RN adult medical surgical online practice 2019 B with NGN Questions (Retake 2023) | Multiple Choices| With Complete Solutions<\/p>\n\n\n\n
RN adult medical surgical
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RN adult medical surgical online practice
2019 B with NGN Questions (Retake 2023) |
Multiple Choices| With Complete Solutions
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 should the nurse include in
the teaching?
A. Position tabletop clocks with multi-colored backgrounds throughout the home
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
(ANS- D. Create complete outfits and allow the client to select one each day
A nurse is caring for a client who has breast cancer and tells the nurse that they
would like to have acupunture because it provides greater relief than pain
medication. 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 your treatment
plan”
C. “I will ask the provider to prescribe a stronger medication to help ease your pain”
D. “I can contact a family member or spiritual advisor for you to speak with”
(ANS- B. “I can speak to the provider about incorporating acupuncture into your
treatment plan”
A nurse is caring for a client following extubation of an endotracheal tube 10 min
ago. Which of the following findings should the nurse report to the provider
immediately?
A. Stridor
B. Oral secretions
C. Hoarseness
D. Sore throat
(ANS- A. Stridor<\/p>\n\n\n\n
RN adult medical surgical
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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 findings as 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
(ANS- D. Troponin I 8 ng\/mL
A nurse is preparing to administer a blood transfusion to a client who has anemia.
Which of the following actions should the nurse take first?
A. Obtain the client’s vital signs
B. Describe the blood transfusion procedure to the client
C. Check for the type and number of units of blood to administer
D. Initiate a peripheral IV line
(ANS- C. Check for the type and number of units of blood to administer
A nurse is reviewing the laboratory results of a client who has aplastic anemia.
Which of the following findings indicates a potential complication?
A. RBC count 5.2 million\/mm^3
B. WBC count 2,000\/mm^3
C. Platelets 380,000\/mm^3
D. Potassium 4 mEq\/L
(ANS- B. WBC count 2,000\/mm^3
A nurse is preparing to present a program about prevention of atherosclerosis at a
health far. Which of the following recommendations should the nurse plan to
include? (Select all that apply.)
A. Follow a smoking cessation program
B. Maintain an appropriate weight
C. Eat a low-fat diet
D. Increase fluid intake
E. Decrease intake of complex carbohydrates
(ANS- A, B, C<\/p>\n\n\n\n
RN adult medical surgical
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A nurse is caring for a client who has homonymous hemianopsia as a result of a
stroke. To reduce the risk of falls when ambulating, the nurse should provide which
of the following instructions to the client?
A. “Wear an eye patch over one eye”
B. “Make sure to have a staff member walk on your stronger side”
C. “Scan the environment by turning your head from side to side”
D. “Make sure to look at your feet while walking”
(ANS- C. “Scan the environment by turning your head from side to side”
A nurse is caring for a client who has a pneumothorax and a closed-chest drainage
system. Which of the following findings is an indication of lung re-expansion?
A. The chest tube is draining serosanguineous fluid at 65 mL\/hr
B. The client tolerates gentle milking of the tubing
C. Bubbling in the water seal chamber has ceased
D. There is tidaling in the water seal chamber
(ANS- C. Bubbling in the water seal chamber has ceased
A nurse is providing discharge teaching to a client who is to self-administer heparin
subcutaneously. Which of the following statements by the client indicates an
understanding of the teaching?
A. “I can expect to have blood in my urine during the first week of injections”
B. “I will floss my teeth after each meal”
C. “I will gently massage the site after I inject my medication”
D. “I will use an electric razor to shave”
(ANS- D. “I will use an electric razor to shave”
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 as a 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
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