PN ADULT MEDICAL SURGICAL NGN 2020 ACTUAL EXAM 100 REAL EXAM QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES|ALREADY GRADED A+

PN ADULT MEDICAL SURGICAL NGN 2020 ACTUAL

EXAM 100 REAL EXAM QUESTIONS AND CORRECT

DETAILED ANSWERS WITH RATIONALES|ALREADY

GRADED A+

A nurse is caring for a client who has a prescription for propranolol for

the treatment of atrial fibrillation. Which of the following actions should

the nurse take?

a) Request a dosage increase of the apical

heart rate is less than 60/min.

b) Administer the medication with an antacid.

c) Instruct the client to expect increased hair

growth.

d) Withhold the medication if the systolic blood

pressure is less than 90 mm Hg. - ANSWER- D. Withhold the

medication if the systolic blood

pressure is less than 90 mm Hg.

A nurse is reinforcing teaching about dietary modifications to help

control blood pressure with a client who has hypertension. Which of the

following food choices by the client indicates an understanding of the

teaching?

a) A ham sandwich on rye bread

b) Broiled cod with broccoli

c) Beef bouillon with crackers

d) Pork sausage with sauteed peppers - ANSWER- B. Broiled cod with

broccoli

A nurse is reinforcing teaching with a client about heart disease

prevention, which of the following client statements indicates an

understanding of the teaching?

a) "I will increase my dairy intake by drinking

whole milk every meal."

b) "I will exercise by walking twice a week for 25

minutes."

c) "I will try to maintain my blood pressure

around 116/72."

d) "I will improve my LDL cholesterol by raising it

from 100 to 130." - ANSWER- C. "I will try to maintain my blood

pressure around

116/72."

A nurse is reinforcing teaching about a transcutaneous electrical nerve

stimulation (TENS)

unit for a client who has a herniated intervertebral disk. Which of the

following statements by the client indicates an understanding of the

teaching?

a) "I will need to charge the TENS unit for 2

hours each day."

b) "The TENS unit administers a continuous

dose of pain medication."

c) "I should adjust the TENS unit until I feel a

tingling sensation."

d) "The TENS unit should be applied at least 6

inched from the actual site of my pain." - ANSWER- C. "I should adjust

the TENS unit until I feel a tingling

sensation.

A nurse is reviewing a client's medical record. Which of the following

findings is the priority for the nurse to report?

a) Urine output 200 mL/8 hr

b) A client's rating of ear pain as 5 on a scale

from 0 to 10

c) Potassium level 6.2 mEq/L

d) Abnormal hepatoiminodiacetic acid (HIDA)

scan - ANSWER- C. Potassium level 6.2 mEq/L

A nurse is reinforcing teaching about decreasing the risk of osteoporosis

to a client who is postmenopausal. Which of the following instructions

should the nurse include?

a) Limit vitamin D intake.

b) Increase daily intake of vitamin E.

c) Add a weight-bearing exercise regimen.

d) Take calcium carbonate supplements once a

day with breakfast. - ANSWER- C. Add a weight-bearing exercise

regimen.

A nurse is caring for a client who has COPD with copious secretions.

Which of the following actions should the nurse take?

a) Place the client in prone position.

b) Administer high-flow oxygen.

c) Limit fluid intake.

d) Perform postural drainage. - ANSWER- D. Perform postural

drainage.

A nurse is collecting data from a client who had a long arm cast applied

2 hr ago. Which of the following findings of the affected extremity

should the nurse report to the provider immediately?

a) The client reports increased pain at the area

of the fracture.

b) The client reports severe itching under the

cast.

c) The client's capillary refill is 3 seconds.

d) The client's fingers are cool to the touch. - ANSWER- D. The client's

fingers are cool to the touch.