PN ADULT MEDICAL SURGICAL ONLINE PRACTICE A NEW
SOLUTION UPDATED FOR 2023/2026 - QUESTIONS WITH
ANSWERS & RATIONALES INSTANT DOWNLOAD PDF
98 QUESTIONS
TABLE OF CONTENTS
# TOPIC
1 Apply the nursing process to prioritize care for adult clients with complex medical-surgical conditions
2 Analyze diagnostic data and clinical manifestations to formulate safe, evidence-based nursing
interventions
3 Evaluate the effectiveness of pharmacological and non-pharmacological treatments in adult health
4 Demonstrate understanding of infection control, patient safety, and interprofessional collaboration in acute
care settings
5 PN ADULT MEDICAL SURGICAL ONLINE PRACTICE A NEW SOLUTION UPDATED FOR 2023
6 2026
7 QUESTIONS WITH ANSWERS & RATIONALES INSTANT DOWNLOAD PDF
8 Foundations of Adult Medical-Surgical Nursing
9 Applied Adult Medical-Surgical Nursing
10 Advanced Adult Medical-Surgical Nursing
11 Adult Medical-Surgical Nursing Review
ABSTRACT
This study document brings together 98 carefully worded exam questions drawn from PN ADULT
MEDICAL SURGICAL ONLINE PRACTICE A NEW SOLUTION UPDATED FOR 2023/2026 -
QUESTIONS WITH ANSWERS & RATIONALES INSTANT DOWNLOAD PDF, with the strongest
emphasis placed on Apply the nursing process to prioritize care for adult clients with complex
medical-surgical conditions, Analyze diagnostic data and clinical manifestations to formulate safe,
evidence-based nursing interventions and Evaluate the effectiveness of pharmacological and
non-pharmacological treatments in adult health. Every item follows the wording style and level of
reasoning you meet in the real paper, and each one is paired with a clear rationale so the correct
choice is never a guess. Work through the set at your own pace, mark the questions that slow you
down, then come back to them until the reasoning feels automatic. Learners who revise this way
walk into the exam room recognising the pattern behind the questions instead of meeting them for
the first time. Keep going - steady, honest practice is what turns a difficult paper into a comfortable
pass.
Page 1
,Q1 APPLY THE NURSING PROCESS TO PRIORITIZE CARE FOR ADULT CLIENTS WITH
COMPLEX MEDICAL-SURGICAL CONDITIONS
A client with acute decompensated heart failure is receiving intravenous
furosemide. Which assessment finding indicates a therapeutic response to the
medication?
A. Decreased urine output with specific gravity of 1.030
B. Weight loss of 1 kg (2.2 lb) in 24 hours CORRECT
C. Serum potassium level of 3.1 mEq/L
D. Bilateral crackles auscultated to the mid-lung fields
RATIONALE: A weight loss of 1 kg in 24 hours reflects effective diuresis and fluid mobilization, a
key therapeutic goal in acute decompensated heart failure. Decreased urine output and crackles
indicate worsening fluid retention, while hypokalemia is an adverse effect, not a therapeutic
response.
Q2 APPLY THE NURSING PROCESS TO PRIORITIZE CARE FOR ADULT CLIENTS WITH
COMPLEX MEDICAL-SURGICAL CONDITIONS
A client with COPD is prescribed home oxygen therapy. Which instruction should
the nurse include to ensure safe and effective use?
A. Increase oxygen flow rate to 6 L/min during episodes of dyspnea.
B. Use a nasal cannula and maintain oxygen saturation between 88% and 92%. CORRECT
C. Store oxygen tanks in a closet to protect them from sunlight.
D. Apply petroleum jelly to the nares to prevent dryness.
RATIONALE: For COPD clients, target SpO2 is 88-92% to avoid oxygen-induced hypercapnia.
High flow rates can suppress hypoxic drive; oxygen tanks should be stored in well-ventilated
areas away from heat; petroleum jelly is flammable and should be avoided.
Page 2
,Q3 APPLY THE NURSING PROCESS TO PRIORITIZE CARE FOR ADULT CLIENTS WITH
COMPLEX MEDICAL-SURGICAL CONDITIONS
A client is admitted with a suspected ischemic stroke. The provider prescribes
alteplase. Which assessment finding is an absolute contraindication to this
therapy?
A. Blood pressure of 180/100 mm Hg
B. Platelet count of 150,000/mm³
C. History of gastrointestinal bleeding within the past 3 weeks CORRECT
D. Onset of symptoms 2 hours ago
RATIONALE: Recent gastrointestinal bleeding is an absolute contraindication to alteplase due to
high risk of hemorrhage. Uncontrolled hypertension >185/110 is a relative contraindication;
normal platelet count and symptom onset within 3-4.5 hours are eligible criteria.
Q4 APPLY THE NURSING PROCESS TO PRIORITIZE CARE FOR ADULT CLIENTS WITH
COMPLEX MEDICAL-SURGICAL CONDITIONS
A client with type 1 diabetes mellitus is found unresponsive with a blood glucose
of 42 mg/dL. After administering glucagon, which action should the nurse take
next?
A. Administer a rapid-acting insulin dose.
B. Place the client in a supine position and monitor airway.
C. Provide oral glucose gel once conscious.
D. Recheck blood glucose in 15 minutes. CORRECT
RATIONALE: After administering glucagon for severe hypoglycemia, the nurse should recheck
blood glucose in 15 minutes to evaluate effectiveness. Insulin is contraindicated; oral glucose is
given after consciousness returns; positioning is important but not the immediate next action.
Page 3
, Q5 APPLY THE NURSING PROCESS TO PRIORITIZE CARE FOR ADULT CLIENTS WITH
COMPLEX MEDICAL-SURGICAL CONDITIONS
A client with chronic kidney disease is prescribed epoetin alfa. Which laboratory
value should the nurse monitor to evaluate the therapeutic effect?
A. Serum creatinine
B. Hemoglobin and hematocrit CORRECT
C. Blood urea nitrogen
D. Serum potassium
RATIONALE: Epoetin alfa stimulates red blood cell production, so hemoglobin and hematocrit are
monitored to assess effectiveness. Creatinine, BUN, and potassium reflect renal function but are
not direct indicators of epoetin response.
Q6 APPLY THE NURSING PROCESS TO PRIORITIZE CARE FOR ADULT CLIENTS WITH
COMPLEX MEDICAL-SURGICAL CONDITIONS
A client with a new colostomy is being taught about dietary management. Which
statement by the client indicates a need for further teaching?
A. I should eat slowly and chew food thoroughly.
B. I can eat gas-forming foods like broccoli and beans. CORRECT
C. I will drink at least 2 liters of fluid daily.
D. I should avoid high-fiber foods to prevent blockage.
RATIONALE: Gas-forming foods can cause discomfort and should be limited initially; the client
needs further teaching. Chewing slowly, adequate fluids, and avoiding high-fiber foods that can
obstruct are appropriate measures.
Page 4
SOLUTION UPDATED FOR 2023/2026 - QUESTIONS WITH
ANSWERS & RATIONALES INSTANT DOWNLOAD PDF
98 QUESTIONS
TABLE OF CONTENTS
# TOPIC
1 Apply the nursing process to prioritize care for adult clients with complex medical-surgical conditions
2 Analyze diagnostic data and clinical manifestations to formulate safe, evidence-based nursing
interventions
3 Evaluate the effectiveness of pharmacological and non-pharmacological treatments in adult health
4 Demonstrate understanding of infection control, patient safety, and interprofessional collaboration in acute
care settings
5 PN ADULT MEDICAL SURGICAL ONLINE PRACTICE A NEW SOLUTION UPDATED FOR 2023
6 2026
7 QUESTIONS WITH ANSWERS & RATIONALES INSTANT DOWNLOAD PDF
8 Foundations of Adult Medical-Surgical Nursing
9 Applied Adult Medical-Surgical Nursing
10 Advanced Adult Medical-Surgical Nursing
11 Adult Medical-Surgical Nursing Review
ABSTRACT
This study document brings together 98 carefully worded exam questions drawn from PN ADULT
MEDICAL SURGICAL ONLINE PRACTICE A NEW SOLUTION UPDATED FOR 2023/2026 -
QUESTIONS WITH ANSWERS & RATIONALES INSTANT DOWNLOAD PDF, with the strongest
emphasis placed on Apply the nursing process to prioritize care for adult clients with complex
medical-surgical conditions, Analyze diagnostic data and clinical manifestations to formulate safe,
evidence-based nursing interventions and Evaluate the effectiveness of pharmacological and
non-pharmacological treatments in adult health. Every item follows the wording style and level of
reasoning you meet in the real paper, and each one is paired with a clear rationale so the correct
choice is never a guess. Work through the set at your own pace, mark the questions that slow you
down, then come back to them until the reasoning feels automatic. Learners who revise this way
walk into the exam room recognising the pattern behind the questions instead of meeting them for
the first time. Keep going - steady, honest practice is what turns a difficult paper into a comfortable
pass.
Page 1
,Q1 APPLY THE NURSING PROCESS TO PRIORITIZE CARE FOR ADULT CLIENTS WITH
COMPLEX MEDICAL-SURGICAL CONDITIONS
A client with acute decompensated heart failure is receiving intravenous
furosemide. Which assessment finding indicates a therapeutic response to the
medication?
A. Decreased urine output with specific gravity of 1.030
B. Weight loss of 1 kg (2.2 lb) in 24 hours CORRECT
C. Serum potassium level of 3.1 mEq/L
D. Bilateral crackles auscultated to the mid-lung fields
RATIONALE: A weight loss of 1 kg in 24 hours reflects effective diuresis and fluid mobilization, a
key therapeutic goal in acute decompensated heart failure. Decreased urine output and crackles
indicate worsening fluid retention, while hypokalemia is an adverse effect, not a therapeutic
response.
Q2 APPLY THE NURSING PROCESS TO PRIORITIZE CARE FOR ADULT CLIENTS WITH
COMPLEX MEDICAL-SURGICAL CONDITIONS
A client with COPD is prescribed home oxygen therapy. Which instruction should
the nurse include to ensure safe and effective use?
A. Increase oxygen flow rate to 6 L/min during episodes of dyspnea.
B. Use a nasal cannula and maintain oxygen saturation between 88% and 92%. CORRECT
C. Store oxygen tanks in a closet to protect them from sunlight.
D. Apply petroleum jelly to the nares to prevent dryness.
RATIONALE: For COPD clients, target SpO2 is 88-92% to avoid oxygen-induced hypercapnia.
High flow rates can suppress hypoxic drive; oxygen tanks should be stored in well-ventilated
areas away from heat; petroleum jelly is flammable and should be avoided.
Page 2
,Q3 APPLY THE NURSING PROCESS TO PRIORITIZE CARE FOR ADULT CLIENTS WITH
COMPLEX MEDICAL-SURGICAL CONDITIONS
A client is admitted with a suspected ischemic stroke. The provider prescribes
alteplase. Which assessment finding is an absolute contraindication to this
therapy?
A. Blood pressure of 180/100 mm Hg
B. Platelet count of 150,000/mm³
C. History of gastrointestinal bleeding within the past 3 weeks CORRECT
D. Onset of symptoms 2 hours ago
RATIONALE: Recent gastrointestinal bleeding is an absolute contraindication to alteplase due to
high risk of hemorrhage. Uncontrolled hypertension >185/110 is a relative contraindication;
normal platelet count and symptom onset within 3-4.5 hours are eligible criteria.
Q4 APPLY THE NURSING PROCESS TO PRIORITIZE CARE FOR ADULT CLIENTS WITH
COMPLEX MEDICAL-SURGICAL CONDITIONS
A client with type 1 diabetes mellitus is found unresponsive with a blood glucose
of 42 mg/dL. After administering glucagon, which action should the nurse take
next?
A. Administer a rapid-acting insulin dose.
B. Place the client in a supine position and monitor airway.
C. Provide oral glucose gel once conscious.
D. Recheck blood glucose in 15 minutes. CORRECT
RATIONALE: After administering glucagon for severe hypoglycemia, the nurse should recheck
blood glucose in 15 minutes to evaluate effectiveness. Insulin is contraindicated; oral glucose is
given after consciousness returns; positioning is important but not the immediate next action.
Page 3
, Q5 APPLY THE NURSING PROCESS TO PRIORITIZE CARE FOR ADULT CLIENTS WITH
COMPLEX MEDICAL-SURGICAL CONDITIONS
A client with chronic kidney disease is prescribed epoetin alfa. Which laboratory
value should the nurse monitor to evaluate the therapeutic effect?
A. Serum creatinine
B. Hemoglobin and hematocrit CORRECT
C. Blood urea nitrogen
D. Serum potassium
RATIONALE: Epoetin alfa stimulates red blood cell production, so hemoglobin and hematocrit are
monitored to assess effectiveness. Creatinine, BUN, and potassium reflect renal function but are
not direct indicators of epoetin response.
Q6 APPLY THE NURSING PROCESS TO PRIORITIZE CARE FOR ADULT CLIENTS WITH
COMPLEX MEDICAL-SURGICAL CONDITIONS
A client with a new colostomy is being taught about dietary management. Which
statement by the client indicates a need for further teaching?
A. I should eat slowly and chew food thoroughly.
B. I can eat gas-forming foods like broccoli and beans. CORRECT
C. I will drink at least 2 liters of fluid daily.
D. I should avoid high-fiber foods to prevent blockage.
RATIONALE: Gas-forming foods can cause discomfort and should be limited initially; the client
needs further teaching. Chewing slowly, adequate fluids, and avoiding high-fiber foods that can
obstruct are appropriate measures.
Page 4
