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PN ADULT MEDICAL SURGICAL ONLINE PRACTICE FORM A AND B 2020 EXAM
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PN ADULT MEDICAL SURGICAL ONLINE PRACTICE FORM A AND B 2020 EXAM
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PN ADULT MEDICAL SURGICAL ONLINE PRACTICE FORM A ANDB 2020 EXAM
A nurse is preparing to administer furosemide to a client who has heart failure.
Which of the following findings should the nurse report before administering the
medication? - ANSWER: Decreased potassium
A nurse is reviewing the chart of a client who is experiencing an adrenal crisis, which
was precipitated by the client not taking their medication for several days. The nurse
should identify that withdrawal from which of the following medications potentiated
the adrenal crisis? - ANSWER: Prednisone
A nurse is assisting with the care for a client who has a prescription for digoxin 0.25
mg PO daily. While taking the client's apical pulse, the nurse notes a rate of 58/min.
Which of the following actions should the nurse take? - ANSWER: Withhold the
dose.
A nurse is reinforcing teaching about glycosylated hemoglobin (HbA1c) testing with a
client who has diabetes mellitus. Which of the following statements indicates that
the client understands the teaching? - ANSWER: "I will have my HbA1c checked
twice per year."
A nurse is providing information regarding transmission-based precautions for a
client who has Clostridium difficile to an assistive personnel (AP). Which of the
following instructions should the nurse include? (Select all that apply.) - ANSWER:
"Provide the client with disposable utensils and dishes for meals."
"Leave blood pressure equipment in the client's room."
"Clean contaminated surfaces with a bleach solution."
A nurse is reinforcing teaching with a client who has coronary artery disease. Which
of the following instructions should the nurse include in the teaching? - ANSWER:
"Add oily fish to your diet twice weekly."
A nurse in an oncology clinic is reinforcing teaching about Mohs surgery with a client
who has skin cancer. Which of the following information should the nurse include in
the teaching? - ANSWER: Mohs surgery is a horizontal shaving of thin layers of the
tumor.
A nurse is collecting data from an older adult client who has several concerns. Which
of the following concerns should the nurse recognize as an expected change
associated with aging? - ANSWER: "My food tastes bland even after I add
seasoning."
A nurse is reinforcing dietary teaching with a client about increasing the intake of
foods containing vitamin C to enhance absorption of oral iron supplements. Which of
, the following food choices should the nurse include in the teaching? - ANSWER: 1
cup of boiled broccoli
A nurse is assisting with the care for a client who is 2 hr postoperative following the
amputation of a foot. Which of the following actions should the nurse take first? -
ANSWER: Check the incisional dressing.
Nursing Intervention
Request a chest x-ray - not indicated
Place the client in reverse Trendelenburg position - indicated
Assist with administering a 0.9% sodium chloride 200 mL IV bolus - indicated
Apply oxygen at 2 L/min via nasal cannula - indicated
Notify the charge nurse immediately - indicated
Obtain the client's blood glucose level - not indicated
A nurse is contributing to the plan of care for a client who has a new prescription for
nystatin suspension for oral candidiasis. Which of the following interventions should
the nurse include in the plan? - ANSWER: Remind the client to swish the medication
in their mouth.
A nurse is reinforcing teaching with the caregiver of a client who has a cervical injury
and has a halo vest in place. Which of the following safety precautions should the
nurse include in the teaching? - ANSWER: Change the sheepskin liner weekly.
A nurse is assisting in the care of a client who is receiving a continuous tube feeding
of 60 mL/hr at 1.2 cal/mL. How many calories will the client receive in 12 hr? (Round
the answer to the nearest whole number. Use a leading zero if it applies. Do not use
a trailing zero.) - ANSWER: 864 cal
A nurse is reinforcing teaching with a client who has diabetes mellitus and a new
prescription for regular and NPH insulin. Which of the following instructions on
preparing the insulins should the nurse include? - ANSWER: Withdraw the regular
insulin before withdrawing the NPH insulin.
A nurse is preparing to assist a client out of bed 4 hr following a laparoscopic
cholecystectomy. Which of the following actions should the nurse take first? -
ANSWER: Obtain the client's blood pressure.
A nurse is assisting with the care for a client who has age-related macular
degeneration. Which of the following findings should the nurse expect? - ANSWER:
Distorted central vision of the eyes
A nurse is reinforcing teaching with a client who is on a low-sodium diet and asks
about how to improve the taste of bland food. Which of the following foods should
the nurse recommend? - ANSWER: Lemon juice
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