RN Adult Medical Surgical Online Practice NGN Save, Exams of Public Health

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RN Adult Medical Surgical Online Practice with NGN

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a nurse is caring for a client who has hepatic encephalopathy that is being treated with lactulose. the client is experiencing excessive stools. which of the following findings is an adverse effect of the medication?

• ANSWER>>hypokalemia a nurse is caring for a client who has emphysema and is receiving mechanical ventilation. the client appears anxious and restless, and the high-pressure alarm is sounding. which of the following actions should the nurse take first?
• ANSWER>>instruct the client to allow the machine to breathe for them a nurse is teaching a client who has a family history of colorectal cancer. to help mitigate this risk, which of the following dietary alterations should the nurse recommend?
• ANSWER>>add cabbage to the diet a home health nurse is assigned to a client who was recently discharged from a rehabilitation center after experiencing a right-hemispheric stroke. which of the following neurological deficits should the nurse expect to find when assessing the client?
• ANSWER>>visual spatial deficits left hemianopsia one-sided neglect a nurse is caring for a client who has viral pneumonia. the client's pulse oximeter readings have fluctuated between 79% and 88% for the last 30 min. which of the following oxygen delivery systems should the nurse initiate to provide the highest concentration of oxygen?

• ANSWER>>nonrebreather mask a nurse is caring for a client who has bilateral pneumonia and an SaO2 of 85%. the client has dyspnea with a productive cough and is using accessory muscles to breathe. which of the following actions should the nurse take first?
  • ANSWER>>place the client in high-fowler's position a nurse is planning care for a client who has extensive burn injuries and is immunocompromised. which of the following precautions should the nurse include in the plan of care to prevent a Pseudomonas aeruginosa infection.
• ANSWER>>avoid placing plants or flowers in the client's room 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?
  • ANSWER>>Urine specific gravity of 1. a nurse in an emergency department is reviewing the providers prescriptions for a client who sustained a rattlesnake bite to the lower leg. which of the following prescriptions should the nurse expect?
  • ANSWER>>administer an opioid analgesic to the client a nurse is assessing a client who has had a suspected stroke. the nurse should place the priority on which of the following findings?
• ANSWER>>dysphagia a nurse is teaching a young adult client how to perform testicular self-examination. which of the following instructions should the nurse include?

a nurse is planning teaching for a client who has bladder cancer and is to undergo a cutaneous diversion procedure to establish a ureterostomy. which of the following statements should the nurse include in the teaching

• ANSWER>>you should cut the opening of the skin barrier one-eighth inch wider than the stoma a nurse is providing teaching for a female client who has recurrent urinary tract infections. which fo the following information should the nurse include in the teaching?
• ANSWER>>void before and after intercourse a nurse and an assistive personnel are caring for a client who has bacterial meningitis. the nurse should give the AP which of the following instructions?
• ANSWER>>wear a mask a nurse is caring for a client who is 12 hr postoperative following a total hip arthroplasty. which of the following actions should the nurse take?
• ANSWER>>place a pillow between the client's legs 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 interact with feverfew
• ANSWER>>naproxen a nurse is caring for a client who has pancreatitis. the nurse should expect which of the following laboratory results to be below the expected reference range?
• ANSWER>>calcium

a nurse is providing discharge instructions to a client following an upper gastrointestinal series with barium contract. which of the following information should the nurse provide? - ANSWER>>increase fluid intake a nurse is assessing a client who had extracorporeal shock wake lithotripsy (ESWL) 6 hr ago. which of the following findings should the nurse expect? - ANSWER>>stone fragments in the urine a nurse is assessing a group of clients for indications of role changes. the nurse should identify that which of the following clients is at risk for experiencing a role change? - ANSWER>>a client who has multiple sclerosis and is experiencing progressive difficulty ambulating a nurse is caring for a client who has a new diagnosis of hyperthyroidism. which of the following is the priority assessment finding that the nurse should report to the provider? - ANSWER>>blood pressure 170/80 mm Hg a nurse is providing discharge instructions to a client who has a partial-thickness burn on the hand. which of the following instructions should the nurse include? - ANSWER>>wrap fingers with individual dressings a nurse is providing teaching to a client who is receiving chemotherapy and has a new prescription for epoetin alfa. which of the following client statements indicates an understanding of the teaching? - ANSWER>>I will monitor my blood pressure while taking this medication a nurse is providing discharge teaching to a client who has heart failure and a new prescription for a potassium-sparing diuretic. which of the following information should the nurse include in the teaching?

• ANSWER>>try to walk at least three times per week for exercise a nurse is caring for a client who has HIV. which of the following findings indicates a positive response to the prescribed HIV treatment? - ANSWER>>decreased viral load 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? - ANSWER>>Hgb 8 g/dL

decerebrate posturing 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? - ANSWER>>remind the client to scan their complete range of vision during ambulation a nurse in an emergency department is caring for a client who reports visiting and diarrhea for the past 3 days. which of the following findings should indicate to the nurse that the client is experiencing fluid volume deficit? - ANSWER>>heart rate 110/min a nurse is caring for a client who is on bed rest and has a new prescription for enoxaparin subcutaneous. which of the following actions should the nurse take? - ANSWER>>inject the medication into the anterolateral abdominal wall a nurse in a provider's office is caring for a client who requests sildenafil to treat erectile dysfunction. which of the following statements should the nurse take? - ANSWER>>you will not be able to use sildenafil if you are taking nitroglycerin a nurse in an emergency department is assessing a client who has a detached retina. which of the following should the nurse expect the client to report? - ANSWER>>it's like a curtain closed over my eye a nurse is providing teaching to an older adult client who has cancer and a new prescription for an opioid analgesic for pain management. which of the following information should the nurse include in the teaching? - ANSWER>>you should void every 4 hours to decrease the risk of urinary retention a nurse is assessing a client following the administration of magnesium sulfate 1 g IV bolus. for which of the following adverse effects should the nurse monitor? - ANSWER>>respiratory paralysis a nurse is assessing a male client for an inguinal hernia. which of the following areas should the nurse palpate to verify that the client has an inguinal hernia? - ANSWER>>C a nurse is caring for a client who has type 1 diabetes mellitus and has had acute bronchitis for the past 3 days. which of the following statements should the nurse include when instructing the client? - ANSWER>>take insulin even if you are unable to eat your regular diet

a nurse has received change-of-shift report for a group of clients. which of the following clients should the nurse assess first? - ANSWER>>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 has amyotrophic lateral sclerosis (ALS) and is being admitted to the hospital with pneumonia. which of the following assessment findings in the nurse's priority? - ANSWER>>increased respiratory secretions a nurse is creating a plan of care for a client who has neutropenia as a result of chemotherapy. which of the following interventions should the nurse include in the plan? - ANSWER>>monitor the client's temperature every 4 hrs. a nurse is providing teaching to a client who has hypothyroidism and is receiving levothyroxine. The nurse should instruct the client that which of the following supplements can interfere with the effectiveness of the medication? - ANSWER>>calcium a nurse is caring for a client who has anorexia, low-grade fever, night sweats, and a productive cough. which of the following actions should the nurse take first? - ANSWER>>initiate airborne precautions a nurse in an acute care facility is caring for a client who is at risk for seizures. which of the following precautions should the nurse implement? - ANSWER>>ensure that the client has a patent IV A nurse is caring for a client who is receiving total parenteral nutrition (TPN). a new bag is not available when the current infusion is nearly completed. which of the following actions should the nurse take? - ANSWER>>administer dextrose 10% in water until the new bag arrives a nurse is providing dietary teaching to a client who is postoperative following a thyroidectomy with removal of the parathyroid glands. the nurse should instruct the client to include which of the following foods that has the greatest amount of calcium in her diet? - ANSWER>>12 almonds a nurse is caring for a client who is experiencing a tonic-clonic seizure. which of the following actions should the nurse take? - ANSWER>>loosen restrictive clothing

brings the crutches and effected leg up to the stair. a nurse in an emergency department is caring for a client who is experiencing a thyroid storm. which of the following manifestations should the nurse expect? - ANSWER>>fever hypertension tachycardia a nurse is caring for a client who has a prescription for enalapril. the nurse should identify which of the following findings as an adverse effect of the medication? - ANSWER>>orthostatic hypotension a nurse is providing teaching to a client who has irritable bowel syndrome (IBS). which of the following instructions should the nurse include in teaching? - ANSWER>>increase fiber intake to at least 30 mg per day a nurse is caring for a client who has a stage 3 pressure injury. which of the following findings contributes to delayed wound healing? - ANSWER>>urine output 25 mL/hr a nurse is caring for a client who is experiencing supraventricular tachycardia. upon assessing the client, the nurse observes the following findings: heart rate 200/min, blood pressure 78/40 mm Hg, and respiratory rate 30/min. which of the following actions should the nurse take? - ANSWER>>perform synchronized cardioversion a nurse is caring for a client who presents to a clinic for a 1-week follow-up visit after hospitalization for heart failure. based on the information in the client's chart, which of the following findings should the nurse report to the provider? - ANSWER>>heart rate 55/min a nurse is planning to irrigate and dress a client, granulating wound for a client who has a pressure injury. which of the following actions should the nurse take? - ANSWER>>use a 30-mL syringe 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? - ANSWER>>167 mL/hr

a nurse is caring for a client who is receiving morphine for daily dressing changes. the client tells the nurse, "I don't want any more morphine because I don't want to get addicted." which of the following actions should the nurse take? - ANSWER>>instruct the client on alternative therapies for pain reduction a nurse is planning care to decreased psychosocial health issues for a client who is starting dialysis treatments for chronic kidney disease. which of the following interventions should the nurse include in the plan? - ANSWER>>tell the client that it is possible to return to similar previous levels of activity a nurse in a provider's office assessing a client who has hypertension and takes propranolol. which of the following findings should indicate to the nurse that a client is experiencing an adverse reaction to this medication? - ANSWER>>report of a night cough a nurse is reviewing the laboratory results of a client who has cirrhosis. which of the following laboratory values should the nurse expect? - ANSWER>>elevated bilirubin level a nurse is preparing a client who has supra ventricular tachycardia for elective cardioversion. which of the following prescribed medications should the nurse instruct the client to withhold for 48hr prior to cardioversion? - ANSWER>>Digoxin A nurse is providing teaching to an older adult female client who has stress incontinence and a BMI of

32. which of the following statements by the client indicates and understanding of the teaching? - ANSWER>>I am dieting to lose weight a nurse is assessing a client who has graves disease. which of the following images should indicate to the nurse that the client has exophthalmos? - ANSWER>>wide eyes a nurse is caring for a client who has chronic glomerulonephritis with oliguria. which of the following findings should the nurse identify as a manifestation of chronic glomerulonephritis? - ANSWER>>hyperkalemia a nurse in an emergency department is caring for a client who has full-thickness burns over 20% of their total body surface area. after ensuring a patent airways and administering oxygen, which of the following items should the nurse prepare to administer first? - ANSWER>>IV fluids