PN ADULT MEDICAL SURGICAL
2023 WITH NGN Exam Questions
& Answers (Grade A+)
A nurse is caring for a client who is taking lithium
and reports persistent nausea and vomiting for 2
days. Which of the following laboratory values should
the nurse report to the provider?
a) Potassium 4.0 mEq/L
b) Lithium 0.9 mEq/L
c) BUN 12 mg/dL
d) Sodium 132 mEq/L—ANSWER--D. Sodium 132 mEq/L
A nurse is caring for a client who has cancer and has
a WBC count of 4,000/mm3. Which of the following
actions should the nurse take?
a) Cleanse the client's toothbrush with hydrogen
peroxide.
,b) Instruct the client to use a disposable razor to
shave.
c) Decrease the client's protein intake.
d) Encourage the client to eat unpasteurized
dairy products.—ANSWER--A. Cleanse the client's toothbrush with hydrogen
peroxide.
A nurse enters a client's room and sees smoke coming from the bathroom. Which of the
following
actions should the nurse take first?
a) Activate the fire alarm system.
b) Use a fire extinguisher at the source of the
smoke.
c) Assist the client to a nearby common area.
d) Close the doors to the room and to the
bathroom.—ANSWER--C. Assist the client to a nearby common area.
A nurse is contributing to the plan of care for a client who reports difficulty eating due to
chronic arthritis.
Which of the following interventions should the nurse include in the plan?
a) Apply foam handles to the client's eating
© 2026 Copyright. All Rights Reserved. This document is
protected by copyright law, Copyrighted By Brittie Donald
,utensils.
b) Obtain a referral for physical therapy.
c) Have an assistive personnel feed the client.
d) Ask the provider for a prescription for a
pureed diet.—ANSWER--A. Apply foam handles to the client's eating utensils.
A nurse is obtaining a medication history from a client who is to start taking nitroglycerin for
chest discomfort with activity. Which of the following medications should the nurse instruct
the client to avoid taking within 24 hr of using nitroglycerin?
a) Atorvastatin
b) Metformin
c) Sildenafil
d) Omeprazole—ANSWER--C. Sildenafil
A nurse is preparing to obtain a postprandial blood glucose level from a client who has
diabetes mellitus. Which of the following actions should the nurse take?
a) Apply the first drop of blood to the test strip.
b) Clean the client's finger with
hexachlorophene.
c) Prick the central tip of the client's finger.
d) Hold the client's finger in a dependent
, position.—ANSWER--D. Hold the client's finger in a dependent
position.
A nurse is reinforcing teaching with a client about breast self-examinations. Which of the
following statements by the client indicates an understanding of the teaching?
a) "It is common for one breast to be larger than
the other."
b) "It is common for the skin on my breasts to
dimple."
c) "I will perform breast exams the day my
period begins."
d) "I will perform breast exams every other
month."—ANSWER--A. "It is common for one breast to be larger than
the other."
A nurse is reinforcing teaching with a client who has a new ileostomy. Which of the following
statements by the client indicates an understanding of the teaching?
a) "I will need to empty the bag every 4 to 6
hours."
b) "I will use moisturizing soap to clean around
the stoma before applying the bag."
© 2026 Copyright. All Rights Reserved. This document is
protected by copyright law, Copyrighted By Brittie Donald
2023 WITH NGN Exam Questions
& Answers (Grade A+)
A nurse is caring for a client who is taking lithium
and reports persistent nausea and vomiting for 2
days. Which of the following laboratory values should
the nurse report to the provider?
a) Potassium 4.0 mEq/L
b) Lithium 0.9 mEq/L
c) BUN 12 mg/dL
d) Sodium 132 mEq/L—ANSWER--D. Sodium 132 mEq/L
A nurse is caring for a client who has cancer and has
a WBC count of 4,000/mm3. Which of the following
actions should the nurse take?
a) Cleanse the client's toothbrush with hydrogen
peroxide.
,b) Instruct the client to use a disposable razor to
shave.
c) Decrease the client's protein intake.
d) Encourage the client to eat unpasteurized
dairy products.—ANSWER--A. Cleanse the client's toothbrush with hydrogen
peroxide.
A nurse enters a client's room and sees smoke coming from the bathroom. Which of the
following
actions should the nurse take first?
a) Activate the fire alarm system.
b) Use a fire extinguisher at the source of the
smoke.
c) Assist the client to a nearby common area.
d) Close the doors to the room and to the
bathroom.—ANSWER--C. Assist the client to a nearby common area.
A nurse is contributing to the plan of care for a client who reports difficulty eating due to
chronic arthritis.
Which of the following interventions should the nurse include in the plan?
a) Apply foam handles to the client's eating
© 2026 Copyright. All Rights Reserved. This document is
protected by copyright law, Copyrighted By Brittie Donald
,utensils.
b) Obtain a referral for physical therapy.
c) Have an assistive personnel feed the client.
d) Ask the provider for a prescription for a
pureed diet.—ANSWER--A. Apply foam handles to the client's eating utensils.
A nurse is obtaining a medication history from a client who is to start taking nitroglycerin for
chest discomfort with activity. Which of the following medications should the nurse instruct
the client to avoid taking within 24 hr of using nitroglycerin?
a) Atorvastatin
b) Metformin
c) Sildenafil
d) Omeprazole—ANSWER--C. Sildenafil
A nurse is preparing to obtain a postprandial blood glucose level from a client who has
diabetes mellitus. Which of the following actions should the nurse take?
a) Apply the first drop of blood to the test strip.
b) Clean the client's finger with
hexachlorophene.
c) Prick the central tip of the client's finger.
d) Hold the client's finger in a dependent
, position.—ANSWER--D. Hold the client's finger in a dependent
position.
A nurse is reinforcing teaching with a client about breast self-examinations. Which of the
following statements by the client indicates an understanding of the teaching?
a) "It is common for one breast to be larger than
the other."
b) "It is common for the skin on my breasts to
dimple."
c) "I will perform breast exams the day my
period begins."
d) "I will perform breast exams every other
month."—ANSWER--A. "It is common for one breast to be larger than
the other."
A nurse is reinforcing teaching with a client who has a new ileostomy. Which of the following
statements by the client indicates an understanding of the teaching?
a) "I will need to empty the bag every 4 to 6
hours."
b) "I will use moisturizing soap to clean around
the stoma before applying the bag."
© 2026 Copyright. All Rights Reserved. This document is
protected by copyright law, Copyrighted By Brittie Donald
