RN ADULT MEDICAL-SURGICAL NURSING
EDITION 12.0 ACTUAL PAPER 2026 QUESTIONS
WITH SOLUTIONS GRADED A+
◉ A nurse is caring for a client who has a new diagnosis of type 2
diabetes mellitus and reports difficulty following the diet and
remembering to take the prescribed medication. Which of the
following actions should the nurse take to promote client
adherence? Select all that apply. Answer: 1. Ask the dietitian to assist
with meal planning
2. Provide educational materials for home use
3. Contact the clients support system
4. Encourage the use of daily medication dispenser
◉ A nurse in the ED is preparing to care for a group of clients. Which
of the following clients should the nurse classify as urgent when
using the three-level system of triage? Select all that apply Answer:
1. Client who has a pressure injury and a blood glucose of 200
mg/dL
2. Client who reports urinary frequency and fever
◉ A nurse encounters an unresponsive client during a walk. The
client's partner states, "He was pulling weeds in the yard and
,slumped to the ground." Which of the following techniques should
the nurse use to open the client's airway? Answer: Head-tilt, chin-lift
◉ A nurse in the ED is caring for a client who has been exposed to
freezing temperatures for several hours and is alert and talking.
Which of the following actions should the nurse take? Select all that
apply Answer: 1. Remove wet clothing
2. Apply warm blankets
3. Infuse warm IV fluids
◉ A nurse in the ED is caring for a client who is suspected of having
opioid poisoning. During the interview, the nurse notes that the
client suddenly becomes unresponsive, respirations and pulse are
absent. Which of the following actions should the nurse take? Select
all that apply Answer: 1. Administer naloxone
2. Obtain AED
3. Begin performing CPR
◉ A nurse in the ED is caring for a client who suddenly becomes
unresponsive and notes ventricular asystole on their monitor. Place
the actions the nurse should take in their correct order Answer: 1.
perform initial round of CPR
2. administer epinephrine
3. analyze heart rhythm with AED
4. identify cause
,◉ A nurse is teaching a client who is scheduled for a cerebral
angiography. Which of the following statements by the client
indicates understanding? Answer: "I will feel warm after that dye is
injected."
◉ A nurse is caring for a client who is scheduled for a cerebral
computed tomography scan with contrast. Which of the following
actions should the nurse take? Answer: Ensure the client is not
wearing any metal objects prior to procedure.
◉ A nurse is providing education to a client who is scheduled for an
electroencephalogram (EEG) the next day. Which of the following
statements should the nurse make? Answer: "You should wash your
hair prior to the procedure."
◉ A nurse is caring for a client immediately following a lumbar
puncture. Which of the following actions should the nurse take?
Select all that apply. Answer: 1. administer analgesic for pain
2. encourage increased fluid intake
3. monitor puncture site for drainage
◉ A nurse is caring for a client who came into the emergency
department after an injury to the right arm. The nurse is assessing
, the client's pain. Which question should the nurse ask first? Answer:
Where is your pain?
◉ A nurse is caring for a client who reports pain at 10 on a 0 to 10
scale. The nurse plans to administer morphine. Which of the
following adverse effects should the nurse monitor for in the client?
Select all that apply. Answer: 1. confusion
2. constipation
3. bradypnea
◉ A nurse is assessing a client who has meningitis. Which of the
following findings should the nurse expect?
Select all the apply. Answer: 1. headache
2. nuchal rigidity
3. photophobia
4. seizures
◉ A nurse is assessing for the presence of Brudzinski's sign in a
client who has suspected meningitis. Which of the following actions
should the nurse take when performing this technique?
Select all that apply. Answer: 1. place client in supine position
2. place hands behind the clients neck
3. bend clients head toward chest
EDITION 12.0 ACTUAL PAPER 2026 QUESTIONS
WITH SOLUTIONS GRADED A+
◉ A nurse is caring for a client who has a new diagnosis of type 2
diabetes mellitus and reports difficulty following the diet and
remembering to take the prescribed medication. Which of the
following actions should the nurse take to promote client
adherence? Select all that apply. Answer: 1. Ask the dietitian to assist
with meal planning
2. Provide educational materials for home use
3. Contact the clients support system
4. Encourage the use of daily medication dispenser
◉ A nurse in the ED is preparing to care for a group of clients. Which
of the following clients should the nurse classify as urgent when
using the three-level system of triage? Select all that apply Answer:
1. Client who has a pressure injury and a blood glucose of 200
mg/dL
2. Client who reports urinary frequency and fever
◉ A nurse encounters an unresponsive client during a walk. The
client's partner states, "He was pulling weeds in the yard and
,slumped to the ground." Which of the following techniques should
the nurse use to open the client's airway? Answer: Head-tilt, chin-lift
◉ A nurse in the ED is caring for a client who has been exposed to
freezing temperatures for several hours and is alert and talking.
Which of the following actions should the nurse take? Select all that
apply Answer: 1. Remove wet clothing
2. Apply warm blankets
3. Infuse warm IV fluids
◉ A nurse in the ED is caring for a client who is suspected of having
opioid poisoning. During the interview, the nurse notes that the
client suddenly becomes unresponsive, respirations and pulse are
absent. Which of the following actions should the nurse take? Select
all that apply Answer: 1. Administer naloxone
2. Obtain AED
3. Begin performing CPR
◉ A nurse in the ED is caring for a client who suddenly becomes
unresponsive and notes ventricular asystole on their monitor. Place
the actions the nurse should take in their correct order Answer: 1.
perform initial round of CPR
2. administer epinephrine
3. analyze heart rhythm with AED
4. identify cause
,◉ A nurse is teaching a client who is scheduled for a cerebral
angiography. Which of the following statements by the client
indicates understanding? Answer: "I will feel warm after that dye is
injected."
◉ A nurse is caring for a client who is scheduled for a cerebral
computed tomography scan with contrast. Which of the following
actions should the nurse take? Answer: Ensure the client is not
wearing any metal objects prior to procedure.
◉ A nurse is providing education to a client who is scheduled for an
electroencephalogram (EEG) the next day. Which of the following
statements should the nurse make? Answer: "You should wash your
hair prior to the procedure."
◉ A nurse is caring for a client immediately following a lumbar
puncture. Which of the following actions should the nurse take?
Select all that apply. Answer: 1. administer analgesic for pain
2. encourage increased fluid intake
3. monitor puncture site for drainage
◉ A nurse is caring for a client who came into the emergency
department after an injury to the right arm. The nurse is assessing
, the client's pain. Which question should the nurse ask first? Answer:
Where is your pain?
◉ A nurse is caring for a client who reports pain at 10 on a 0 to 10
scale. The nurse plans to administer morphine. Which of the
following adverse effects should the nurse monitor for in the client?
Select all that apply. Answer: 1. confusion
2. constipation
3. bradypnea
◉ A nurse is assessing a client who has meningitis. Which of the
following findings should the nurse expect?
Select all the apply. Answer: 1. headache
2. nuchal rigidity
3. photophobia
4. seizures
◉ A nurse is assessing for the presence of Brudzinski's sign in a
client who has suspected meningitis. Which of the following actions
should the nurse take when performing this technique?
Select all that apply. Answer: 1. place client in supine position
2. place hands behind the clients neck
3. bend clients head toward chest
