RN
Adult
Medical
Surgical
Online
Practice
2019
A
for
NGN
answers
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
providing
teaching
to
a
client
who
has
esophageal
cancer
and
is
to
undergo
radiation
therapy.
Which
of
the
following
statements
should
the
nurse
identify
as
an
indication
that
the
client
understands
the
teaching?
-
ANS
"I
will
use
my
hands
rather
than
a
washcloth
to
clean
the
radiation
area."
The
client
should
gently
wash
the
radiation
area
with
their
hands
using
warm
water
and
mild
soap
to
protect
the
skin
from
further
irritation.
A
nurse
is
planning
to
provide
discharge
teaching
for
the
family
of
an
older
adult
client
who
has
hemianopsia
and
is
at
risk
for
falls.
Which
of
the
following
instructions
should
the
nurse
include?
-
ANS
Remind
the
client
to
scan
their
complete
range
of
vision
during
ambulation.
The
nurse
should
instruct
the
family
to
remind
a
client
who
has
hemianopsia,
or
blindness
in
half
of
the
visual
field,
to
use
visual
scanning
to
look
over
their
complete
range
of
vision
during
ambulation.
This
practice
can
accommodate
for
the
loss
of
vision
and
help
to
reduce
the
risk
for
falls.
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
is
caring
for
a
client
who
is
postoperative
following
a
total
hip
arthroplasty.
Which
of
the
following
laboratory
values
should
the
nurse
report
to
the
provider?
-
ANS
Hgb
8
g/dL
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
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?
-
ANS
Urine
specific
gravity
1.045 A
nurse
is
preparing
to
admit
a
client
who
has
dysphagia.
The
nurse
should
plan
to
place
which
of
the
following
items
at
the
client's
bedside?
-
ANS
Suction
machine
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
is
caring
for
a
client
who
has
a
new
prescription
for
total
parenteral
nutrition
(TPN).
The
client
is
to
receive
2,000
kcal
per
day.
The
TPN
solution
has
500
kcal/L.
The
IV
pump
should
be
set
at
how
many
mL/hr?
(Round
the
answer
to
the
nearest
whole
number.
Use
a
leading
zero
if
it
applies.
Do
not
use
a
trailing
zero.)
-
ANS
167
X
mL/hr
=
Volume
(mL)/Time
(hr)
X
mL/hr
=4000mL/24
hr
X
mL/hr
=
166.67
Round
if
necessary.
166.67
=
167
mL/hr
A
nurse
is
caring
for
a
client
who
is
having
a
seizure.
Which
of
the
following
interventions
is
the
nurse's
priority?
-
ANS
Turn
the
client
to
the
side.
A
nurse
is
creating
a
plan
of
care
for
a
client
who
has
neutropenia
as
a
result
of
chemotherapy.
Which
of
the
following
interventions
should
the
nurse
include
in
the
plan?
-
ANS
Monitor
the
client's
temperature
every
4
hr.
A
nurse
is
planning
care
for
a
client
who
is
undergoing
brachytherapy
via
a
sealed
vaginal
implant
to
treat
endometrial
cancer.
Which
of
the
following
actions
should
the
nurse
include
in
the
client's
plan
of
care?
-
ANS
Wear
a
lead
apron
while
providing
care
to
the
client.
A
nurse
is
preparing
to
administer
a
unit
of
packed
RBCs
to
a
client.
Which
of
the
following
actions
should
the
nurse
take?
-
ANS
Remain
with
the
client
for
the
first
15
min
of
the
infusion.
A
nurse
is
preparing
a
client
who
has
supraventricular
tachycardia
for
elective
cardioversion.
Which
of
the
following
prescribed
medications
should
the
nurse
instruct
the
client
to
withhold
for
48
hr
prior
to
cardioversion?
-
ANS
Digoxin
A
nurse
is
caring
for
a
client
who
has
anorexia,
low-grade
fever,
night
sweats,
and
a
productive
cough.
Which
of
the
following
actions
should
the
nurse
take
first?
-
ANS
Initiate
airborne
precautions.
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
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