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PN ADULT MEDICAL SURGICAL WITH NGN LATEST 2026
ACTUAL EXAM| COMPLETE REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
GRADED A+ (BRAND NEW VERSION!!)
A nurse is reinforcing teaching with a client who is postoperative following a
tympanoplasty. Which of the following information should the nurse
include?
a) Drink fluids through a straw.
b) Plan to shampoo hair in 1 week.
c) Resume exercising in 10 days.
d) Close mouth when sneezing. - Correct Answer -B. Plan to shampoo hair
in 1 week.
A nurse is reinforcing discharge teaching about dietary changes with a
client who has a new colostomy. Which of the following foods should the
nurse recommend?
a) Asparagus
b) Bananas
c) Grapes
d) Broccoli - Correct Answer -B. Bananas
A nurse is caring for a client who has diabetes mellitus. Which of the
following laboratory results should the nurse report to the provider?
a) Glycosylated hemoglobin 5.2%
b) Urine positive for ketones
c) Urine negative for bilirubin
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d) Fasting blood glucose 70 mg/dL - Correct Answer -b. Urine positive for
ketones
A nurse is caring for an older adult client who has heart failure. Which of
the following findings should the nurse report to the provider?
a) Urinary output of 1,000 mL in 12 hr
b) Potassium level 4.5 mEq/L
c) PaCO2 55 mm Hg
d) Chest x-ray showing cardiomegaly - Correct Answer -C. PaCO2 55 mm
Hg
A nurse is reviewing the laboratory data of a client who is scheduled for a
liver biopsy. Which of the following values should the nurse report to the
provider?
a) Ammonia 55 mcg/dL
b) Bilirubin 1.0 mg/dL
c) Platelets 60,000/mm3
d) Aspartate aminotransferase 34 units/L - Correct Answer -C. Platelets
60,000/mm3
A nurse is assisting with the plan of care for a client who requires contact
precautions. Which of the following interventions should the nurse include
in the plan?
a) Keep a stethoscope at the client's bedside for the duration of her
hospital stay.
b) Wear an N95 mask when entering the room.
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c) Use an alcohol swab to clean the temperature probe before removing it
from the room.
d) Remove personal protective equipment immediately after leaving the
client's room. - Correct Answer -A. Keep a stethoscope at the client's
bedside for the duration of her hospital stay.
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. - Correct Answer -D. Withhold the medication if the systolic blood
pressure is less than 90 mm Hg.
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 - Correct 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.
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b) Increase daily intake of vitamin E.
c) Add a weight-bearing exercise regimen.
d) Take calcium carbonate supplements once a day with breakfast. -
Correct 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. - Correct Answer -D. Perform postural
drainage.
A nurse is monitoring a client who has a nasogastric (NG) tube set to
intermittent suction to manage a mechanical intestinal obstruction. Which of
the following findings should the nurse report?
a) Potassium 4.2 mEq/L
b) BUN 16 mg/dL
c) Abdominal distention
d) Bile-colored drainage from the NG tube - Correct Answer -C. Abdominal
distention
A nurse working in a provider's office is caring for a client who received
penicillin 6 potassium 15 min ago to treat strep throat. Which of the
following is the priority finding the nurse should report to the provider?
a) Nausea
b) Hypotension
PN ADULT MEDICAL SURGICAL WITH NGN LATEST 2026
ACTUAL EXAM| COMPLETE REAL EXAM QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
GRADED A+ (BRAND NEW VERSION!!)
A nurse is reinforcing teaching with a client who is postoperative following a
tympanoplasty. Which of the following information should the nurse
include?
a) Drink fluids through a straw.
b) Plan to shampoo hair in 1 week.
c) Resume exercising in 10 days.
d) Close mouth when sneezing. - Correct Answer -B. Plan to shampoo hair
in 1 week.
A nurse is reinforcing discharge teaching about dietary changes with a
client who has a new colostomy. Which of the following foods should the
nurse recommend?
a) Asparagus
b) Bananas
c) Grapes
d) Broccoli - Correct Answer -B. Bananas
A nurse is caring for a client who has diabetes mellitus. Which of the
following laboratory results should the nurse report to the provider?
a) Glycosylated hemoglobin 5.2%
b) Urine positive for ketones
c) Urine negative for bilirubin
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d) Fasting blood glucose 70 mg/dL - Correct Answer -b. Urine positive for
ketones
A nurse is caring for an older adult client who has heart failure. Which of
the following findings should the nurse report to the provider?
a) Urinary output of 1,000 mL in 12 hr
b) Potassium level 4.5 mEq/L
c) PaCO2 55 mm Hg
d) Chest x-ray showing cardiomegaly - Correct Answer -C. PaCO2 55 mm
Hg
A nurse is reviewing the laboratory data of a client who is scheduled for a
liver biopsy. Which of the following values should the nurse report to the
provider?
a) Ammonia 55 mcg/dL
b) Bilirubin 1.0 mg/dL
c) Platelets 60,000/mm3
d) Aspartate aminotransferase 34 units/L - Correct Answer -C. Platelets
60,000/mm3
A nurse is assisting with the plan of care for a client who requires contact
precautions. Which of the following interventions should the nurse include
in the plan?
a) Keep a stethoscope at the client's bedside for the duration of her
hospital stay.
b) Wear an N95 mask when entering the room.
,Page 3 of 40
c) Use an alcohol swab to clean the temperature probe before removing it
from the room.
d) Remove personal protective equipment immediately after leaving the
client's room. - Correct Answer -A. Keep a stethoscope at the client's
bedside for the duration of her hospital stay.
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. - Correct Answer -D. Withhold the medication if the systolic blood
pressure is less than 90 mm Hg.
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 - Correct 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.
, Page 4 of 40
b) Increase daily intake of vitamin E.
c) Add a weight-bearing exercise regimen.
d) Take calcium carbonate supplements once a day with breakfast. -
Correct 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. - Correct Answer -D. Perform postural
drainage.
A nurse is monitoring a client who has a nasogastric (NG) tube set to
intermittent suction to manage a mechanical intestinal obstruction. Which of
the following findings should the nurse report?
a) Potassium 4.2 mEq/L
b) BUN 16 mg/dL
c) Abdominal distention
d) Bile-colored drainage from the NG tube - Correct Answer -C. Abdominal
distention
A nurse working in a provider's office is caring for a client who received
penicillin 6 potassium 15 min ago to treat strep throat. Which of the
following is the priority finding the nurse should report to the provider?
a) Nausea
b) Hypotension
