RN Adult Medical Surgical Online Practice B.pdf file:///C:/Users/HP/Desktop/SSSSSSS/RN%20Adult%20Medical%20S
RN Adult Medical Surgical Online Practice B
1. A nurse is assessing for compartment syndrome in a client who has a short leg cast.
Which of the following findings should the nurse identify asa manifestation of this
condition
ANS Pain that increases with passive movement
Rationale: The nurse should identify that a client who has compartment syndromeexperiences
pain that increases with passive movement. Compartment syndromeresults from a decrease in
blood flow in the extremity caused by a decrease in themuscle compartment size due to a cast
that is too tight.
2. 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
ANS My joints ache because I have Lyme disease
Rationale: Lyme disease is a vector-borne illness transmitted by the deer tick. The disease course
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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.
3. A nurse is preparing to administer phenytoin 600 mg PO daily to a client.Theamount
available is oral solution 125 mg/5 mL. How many mL should the nurseadminister? (Round
the answer to the nearest whole number. Use a leading zero if it applies. Do not use a
trailing zero.): ANS 24
4. A nurse is caring for a client who has an arterial line.Which of the followingactions
should the nurse take
ANS place a pressure bag around the flush solution
Rationale:The nurse should place a pressure bag around the flush solution of 0.9%sodium
chloride because the pressure from an artery is greater than that of the line.An arterial line is not
appropriate access for administering antibiotics. The nurse should use the arterial line to obtain
arterial blood gas samples and monitor hemo-dynamic pressures.
5. 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?-
: ANS Report of sore throat
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Rationale: When using the urgent vs. nonurgent approach to client care, the nurseshould
determine that the priority finding is a report of a sore throat, which could be a manifestation
of an infection. The client is at risk for neutropenia due to myelosuppression; therefore, an
infection could lead to sepsis.
6. A nurse is reviewing the medical record of a client who has systemic lupus
erythematosus (SLE). Which of the following findings should the nurseexpect
ANS Facial butterfly rash
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Rationale: A butterfly rash is a manifestation of SLE. It appears as a dry, red rashon the client's
cheeks and nose and can disappear during times of remission.
7. A nurse is planning care for a client who is postoperative following a
parathyroidectomy. Which of the following actions should the nurse identifyas the
priority
ANS Place tracheostomy tray at the bedside
Rationale:The priority action the nurse should take when using the airway, breathing,circulation
approach to client care is to place a tracheostomy tray at the client's bedside in case of airway
obstruction.
8. A nurse is assessing a client who has diabetes insipidus. Which of thefollowing
findings should the nurse expect
ANS Low urine specific gravity
Rationale: An expected finding for a client who has diabetes insipidus is a urinespecific
gravity between 1.001 and 1.005. Decreased water reabsorption by therenal tubules is caused
by an alteration in antidiuretic hormone release or the kidneys' responsiveness to the
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