PN Adult Medical Surgical 2023

Extract:

Question 1 of 5

A nurse is reinforcing teaching with a client who wants to lose 0.9 kg (2 lb.) of body fat per week. The nurse knows that 0.45 kg (1 lb.) of body fat is equal to 3,500 calories. The nurse should instruct the client to reduce his daily caloric intake by how many calories? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Your Answer:

Correct Answer: 1000

Rationale: Calculation: 2 lb × 3,500 cal/lb = 7,000 cal/week. 7,000 ÷ 7 days = 1,000 cal/day reduction to lose 2 lb weekly.

Question 2 of 5

A nurse is reinforcing teaching with a client who has a grade 2 ankle sprain. Which of the following statements by the client indicates an understanding of the teaching?

A. I will apply heat to my affected ankle to decrease swelling. B. I can bear full weight on my affected ankle. C. I can dangle my affected ankle from the edge of the bed. D. I will wrap my affected ankle with an elastic bandage.

Correct Answer: D

Rationale: Wrapping with an elastic bandage provides compression to reduce swelling in a grade 2 sprain. Heat increases swelling, full weight-bearing is premature, and dangling worsens edema.

Question 3 of 5

A nurse is reinforcing teaching with a client who will undergo a colonoscopy the following week. Which of the following instructions should the nurse include?

A. Administer enemas 2 days before the procedure. B. Do not eat or drink anything except water for 12 hr. before the procedure. C. Restrict the diet to clear liquids for 1 to 3 days before the procedure. D. Expect the provider to schedule another procedure to remove any polyps.

Correct Answer: B

Rationale: Fasting except for water 12 hours prior ensures a clear colon for the colonoscopy. Enemas aren't standard, clear liquids are typically 24 hours, and polyp removal occurs during the procedure.

Question 4 of 5

A nurse is reinforcing teaching for a client who was admitted with an exacerbation of COPD. Which of the following should the nurse include in the client teaching?

A. You should consume small, frequent meals each day. B. You should decrease your caloric intake by 200 calories per day. C. You should increase your oxygen to 5 liters per minute if you have shortness of breath. D. You should discontinue your prednisone when your symptoms improve.

Correct Answer: A

Rationale: Small, frequent meals reduce diaphragm pressure and breathing effort in COPD. Caloric reduction isn't advised, oxygen adjustments need orders, and prednisone requires tapering.

Question 5 of 5

A nurse is reinforcing teaching with a client who will undergo a colonoscopy the following week. Which of the following instructions should the nurse include?

A. Administer enemas 2 days before the procedure B. Do not eat or drink anything except water for 12 hr. before the procedure. C. Restrict the diet to clear liquids for 1 to 3 days before the procedure. D. Expect the provider to schedule another procedure to remove any polyps

Correct Answer: B

Rationale: A 12-hour fast with only water prepares the colon adequately for a colonoscopy, reflecting standard protocol and client understanding.

PN Adult Medical Surgical 2023 | Nurselytic

Nurselytic

ATI LPN

ATI LPN