PN ADULT MEDICAL SURGICAL 2023 WITH NGN
AND PN ADULT MEDICAL SURGICAL 2023 EXAM
PLUS PRACTICE EXAM LATEST ALL VERSIONS
ACTUAL EXAM COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+ 2026/2027
WITH FREE PRACTICE TEST SETS
SECTION 1: ORIGINAL EXAM QUESTIONS WITH IMPROVED FORMAT
Question 1:
A nurse is caring for a client who is taking lithium and reports persistent nausea and vomiting
for 2 days. Which of the following laboratory values should the nurse report to the provider?
a) Potassium 4.0 mEq/L
b) Lithium 0.9 mEq/L
c) BUN 12 mg/dL
d) Sodium 132 mEq/L
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ d) Sodium 132 mEq/L
Rationale: The nurse should identify that a sodium level of 132 mEq/L is not within the
expected reference range of 136 to 145 mEq/L. This finding indicates hyponatremia, which can
lead to lithium accumulation and places the client at risk for lithium toxicity. The nurse should
,report this finding to the provider. Potassium level of 4.0 mEq/L is within normal limits (3.5-5.0
mEq/L). Lithium level of 0.9 mEq/L is within therapeutic range (0.6-1.2 mEq/L). BUN of 12 mg/dL
is within normal limits (10-20 mg/dL).
Question 2:
A nurse is caring for a client who has cancer and has a WBC count of 4,000/mm³. Which of the
following actions should the nurse take?
a) Cleanse the client's toothbrush with hydrogen peroxide.
b) Instruct the client to use a disposable razor to shave.
c) Decrease the client's protein intake.
d) Encourage the client to eat unpasteurized dairy products.
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ a) Cleanse the client's toothbrush with
hydrogen peroxide.
Rationale: A WBC count of 4,000/mm³ is considered low and is known as leukopenia. A low
WBC count can be caused by cancer or cancer treatment. The nurse should instruct the client to
cleanse their toothbrush with hydrogen peroxide. People with leukemia or leukopenia should
avoid using disposable razors, which can cause cuts and bleeding that can lead to infections.
Instead, they should use an electric razor to reduce the risk of injury. Encouraging the client to
eat unpasteurized dairy products is not recommended as they can contain harmful bacteria that
can cause infections. Decreasing the client's protein intake is not recommended as protein is
important for wound healing and immune function.
Question 3:
A nurse enters a client's room and sees smoke coming from the bathroom. Which of the
following actions should the nurse take first?
a) Activate the fire alarm system.
b) Use a fire extinguisher at the source of the smoke.
,c) Assist the client to a nearby common area.
d) Close the doors to the room and to the bathroom.
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ c) Assist the client to a nearby common
area.
Rationale: The nurse should follow the RACE protocol for fire safety: Rescue, Alarm, Contain,
Extinguish. The first priority is to rescue the client by assisting them to a safe area. Once the
client is safe, the nurse should activate the fire alarm, contain the fire by closing doors, and then
extinguish the fire if it is safe to do so.
Question 4:
A nurse is contributing to the plan of care for a client who reports difficulty eating due to
chronic arthritis. Which of the following interventions should the nurse include in the plan?
a) Apply foam handles to the client's eating utensils.
b) Obtain a referral for physical therapy.
c) Have an assistive personnel feed the client.
d) Ask the provider for a prescription for a pureed diet.
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ a) Apply foam handles to the client's
eating utensils.
Rationale: To help a client with chronic arthritis who experiences difficulty eating, applying
foam handles to the eating utensils can provide a larger, more comfortable grip and reduce
strain on the joints. Asking for a pureed diet may not be necessary unless swallowing difficulties
are present. Having assistive personnel feed the client may not promote independence. While
obtaining a referral for physical therapy may be beneficial for overall mobility, it does not
directly address the client's difficulty with eating.
Question 5:
A nurse is providing directions to an assistive personnel about moving a client up in bed. Which
of the following instructions should the nurse include?
, a) "Place a pillow under the client's head prior to repositioning."
b) "Keep your feet close together while moving the client."
c) "Face in the direction of the client's movement."
d) "Move the client's arms to his sides prior to repositioning."
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ c) "Face in the direction of the client's
movement."
Rationale: When moving a client up in bed, it is important for the nurse to face in the direction
of the client's movement to maintain proper body mechanics and ensure safe transfer. The head
of the bed should be flat, pillows removed, and a friction-reducing sheet placed under the
client. The client should be asked to bend their legs and place their chin on their chest.
Question 6:
A nurse is obtaining a medication history from a client who is to start taking nitroglycerin for
chest discomfort with activity. Which of the following medications should the nurse instruct the
client to avoid taking within 24 hours of using nitroglycerin?
a) Atorvastatin
b) Metformin
c) Sildenafil
d) Omeprazole
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ c) Sildenafil
Rationale: Sildenafil treats pulmonary arterial hypertension by relaxing the blood vessels in the
lungs to allow blood to flow easily. Nitroglycerin is a vasodilator which is primarily used to treat
anginal chest pain and thereby reduces blood pressure. Taking these medications together can
cause severe hypotension. The other medications (atorvastatin, metformin, and omeprazole) do
not have this interaction with nitroglycerin.
AND PN ADULT MEDICAL SURGICAL 2023 EXAM
PLUS PRACTICE EXAM LATEST ALL VERSIONS
ACTUAL EXAM COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+ 2026/2027
WITH FREE PRACTICE TEST SETS
SECTION 1: ORIGINAL EXAM QUESTIONS WITH IMPROVED FORMAT
Question 1:
A nurse is caring for a client who is taking lithium and reports persistent nausea and vomiting
for 2 days. Which of the following laboratory values should the nurse report to the provider?
a) Potassium 4.0 mEq/L
b) Lithium 0.9 mEq/L
c) BUN 12 mg/dL
d) Sodium 132 mEq/L
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ d) Sodium 132 mEq/L
Rationale: The nurse should identify that a sodium level of 132 mEq/L is not within the
expected reference range of 136 to 145 mEq/L. This finding indicates hyponatremia, which can
lead to lithium accumulation and places the client at risk for lithium toxicity. The nurse should
,report this finding to the provider. Potassium level of 4.0 mEq/L is within normal limits (3.5-5.0
mEq/L). Lithium level of 0.9 mEq/L is within therapeutic range (0.6-1.2 mEq/L). BUN of 12 mg/dL
is within normal limits (10-20 mg/dL).
Question 2:
A nurse is caring for a client who has cancer and has a WBC count of 4,000/mm³. Which of the
following actions should the nurse take?
a) Cleanse the client's toothbrush with hydrogen peroxide.
b) Instruct the client to use a disposable razor to shave.
c) Decrease the client's protein intake.
d) Encourage the client to eat unpasteurized dairy products.
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ a) Cleanse the client's toothbrush with
hydrogen peroxide.
Rationale: A WBC count of 4,000/mm³ is considered low and is known as leukopenia. A low
WBC count can be caused by cancer or cancer treatment. The nurse should instruct the client to
cleanse their toothbrush with hydrogen peroxide. People with leukemia or leukopenia should
avoid using disposable razors, which can cause cuts and bleeding that can lead to infections.
Instead, they should use an electric razor to reduce the risk of injury. Encouraging the client to
eat unpasteurized dairy products is not recommended as they can contain harmful bacteria that
can cause infections. Decreasing the client's protein intake is not recommended as protein is
important for wound healing and immune function.
Question 3:
A nurse enters a client's room and sees smoke coming from the bathroom. Which of the
following actions should the nurse take first?
a) Activate the fire alarm system.
b) Use a fire extinguisher at the source of the smoke.
,c) Assist the client to a nearby common area.
d) Close the doors to the room and to the bathroom.
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ c) Assist the client to a nearby common
area.
Rationale: The nurse should follow the RACE protocol for fire safety: Rescue, Alarm, Contain,
Extinguish. The first priority is to rescue the client by assisting them to a safe area. Once the
client is safe, the nurse should activate the fire alarm, contain the fire by closing doors, and then
extinguish the fire if it is safe to do so.
Question 4:
A nurse is contributing to the plan of care for a client who reports difficulty eating due to
chronic arthritis. Which of the following interventions should the nurse include in the plan?
a) Apply foam handles to the client's eating utensils.
b) Obtain a referral for physical therapy.
c) Have an assistive personnel feed the client.
d) Ask the provider for a prescription for a pureed diet.
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ a) Apply foam handles to the client's
eating utensils.
Rationale: To help a client with chronic arthritis who experiences difficulty eating, applying
foam handles to the eating utensils can provide a larger, more comfortable grip and reduce
strain on the joints. Asking for a pureed diet may not be necessary unless swallowing difficulties
are present. Having assistive personnel feed the client may not promote independence. While
obtaining a referral for physical therapy may be beneficial for overall mobility, it does not
directly address the client's difficulty with eating.
Question 5:
A nurse is providing directions to an assistive personnel about moving a client up in bed. Which
of the following instructions should the nurse include?
, a) "Place a pillow under the client's head prior to repositioning."
b) "Keep your feet close together while moving the client."
c) "Face in the direction of the client's movement."
d) "Move the client's arms to his sides prior to repositioning."
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ c) "Face in the direction of the client's
movement."
Rationale: When moving a client up in bed, it is important for the nurse to face in the direction
of the client's movement to maintain proper body mechanics and ensure safe transfer. The head
of the bed should be flat, pillows removed, and a friction-reducing sheet placed under the
client. The client should be asked to bend their legs and place their chin on their chest.
Question 6:
A nurse is obtaining a medication history from a client who is to start taking nitroglycerin for
chest discomfort with activity. Which of the following medications should the nurse instruct the
client to avoid taking within 24 hours of using nitroglycerin?
a) Atorvastatin
b) Metformin
c) Sildenafil
d) Omeprazole
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ c) Sildenafil
Rationale: Sildenafil treats pulmonary arterial hypertension by relaxing the blood vessels in the
lungs to allow blood to flow easily. Nitroglycerin is a vasodilator which is primarily used to treat
anginal chest pain and thereby reduces blood pressure. Taking these medications together can
cause severe hypotension. The other medications (atorvastatin, metformin, and omeprazole) do
not have this interaction with nitroglycerin.
