{"id":116785,"date":"2023-08-26T06:45:30","date_gmt":"2023-08-26T06:45:30","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=116785"},"modified":"2023-08-26T06:45:31","modified_gmt":"2023-08-26T06:45:31","slug":"rn-adult-medical-surgical-2023-with-ngn-2-latest-versions-version-a-and-version-b-actual-exam-180-questions-and-correct-detailed-answers-with-rationales-verified-answers-already-graded-a","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/26\/rn-adult-medical-surgical-2023-with-ngn-2-latest-versions-version-a-and-version-b-actual-exam-180-questions-and-correct-detailed-answers-with-rationales-verified-answers-already-graded-a\/","title":{"rendered":"RN ADULT MEDICAL SURGICAL 2023 WITH NGN 2 LATEST VERSIONS (VERSION A AND VERSION B) ACTUAL EXAM 180 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+"},"content":{"rendered":"\n<ul class=\"wp-block-list\">\n<li><\/li>\n<\/ul>\n\n\n\n<p>RN ADULT MEDICAL SURGICAL 2023 WITH NGN 2<br>LATEST VERSIONS (VERSION A AND VERSION B)<br>ACTUAL EXAM 180 QUESTIONS AND CORRECT<br>DETAILED ANSWERS WITH RATIONALES (VERIFIED<br>ANSWERS) |ALREADY GRADED A+<br>VERSION A<br>A nurse is teaching a young adult client how to perform testicular selfexamination. Which of the following instructions should the nurse<br>include? &#8211; CORRECT ANSWER- Roll each testicle between the thumb<br>and fingers.<br>Rationale: The nurse should instruct the client to roll each testicle<br>horizontally between the thumbs and fingers to feel for any lumps deep<br>in the center of the testicle.<br>A nurse is caring for a client who has a new diagnosis of<br>hyperthyroidism. Which of the following is the priority assessment<br>finding that the nurse should report to the provider? &#8211; CORRECT<br>ANSWER- Blood pressure 170\/80 mm Hg<br>Rationale: Using the urgent vs. nonurgent approach to client care, the<br>nurse should determine that the priority finding is a systolic blood<br>pressure of 170 mm Hg, which indicates that the client is at risk for<br>thyroid storm.<\/p>\n\n\n\n<p>A nurse is caring for a client who is undergoing hemodialysis to treat<br>end-stage kidney disease (ESKD). The client reports muscle cramps and<br>a tingling sensation in their hands. Which of the following medications<br>should the nurse plan to administer? &#8211; CORRECT ANSWER- Calcium<br>carbonate<br>Rationale: Hypocalcemia is a manifestation of ESKD and an adverse<br>effect of dialysis. Often occurring late in the dialysis session,<br>hypocalcemia can cause the client to experience muscle cramping and<br>tingling to extremities. The nurse should plan to administer a calcium<br>supplement, such as calcium carbonate, as a calcium replacement.<br>A nurse is caring for a client who is having a seizure. Which of the<br>following interventions is the nurse&#8217;s priority? &#8211; CORRECT ANSWERTurn the client to the side.<br>Rationale: The greatest risk to this client is hypoxia from an impaired<br>airway. Therefore, the priority intervention the nurse should take is to<br>place the client in a side-lying position to prevent aspiration.<br>A nurse is preparing a client who has supraventricular tachycardia for<br>elective cardioversion. Which of the following prescribed medications<br>should the nurse instruct the client to withhold for 48 hr prior to<br>cardioversion? &#8211; CORRECT ANSWER- Digoxin<br>Rationale: Cardiac glycosides, such as digoxin, are withheld prior to<br>cardioversion. These medications can increase ventricular irritability and<\/p>\n\n\n\n<p>put the client at risk for ventricular fibrillation after the synchronized<br>countershock of cardioversion.<br>A nurse in a provider&#8217;s office is assessing a client who has hypertension<br>and takes propranolol. Which of the following findings should indicate<br>to the nurse that the client is experiencing an adverse reaction to this<br>medication? &#8211; CORRECT ANSWER- Report of a night cough<br>Rationale: The nurse should recognize that a night cough is an early<br>indication of heart failure and report this adverse reaction to the<br>provider.<br>A nurse is creating a plan of care for a client who has neutropenia as a<br>result of chemotherapy. Which of the following interventions should the<br>nurse include in the plan? &#8211; CORRECT ANSWER- Monitor the client&#8217;s<br>temperature every 4 hr.<br>Rationale: The nurse should monitor the temperature of a client who<br>has neutropenia every 4 hr because the client&#8217;s reduced amount of<br>leukocytes greatly increases the client&#8217;s risk for infection.<br>A nurse is caring for a client who was just admitted from the emergency<br>department (ED) &#8211; CORRECT ANSWER- Acute chest syndrome and<br>pneumonia<br>Rationale: Fluid volume overload is incorrect. While the client is<br>experiencing an increased respiratory rate and shortness of breath, fluid<\/p>\n\n\n\n<p>volume overload typically includes moist crackles on auscultation,<br>pitting edema in dependent areas, neck vein distension, and<br>hypertension.<br>Right-sided heart failure is incorrect. While clients who have sickle-cell<br>disease are at risk for developing heart failure, the client does not have<br>manifestations of right-sided heart failure. Right-sided heart failure<br>typically presents with signs of fluid volume overload, which includes<br>jugular vein distention, dependent edema, and blood pressure alterations.<br>Acute chest syndrome is correct. The client is most likely experiencing<br>acute chest syndrome, which can be caused by respiratory infections and<br>debris from sickled cells. The client is displaying manifestations of acute<br>chest syndrome, which include cough, shortness of breath, wheezing,<br>tachypnea, fever, and chest pain.<br>Pneumonia is correct. The client is most likely experiencing pneumonia<br>as evidenced by the manifestations of cough, shortness of breath, fever,<br>tachypnea, blood-tinged sputum, and chest pain.<br>Pneumothorax is incorrect. While the client is experiencing increased<br>respiratory distress, a pneumothorax typically presents with reduced or<br>absent breath sounds and unequal chest expansion.<br>A nurse is caring for a client who has pancreatitis. The nurse should<br>expect which of the following laboratory results to be below the<br>expected reference range? &#8211; CORRECT ANSWER- Calcium<br>Rationale: A client who has pancreatitis is expected to have decreased<br>calcium and magnesium levels due to fat necrosis.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>RN ADULT MEDICAL SURGICAL 2023 WITH NGN 2LATEST VERSIONS (VERSION A AND VERSION B)ACTUAL EXAM 180 QUESTIONS AND CORRECTDETAILED ANSWERS WITH RATIONALES (VERIFIEDANSWERS) |ALREADY GRADED A+VERSION AA nurse is teaching a young adult client how to perform testicular selfexamination. Which of the following instructions should the nurseinclude? &#8211; CORRECT ANSWER- Roll each testicle between the [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-116785","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/116785","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=116785"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/116785\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=116785"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=116785"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=116785"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}