RN Adult MedSurg Practice B Multiple Choice.pdf file:///C:/Users/HP/Desktop/SSSSSSS/RN%20Adult%20MedSurg%20
RN Adult Med Surg Practice B Multiple Choice
Questions & Verified Answers
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 will bruise easily because I have Lyme disease"
ANS C
Lyme disease is a vector-borne illness transmitted by the deer tick. The disease course occurs in
three stages beginning with joint and muscle pain in stage I. If left untreated, these symptoms
continue throughout stage II and, by stage III, become chronic. Other chronic complications
include memory problems and fatigue.
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2. 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?
A. monitor the clients' INR daily.
B. expel air bubbles when using a prefilled syringe.
C. inject the medication into the anterolateral abdominal wall.
D. massage the injection site after administration.
ANS C
The nurse should inject the medication into the anterolateral or posterolateral abdominal wall to
enhance medication absorption and prevent hematoma formation.
3. A nurse is caring for a client who is receiving mechanical ventilation via a
tracheostomy tube.The nurse should recognize that which of the following
complications is associated with long-term mechanical ventilation?
A. Elevated blood pressure
B. Dehydration
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C. Stress ulcers
D. Hypernatremia
ANS C
Stress ulcers in clients who are receiving long-term mechanical ventilation are caused by elevated
levels of hydrochloric acid in the stomach.Stress ulcers increase the risk for systemic infection and
require pharmacological treatment.
4. A nurse is updating the plan of care for a client who is receiving chemother- apy.Which
of the following findings should the nurse identify as the priority?
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A. Report of sore throat
B. Report of memory loss
C. Alopecia
D. Mucositis
ANS A
When using the urgent vs. nonurgent approach to client care, the nurse should determine that the
priority finding is a report of a sore throat, which could be a mani- festation of an infection.The
client is at risk for neutropenia due to myelosuppression; therefore, an infection could lead to
sepsis.
5. The nurse caring for a client with diabetic ketoacidosis (DKA) can expect to implement
which intervention?
A. Intravenous administration of regular insulin
B. Administer insulin glargine subcutaneously at hour of sleep
C. Maintain nothing prescribed orally (NPO) status
D. Intravenous administration of 10% dextrose
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