PN Adult Medical Surgical 2023

Extract:

Question 1 of 5

A nurse is assisting with the plan of care for a client who has osteoarthritis. The client reports knee stiffness upon ambulation. Which of the following interventions should the nurse include in the plan of care?

A. Apply moist heat prior to ambulation. B. Delay ambulation until the next day C. Use a continuous passive motion machine D. Rest in a soft chair E. Apply cold packs. F. Increase weight-bearing exercise. G. Avoid all movement.

Correct Answer: A

Rationale: Moist heat reduces stiffness and improves mobility in osteoarthritis.

Question 2 of 5

A nurse is caring for a client who has returned to the unit following a cardiac catheterization using a femoral approach. Which of the following methods should the nurse use to monitor for complications?

A. Palpate the client's brachial pulses and compare bilaterally. B. Check for jugular vein distention while the client is supine. C. Check the client's blood pressure while the client lies supine, sits, and stands. D. Palpate the client's pedal pulses and compare bilaterally. E. Monitor respiratory rate. F. Check for chest pain. G. Assess skin temperature.

Correct Answer: D

Rationale: Pedal pulses assess for femoral artery complications like hematoma or occlusion.

Question 3 of 5

A nurse is collecting data from an older adult client who has cystitis. Which of the following findings should the nurse anticipate?

A. Confusion B. Hypothermia C. Referred pain in the right shoulder D. Orange colored urine E. Fever F. Dysuria G. Urgency

Correct Answer: A

Rationale: Confusion is common in older adults with cystitis due to altered mental status from infection.

Question 4 of 5

A nurse is collecting data from a client who has hyperthyroidism and is taking propylthiouracil. Which of the following statements by the client indicates the medication is effective?

A. I continue to lose weight. B. I have less oily skin. C. I no longer feel nervous. D. I no longer take a stool softener. E. I feel more tired. F. My appetite has decreased. G. My heart rate is faster.

Correct Answer: C

Rationale: Reduced nervousness indicates propylthiouracil is controlling hyperthyroid symptoms like anxiety.

Question 5 of 5

A nurse at a rehabilitation facility is contributing to the plan of care for a client who has had a below-the-knee amputation. Which of the following interventions should the nurse include in the plan of care?

A. Ask the client to describe her feelings about the loss of the affected limb. B. Encourage the client to talk with another client who completed rehabilitation for amputation. C. Restrict visitors to family members until the client is able to wear a prosthesis. D. Suggest that family members bring clothing for the client from home. E. Instruct the client to ignore phantom pain sensations. F. Apply heat to the stump. G. Limit physical therapy.

Correct Answer: A,B,D

Rationale: Expressing feelings aids coping, peer support helps adjustment, and familiar clothing boosts morale; phantom pain should be addressed, not ignored.

PN Adult Medical Surgical 2023 | Nurselytic

Nurselytic

ATI LPN

ATI LPN