PN Adult Medical Surgical 2023

Question 1 of 5

A nurse in a health clinic is collecting data from an older adult client. Which of the following information in the client's history increases her risk for osteoporosis?

A. The client is a gardener.B. The client is lactose intolerant.C. The client has a glass of red wine every eveningD. The client walks 3.2 km (2 mi) daily.E. The client smokes daily.F. The client has a family history of osteoporosis.G. The client takes corticosteroids long-term.

Correct Answer: B

Rationale: Lactose intolerance limits calcium intake, a key risk factor for osteoporosis; gardening and walking are protective, and moderate wine has minimal impact.

Question 2 of 5

A nurse is reinforcing teaching with a client who is to undergo a bone marrow aspiration. Which of the following statements should the nurse include in the teaching?

A. You will have the bone marrow taken from your femur.B. I will hold pressure to the site after the procedure.C. You will not receive a local anesthetic agent for this procedure.D. You will need to fast for 2 hours before the procedure.E. The procedure will take 4 hours.F. You should avoid moving for 24 hours after.G. You'll feel intense pain throughout.

Correct Answer: B

Rationale: Pressure is applied post-procedure to prevent bleeding; marrow is typically taken from the iliac crest, local anesthetic is used, and fasting isn't required.

Question 3 of 5

A nurse is caring for a client who is 3 days postoperative following an ileostomy placement. Which of the following findings should the nurse report to the provider?

A. Stoma retracts into the abdominal wall.B. Stoma is a cherry red color.C. Stool contains scant red blood.D. Stool is a dark green color.E. Stoma is pale and dry.F. Stool is watery and excessive.G. Stoma is swollen and painful.

Correct Answer: A

Rationale: A retracted stoma is a complication requiring intervention; cherry red is normal, scant blood and dark green stool are expected early post-op.

Question 4 of 5

A nurse is reinforcing teaching with a client who is starting to take metformin extended release. Which of the following instructions should the nurse include in the instructions?

A. Monitor blood glucose while taking this medicationB. Expect muscle pain while taking this medication.C. Take the medication with breakfast.D. Chew the medication before swallowing.E. Take it on an empty stomach.F. Expect weight gain as a side effect.G. Avoid all carbohydrates while on this.

Correct Answer: A

Rationale: Metformin requires glucose monitoring to assess efficacy and prevent hypoglycemia; muscle pain isn't typical, it's taken with food to reduce GI upset, and it's not chewed.

Question 5 of 5

A nurse is assisting with the care of a postoperative client who is receiving a unit of packed RBCs. Which of the following manifestations should the nurse recognize as an indication of a septic reaction to the blood transfusion?

A. Distended neck veinsB. PolyuriaC. VomitingD. HypertensionE. Fever and chillsF. TachycardiaG. Hypotension

Correct Answer: C

Rationale: Vomiting is a sign of a septic reaction due to contaminated blood; distended veins suggest fluid overload, polyuria isn't typical, and hypertension isn't specific.

PN Adult Medical Surgical 2023 | Nurselytic

Nurselytic

ATI LPN

ATI LPN