RN Adult Medical Surgical Online Practice 2019 A for NGN Exam answers | 2023-2024 version
1. 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
Answer-------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.
2. 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
Answer-------"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.
3. 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 Answer-------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.
4. A nurse has received change-of-shift report for a group of clients. Which of the
following clients should the nurse assess first? -----Correct Answer-------A client
who had a myocardial infarction (MI) 4 days ago and is asking for a PRN
sublingual nitroglycerin tablet
5. 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? -----Correct Answer-------Hgb 8 g/dL
6. 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
Answer-------Naproxen
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