RN Adult Medical Surgical Online Practice 2019 A With NGN Questions and Answers<\/p>\n\n\n\n
RN Adult Medical Surgical
1
RN Adult Medical Surgical Online
Practice 2019 A With NGN Questions
and Answers
A nurse is assessing a client who has had a plaster cast applied to their left leg 2 hr
ago. Which of the following actions should the nurse take?
(Correct Ans: -Check that one finger fits between the cast and the leg.
To make sure the cast is not too tight, the nurse should be able to slide one finger
under the cast. It is not uncommon for casts to loosen as swelling subsides, but
that should not be an issue 2 hr after application.
A nurse is providing teaching to a client who has esophageal cancer and is to
undergo radiation therapy. Which of the following statements should the nurse
identify as an indication that the client understands the teaching?
(Correct Ans: -“I will use my hands rather than a washcloth to clean the radiation
area.”
The client should gently wash the radiation area with their hands using warm water
and mild soap to protect the skin from further irritation.
A nurse is planning to provide discharge teaching for the family of an older adult
client who has hemianopsia and is at risk for falls. Which of the following
instructions should the nurse include?
(Correct Ans: -Remind the client to scan their complete range of vision during
ambulation.
The nurse should instruct the family to remind a client who has hemianopsia, or
blindness in half of the visual field, to use visual scanning to look over their
complete range of vision during ambulation. This practice can accommodate for the
loss of vision and help to reduce the risk for falls.
A nurse has received change-of-shift report for a group of clients. Which of the
following clients should the nurse assess first?
(Correct Ans: -A client who had a myocardial infarction (MI) 4 days ago and is
asking for a PRN sublingual nitroglycerin tablet
A nurse is caring for a client who is postoperative following a total hip arthroplasty.
Which of the following laboratory values should the nurse report to the provider?<\/p>\n\n\n\n
RN Adult Medical Surgical
2
(Correct Ans: -Hgb 8 g\/dL
A nurse in a provider’s office is assessing a client who has migraine headaches and
is taking feverfew to prevent headaches. The nurse should identify that which of
the following client medications interacts with feverfew?
(Correct Ans: -Naproxen
An older adult client is brought to an emergency department by a family member.
Which of the following assessment findings should cause the nurse to suspect that
the client has hypertonic dehydration?
(Correct Ans: -Urine specific gravity 1.045
A nurse is preparing to admit a client who has dysphagia. The nurse should plan to
place which of the following items at the client’s bedside?
(Correct Ans: -Suction machine
A nurse in a provider’s office is assessing a client who has hypertension and takes
propranolol. Which of the following findings should indicate to the nurse that the
client is experiencing an adverse reaction to this medication?
(Correct Ans: -Report of a night cough
A nurse is caring for a client who has a new prescription for total parenteral
nutrition (TPN). The client is to receive 2,000 kcal per day. The TPN solution has
500 kcal\/L. The IV pump should be set at how many mL\/hr? (Round the answer to
the nearest whole number. Use a leading zero if it applies. Do not use a trailing
zero.)
(Correct Ans: -167
X mL\/hr = Volume (mL)\/Time (hr)
X mL\/hr =4000mL\/24 hr
X mL\/hr = 166.67
Round if necessary. 166.67 = 167 mL\/hr
A nurse is caring for a client who is having a seizure. Which of the following
interventions is the nurse’s priority?
(Correct Ans: -Turn the client to the side.
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