2026 RN ADULT MEDICAL
SURGICAL FORM B LATEST
UPDATED APRIL EXAM
QUESTIONS WITH
ANSWERS
1) A nurse is providing teaching to a client who has a severe form of stage II Lyme disease.
Which of the following statements made by the client reflects an understanding of the
teaching?
a. “I will need to take antibiotics for 1 year.”
b. “My partner will need to take an antiviral medication.”
c. “My joints ache because I have Lyme Disease.”
d. “I bruise easily because I have Lyme Disease.”
2) A Nurse is caring for a client who is 4 hr postoperative following an open reduction
internal fixation of the right ankle. Which of the following assessment findings should
the nurse report to the provider?
a. Extremity cool upon palpation
b. Serosanguineous drainage on the dressing.
c. Capillary refill of 2 seconds.
d. Client report of discomfort when moving toes.
3) A nurse is assessing a client while suctioning the client’s tracheostomy tube. Which of
the following findings should indicate to the nurse the client is experiencing hypoxia?
a. The client starts to cough
b. The client’s heart rate increases
c. The client is diaphoretic
d. The client’s blood pressure decreases
4) A nurse is caring for a client who is 8 hr postoperative following a total hip arthroplasty.
The client is unable to void on the bedpan. Which of the following actions should the
nurse take first?
a. Document the client’s intake and output.
b. Scan the bladder with a portable ultrasound.
c. Pour warm water over the client’s perineum.
1
, d. Perform a straight catheterization.
5) A nurse is providing discharge instructions to a client who has active tuberculosis (TB).
Which of the following information should the nurse include in the instructions?
a. Sputum specimens are necessary every 2 to 4 weeks until there are three
negative cultures.
b. The contagious period generally lasts for 6 to 8 weeks after the initiation of
medication therapy.
c. Family members should follow airborne precautions at home.
d. A follow-up tuberculosis
6) A nurse is reviewing the laboratory results of a client who has aplastic anemia. Which of
the following findings indicates a potential complication?
a. RBC count 5.2
million/mm3b. WBC count
2,000/mm3
c. Platelets 380,000/mm3
d. Potassium 4 mEq/L
7) A nurse is assessing heart sounds of a client who reports substernal precordial pain.
Identify which of the following sounds the nurse should document in the client’s medical
record by listening to the audio clip.
a. Murmur
b. S4
c. Pericardial friction rub
d. Ventricular gallop
8) A nurse is admitting a client who has active tuberculosis. Which of the following types of
transmission precautions should the nurse initiate?
a. Airborne
b. Droplet
c. Contact
d. Protective environment
9) A nurse is preparing to present a program about prevention of atherosclerosis at a health
fair. Which of the following recommendations should the nurse plant to include? (select
all that apply)
a. Follow a smoking cessationprogram
b. Maintain an appropriate weight
c. Eat a low-fat diet
d. Increase fluid intake
e. Decrease intake of complex carbohydrates
10) A home health nurse is providing teaching to a client who has a stage 1 pressure injury
on the greater trochanter of his left hip. Which of the following instructions should the
nurse include in the teaching?
a. Clean the wound daily with an antiseptic
b. Use a donut-shaped pillow when sitting in a chair
c. Change position every hour
d. Massage the area two times daily
11) A nurse is caring for a client who has increased intracranial pressure (ICP) and is
2
, receiving mannitol via continuous IV infusion. Which of the following findings should the
nurse report to the provider as an adverse effect of this medication?
a. Decreased heart rate
b. Crackles heard on auscultation
c. Increased urinary output
d. Decreased deep tendon reflexes
3
SURGICAL FORM B LATEST
UPDATED APRIL EXAM
QUESTIONS WITH
ANSWERS
1) A nurse is providing teaching to a client who has a severe form of stage II Lyme disease.
Which of the following statements made by the client reflects an understanding of the
teaching?
a. “I will need to take antibiotics for 1 year.”
b. “My partner will need to take an antiviral medication.”
c. “My joints ache because I have Lyme Disease.”
d. “I bruise easily because I have Lyme Disease.”
2) A Nurse is caring for a client who is 4 hr postoperative following an open reduction
internal fixation of the right ankle. Which of the following assessment findings should
the nurse report to the provider?
a. Extremity cool upon palpation
b. Serosanguineous drainage on the dressing.
c. Capillary refill of 2 seconds.
d. Client report of discomfort when moving toes.
3) A nurse is assessing a client while suctioning the client’s tracheostomy tube. Which of
the following findings should indicate to the nurse the client is experiencing hypoxia?
a. The client starts to cough
b. The client’s heart rate increases
c. The client is diaphoretic
d. The client’s blood pressure decreases
4) A nurse is caring for a client who is 8 hr postoperative following a total hip arthroplasty.
The client is unable to void on the bedpan. Which of the following actions should the
nurse take first?
a. Document the client’s intake and output.
b. Scan the bladder with a portable ultrasound.
c. Pour warm water over the client’s perineum.
1
, d. Perform a straight catheterization.
5) A nurse is providing discharge instructions to a client who has active tuberculosis (TB).
Which of the following information should the nurse include in the instructions?
a. Sputum specimens are necessary every 2 to 4 weeks until there are three
negative cultures.
b. The contagious period generally lasts for 6 to 8 weeks after the initiation of
medication therapy.
c. Family members should follow airborne precautions at home.
d. A follow-up tuberculosis
6) A nurse is reviewing the laboratory results of a client who has aplastic anemia. Which of
the following findings indicates a potential complication?
a. RBC count 5.2
million/mm3b. WBC count
2,000/mm3
c. Platelets 380,000/mm3
d. Potassium 4 mEq/L
7) A nurse is assessing heart sounds of a client who reports substernal precordial pain.
Identify which of the following sounds the nurse should document in the client’s medical
record by listening to the audio clip.
a. Murmur
b. S4
c. Pericardial friction rub
d. Ventricular gallop
8) A nurse is admitting a client who has active tuberculosis. Which of the following types of
transmission precautions should the nurse initiate?
a. Airborne
b. Droplet
c. Contact
d. Protective environment
9) A nurse is preparing to present a program about prevention of atherosclerosis at a health
fair. Which of the following recommendations should the nurse plant to include? (select
all that apply)
a. Follow a smoking cessationprogram
b. Maintain an appropriate weight
c. Eat a low-fat diet
d. Increase fluid intake
e. Decrease intake of complex carbohydrates
10) A home health nurse is providing teaching to a client who has a stage 1 pressure injury
on the greater trochanter of his left hip. Which of the following instructions should the
nurse include in the teaching?
a. Clean the wound daily with an antiseptic
b. Use a donut-shaped pillow when sitting in a chair
c. Change position every hour
d. Massage the area two times daily
11) A nurse is caring for a client who has increased intracranial pressure (ICP) and is
2
, receiving mannitol via continuous IV infusion. Which of the following findings should the
nurse report to the provider as an adverse effect of this medication?
a. Decreased heart rate
b. Crackles heard on auscultation
c. Increased urinary output
d. Decreased deep tendon reflexes
3
