PN ADULT MEDICAL SURGICAL ONLINE PRACTICE
2024 A EXAM UPDATE WITH MULTIPLE, CORRECTLY
ANSWERED QUESTIONS A+ GRADED
A nurse is preparing to administer furosemide to a client
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who has heart failure. Which of the following findings
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should the nurse report before administering the
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medication? ...ANS: Decreased potassium
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A nurse is reviewing the chart of a client who is
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experiencing an adrenal crisis, which was precipitated
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by the client not taking their medication for several days.
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The nurse should identify that withdrawal from which of
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the following medications potentiated the adrenal
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crisis? ...ANS: Prednisone
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A nurse is assisting with the care for a client who has a
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prescription for digoxin 0.25 mg PO daily. While taking
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the client's apical pulse, the nurse notes a rate of 58/min.
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Which of the following actions should the nurse take?
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...ANS: Withhold the dose.
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A nurse is reinforcing teaching about glycosylated
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hemoglobin (HbA1c) testing with a client who has
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,r diabetes mellitus. Which of the following statements
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r indicates that the client understands the teaching?
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r ...ANS: "I will have my HbA1c checked twice per year."
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A nurse is providing information regarding
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transmission-based precautions for a client who has
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Clostridium difficile to an assistive personnel (AP).
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Which of the following instructions should the nurse
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include? (Select all that apply.) ...ANS: "Provide the
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client with disposable utensils and dishes for meals."
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"Leave blood pressure equipment in the client's room."
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"Clean contaminated surfaces with a bleach solution."
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A nurse is reinforcing teaching with a client who has
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coronary artery disease. Which of the following
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instructions should the nurse include in the teaching?
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...ANS: "Add oily fish to your diet twice weekly."
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A nurse in an oncology clinic is reinforcing teaching
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about Mohs surgery with a client who has skin cancer.
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Which of the following information should the nurse
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include in the teaching? ...ANS: Mohs surgery is a
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horizontal shaving of thin layers of the tumor.
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,A nurse is collecting data from an older adult client who
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has several concerns. Which of the following concerns
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should the nurse recognize as an expected change
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associated with aging? ...ANS: "My food tastes bland
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even after I add seasoning."
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A nurse is reinforcing dietary teaching with a client
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about increasing the intake of foods containing vitamin C
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to enhance absorption of oral iron supplements. Which
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of the following food choices should the nurse include in
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the teaching? ...ANS: 1 cup of boiled broccoli
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A nurse is assisting with the care for a client who is 2 hr
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postoperative following the amputation of a foot. Which
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of the following actions should the nurse take first?
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...ANS: Check the incisional dressing.
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A nurse is assisting with the care of a client who is
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postoperative following abdominal surgery.
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Exhibit 1 r
Nurses' Notes r
1100:
Client received from PACU; initial vital signs recorded.
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Client is drowsy but arouses to verbal stimuli. Oriented
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to person, place, and time. Client is able to move all
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, r extremities. Normal sinus rhythm noted. Breath sounds r r r r r r
r are clear upon auscultation. Dressing to abdomen is
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r intact with a small amount of serosanguinous drainage
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r noted and marked. No bowel sounds in all four
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r quadrants. Indwelling urinary catheter is in place and r r r r r r r
r draining clear, yellow urine. Lactated Ringer's is infusing
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r at 100 mL/hr via IV catheter in the right forearm.1200:
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Client reports nausea and pain as an 8 on a scale of 0 to
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10. Abdominal dressing is intact with no further
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drainage noted. Urine output of 15 mL noted since
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arrival from PACU. Analgesic and antiemetic were
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administered as prescribed.1230:
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Client reports rel ...ANS: Which of the following actions
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should the nurse take?
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Select all that apply.
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Instruct the client to splint their abdomen with a pillow
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when coughing.
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Report the client's urinary output to the charge nurse.
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Monitor the client's pain level. r r r r
A nurse is assisting with monitoring a client who is
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receiving dialysis treatment.
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Exhibit 1 r
Nurses' Notes r
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