RN ADULT MEDICAL-SURGICAL NURSING
EDITION 12.0 ASSESSMENT TEST 2026 TESTED
QUESTIONS WITH FULL SOLUTION GRADED
A+
◉ A nurse is caring for a client who has a new prescription for
isoniazid (INH) and is providing education about the adverse effects.
Which of the following statements should the nurse make?
Select all that apply. Answer: 1. "You might notice yellowing of your
skin."
2. "You might notice tingling of your hands."
◉ A nurse is caring for a group of clients. Which of the following
clients are at risk for a pulmonary embolism?
Select all that apply. Answer: 1. A client who has a BMI of 30
2. A client who has a fractured femur
3. A client who has chronic atrial fibrillation
◉ A nurse is assessing a client who has a pulmonary embolism.
Which of the following manifestations should the nurse expect?
Select all that apply. Answer: 1. Tachycardia
2. Pleural friction rub
,3. Petechiae
◉ A nurse is reviewing prescriptions for a client who has acute
dyspnea and diaphoresis. The client states, "I am anxious and unable
to get enough air." Vital signs are heart rate 117/min, respirations
38/min, temperature 38.4° C (101.2° F), and blood pressure 100/54
mm Hg. Which of the following nursing actions is the priority?
Answer: Administer oxygen therapy.
◉ A nurse is caring for a client who has a new prescription for
heparin therapy. Which of the following statements by the client
should indicate an immediate concern for the nurse? Answer: "I take
antacids several times a day for my ulcer."
◉ A nurse is caring for a client who is to receive thrombolytic
therapy. Which of the following factors should the nurse recognize
as a contraindication to the therapy? Answer: Hip arthroplasty 2
weeks ago
◉ A nurse is assessing a client following a gunshot wound to the
chest. For which of the following findings should the nurse monitor
to detect a pneumothorax?
Select all that apply. Answer: 1. Tachypnea
2. Pleuritic pain
3. Deviation of the trachea
,◉ A nurse is assisting the provider to care for a client who has
developed a spontaneous pneumothorax. Which of the following
actions should the nurse perform first? Answer: Obtain a large-bore
IV needle for decompression.
◉ A nurse is reviewing discharge instructions for a client who has
COPD and experienced a pneumothorax. Which of the following
statements should the nurse include? Answer: "Notify your provider
if you experience a productive cough."
◉ A nurse in the emergency department is assessing a client who
has sustained multiple rib fractures and has a flail chest. Which of
the following findings should the nurse expect?
Select all that apply. Answer: 1. Hypotension
2. Paradoxical chest movement
3. Cyanosis
4. Dyspnea
◉ A nurse is reviewing the health records of five clients. Which of
the following clients should the nurse identify as being at risk for
developing acute respiratory distress syndrome?
Select all that apply. Answer: 1. A client who experienced a near-
drowning incident
2. A client who experienced acute drug toxicity
, 3. A client following coronary artery bypass graft surgery
4. A client who has dysphagia
◉ A nurse in the emergency department is assessing a client who
was in a motor vehicle crash. Findings include absent breath sounds
in the left lower lobe with dyspnea, blood pressure 118/68 mm Hg,
heart rate 124/min, respirations 38/min, temperature 38.6° C
(101.4° F), and SaO2 91% on room air. Which of the following
actions should the nurse take first? Answer: Administer oxygen via a
high-flow mask.
◉ A nurse is planning care for a client in the ICU who has a SARS-
CoV-2 infection that has progressed to ARDS. In which of the
following positions should the nurse plan to place the client to
promote ventilation. Answer: Prone
◉ A nurse is orienting a newly licensed nurse on the purpose of
administering vecuronium to a client who has acute respiratory
distress syndrome (ARDS). Which of the following statements by the
newly licensed nurse indicates understanding of the teaching?
Answer: "This medication is given to facilitate ventilation."
◉ A nurse is planning care for a client who has severe acute
respiratory distress syndrome (ARDS). Which of the following
actions should the nurse include in the plan of care?
Select all that apply. Answer: 1. Administer enteral nutrition.
EDITION 12.0 ASSESSMENT TEST 2026 TESTED
QUESTIONS WITH FULL SOLUTION GRADED
A+
◉ A nurse is caring for a client who has a new prescription for
isoniazid (INH) and is providing education about the adverse effects.
Which of the following statements should the nurse make?
Select all that apply. Answer: 1. "You might notice yellowing of your
skin."
2. "You might notice tingling of your hands."
◉ A nurse is caring for a group of clients. Which of the following
clients are at risk for a pulmonary embolism?
Select all that apply. Answer: 1. A client who has a BMI of 30
2. A client who has a fractured femur
3. A client who has chronic atrial fibrillation
◉ A nurse is assessing a client who has a pulmonary embolism.
Which of the following manifestations should the nurse expect?
Select all that apply. Answer: 1. Tachycardia
2. Pleural friction rub
,3. Petechiae
◉ A nurse is reviewing prescriptions for a client who has acute
dyspnea and diaphoresis. The client states, "I am anxious and unable
to get enough air." Vital signs are heart rate 117/min, respirations
38/min, temperature 38.4° C (101.2° F), and blood pressure 100/54
mm Hg. Which of the following nursing actions is the priority?
Answer: Administer oxygen therapy.
◉ A nurse is caring for a client who has a new prescription for
heparin therapy. Which of the following statements by the client
should indicate an immediate concern for the nurse? Answer: "I take
antacids several times a day for my ulcer."
◉ A nurse is caring for a client who is to receive thrombolytic
therapy. Which of the following factors should the nurse recognize
as a contraindication to the therapy? Answer: Hip arthroplasty 2
weeks ago
◉ A nurse is assessing a client following a gunshot wound to the
chest. For which of the following findings should the nurse monitor
to detect a pneumothorax?
Select all that apply. Answer: 1. Tachypnea
2. Pleuritic pain
3. Deviation of the trachea
,◉ A nurse is assisting the provider to care for a client who has
developed a spontaneous pneumothorax. Which of the following
actions should the nurse perform first? Answer: Obtain a large-bore
IV needle for decompression.
◉ A nurse is reviewing discharge instructions for a client who has
COPD and experienced a pneumothorax. Which of the following
statements should the nurse include? Answer: "Notify your provider
if you experience a productive cough."
◉ A nurse in the emergency department is assessing a client who
has sustained multiple rib fractures and has a flail chest. Which of
the following findings should the nurse expect?
Select all that apply. Answer: 1. Hypotension
2. Paradoxical chest movement
3. Cyanosis
4. Dyspnea
◉ A nurse is reviewing the health records of five clients. Which of
the following clients should the nurse identify as being at risk for
developing acute respiratory distress syndrome?
Select all that apply. Answer: 1. A client who experienced a near-
drowning incident
2. A client who experienced acute drug toxicity
, 3. A client following coronary artery bypass graft surgery
4. A client who has dysphagia
◉ A nurse in the emergency department is assessing a client who
was in a motor vehicle crash. Findings include absent breath sounds
in the left lower lobe with dyspnea, blood pressure 118/68 mm Hg,
heart rate 124/min, respirations 38/min, temperature 38.6° C
(101.4° F), and SaO2 91% on room air. Which of the following
actions should the nurse take first? Answer: Administer oxygen via a
high-flow mask.
◉ A nurse is planning care for a client in the ICU who has a SARS-
CoV-2 infection that has progressed to ARDS. In which of the
following positions should the nurse plan to place the client to
promote ventilation. Answer: Prone
◉ A nurse is orienting a newly licensed nurse on the purpose of
administering vecuronium to a client who has acute respiratory
distress syndrome (ARDS). Which of the following statements by the
newly licensed nurse indicates understanding of the teaching?
Answer: "This medication is given to facilitate ventilation."
◉ A nurse is planning care for a client who has severe acute
respiratory distress syndrome (ARDS). Which of the following
actions should the nurse include in the plan of care?
Select all that apply. Answer: 1. Administer enteral nutrition.
