PN ADULT MEDICAL SURGICAL ONLINE PRACTICE 2019 EXAM ALL 180 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES|ALREADY GRADED A+<\/p>\n\n\n\n
PN ADULT MEDICAL SURGICAL ONLINE PRACTICE
2019 EXAM ALL 180 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES|ALREADY
GRADED A+
A nurse is participating in a health fair for older adult clients. Which of
the following vaccines should the nurse recommend for this age group? –
ANSWER- Herpes zoster
Rationale:
The nurse should recommend the herpes zoster vaccine for adults who<\/p>\n\n\n\n
The nurse should recommend the meningococcal vaccine to college
students and military recruits who are living in shared housing.
The nurse should recommend the HPV vaccine for clients who are 9 to
26 years of age.
The nurse should recommend the MMR vaccine to clients who are 62
years of age.<\/p>\n\n\n\n
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
procedures? – ANSWER- Creatinine 1.9 mg\/dL
Rationale:
Creatinine 1.9 mg\/dL is not within the expected reference range.
Therefore, the nurse should report the finding to the provider before the
client has a CT scan with an IV contrast agent. This finding places the<\/p>\n\n\n\n
Expected ranges:
Calcium (ca) 9 – 10.5 mg\/dL
Sodium (Na) 136 – 145 mEq\/L
Potassium (K) 3.5 – 5 mEq\/L
A nurse is reinforcing teaching about home care with a client who had
knee arthroplasty. Which of the following factors should the nurse
identify as an indication that a barrier to learning might be present? –
ANSWER- The client stops the nurse and asks for pain medication
Rationale:
The nurse should identify that a client who is in pain will not be able to
concentrate, which can interfere with their ability to learn.<\/p>\n\n\n\n
A nurse is caring for a client who has a acute ischemic stroke 1 day ago.
Which of the following actions should the nurse take to reduce the risk
for aspirations? – ANSWER- Allow for 30 min of rest before meals.
Rationale:
The nurse should allow the client to rest for 30 min before meals to
prevent aspiration.
A nurse is contributing to the plan of care for a client who has multiple
sclerosis and is taking dantrolene to manage muscle spasms. Which of
the following interventions should the nurse include? – ANSWEREncourage the client to complete ADLs.
Rationale:
The nurse should encourage the client to complete ADLs and provide
assistance as needed. Performing self-care increases the client’s
independence, strength, and level of functioning.
A nurse is reinforcing about joint protection with a clietn who has an
acute exacerbation of rheumatoid arthritis. Which of the following
information should the nurse include in the teaching? – ANSWERApply cold packs to the inflamed joints
Rationale: The nurse should instruct the client to use both warm and
cold packs on inflamed joints to decrease pain.<\/p>\n\n\n\n
The nurse should instruct the client to participate in low-impact aerobic
exercises, which will not inflame the client’s joints.
The nurse should instruct the client to carry a shoulder bag, which places
the stress on larger muscles.
The nurse should instruct the client to sleep on a firm mattress to support
their joints.
A nurse is caring for a client who is schedules for surgery and is
experiencing anxiety. Which of the following interventions should the
nurse identify as the priority? – ANSWER- Determine the client’s
understanding of the procedure.
Rationale: When using the nursing process, the first action the nurse
should take is to collect data from the client. Therefore, the nurse should
determine the client’s understanding of the procedure to reinforce
necessary teaching, which can help manage their anxiety.
A nurse is caring for a client who reports stomatitis. Which of the
following dietary recommendations should the nurse make? –
ANSWER- Eat soft foods.
Rationale:
The nurse should instruct a client who has stomatitis to eat soft,
nonirritating foods to decrease irritation to the oral mucosa.<\/p>\n\n\n\n