MEDICAL SURGICAL B EXAM SCRIPT FINAL
PAPER 2026 FULL QUESTIONS AND
VERIFIED SOLUTIONS
◉ A. Use sugarless gum and candy to increase salivary secretions.
Answer: The practical nurse (PN) is caring for a client who is
receiving radiotherapy for cancer of the larynx. Which information
should the PN provide the client to reduce the undesirable effects of
radiation?
◉ D. Bleeding precautions.
Answer: A client who experienced a thrombolic stroke has received
recombinant tissue plasminogen activator (TPA)(Alteplase) two
hours ago in the emergency center. Which priority precaution
should the practical nurse implement for this client on admission to
the medical unit?
◉ A. Request the use of special hand scanning at airports.
C. Do not lean against the car while the engine is running.
D. Keep the regularly scheduled follow-up appointments.
Answer: Which instructions should the practical nurse (PN)
reinforce with a client who is preparing for discharge after
placement of a permanent pacemaker implant? Select all
, ◉ C. Decrease oxygen flow rate to 2 liter/minute and attach pulse
oximeter.
Answer: After receiving report, the practical nurse (PN) begins
assessment for a client with chronic obstructive pulmonary disease
(COPD) who has just completed a respiratory treatment. The PN
finds the client sitting upright in bed with oxygen at 6 liters/minute
per nasal cannula. Which intervention is most important for the PN
to implement?
◉ B. Asks questions regarding the surgical experience
Answer: While completing preoperative preparation for a client
admitted for same-day surgery, what evaluation statement should
the practical nurse identify as an important outcome?
◉ C. Vomiting
Answer: A male client who is unconscious after blunt trauma to the
head during a baseball game is admitted for observation for possible
epidural hematoma. The client is awake and oriented at each hourly
check and becomes more difficult to arouse. Which additional
finding should the practical nurse report?
◉ C. International normalized ratio (INR) of 0.9
Answer: A client's prescription for warfarin (Coumadin) therapy was
discontinued three weeks ago and returns to the clinic for follow-up
PAPER 2026 FULL QUESTIONS AND
VERIFIED SOLUTIONS
◉ A. Use sugarless gum and candy to increase salivary secretions.
Answer: The practical nurse (PN) is caring for a client who is
receiving radiotherapy for cancer of the larynx. Which information
should the PN provide the client to reduce the undesirable effects of
radiation?
◉ D. Bleeding precautions.
Answer: A client who experienced a thrombolic stroke has received
recombinant tissue plasminogen activator (TPA)(Alteplase) two
hours ago in the emergency center. Which priority precaution
should the practical nurse implement for this client on admission to
the medical unit?
◉ A. Request the use of special hand scanning at airports.
C. Do not lean against the car while the engine is running.
D. Keep the regularly scheduled follow-up appointments.
Answer: Which instructions should the practical nurse (PN)
reinforce with a client who is preparing for discharge after
placement of a permanent pacemaker implant? Select all
, ◉ C. Decrease oxygen flow rate to 2 liter/minute and attach pulse
oximeter.
Answer: After receiving report, the practical nurse (PN) begins
assessment for a client with chronic obstructive pulmonary disease
(COPD) who has just completed a respiratory treatment. The PN
finds the client sitting upright in bed with oxygen at 6 liters/minute
per nasal cannula. Which intervention is most important for the PN
to implement?
◉ B. Asks questions regarding the surgical experience
Answer: While completing preoperative preparation for a client
admitted for same-day surgery, what evaluation statement should
the practical nurse identify as an important outcome?
◉ C. Vomiting
Answer: A male client who is unconscious after blunt trauma to the
head during a baseball game is admitted for observation for possible
epidural hematoma. The client is awake and oriented at each hourly
check and becomes more difficult to arouse. Which additional
finding should the practical nurse report?
◉ C. International normalized ratio (INR) of 0.9
Answer: A client's prescription for warfarin (Coumadin) therapy was
discontinued three weeks ago and returns to the clinic for follow-up
