PN ADULT MEDICAL SURGICAL ONLINE
PRACTICE B NEW SOLUTION UPDATED
FOR 2023/2026 QUESTIONS AND
CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES 2026 Q&A
| INSTANT DOWNLOAD PDF
Core Domains
1. Cardiovascular and Hematologic Disorders
2. Respiratory Disorders and Oxygenation
3. Neurologic and Musculoskeletal Disorders
4. Gastrointestinal and Genitourinary Disorders
5. Endocrine and Metabolic Disorders
6. Perioperative Care and Surgical Management
7. Medication Administration and Pharmacological Management
8. Safety, Infection Control, and Patient Education
Introduction
The PN Adult Medical Surgical Online Practice B Examination is designed to assess the
practical nurse's knowledge and clinical judgment in caring for adult clients with medical-
surgical conditions. This comprehensive assessment evaluates the application of the nursing
process across diverse body systems, including cardiovascular, respiratory, neurologic,
gastrointestinal, and endocrine disorders. Emphasis is placed on safe medication
administration, perioperative care, infection control, and patient education. The multiple-
choice and scenario-based format requires candidates to prioritize nursing interventions,
recognize complications, and demonstrate critical thinking in real-world clinical situations.
This exam ensures practical nurses are prepared to deliver safe, effective, and compassionate
care.
SECTION ONE: QUESTIONS 1–100
1. A nurse is assisting with the development of a plan of care to manage pain for a
client who has herpes zoster with lesions on the lower extremities. Which of the
following interventions should the nurse include in the plan of care?
,A. Position a heat lamp over the lower extremities
B. Apply warm, moist compresses to the affected areas
C. Keep bed linens off the affected areas
D. Initiate droplet isolation precautions
Correct Answer: C
RATIONALE: The nurse should keep bed linens off the affected areas by using a bed
cradle, which will relieve pain caused by the linens rubbing against the lesions.
2. A nurse in an orthopedic clinic is reinforcing teaching with a client who has
osteoarthritis. Which of the following instructions should the nurse include to
promote comfort?
A. Sleep on a firm mattress
B. Try jogging in place when joints feel stiff
C. Use a soft chair or recliner for sitting
D. Apply ice packs to painful joints
Correct Answer: A
RATIONALE: A firm mattress or a bed board helps the client maintain joint alignment
while sleeping.
3. A nurse is caring for a client who has an intestinal obstruction and reports a new
onset of nausea. The client has an NG tube set at low intermittent suction and is
receiving continuous IV infusion of 0.9% sodium chloride. Which of the following
actions should the nurse take first?
A. Check for kinks in the NG tube
B. Increase the IV fluid rate
C. Provide ice chips
D. Administer an antiemetic
Correct Answer: A
RATIONALE: The first action the nurse should take is to check for kinks in the NG
tube, as this can cause nausea and vomiting by preventing proper decompression.
4. A nurse is assisting in the care of a client who has AIDS-related pneumonia. The
client is receiving antibiotic therapy and albuterol nebulizer treatments daily.
Which of the following findings should indicate to the nurse that the client's
therapeutic regimen is effective?
,A. Adventitious lung sounds
B. Decrease in exertional dyspnea
C. Respiratory rate of 26/min while sitting in a chair
D. Elevation of the head of the bed is required to sleep
Correct Answer: B
RATIONALE: A decrease in exertional dyspnea indicates the antibiotics are resolving
the infection and the albuterol treatments are facilitating effective ventilation.
5. A nurse is caring for a client who is in Buck's traction for a fractured hip. The
client reports increased pain at the site of the fracture. Which of the following
actions should the nurse take?
A. Massage the area
B. Remove the weights
C. Loosen the ropes
D. Reposition the client
Correct Answer: D
RATIONALE: When the client's body is out of alignment with the traction, muscle
spasms develop, causing increased pain. The nurse should reposition the client, ensuring
there is a straight line from the client's hip to the traction rope and pulley.
6. A nurse is reinforcing teaching with the caregiver of a client who is terminally ill
about manifestations of impending death. Which of the following manifestations
should the nurse include?
A. Hypertension
B. Tachycardia
C. Incontinence of the bowel and bladder
D. Increased urine output
Correct Answer: C
RATIONALE: Incontinence of the bowel and bladder is a manifestation of impending
death. Other manifestations include hypotension, bradycardia, restlessness, and coolness
of the skin.
7. A nurse in a clinic is collecting data from a client who has hyperthyroidism and
has been taking methimazole for 4 weeks. Which of the following statements by
the client indicates a therapeutic response to the medication?
, A. "I have gained 3 lbs since my last appointment"
B. "I have more energy now than before"
C. "My heart feels like it is racing less often"
D. "I am sleeping better at night"
Correct Answer: A
RATIONALE: Hyperthyroidism can cause weight loss. Weight gain indicates that the
methimazole therapy has been effective.
8. A nurse is contributing to the plan of care for a client who is postoperative
following a total knee arthroplasty. The client is using a continuous passive motion
(CPM) machine. Which of the following interventions should the nurse
recommend for the plan of care?
A. Keep a sheepskin pad between the client's extremity and the CPM machine
B. Set the machine to the highest flexion setting
C. Discontinue the machine during sleeping hours
D. Apply ice directly to the incision before use
Correct Answer: A
RATIONALE: The nurse should plan to keep a sheepskin pad between the client's
extremity and the CPM machine to protect the client's skin.
9. A nurse is reinforcing teaching with a client about testicular self-examination.
Which of the following instructions should the nurse include in the teaching?
A. "Perform the examination before going to bed"
B. "Perform the examination after taking a warm shower"
C. "Perform the examination once a year"
D. "Perform the examination while standing in cold water"
Correct Answer: B
RATIONALE: The nurse should instruct the client to perform testicular self-
examination after taking a warm shower or bath. This causes relaxation of the scrotal skin,
which allows for better palpation of the testes.
10. A nurse is reinforcing discharge teaching for the caregivers of a client who has
Parkinson's disease. Which of the following information should the nurse include
in the teaching?
A. Remind the client to avoid watching their feet when walking
B. Encourage the client to ambulate quickly to maintain balance
PRACTICE B NEW SOLUTION UPDATED
FOR 2023/2026 QUESTIONS AND
CORRECT ANSWERS (VERIFIED
ANSWERS) PLUS RATIONALES 2026 Q&A
| INSTANT DOWNLOAD PDF
Core Domains
1. Cardiovascular and Hematologic Disorders
2. Respiratory Disorders and Oxygenation
3. Neurologic and Musculoskeletal Disorders
4. Gastrointestinal and Genitourinary Disorders
5. Endocrine and Metabolic Disorders
6. Perioperative Care and Surgical Management
7. Medication Administration and Pharmacological Management
8. Safety, Infection Control, and Patient Education
Introduction
The PN Adult Medical Surgical Online Practice B Examination is designed to assess the
practical nurse's knowledge and clinical judgment in caring for adult clients with medical-
surgical conditions. This comprehensive assessment evaluates the application of the nursing
process across diverse body systems, including cardiovascular, respiratory, neurologic,
gastrointestinal, and endocrine disorders. Emphasis is placed on safe medication
administration, perioperative care, infection control, and patient education. The multiple-
choice and scenario-based format requires candidates to prioritize nursing interventions,
recognize complications, and demonstrate critical thinking in real-world clinical situations.
This exam ensures practical nurses are prepared to deliver safe, effective, and compassionate
care.
SECTION ONE: QUESTIONS 1–100
1. A nurse is assisting with the development of a plan of care to manage pain for a
client who has herpes zoster with lesions on the lower extremities. Which of the
following interventions should the nurse include in the plan of care?
,A. Position a heat lamp over the lower extremities
B. Apply warm, moist compresses to the affected areas
C. Keep bed linens off the affected areas
D. Initiate droplet isolation precautions
Correct Answer: C
RATIONALE: The nurse should keep bed linens off the affected areas by using a bed
cradle, which will relieve pain caused by the linens rubbing against the lesions.
2. A nurse in an orthopedic clinic is reinforcing teaching with a client who has
osteoarthritis. Which of the following instructions should the nurse include to
promote comfort?
A. Sleep on a firm mattress
B. Try jogging in place when joints feel stiff
C. Use a soft chair or recliner for sitting
D. Apply ice packs to painful joints
Correct Answer: A
RATIONALE: A firm mattress or a bed board helps the client maintain joint alignment
while sleeping.
3. A nurse is caring for a client who has an intestinal obstruction and reports a new
onset of nausea. The client has an NG tube set at low intermittent suction and is
receiving continuous IV infusion of 0.9% sodium chloride. Which of the following
actions should the nurse take first?
A. Check for kinks in the NG tube
B. Increase the IV fluid rate
C. Provide ice chips
D. Administer an antiemetic
Correct Answer: A
RATIONALE: The first action the nurse should take is to check for kinks in the NG
tube, as this can cause nausea and vomiting by preventing proper decompression.
4. A nurse is assisting in the care of a client who has AIDS-related pneumonia. The
client is receiving antibiotic therapy and albuterol nebulizer treatments daily.
Which of the following findings should indicate to the nurse that the client's
therapeutic regimen is effective?
,A. Adventitious lung sounds
B. Decrease in exertional dyspnea
C. Respiratory rate of 26/min while sitting in a chair
D. Elevation of the head of the bed is required to sleep
Correct Answer: B
RATIONALE: A decrease in exertional dyspnea indicates the antibiotics are resolving
the infection and the albuterol treatments are facilitating effective ventilation.
5. A nurse is caring for a client who is in Buck's traction for a fractured hip. The
client reports increased pain at the site of the fracture. Which of the following
actions should the nurse take?
A. Massage the area
B. Remove the weights
C. Loosen the ropes
D. Reposition the client
Correct Answer: D
RATIONALE: When the client's body is out of alignment with the traction, muscle
spasms develop, causing increased pain. The nurse should reposition the client, ensuring
there is a straight line from the client's hip to the traction rope and pulley.
6. A nurse is reinforcing teaching with the caregiver of a client who is terminally ill
about manifestations of impending death. Which of the following manifestations
should the nurse include?
A. Hypertension
B. Tachycardia
C. Incontinence of the bowel and bladder
D. Increased urine output
Correct Answer: C
RATIONALE: Incontinence of the bowel and bladder is a manifestation of impending
death. Other manifestations include hypotension, bradycardia, restlessness, and coolness
of the skin.
7. A nurse in a clinic is collecting data from a client who has hyperthyroidism and
has been taking methimazole for 4 weeks. Which of the following statements by
the client indicates a therapeutic response to the medication?
, A. "I have gained 3 lbs since my last appointment"
B. "I have more energy now than before"
C. "My heart feels like it is racing less often"
D. "I am sleeping better at night"
Correct Answer: A
RATIONALE: Hyperthyroidism can cause weight loss. Weight gain indicates that the
methimazole therapy has been effective.
8. A nurse is contributing to the plan of care for a client who is postoperative
following a total knee arthroplasty. The client is using a continuous passive motion
(CPM) machine. Which of the following interventions should the nurse
recommend for the plan of care?
A. Keep a sheepskin pad between the client's extremity and the CPM machine
B. Set the machine to the highest flexion setting
C. Discontinue the machine during sleeping hours
D. Apply ice directly to the incision before use
Correct Answer: A
RATIONALE: The nurse should plan to keep a sheepskin pad between the client's
extremity and the CPM machine to protect the client's skin.
9. A nurse is reinforcing teaching with a client about testicular self-examination.
Which of the following instructions should the nurse include in the teaching?
A. "Perform the examination before going to bed"
B. "Perform the examination after taking a warm shower"
C. "Perform the examination once a year"
D. "Perform the examination while standing in cold water"
Correct Answer: B
RATIONALE: The nurse should instruct the client to perform testicular self-
examination after taking a warm shower or bath. This causes relaxation of the scrotal skin,
which allows for better palpation of the testes.
10. A nurse is reinforcing discharge teaching for the caregivers of a client who has
Parkinson's disease. Which of the following information should the nurse include
in the teaching?
A. Remind the client to avoid watching their feet when walking
B. Encourage the client to ambulate quickly to maintain balance
