RN ADULT MEDICAL SURGICAL ONLINE PRACTICE 2019 B WITH NGN QUESTIONS AND COMPLETE ANSWERS GRADED A+ (CONTAINS 90 SETS OF QUESTIONS AND ANSWERS) THIS IS A VERY RESOURCEFUL EXAM

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? A. Bounding pedal pulse B. Capillary refill less than 2 seconds C. Pain that increases with passive movement D. Areas of warmth on the cast: C. Pain that increases with passive movement 2. A nurse is providing teaching to a client who has a severe form of stage IILyme disease. Which of the following statements made by the client reflectsan 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. "Iwill bruise easilybecause I have Lyme disease": C."My joints ache becauseI have Lyme disease" 3. A nurse is preparing to administer phenytoin 600 mg PO daily to a client. The amount available is oral solution 125 mg/5 mL. How many mL should thenurse administer?: 24 4. A nurse is caring for a client who has an arterial line.Which of the followingactions should the 3 / 18 nurse take? A. Flush the line before administering antibiotics B. Position the client inTrendelenburg to obtain measurements C. Have the client bear down when readings are obtained D. Place a pressure bag around the flush solution: D. Place a pressure bagaround the flush solution 5. A nurse is updating the plan of care for a client who isreceiving chemother-apy.Which of the following findings should the nurse identify as the priority? A. Report of sore throat B. Report of memory loss C. Alopecia D. Mucositis: A. Report of sore throat 6. 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? A. Use pillows to support the client's head and neck B. Offer opioid medication C. Place a tracheostomy tray at the bedside D. Place the client in semi-Fowler's position: C. Place a tracheostomy tray at thebedside 4 / 18 7. A nurse is assessing a client who has diabetes insipidus.Which of thefollowing findings should the nurse expect? A. Low urine specific gravity B. Hypertension C. Bounding peripheral pulses D. Hyperglycemia: A. Low urine specific gravity 8. A nurse is providing teaching to a client who has stage II cervical cancer and is scheduled for brachytherapy.Which ofthe following instructionsshould thenurse include? A. "You will have an implant placed twice each month for the duration of thetreatment" B. "You should remain at least 6 feet away from others between treatments" C. "You should expect to have blood in your urine for a few days after treat-ment" D. "Youwill need to stay still in the bed during each treatmentsession": D."Youwill need to stay still in the bed during each treatment session" 9. A nurse is planning care for a client who is scheduled for a thoracentesis.Which of the following interventions should the nurse include in the plan? A. Encourage the client to take deep breaths after the procedure B. Assist the client to hold their arms up during the procedure C. Instruct the client to remain NPO after midnight prior to the procedure 5 / 18 D. Keep the client on bedrest for 8 hr following the procedure: A. Encourage the client to take deep breaths after the procedure 10. A nurse is caring for a client who is receiving a blood transfusion. The client becomes restless, dyspneic, and has crackles noted to the lung bases. Whichof the following actions should the nurse anticipate taking? A. Administer an antihistamine B. Slow the infusion rate C. Give the client a corticosteriod D. Elevate the client's lower extremities: B. Slow the infusion rate 11. A nurse is providing preoperative teaching for a client who is scheduled for a mastectomy. Which of the following statements should the nurse make? A. "You should accept your body image change before discharge" B. "It isimportant for you to look at the incisionalsite when the dressings areremoved" C. "I will refer you to community resources that can provide support" D. "The scar will remain red and raised for many years after surgery": C. "I willrefer you to community resources that can provide support" 6 / 18 12. A nurse is teaching a family about the care of a patient who has a new diagnosis of Alzheimer's disease.Which of the following information shouldthe nurse include in the teaching? A. Position tabletop clocks with multi-colored backgroundsthroughout thehome B. Explain how to complete a task while having the client do the task C. Place a calendar on the wall with days and weeks included D. Create complete outfits and allow the client to select one each day: D. Createcomplete outfits and allow the client to select one each day 13. A nurse is caring for a client who has breast cancer and tellsthe nurse thatthey would like to have acupunture because it provides greaterreliefthan painmedication.Which of the following statements should the nurse make? A. "Acupuncture is not an approved treatment for cancer pain" B. "I can speak to the provider about incorporating acupuncture into yourtreatment plan" C. "I will ask the providerto prescribe a stronger medication to help ease yourpain" D. "I can contact a familymember orspiritual advisorfor you to speakwith": B."I can speak to the provider about incorporating acupuncture into your treatment plan" 14. A nurse is caring for a client following extubation of an endotracheal tube10 min ago. Which of the following findings should the nurse report to the provider immediately? A. Stridor 7 / 18 B. Oral secretions C. Hoarseness D. Sore throat: A. Stridor 15. A nurse is reviewing the laboratory findings of a client who developed chest pain 6 hr ago.The nurse should identify which of the following findingsas an indication of a myocardial infarction (MI)? A. Creatine kinase (CK-MB) 85 mg/dL B. High-density lipoprotein (HDL) 65 mg/dL C. Alanine aminotransferase (ALT) 28 units/L D. Troponin I 8 ng/mL: D.Troponin I 8 ng/mL 16. A nurse is preparing to administer a blood transfusion to a client who hasanemia.Which of the following actions should the nurse take first? A. Obtain the client's vital sign