RN ADULT MEDICAL SURGICAL 2019 VERIFIED Q&A (Latest
Update 2022/2023)
1.
... [Show More] Ainurseiisiassessingiaiclientiwhoihasiaidiagnosisionicolonicanceriwhichiofitheifollowingishouldithe
inurseiexpect?
a. Steatorrhea
b. Elevatedihemoglobin
ic. iHematochezia
d. i Weightigain
2. Ainurseiisiassessingiaiclientiadmittediwithiperipheralivascularidisease.iWhichiofitheifollowingifindings
indicates iaivenous ivascularidisorder?
a. Aniulceriatitheitipiofiaitoe
b. Hairilossidistalitoitheiclient’sicalves
c. Legipainiatirest
d. Edemaiofitheiankle
3. Ainurseiisiassessingiaiclientiwhoihasipericarditis.iIniwhichiofitheifollowingiareasiofitheiclient’sichest
ishoulditheinurseiplaceitheistethoscopeitoibestiheariaipericardialifrictionirub? i (selectiHOTispot)
Answer:iD
4. Ainurseiisicaringiforiaiclientiwhoihasiaichestitube.iTheiclientiasksiwhyitheifluidiinitheiwater-seal
ichamberirisesiandifalls.iWhichiofitheifollowingistatementsishoulditheinurseimake?
a. “Thisimeansiyourilungiisifullyiexpandedi“
b. “Thisiindicatesiaipossibleileak”
c. “Suctionipressureithatiis itooihighicauses ithis”
id. i“Youribreathingipattern icauses ithis”i–ipagei111
5. Aicommunityihealthinurseiisireviewingihomeicareiinstructionsiwithianiolderiadulticlientiwhoihasiainew
idiagnosis iofiheartifailure.iWhichiofitheifollowingiisitheipriorityitopic iforitheinurseitoireviewiwithithe
iclient?
a. Dailyisodiumirestriction
b. Dailyiexerciseiroutine
c. Changesiiniweight
d. Fluidiintakeirecord
6. Ainurseiisiteachingiaiclientiaboutitheiuseiofitranscutaneousielectricalinerveistimulationi(TENS)iunit.
iWhichiofitheifollowingistatements ishoulditheinurseiinclude?
a. “Applyilotionitoitheisiteiprioritoiattachingitheielectrodes”
b. “Thisideviceirequiresiaccessitoiai220-voltioutlet”
c. “Thisideviceideliversiheativiaielectrodesithatiareiattacheditoitheiaffectediarea”
id.i“Adjustitheidial iuntil iyouifeel iai‘pins iand ineedles’ isensation”i–ipage i648
7. Ainurseiisiprovidingiteachingitoiaiclientiwhoiisipostoperativeifollowingiaitotalihipiarthroplasty.iWhichiof
itheifollowingistatements ishoulditheinurseimake?
a. “Useiraiseditoiletiseat itoimaintain iyourihips iaboveitheiknees”i–ipagei455
b. “Twistiatitheiwaistiwhenistandingifromiaiseatediposition”
c. “Moveiyouristrongerilegifirstiwheniusingiaiwalker”
d. “Applyiaiheatingipaditoitheioperativeihipitoidecreaseipain”
8. Ainurseifindsiaiclientiinibed,iunresponsiveiandibreathing.iWhichiofitheifollowingiactionishouldithe
inurseitakeifirst?
a. EstablishiIViaccess
b. Applyibloodipressureicuff
c. Palpateiforitheiclient’sicarotidipulse
d. Initiateicardiacimonitoringiforitheiclient
9. Ainurseiisicaringiwhoiisiexperiencingiaihypertensiveicrisis.iWhichiofitheifollowingiactionsishouldithe
inurseitake?
a. InitiateiIVidopamineiinfusion
b. Performineurologicaliassessments
c. Placeitheiclientisupine
d. BeginianiIVibolusiofilactatediringer’s
10. Ainurseiisiprovidingidischargeiteachingiaboutibloodisugarimonitoringiforiaiclientiwhoihasiainew
idiagnosisiofitypei2idiabetesimellitus.iTheinurseishouldiinstructitheiclientitoiobtainiwhichiofithe
ifollowingisupplies?
a. Sterileilancets
b. Compressionistockings
c. Handimirror
d. Toenailiclippers
11. Ainurseiisicompletingidischargeiteachingiwhoihasiaiperipherallyiinsertedicentralicatheteri(PICC)ilineiin
itheileftiarm.iWhichiofitheifollowingiinstructionsishoulditheinurseiincludeiinitheiteaching?
a. Doinotielevateitheiarmiaboveitheileveliofitheiheart
b. Changeitheicatheteridressingidaily
c. Use i10-mLisyringe ito iflush iline i– ipage i176
d. Cleanitheiinsertionisiteiusingi20-imLiofihydrogeniperoxide
12. Ainurseiisipreparinginaloxonei10imcg/kgiviaiIVibolusitoiaiclientiwhoiweightsi220ilbs.iTheiamount
iavailableiisi0.4img/mL.iHowimanyimLishoulditheinurseiadminister?i(rounditoitheinearestitenth)
2.5imL
13. Ainurseiisicaringiforiaiclientiwhoihasiaisealediradiationiimplant.iWhichiofitheifollowingiactionsishould
itheinurseitake?
a. Removeisoiledilinensifromitheiroomiafterieachichange
b. Giveitheidosimeteribadgeitoitheioncominginurseiatitheiendiofitheishift
c. Applyiaisecondipairiofiglovesibeforeitouchingitheiclient’siimplantiifiitidislodges
id. i Limitifamily imemberivisits itoi30iminiperiday iPagei605
14. Ainurseiisiprovidingiteachingitoiaiclientiandihisipartneriaboutiperformingiperitonealidialysisiatihome.
iWhenidiscussingiperitonitis,iwhichiofitheifollowingimanifestationsishoulditheinurseiidentifyiasithe
iearliestiindicationiof ithis icomplication?
a. Generalizediabdominalipain
ib. iCloudyieffluenti–ipagei381
c. Increasediheartirate
d. Fever
15. Ainurseiis icaringiforiaiclientiwhoiis ireceiving iaiblood itransfusion.iTheinurse iobserves ithat itheiclientihas
iboundingiperipheralipulses,ihypertension,iandidistendedijugulariveins.iTheinurseishouldianticipate
iadministeringiwhichiofitheifollowingiprescribedimedications?
a. Pantoprazole
b. Acetaminophen
ic. iFurosemide
d. i Diphenhydramine
16. Ainurseiisiplanningicareiforiaiclientiwhoihasiupperigastrointestinalibleedingidueitoiaipepticiulcer.
iWhichiofitheifollowingiactions ishoulditheinurseiplanitoitake?
a. Provideiketorolaciforiabdominalipain
b. AdministerinitroprussideiIVibasedionitheiclient’siweight
ic. i Insertiailargeiboreinasogastricitubei–ipagei330
d. i Ensureithatitheiclientihasiai22-gaugeiIVilineiiniplace
17. AinurseiisicaringiforiaiclientiwhoihasibladdericanceriandiaiWBCicountiofi900/mm3.iWhichiofithe
ifollowingiactions ishould itheinurseitake?
a. Instructiclient itoiavoid ieating irawifruit i–ipage i615
b. Moveitheiclientitoiainegativeipressureiroom
c. Useicontactiisolationiwhileiprovidingicare
d. Applyipressureitoivenipunctureisitesifori10imin
18. Ainurseiisicaringiforiaipatientiwhoihasihypotension,icooliandiclammyiskin,itachycardiaianditachypnea.
iWhichiofitheifollowingipositions ishoulditheinurseiplaceitheiclient?
a. ReverseiTrendelenburg i– ipage i397
b. Feetielevated
c. Sideilying
d. High-fowler’s
19. Ainurseiisicaringiforiaiclientiwhoiweightsi190ilbiandiisireceivingiTotaliParenteraliNutrition.iIfitheiRDA
iProteiniisi0.8g/kgiofibodyiweight,ihowimanyigramsiofiproteinishoulditheiclientireceiveidailyi(Roundithe
iansweritoitheinearestiwholeinumber.iUseiaileadingizeroiifiitiapplies.iDoinotiuseiaitrailingizero)
Answer:i69igrams
20. Ainurseiisiplanningicareiforiaiclientiwhoihasiaicentralivenousiaccessideviceiforiintermittentiinfusions.
iWhichiofitheifollowingiactions ishould itheinurseiincludeiinitheiplanioficare?
a. Flushiaicatheteriusingiai10imLisyringe
b. Useicleanitechniqueiwhenichangingitheidressing
c. CleanseitheisiteiwithiProvoidineiiodine
d. Changeitheidressingieveryi24ihours
21. Ainurseiisireviewingitheimedicalirecordiofiaiclientiwhoiisitoiundergoiopeniheartisurgery.iWhichiofithe
ifollowingifindingsishoulditheinurseireportitoitheiprovideriasiaicontradictionitoireceivingiheparin?
a. Thalassemia
b. Rheumatoidiarthritis
c. COPD
d. Thrombocytopenia
22. Ainurseiisicaringiforianiolderiadulticlientiwhoihasidementia.iWhichiofitheifollowingiquestionishouldithe
inurseiask itoiassess itheiclient's iabstractithinking?
a. Whatiisimeantibyisayingi“don'tibeatiarounditheibush?”
b. Whatidoiyouiunderstandiaboutiyouricondition?
c. Caniyouicountibackwardsifromi100iiniintervalsiofi7?
d. Caniyouistateiwhereiyouiwereiborn?
23. Ainurseiisicompletingianiassessmentiofianiolderiadulticlientiandinotesireddenediareasioveritheibony
iprominences,ibutitheiclient'siskiniisiintact.iWhichiofitheifollowingiinterventionsishoulditheinurseiinclude
initheiplaniof icare?
a. Applyianiocclusiveidressing
b. Turniandirepositionitheiclientieveryi4ihours
ic. iSupportibonyiprominences iwithipillows
d. i MassageiTouretteiiniareasithreeitimesidaily
24. Ainurseiisireviewingiaicardiacirhythmistripiofiaiclientiwhoihasiatrialiflutter.iWhichiofitheifollowing
ifindings ishoulditheinurseiexpect?
a. ProgressivelyilongeriPRidurations
b. Undetectableipiwaves
c. AbsentiPRiintervalsiwithiventricularirateiofi40itoi60i/iminutesid)
id. i Sawtoothipatterniwithiatrial irateiofi252itoi400i/iminutes
25. Ainurseiisicaringiforiaiclientiwhoiisischedulediforianiabdominaliparacentesis.iTheinurseishouldiplanito
itakeiwhichiofitheifollowingiactions?
a. Administeriaistoolisoftenerifollowingitheiprocedure
b. Ask itheiclient itoiempty ihis ibladderiprioritoithe iprocedure i–iPage i311
c. Instructitheiclientitoitakeideepibreathsiandiholdithemiduringitheiprocedure
d. Assistitheiclientiintoitheileftilateralipositioniduringitheiprocedure
26. Ainurseiisiassessingiaiclientifollowingitheiinsertioniofiaicentralivenousicatheter.iWhichiofitheifollowing
ifindings iindicates iaipneumothorax?
a. Diminishedibreathisounds
b. Itchingioveritheiincision
c. Distendedineckiveins
d. Irregulariheartirate
27. Ainurseiisiprovidingiteachingitoiaiclientiwhoiisireceivingiopioidsiforipainimanagement.iWhichiofithe
ifollowingiinformationishoulditheinurseiinclude iinitheiteaching?
a. Monitoriurinaryioutputiforiretention
b. avoiditakingiantiiemeticsiwithitheimedication
c. restrictifluidiintakeiIfiyouiexperienceiconstipation
d. itchingiIndicatesiyouiareihavingianiallergicireactionitoitheimedication
28. Ainurse iis iproviding idischarge iteaching ifor ia iclient iwho ihas iasthma iand ia inew iprescription iforia
imetered idose iinhaler. iWhich iof ithe ifollowing iclient istatements iindicates ian iunderstanding iof ithe
iteaching?
a. Iishouldicleanitheicapiofitheiinhalerionceiperiweek
ib. i IishouldishakeitheiinhaleribeforeiIiuseiit
c. IiShouldiwaiti15isecondsibetweenipuffs
d. Iishouldiinhaleitheimedicationiquickly
29. Ainurseiisiprovidingipreoperativeiteachingiforiaiclientiwhoiisihavingileft-sidedicardiacicatheterization.
iWhichiofitheifollowingiinformationishoulditheinurseiincludeiinitheiteaching?
a. Youishouldiplanitoiremainiinibedifori18ihoursiafteritheiprocedure
b. youiwill ihaveibloodipressureimeasurementieveryi5iminutesiforitheifirstitwoihoursiafterithe
iprocedure
c. Youiwillireceiveiaigeneralianestheticiduringitheiprocedure
d. Youishouldiexpectiwarmisensationiafteritheiinjectioniofitheicontrastidyeiduringitheiprocedurei–
iPagei172
30. Ainurseiisicaringiforiaiclientiwhoihasianemia.iWhichiofitheifollowingiassessmentifindingsishouldithe
inurseianticipateiwithitheiclient'sicondition?
a. Bradycardia
b. Headachei–ipagei265
c. Heatiintolerance
d. Flushediskinicolor
31. AinurseiisiteachingiaiclientiwhoihasiainewiprescriptioniforiWarfariniaboutifoodsithatiaffectitheiINR.
iTheinurseishouldiincludeiinitheiteachingithatiwhichiofitheifollowingiFoodsiinteractiwithithis
imedication?
a. Kalei–ipagei151
b. Beefistew
c. Yogurt
d. Orangeijuice
32. Ainurseiisimonitoringianiolderiadulticlientiwhoihasianiextrapolationiofichronicilymphocyticileukemia.
iTheinurseinotesipetechiaionitheiclient'siskiniwhichiofitheifollowingiactionsishoulditheinurseitake?
a. Determineitheiclient'siblooditype
b. AvoidiadministeringiIVipainimedication
c. Implementiairborneiprecautions
id. i Instituteibleedingiprecautions
33. Ainurseiisiprovidingidischargeiteachingiforiaiclientiwhoiisireceivingitreatmentiforigenitaliherpes.iWhich
iofitheifollowingistatementsibyitheiclientiindicates ieffectivenessiofitheiteaching?
a. Iishouldiexpectitoitakeimyimedicationiforithreeiweeks
b. Iishould iapply iantibiotic iointment itoitheilesions i–ipage i490
c. Iishouldiexpectimyilesionsitoiresolveiini6iweeks
d. Iishouldiuseinaturaliskinicondomsiduringisexualiintercourse
34. Ainurseiinianiemergencyidepartmentiisipreparingiaiclientiforiemergencyisurgery.iTheiclient'siblood
ialcoholileveliis i180imgi/iDL,iwhichiofitheifollowingiactioniis itheinurse’sipriority?
a. InsertianiNGiTube
b. Obtainiconsentiforisurgery
c. Applyianti-embolicistockings
d. Insertianiindwellingiurinaryicatheter
35. Ainurseisuspectsithatiaiclientiwhoihasidiabetesimellitusiisiexperiencingihypoglycemia.iWhichiofithe
ifollowingiassessmentifindings isupportsithis isuspicion?
a. Cool,iclammyiskin
b. Kussmaulirespirations
c. Acetoneibreath
d. Increasediurineioutput
36. Ainurseiisicaringiforiaiclientiwhoiisireceivingiradiation.iTheiclientireportsinauseaisinceitheitherapyiwas
initiated.iWhichiofitheifollowingiconsiderationsishoulditheinurseiincludeiwhenifindingitheiclientsimeals?
a. Offerihotibeveragesiwithimeals
b. Offeriaisnackiprioritoiradiationitherapy
c. Offerihighlyiseasonedifoods
d. Offerifrequent ihigh icarbohydrateimeals i–ipage i366
37. Aichargeinurseireceivesiaicallifromitheihouseisupervisorirequestingiroomiassignmentsiforifourinew
iclients.iBasedionitheiinformationidiagnosisiwhichiofitheifollowingiclientsirequiresiaiprivateiroom?
a. Aiclientiwhoireportsihavingifever,inightisweats,iandicoughifori2idays
b. Aniolderiadulticlientiwhoiwasiadmittediwithiaspirationipneumonia
c. Aiclientiwhoihasidiabetesimellitusiandiisipresentingiwithiacuteiketoacidosis
d. Aiclientiwhoihasiaicompoundifractureiofitheirightifemur
38. Ainurseiinianiemergencyidepartmentiisiassessingiaiclientiwhoihasidiabeticiketoacidosis.iWhichiofithe
ifollowingifindings ishoulditheinurseiexpect?i(selectiall itheiapply)
a. Tremors
b. Reportsiofinauseaiandivomiting
ic. iSerumiglucosei380img/dL
d. SerumipHi7.6
e. Fruityismellingibreath
39. AinurseiisiplanningiaistaffieducationisessioniaboutihepatitisiA.iWhichiofitheifollowingiinformation
ishoulditheinurseiinclude?
a. ImmunizationiforiHepatitisiAisirecommendediprioritoitravelitoihigh-riskiareas
b. TheiincubationiofihepatitisiAisi5itoi10idays
c. HepatitisiAisitransmittediisithroughiblood-to-bloodiexposure
d. ClientsiwhoihaveiHepatitisiAirequireiaibroad-spectrumiantibiotic
40. Ainurseiisicaringiforiaiclientiwhoihasiadvancediliveridisease.iWhichiofitheifollowingilaboratoryiresults
ishoulditheinurseimonitoriwheniassessingithis iclient?
a. Phosphateilevel
b. glucoseilevel
c. serumitroponin
d. Serumiammonia
41. Ainurseiisiplanningicareiforiaiclientiwhoihasistatusiepilepticus.iWhichiofitheifollowingiinterventionsiis
itheinurse’s ipriority itoiinclude?
a. AdministeriphenytoiniIVibolusitoitheiclient
b. Provideitheiclientioxygeniati6iLi/iminiusingiainasalicannula
ic.iTurnitheiclientitoitheilateralipositioniduringiseizureiactivity
d. i Administeridiazepamiintravenouslyitoitheiclient
42. Ainurseiisicaringiforiaiclientiwhoihadiaitotalihipiarthroplasty.iWhichiofitheifollowingiactionsishouldithe
inurseitakeitoipreventihipidislocation?
a. Elevateitheikneesihigherithanitheihipsiwhenisitting
b. Removeitheiwedgeideviceiwheniturning
c. Encourage itheiclient ito ilean iforward iwhen iattempting ito istand
id. i Placeitwoibedipillows ibetweenitheilegsiwheniinibedi-iPagei455
43. AinurseiisicaringiforiaiclientiwhoiisireceivingiTotal iparenteraliNutritioni(TPN)iTheicraneiinfusioniis
ialmosticompleteianditheinewisolutioniisinotiavailableiwhichiofitheifollowingiactionsishoulditheinurse
itake?
a. Infuseidextrosei10%iiniwater
b. decreaseithatiTPNiinfusionirate
c. disconnectiandiflushitheiIViaccessiline
d. administerilactatediringersithroughitheiperipheraliIVisite
44. Ainurseiisicaringiforiaiclientiwhoiisi6ihoursipostoperativeifollowingiapplicationiofianiexternalifixatoriforia
itibial ifracture.iWhichiofitheifollowingiactions ishoulditheinurseitake?
a. Adjustitheiclampsionitheifixatoriframe
b. Maintainitheiaffectediextremityiiniaidependentiposition
ic. iPalpateitheidorsalis ipedis ipulse
d. i Wrapisterileigauzeionitheisharpipointiofitheipins
45. Ainurseiisicaringiforiaiclientiinitheiemergencyidepartmentiwhoiexperiencediaifullithicknessiburniinjury
itoitheiloweritorsoi1ihouriago.iWhichiofitheifollowingifindings ishoulditheinurseiexpect?
a. Hypotensioni–iPagei500
b. Bradycardia
c. Decreaseirespiratoryirate
d. Urinaryidiuresis
46. AinurseiisiplanningicareiforianiolderiadulticlientiwhoihasiMeniere'sidisease.iWhichiofitheifollowing
interventions ishoulditheinurseiinclude iin itheiplan?
a. Performirangeiofimotioniexercisesitoitheiclient'sineckieveryi4ihours
b. Limitediclient’sifluidiintakeitoi1500imli/iday
c. Administeriaspiriniifitheiclientireportsiaiheadache
d. Encourageitheiclient itoichange iposition islowly i– ipage i73
47. Was inotiable itoitake iphotoiofiquestion… iBut iI irememberichoosingitheisecond ioption...
Ainurseiisipreparingitoiperformigastricilavageiforiaiclientiwhoihasibleedingigastriciulcer.iWhichiofithe
ifollowingiequipmentishoulditheinurseiplanitoiuseiforithis iprocedure?
***iIithinkithisiquestionigoesiwithithisipicture,ibutinotiforisure***
48. Ainurseiisicaringiforiaiclientiadmittediwithiaiskullifracture.iWhichiofitheifollowingiassessmentifindings
ishouldibeiofigreatesticoncernitoitheinurse?
a. Pulseipressureichangesifromi30itoi20immhg
b. bilateralipupilidiameterichangesifromi4itoi2imm
c. WBCicountichangesifromi9,000itoi16,000i/immi3
d. GlasgowiComaiScaleiscoreichangesifromi14itoi9
49. Ainurseiisicaringiforiaiclientiwhoihasianiindwellingiurinaryicatheter.iWhichiofitheifollowingiactions
ishoulditheinurseitakeiwheniperformingiaicloseiintermittentiirrigation?
a. Useiai3mlisyringeitoiperformitheicatheteriirrigation
ib. i Clampitheicatheteriaboveitheispecimeniport
c. PlaceitheiclientiiniTrendelenburgiposition
d. Injectitheiirrigationisolutionislowlyiintoitheicatheter
50. AinurseiisicompletingidischargeiteachingiwithiaiclientiwhoihasiainewidiagnosisiofiAIDS.iWhichiofithe
ifollowingistatementsibyitheiclientiindicates ianiunderstandingiofitheiteaching?
a. Iiwillineeditoitakeimyiclothesitoitheidryicleanersitoisterilizeithem
b. Iiwilliwipeiupiareasisoilediwithibodyifluidsiwithialcoholiandiimmediatelyidisposediofitheitrash
i(shouldibeicleanediwithibleachinot ialcohol)
c. IiwillibeisureitoiweariglovesiandiwashimyihandsiwheniIichangeimyicat'silitteribox
d. IiwilliincreaseitheiamountiofifreshifruitsiandivegetablesiIiconsume
51. Ainurseiisicaringiforiaiclientiwhoiisipost-operativeifollowingianiendoscopyiwithimoderatei(conscious)
isedation.iWhichiofitheifollowingiassessmentifindings iis itheinurse’s ipriority?
a. Leveliofipain
b. Gagireflexi–ipagei323
c. Warmthiofiextremities
d. Temperature
52. Nurseiisicaringiforianiolderiadulticlientiwhoiisisuspectediofihavingisepticemia.iWhichiofitheifollowing
iactions iis itheinurses ipriority?
a. Obtainiaihistoryitoidetermineirecentiinjuries
b. Obtainiaibroad-spectrumiantibioticiforiRapidiAdministration
c. ObtainiaiWBCicountiwithidifferential
d. Obtainiaibloodispecimeniforicultureiandisensitivityitesting
53. Ainurseiisicaringiforiaiclientiwhoihasijustiundergoneiaitotalilaryngectomy.iWhichiofitheifollowing
ifindings iis itheinurse’s ipriorityiforiimmediateiintervention?
a. Blood-tingedisecretions
ib. i Tachypnea
c. Fever
d. IViinfiltration
54. Ainurseiisiadmittingiaiclientitoitheiemergencyidepartmentiafteriaigunshotiwounditoitheiabdomen.
iWhichiofitheifollowingiactionsishoulditheinurseitakeitoihelpipreventitheionsetiofiacuteikidneyifailure?
a. AdministeriIVifluidsitoitheiclient
b. insertiaiurinaryicatheter
c. initiateibeta-blockeritherapy
d. prepareitheiclientiforianiintravenousipyelogram
55. Ainurseiisicaringiforiaiclientiwhoihasijustireturnedifromisurgeryiwithianiexternalifixatoritoitheileftitibia.
iWhichiofitheifollowingiassessmentifindingirequiresiimmediateiinterventioniby itheinurse?
a. Aiclientihasi100imlibloodiinitheiclosedisuctionidrain
ib. i Theiclient'sicapillaryirefilliinitheileftitoeiisi6iseconds
c. Theiclientihasianioralitemperatureiofi38.3iCi(100.9iFahrenheit)
d. Theiclient ireportsiaipainilevel iofi7ioniaiscaleifromi0itoi10iatitheioperativeisite
56. Ainurseiisianiemergencyidepartmentiisireviewingiaiclient'siECGireading.iWhichiofitheifollowing
ifindingsishoulditheinurseiidentifyiasianiindicationithatitheiclientihasiaifirst-degreeiheartiblock?
a. MoreiPiwavesithaniQRSicomplexes
ib.i iProlongediPRiintervals
c. MonidiscernibleiPiwaves
d. NoicorrelationibetweeniPiandiQRSiwaves
57. Ainurseiisireviewingitheimedicationilistiofiaiclientiwhoiisibeingiadmittediwithidiabetesiinsipidus.iWhich
iofitheifollowingimedicationiplacesitheiclientiatianiincreasediriskiforidevelopingidiabetesiinsipidus?
a. Ranitidine
b. Atorvastatin
c. Propranolol
d. Lithium-ipagei521
58. Ainurseiisiplanningicareiforiaiclientiwhoihasileft-sidedihemiplegiaifollowingiaistrokeiwhichiofithe
ifollowingiactions ishould itheinurseiincludeiinitheiplanioficare?
a. Placeiaiplateiguardionitheiclient’simealitray
b. Positionitheibedsideitableionitheiclient'sileftiside
c. Reminditheiclientitoiuseiaicaneionihisileftisideiwhileiambulating
d. Provideitheiclientiwithiaishort-handledireacher
59. AinurseiisiadministeringipotassiumichlorideiviaiIViinfusionitoiaiclientiwhoihasisevereihypokalemia.
iWhichiofitheifollowingiactions ishoulditheinurseitake?
a. Startitheiinfusioniat i30 imEq/hri–imax irateiis i10 imEq/hr
b. AssessitheiclientiforiaipositiveiChvostek'sisign
c. Monitoritheiclient iforiadequate iurineioutputi–ipagei286
d. Checkiinfusionisiteiatileastieveryi4ihours
60. AinurseiinitheiPACUiisicaringiforiaiclient.iWhichiofitheifollowingiassessmentiisitheinurse’sipriority?
a. Surgicalisite
b. Levelioficonsciousness
c. Respiratoryistatusi–ipagei666
d. Painilevel
61. Ainurse iis ireviewing ithe imedical irecord iof ia iclient iwho iis ischeduled iforia iCT iscan iwith icontrast imedia.
iWhich iof ithe ifollowing imedication ishould ithe inurse iinstruct ithe iclient ito iwithhold ifor i48 ihours ifollowing
itheiprocedure?
a. Carvedilol
b. Furosemide
c. Metformin
d. Clopidogrel
62. Nurseiisicaringiforiaiclientiwhoihasipancreatitisiandihasibeenireceivingitotaliparenteralinutrition.iWhich
iofitheifollowingiLaboratoryitestishoulditheinurseimonitoriforioverallinutritionalistatus?
a. Creatinine
b. Prealbumini–ipagei309
c. Lipase
d. C-reactiveiprotein
63. Ainurseiisiteachingiaiclientiwhoihasiendometriosisiaboutitheiadverseieffectsiofileuprolide.iWhichiofithe
ifollowingimanifestations ishoulditheinurseiincludeiinitheiteaching?
a. Pallor
b. Increasediappetite
c. Boneiloss
d. Hypoglycemia
64. A inurse iis icaring ifor ia iclient iwho ihad ian iarterial irevascularization iof ithe iright ilower iextremity iwhich iof
ithe ifollowing iis ithe ipriority iaction ithe inurse ishould iplan ito itake iafter icontacting ithe iprovider? i(Click ion
ithei“exhibit”ibuttoniforiadditional iinformationiaboutitheiclient) [Show Less]