PN ADULT MEDICAL SURGICAL

PN ADULT MEDICAL SURGICAL 2026 EXAMINATION
TEST SCRIPT QUESTIONS WITH SOLUTIONS

.


Question




95: 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




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• B) Resume exercising in 10 days

• C) Plan to shampoo hair in 1 week

• D) Close mouth when sneezing

Answer: D) Close mouth when sneezing

Explanation: After a tympanoplasty, it is important to close the mouth when sneezing to avoid pressure changes that
could affect the healing of the ear. Drinking fluids through a straw or shampooing hair in 1 week might be too early,
and resuming exercise too soon could lead to complications.




Question 54:

A nurse is caring for a client who is postoperative following the placement of a colostomy. Which of the following
findings indicates the colostomy is functioning properly?

• A) Tolerating a clear liquid diet

• B) Stoma is pinkish-red

• C) Absent bowel sounds

• D) Passing of flatus

Answer: D) Passing of flatus

Explanation: Passing flatus indicates that the bowel is functioning properly after a colostomy. It shows that the
digestive tract is passing gas through the new stoma. The stoma should appear pinkish -red (indicating good blood
supply), but passing flatus is the primary sign of proper function.




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Question 49:

A nurse is assisting with the care of a postoperative client who has developed malignant hyperthermia. Which of
the following actions should the nurse take?

• A) Administer meperidine IM

• B) Apply a cooling blanket

• C) Instill a warm enema solution

• D) Ventilate client with 50% oxygen

Answer: B) Apply a cooling blanket

Explanation: Malignant hyperthermia is a life -threatening condition that causes a rapid increase in body
temperature. Applying a cooling blanket is a critical action to reduce the body temperature quickly and prevent
further complications. Administering meperidine, instilling a warm enema, or ventilating with oxygen alone are not
eff ective interventions for treating malignant hyperthermia.




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Question 60:

A nurse is reinforcing teaching with a client who is scheduled to undergo a bronchoscopy. Which of the following
client statements indicates an understanding of the teaching?

• A) "I will receive an injection of radioactive material prior to having the procedure."

• B) "I can eat as soon as the procedure is completed."

• C) "I might have blood -tinged sputum after the procedure."

• D) "I can have clear liquids up to 3 hours before th e procedure."

Answer: C) "I might have blood-tinged sputum after the procedure."

Explanation: It is common for clients to have blood -tinged sputum after a bronchoscopy due to irritation or minor
injury to the respiratory tract during the procedure. The other options are incorrect as receiving radioactive
material is not typical for a bronchoscopy, eating immediately after the procedure is not advised, and clients should
usually avoid liquids for several hours before the procedure to prevent aspiration.




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