Exam (elaborations)
RN Adult Medical Surgical Online Practice.
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RN Adult Medical Surgical Online Practice.
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RN Adult Medical Surgical Online PracticeA nurse and an assistive personnel (AP) are caring for a client who has bacterial
meningitis. The nurse should give the AP which of the following instructions? -
ANS-Wear a mask.
A nurse at a provider's office is caring for a client who is 2 weeks postoperative
following a gastrectomy
A nurse is providing teaching for the client. Which of the following instructions should
the nurse include? - ANS-Avoid drinking fluids with meals
Eat several small meals per day
Consume high-protein snacks
Avoid highly seasoned foods
A nurse has received change-of-shift report for a group of clients. Which of the following
clients should the nurse assess first? - ANS-A client who had a myocardial infarction
(MI) 4 days ago and is asking for a PRN sublingual nitroglycerin tablet
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? - ANS-Aged
cheese
A nurse in a provider's office is assessing a client who has hypertension and takes
propranolol. Which of the following findings should indicate to the nurse that the client is
experiencing an adverse reaction to this medication? - ANS-Report of a night cough
A nurse in a provider's office is assessing a client who has migraine headaches and is
taking feverfew to prevent headaches. The nurse should identify that which of the
following client medications interacts with feverfew? - ANS-Naproxen
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? - ANS-"You will
not be able to use sildenafil if you are taking nitroglycerin."
A nurse in an acute care facility is caring for a client who is at risk for seizures. Which of
the following precautions should the nurse implement? - ANS-The nurse should ensure
the client has IV access in the event that the client requires medication to stop seizure
activity.
, A nurse in an emergency department is caring for a client who reports vomiting 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? - ANS-Heart rate 110/min
A nurse in an emergency department is reviewing the provider's prescriptions for a
client who sustained a rattlesnake bite to the lower leg. Which of the following
prescriptions should the nurse expect? - ANS-Administer an opioid analgesic to the
client.
A nurse in an ICU is assessing a client who has a traumatic brain injury. Which of the
following findings should the nurse identify as a component of Cushing's triad? -
ANS-Bradycardia
A nurse is assessing a client following the administration of magnesium sulfate 1 g IV
bolus. For which of the following adverse effects should the nurse monitor? -
ANS-Respiratory paralysis
A nurse is assessing a client who had extracorporeal shock wave lithotripsy (ESWL) 6
hr ago. Which of the following findings should the nurse expect? - ANS-Stone fragments
in the urine
A nurse is assessing a client who has acute cholecystitis. Which of the following
findings is the nurse's priority? - ANS-Tachycardia
A nurse is assessing a client who has Graves' disease. Which of the following images
should indicate to the nurse that the client has exophthalmos? - ANS-D
A nurse is assessing a client who has had a plaster cast applied to their left leg 2 hr
ago. Which of the following actions should the nurse take? - ANS-Check that one finger
fits between the cast and the leg.
To make sure the cast is not too tight, the nurse should be able to slide one finger under
the cast. It is not uncommon for casts to loosen as swelling subsides, but that should
not be an issue 2 hr after application.
A nurse is assessing a client who has had a suspected stroke. The nurse should place
the priority on which of the following findings? - ANS-Dysphagia
A nurse is assessing a group of clients for indications of role changes. The nurse should
identify that which of the following clients is at risk for experiencing a role change? -
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