PNLE III for Medical Surgical Nursing
Exam and All Actual Answers 2026-2027
Edition.
Marco who was diagnosed with brain tumor was scheduled for craniotomy. In preventing the
development of cerebral edema after surgery, the nurse should expect the use of:
A. Diuretics
B. Antihypertensive
C. Steroids
D. Anticonvulsants - Answer C. Glucocorticoids (steroids) are used for their anti-inflammatory
action, which decreases the development of edema.
Halfway through the administration of blood, the female client complains of lumbar pain. After
stopping the infusion Nurse Hazel should:
A. Increase the flow of normal saline
B. Assess the pain further
C. Notify the blood bank D. Obtain vital signs. - Answer A. The blood must be stopped at once,
and then normal saline should be infused to keep the line patent and maintain blood volume.
Nurse Maureen knows that the positive diagnosis for HIV infection is made based on which of
the following: A. A history of high risk sexual behaviors.
B. Positive ELISA and western blot tests
C. Identification of an associated opportunistic infection
D. Evidence of extreme weight loss and high fever - Answer B. These tests confirm the
presence of HIV antibodies that occur in response to the presence of the human
immunodeficiency virus (HIV).
Nurse Maureen is aware that a client who has been diagnosed with chronic renal failure
recognizes an adequate amount of high-biologic-value protein when the food the client selected
from the menu was:
A. Raw carrots
B. Apple juice
C. Whole wheat bread D. Cottage cheese - Answer D. One cup of cottage cheese contains
approximately 225 calories, 27 g of protein, 9 g of fat, 30 mg cholesterol, and 6 g of
carbohydrate. Proteins of high biologic value (HBV) contain optimal levels of amino acids
essential for life.
, Nurse Maureen is aware that a client who has been diagnosed with chronic renal failure
recognizes an adequate amount of high-biologic-value protein when the food the client selected
from the menu was:
A. Raw carrots
B. Apple juice
C. Whole wheat bread D. Cottage cheese - Answer A. Elevation of uremic waste products
causes irritation of the nerves, resulting in flapping hand tremors.
A client is admitted to the hospital with benign prostatic hyperplasia, the nurse most relevant
assessment would be: A. Flank pain radiating in the groin
B. Distention of the lower abdomen
C. Perineal edema
D. Urethral discharge - Answer B. This indicates that the bladder is distended with urine,
therefore palpable.
A client has undergone with penile implant. After 24 hrs of surgery, the client's scrotum was
edematous and painful. The nurse should:
A. Assist the client with sitz bath
B. Apply war soaks in the scrotum
C. Elevate the scrotum using a soft support
D. Prepare for a possible incision and drainage. - Answer C. Elevation increases lymphatic
drainage, reducing edema and pain.
Nurse hazel receives emergency laboratory results for a client with chest pain and immediately
informs the physician. An increased myoglobin level suggests which of the following?
A. Liver disease
B. Myocardial damage
C. Hypertension D. Cancer - Answer B. Detection of myoglobin is a diagnostic tool to
determine whether myocardial damage has occurred.
Nurse Maureen would expect the a client with mitral stenosis would demonstrate symptoms
associated with congestion in the:
A. Right atrium
B. Superior vena cava
C. Aorta
D. Pulmonary - Answer D. When mitral stenosis is present, the left atrium has difficulty
emptying its contents into the left ventricle because there is no valve to prevent back ward flow
into the pulmonary vein, the pulmonary circulation is under pressure.
Exam and All Actual Answers 2026-2027
Edition.
Marco who was diagnosed with brain tumor was scheduled for craniotomy. In preventing the
development of cerebral edema after surgery, the nurse should expect the use of:
A. Diuretics
B. Antihypertensive
C. Steroids
D. Anticonvulsants - Answer C. Glucocorticoids (steroids) are used for their anti-inflammatory
action, which decreases the development of edema.
Halfway through the administration of blood, the female client complains of lumbar pain. After
stopping the infusion Nurse Hazel should:
A. Increase the flow of normal saline
B. Assess the pain further
C. Notify the blood bank D. Obtain vital signs. - Answer A. The blood must be stopped at once,
and then normal saline should be infused to keep the line patent and maintain blood volume.
Nurse Maureen knows that the positive diagnosis for HIV infection is made based on which of
the following: A. A history of high risk sexual behaviors.
B. Positive ELISA and western blot tests
C. Identification of an associated opportunistic infection
D. Evidence of extreme weight loss and high fever - Answer B. These tests confirm the
presence of HIV antibodies that occur in response to the presence of the human
immunodeficiency virus (HIV).
Nurse Maureen is aware that a client who has been diagnosed with chronic renal failure
recognizes an adequate amount of high-biologic-value protein when the food the client selected
from the menu was:
A. Raw carrots
B. Apple juice
C. Whole wheat bread D. Cottage cheese - Answer D. One cup of cottage cheese contains
approximately 225 calories, 27 g of protein, 9 g of fat, 30 mg cholesterol, and 6 g of
carbohydrate. Proteins of high biologic value (HBV) contain optimal levels of amino acids
essential for life.
, Nurse Maureen is aware that a client who has been diagnosed with chronic renal failure
recognizes an adequate amount of high-biologic-value protein when the food the client selected
from the menu was:
A. Raw carrots
B. Apple juice
C. Whole wheat bread D. Cottage cheese - Answer A. Elevation of uremic waste products
causes irritation of the nerves, resulting in flapping hand tremors.
A client is admitted to the hospital with benign prostatic hyperplasia, the nurse most relevant
assessment would be: A. Flank pain radiating in the groin
B. Distention of the lower abdomen
C. Perineal edema
D. Urethral discharge - Answer B. This indicates that the bladder is distended with urine,
therefore palpable.
A client has undergone with penile implant. After 24 hrs of surgery, the client's scrotum was
edematous and painful. The nurse should:
A. Assist the client with sitz bath
B. Apply war soaks in the scrotum
C. Elevate the scrotum using a soft support
D. Prepare for a possible incision and drainage. - Answer C. Elevation increases lymphatic
drainage, reducing edema and pain.
Nurse hazel receives emergency laboratory results for a client with chest pain and immediately
informs the physician. An increased myoglobin level suggests which of the following?
A. Liver disease
B. Myocardial damage
C. Hypertension D. Cancer - Answer B. Detection of myoglobin is a diagnostic tool to
determine whether myocardial damage has occurred.
Nurse Maureen would expect the a client with mitral stenosis would demonstrate symptoms
associated with congestion in the:
A. Right atrium
B. Superior vena cava
C. Aorta
D. Pulmonary - Answer D. When mitral stenosis is present, the left atrium has difficulty
emptying its contents into the left ventricle because there is no valve to prevent back ward flow
into the pulmonary vein, the pulmonary circulation is under pressure.
