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Exam (elaborations)

RN Adult Medical Surgical Practice A 2024 Actual Questions with Verified Answers, 100% Guarantee Pass

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  • RN Adult Medical Surgical
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  • RN Adult Medical Surgical

RN Adult Medical Surgical Practice A 2024 Actual Questions with Verified Answers, 100% Guarantee Pass

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  • September 3, 2024
  • 31
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • RN Adult Medical Surgical
  • RN Adult Medical Surgical
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RN Adult Medical Surgical Practice A.pdf file:///C:/Users/HP/Desktop/SSSSSSS/RN%20Adult%20Medical%20S




RN Adult Medical Surgical Practice A


1. A nurse is reviewing the medical record of a client who has systemic lupus

erythematosus. Which of the following findings should the nurse expect

ANS Fa- cial butterfly rash.


R: A butterfly rash is a manifestation of SLE. It appears as a dry red rash on the clients cheeks and

nose and can disappear during times of remission.

2. A nurse is caring for a client who is receiving plasmapheresis through a venous access

site. Which of the following actions should the nurse take

ANS - Check electrolyte levels before and after therapy.


R: Plasmapheresis can cause citrate induced hypocalcemia. Therefore the nurse should monitor

the clients electrolyte levels before and after therapy.

3. A nurse is assessing a client who has Graves disease. Which of the fol- lowing images

should indicate to the nurse that the client has exophthal- mos

ANS The nurse should identify an outward protrusion of the eyes is exophthalmos a common

finding of graves disease. An overproduction of the thyroid hormone causes edema of the





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extraocular muscle and increases fatty tissue behind the eye which results in the eyes

protruding outward. Exophthalmos can cause the client to experience problems with vision

including focusing on objects as well as pressure on the optic nerve.

4. A nurse is performing a cardiac assessment for a client who had a myocar- dial

infarction 2 days ago. Which of the following actions should the nurse take first after

hearing the following sound

ANS Listen with the client on his left side. When providing nursing care the nurse should first

use the least invasive intervention. Therefore after auscultating a murmur the first action the

nurse should take is to place the client on his left side and listen to his heart again.

5. 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 an

understanding of the teaching question mark: I am dieting to lose weight. Excess weight cut

creates increased abdominal pressure that can result in stress incontinence.

6. A nurse is reviewing the ABG results of a client who has advanced COPD. Which of the

following results should the nurse expect

ANS Paco2 of 56. A client who has COPD retains paco2 due to the weakening and the collapse of

the alveolar sacs which decreases the area and lungs for gas exchange and causes the paco2 to

increase above the expected reference range.





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7. A nurse is providing teaching to a client who is perimenopausal and has a

prescription for hormone replacement therapy. For which of the following adverse

effects should the nurse instruct the client to notify the provider?









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Select all that apply.: Calf pain, numbness in the arms and intense headache. Calf pain is an

indication of DVT and the client should report this finding to the provider immediately.

Numbness in the arms can indicate cerebrovascular accident which is an adverse effect of

hormone replacement therapy and an intense headache can indicate a cerebrovascular accident.

8. A nurse is providing teaching to a client who has chronic kidney disease and a new

prescription for erythropoietin.Which of the following statements by the client indicates an

understanding of the teaching

ANS I am taking this medication to increase my energy level. The goal of erythropoietin therapy is

to increase the level of hematocrit and clients who have anemia. When the medication is

effective the client should have a decreasing fatigue and an improvement and activity tolerance.

9. A nurse is teaching a client who has venous insufficiency about self-care. Which of the

following statements should the nurse identify as an indication that the client

understands teaching

ANS I will wear clean graduated compression stockings everyday. The client should apply a

clean pair of graduated compression stockings each day and clean soiled stockings with mild

detergent and warm water by hand.

10. A nurse is preparing to present a program about atherosclerosis at a health fair.







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