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

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