWER instruct the client to allow the machine to breathe for them

3. 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

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?

- CORRECT ANSWER visual spatial deficits

left hemianopsia

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?

- CORRECT ANSWER nonrebreather 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 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

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.

- CORRECT ANSWER avoid placing plants or flowers in the client's room

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? - CORRECT ANSWER Urine specific gravity of 1.045

9. a nurse in an emergency department is reviewing the providers 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

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? - CORRECT ANSWER dysphagia

11. 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

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? - CORRECT ANSWER I should take this medication with a meal

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 understands the teaching? -

CORRECT ANSWER I will wear clean graduated compression stockings every day

14. a nurse is assessing a client who has acute cholecystitis. which of the following findings is the

nurse's priority? - CORRECT ANSWER tachycardia

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 with if the following findings? -

CORRECT ANSWER current medications

16. 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

17. a nurse is caring for a client who has DKA. which of the following laboratory findings should the

nurse expect? - CORRECT ANSWER BUN 32 mg/dl