PN ADULT MEDICAL SURGICAL ONLINE PRACTICE FORM A AND B 2020 EXAM ALL 180 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES|ALREADY GRADED A+<\/p>\n\n\n\n
PN ADULT MEDICAL SURGICAL ONLINE PRACTICE FORM
A AND B 2020 EXAM ALL 180 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES|ALREADY
GRADED A+
FORM A
A nurse is reinforcing teaching about the management of constipation
with a client who has hypothyroidism. Which of the following
instructions should the nurse include in the teaching?
Increase intake of fiber-rich foods.
Take a laxative every morning
Maintain a fluid intake of 1,200 mL\/day.
Limit activity to preserve energy. \u2022 – ANSWER- Increase intake of fiberrich foods.
A nurse is reinforcing teaching with a client who is scheduled for a
guaiac fecal occult blood test. Which of the following instructions
should the nurse include in the teaching?
Do not eat or drink for 6 hr prior to the test
Ensure that the stool specimen is obtained in the morning.
Take ibuprofen for mild pain until the test is complete.
Avoid eating red meat for 3 days prior to the test. – ANSWER- Avoid
eating red meat for 3 days prior to the test.<\/p>\n\n\n\n
A nurse is collecting data from a client who has hypokalemia. Which of
the following findings should the nurse identify as the priority?
Muscle weakness
Dysrhythmia
Abdominal pain
Lethargy – ANSWER- Dysrhythmia
A nurse is collecting data from a 55-year-old female client who reports
vaginal dryness and hot ashes. The client is interested in trying hormone
replacement therapy (HRT). Which of the following should the nurse
recognize as a contraindication to HRT?
Five-year history of menopause manifestations
History of treatment for blood clots
Topiramate use for migraine headaches
Increased serum cholesterol levels – ANSWER- History of treatment for
blood clots
A nurse is caring for a client who is receiving chemotherapy. The client
mentions that they have a loss of appetite because of sores in their mouth
and that food no longer tastes good. Which of the following suggestions
to the client should the nurse make?<\/p>\n\n\n\n
Drink water before and after each bite.
Consume foods that are served hot rather than cold.
Rinse with a glycerin-based mouthwash before meals.
Eat several, small-portioned meals daily. – ANSWER- Eat several,
small-portioned meals daily.
A nurse is reinforcing discharge instructions with a client who is
postoperative following a right hip arthroplasty. Which of the following
statements should the nurse make?
“You may cross your legs in 60 days.”
“Avoid lying on your operative side.”
“Avoid bending your hips more than 90 degrees.”
“You may sleep on a soft mattress.” – ANSWER- “Avoid bending your
hips more than 90 degrees.”
A nurse is caring for a client who is 1 day postoperative following a hip
arthroplasty. The client is exhibiting hypotension, tachycardia, and
tachypnea. The nurse should recognize that these findings indicate
which of the following complications?
Wound infection
Pulmonary embolism
Thrombophlebitis
Paralytic ileus – ANSWER- Pulmonary embolism<\/p>\n\n\n\n
A nurse is reinforcing teaching with a client who has mitral valve
disease. Which of the following statements by the client indicates an
understanding of the disease process?
“I should call my doctor if I get a headache.”
“I might develop gastric reux.”
“I might develop excessive bruising.”
“I should call my doctor if my ankles swell.” \u2022 – ANSWER- “I should
call my doctor if my ankles swell.”
A nurse is reviewing the laboratory results of a client who is scheduled
for a CT scan with an IV contrast agent. Which of the following
laboratory findings should the nurse report to the provider prior to the
procedure?
Sodium 136 mEq\/L
Potassium 4.8 mEq\/L
Creatinine 1.9 mg\/dL
Calcium 10 mg\/dL – ANSWER- Creatinine 1.9 mg\/dL
A nurse is contributing to the plan of care for a client who has COPD
and is dyspneic. Which of the following interventions should the nurse
include in the plan?<\/p>\n\n\n\n