PN Adult Medical Surgical Online Practice B 2026/2027 – 80+ Questions & Answers | Med-Surg Nursing, Cardiac, Respiratory, GI, Endocrine & Neurological Care

The PN Adult Medical Surgical Online Practice B 2026/2027 is a 24-page practical nursing exam-preparation resource containing 80+ questions, answers, select-all-that-apply items, clinical scenarios, prioritization exercises, medication calculations, and case-based questions. The material focuses on core adult medical-surgical nursing competencies, including respiratory and cardiovascular care, gastrointestinal disorders, endocrine conditions, neurological disorders, musculoskeletal care, renal and urinary problems, infection control, oncology, burns, perioperative nursing, pharmacology, nutrition, wound care, emergency interventions, and patient education. The source identifies the material as “Already Graded A+,” but it does not provide a specific course code, university, or college name, so these details should not be invented. A major component of the document is respiratory and emergency nursing care. Candidates review interventions for COPD, oxygen desaturation, meningococcal pneumonia, postoperative respiratory complications, and respiratory manifestations associated with infection. The guide includes scenarios requiring students to prioritize oxygen saturation, administer oxygen by nasal cannula, use bronchodilators before meals for clients with COPD, obtain sputum cultures, encourage coughing and deep breathing, and evaluate improvement using respiratory rate and oxygen saturation. It also addresses anaphylaxis following penicillin administration, identifying epinephrine as the intervention presented after establishment of a patent airway. The cardiovascular section covers cardiac catheterization, peripheral arterial disease, pacemakers, mechanical heart-valve replacement, medication-related cardiac risks, and hemodynamic assessment. Post-catheterization nursing actions include monitoring the femoral insertion site for bleeding, maintaining the pressure dressing, and assessing peripheral pulses. Students also encounter questions involving digoxin toxicity risk with furosemide, postoperative tachycardia and hypotension, pacemaker-associated findings, blood pressure assessment, peripheral circulation, and patient teaching following mechanical mitral-valve replacement. Gastrointestinal content is particularly broad and includes Crohn's disease, appendicitis, diverticular disease, peritonitis, pancreatitis, fecal impaction, bowel retraining, stomatitis, gastrointestinal bleeding, nausea and vomiting, nutrition, and abdominal surgery. The case-based material asks students to differentiate disease manifestations using findings such as right-lower-quadrant pain, blood or mucus in the stool, and nausea. It also reviews peritonitis interventions, including blood cultures, frequent vital-sign assessment and nasogastric decompression, while later questions identify periumbilical ecchymosis in acute pancreatitis as a manifestation associated with intra-abdominal bleeding. The endocrine and metabolic nursing questions cover hyperthyroidism, thyroidectomy, Cushing's syndrome, hypothyroidism, diabetes mellitus, and medication therapy. Candidates review therapeutic response to methimazole, levothyroxine administration before breakfast, muscle twitching as a finding associated in the source with possible parathyroid injury following thyroidectomy, and truncal obesity in Cushing's syndrome. A clinical diagram near the end of the document also requires recognition of hyperthyroidism, with interventions involving room temperature and visitor limitation and monitoring parameters that include temperature and daily weight. The guide provides substantial coverage of orthopedic and musculoskeletal nursing. Topics include compound femur fractures, balanced suspension skeletal traction, pin-site care, hip and knee arthroplasty, continuous passive motion machines, casts, compartment syndrome, and postoperative mobility. Students review hip precautions such as maintaining hip flexion at 90 degrees or less, using an abduction pillow following total hip arthroplasty, and recognizing severe pain, tingling, numbness, pallor, cool skin, and sluggish capillary refill as findings associated with compartment syndrome. Neurological nursing concepts include tonic-clonic seizures, stroke, multiple sclerosis, Parkinson's disease, Alzheimer's disease, migraines, spinal cord injury, and neurological localization. The source recommends loosening clothing around the neck during a tonic-clonic seizure and includes questions involving side-lying positioning after stroke, bowel retraining following cervical spinal cord injury, baclofen teaching for multiple sclerosis, dantrolene use for muscle spasms, sumatriptan treatment outcomes, and strategies for clients with Parkinson's disease. A hotspot-style question also associates inability to speak following stroke with injury to the frontal lobe. The renal, urinary, and reproductive health material addresses chronic kidney failure, epoetin alfa, urinary retention, TURP with continuous bladder irrigation, urinary catheterization, phenazopyridine, testicular self-examination, gonorrhea, and contrast-related renal assessment. Candidates review creatinine testing before CT imaging with IV contrast, straight catheter use for intermittent catheterization, irrigation of a postoperative TURP catheter with 0.9% sodium chloride as presented in the guide, and relief of painful urination as a therapeutic effect of phenazopyridine. Testicular self-examination teaching includes performing the examination after a warm shower and recognizing that testicular cancer can be painless. Infection prevention and immunological nursing are incorporated through MRSA, systemic lupus erythematosus, chemotherapy precautions, vaccines, meningococcal infection, wound management, and immunosuppressive therapy. The guide identifies gown and gloves for visitors entering the room of a client with an MRSA surgical wound and advises limiting exposure to large groups for a client beginning oral methylprednisone for SLE. It also includes herpes zoster vaccination for older adults and protective measures for clients undergoing chemotherapy. The document also reviews burns, skin integrity, wound healing, and pressure-injury prevention. Candidates encounter questions involving deep partial-thickness and full-thickness burns, fluid-resuscitation effectiveness, restricted chest movement from burn injury, pressure-prone areas, surgical drains, and delayed wound healing. The source identifies urine output as an important indicator of adequate burn fluid resuscitation and escharotomy as the anticipated procedure when burn injury restricts chest movement. Pressure-injury prevention includes positioning pillows between bony prominences and minimizing prolonged head-of-bed elevation when sacral skin breakdown is developing. Oncology and end-of-life concepts include leukemia, chemotherapy, internal radiation implants, hospice, terminal illness, and manifestations of impending death. The questions address infection-prevention and nutrition teaching during chemotherapy, safe handling of internal radiation implants, hospice support for clients and loved ones, and bowel and bladder incontinence as a manifestation presented in the guide for impending death. A strong feature of the resource is its emphasis on clinical judgment and prioritization rather than simple factual recall. Students must determine which finding to address first, distinguish anticipated from contraindicated prescriptions, identify findings requiring immediate reporting, interpret laboratory and diagnostic data, and connect assessment findings with likely conditions. Examples include prioritizing oxygen saturation before heart rate in a respiratory scenario and recognizing hypovolemia from clinical data, followed by selecting a large-gauge IV and fluid challenge while monitoring urine output and blood pressure. The guide also includes medication administration and dosage calculation. One calculation requires administration of phytonadione 7 mg when 10 mg/mL is available, with the source giving 0.7 mL as the calculated dose. Other pharmacology questions address naloxone following oxycodone overdose, levothyroxine, methimazole, epoetin alfa, baclofen, dantrolene, sumatriptan, digoxin, furosemide, phenazopyridine, insulin storage, methylprednisone, phenytoin, gentamicin, and epinephrine. Overall, this document is particularly relevant for students preparing for a PN adult medical-surgical online practice examination because it combines disease recognition, nursing interventions, pharmacology, laboratory interpretation, prioritization, safety, discharge education, and Next Generation-style clinical judgment scenarios. Since the uploaded material is an exam-preparation source, students should use its answers for review of the represented material and compare clinically important information with their current assigned nursing resources when necessary. Relevant students: Practical Nursing students, PN students, LPN/LVN students, adult medical-surgical nursing students, nursing fundamentals students progressing into med-surg, practical nursing exam candidates, nursing students preparing for online practice assessments, clinical judgment exam candidates, and students reviewing adult health nursing, pharmacology, perioperative care, emergency nursing, and patient education. Keywords PN Adult Medical Surgical Online Practice B, PN Adult Medical Surgical 2026, PN Adult Medical Surgical 2027, Adult Medical Surgical Online Practice B questions, PN med surg questions and answers, practical nursing medical surgical exam, LPN medical surgical exam, LVN medical surgical exam, adult health nursing questions, med surg nursing study guide, medical surgical practice questions, nursing clinical judgment, nursing prioritization questions, cardiovascular nursing, respiratory nursing, COPD nursing care, oxygen therapy nursing, cardiac catheterization nursing, digoxin toxicity, peripheral arterial disease, gastrointestinal nursing, Crohn disease nursing, appendicitis nursing, diverticular disease nursing, peritonitis nursing, pancreatitis nursing, endocrine nursing, hyperthyroidism nursing, thyroidectomy nursing, Cushing syndrome, levothyroxine teaching, diabetes nursing, musculoskeletal nursing, hip arthroplasty nursing, knee arthroplasty nursing, compartment syndrome, skeletal traction nursing, neurological nursing, stroke nursing, seizure nursing, multiple sclerosis nursing, Parkinson disease nursing, renal nursing, TURP nursing, urinary catheterization, oncology nursing, leukemia nursing, chemotherapy precautions, MRSA nursing, infection control nursing, burn nursing, pressure injury prevention, wound care nursing, hypovolemia nursing, sepsis nursing, naloxone nursing, medication dosage calculation, phytonadione calculation, perioperative nursing, hospice nursing, PN nursing exam preparation