[PN ADULT MEDICAL SURGICAL 2023 WITH
NGN] LATEST ALL VERSIONS ACTUAL
EXAM COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
2026/2027 WITH FREE PRACTICE TEST
SETS.
Because the full request includes the entire pasted exam plus 100 additional full questions with
rationales, it exceeds one-message limits. I will deliver it in sequential parts. Below is Part 1.
Reply “Continue” for the next part.
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
Rationale: Persistent vomiting can cause dehydration and hyponatremia. Low sodium increases
lithium reabsorption and risk for lithium toxicity.
,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
Rationale: The client is at risk for infection/neutropenia. Meticulous oral care and avoiding
sources of infection are priority. Unpasteurized dairy and disposable razors can increase
infection or injury risk.
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
Rationale: Using the RACE fire response, the first action is to rescue/remove the client from
immediate danger.
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
Rationale: Foam handles improve grip and promote independence with eating for clients who
have arthritis.
,5. 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 hr of using nitroglycerin?
A. Atorvastatin
B. Metformin
C. Sildenafil
D. Omeprazole
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ C
Rationale: Sildenafil combined with nitroglycerin can cause severe, life-threatening
hypotension.
6. A nurse is preparing to obtain a postprandial blood glucose level from a client who has
diabetes mellitus. Which of the following actions should the nurse take?
A. Apply the first drop of blood to the test strip.
B. Clean the client’s finger with hexachlorophene.
C. Prick the central tip of the client’s finger.
D. Hold the client’s finger in a dependent position.
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ D
Rationale: A dependent position increases blood flow to the fingertip and improves specimen
collection.
7. A nurse is reinforcing teaching with a client about breast self-examinations. Which of the
following statements by the client indicates an understanding of the teaching?
A. “It is common for one breast to be larger than the other.”
B. “It is common for the skin on my breasts to dimple.”
C. “I will perform breast exams the day my period begins.”
D. “I will perform breast exams every other month.”
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ A
Rationale: Breast asymmetry is a normal variation. Dimpling, retraction, or a new lump should
be reported.
, 8. A nurse is reinforcing teaching with a client who has a new ileostomy. Which of the
following statements by the client indicates an understanding of the teaching?
A. “I will need to empty the bag every 4 to 6 hours.”
B. “I will use moisturizing soap to clean around the stoma before applying the bag.”
C. “I will use a skin sealant before I apply the bag.”
D. “I will cut the wafer opening one-fourth of an inch larger than the stoma.”
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ C
Rationale: A skin sealant protects the peristomal skin from irritation and helps the appliance
adhere.
9. A nurse is assisting in the plan of care for a client who is dehydrated and is receiving IV fluid
replacement. Which of the following interventions should the nurse contribute to the plan of
care?
A. Offer oral fluids every 4 hr.
B. Check for neck vein distention.
C. Limit oral fluids prior to bedtime.
D. Monitor pulse pressure every 6 hr.
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ B
Rationale: Neck vein distention is an early sign of fluid overload, which can occur during IV fluid
replacement.
10. A nurse is caring for a young adult client who has testicular cancer and expresses concern
about their sexual function following an orchiectomy of the involved testicle. Which of the
following responses should the nurse make?
A. “I’m sure any partner will understand that you have no control over this.”
B. “There are other ways to express intimacy besides intercourse.”
C. “You should focus on recovering from your cancer right now.”
D. “The removal of a single testicle will not prevent you from having an erection.”
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ D
NGN] LATEST ALL VERSIONS ACTUAL
EXAM COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) |ALREADY GRADED A+
2026/2027 WITH FREE PRACTICE TEST
SETS.
Because the full request includes the entire pasted exam plus 100 additional full questions with
rationales, it exceeds one-message limits. I will deliver it in sequential parts. Below is Part 1.
Reply “Continue” for the next part.
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
Rationale: Persistent vomiting can cause dehydration and hyponatremia. Low sodium increases
lithium reabsorption and risk for lithium toxicity.
,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
Rationale: The client is at risk for infection/neutropenia. Meticulous oral care and avoiding
sources of infection are priority. Unpasteurized dairy and disposable razors can increase
infection or injury risk.
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
Rationale: Using the RACE fire response, the first action is to rescue/remove the client from
immediate danger.
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
Rationale: Foam handles improve grip and promote independence with eating for clients who
have arthritis.
,5. 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 hr of using nitroglycerin?
A. Atorvastatin
B. Metformin
C. Sildenafil
D. Omeprazole
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ C
Rationale: Sildenafil combined with nitroglycerin can cause severe, life-threatening
hypotension.
6. A nurse is preparing to obtain a postprandial blood glucose level from a client who has
diabetes mellitus. Which of the following actions should the nurse take?
A. Apply the first drop of blood to the test strip.
B. Clean the client’s finger with hexachlorophene.
C. Prick the central tip of the client’s finger.
D. Hold the client’s finger in a dependent position.
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ D
Rationale: A dependent position increases blood flow to the fingertip and improves specimen
collection.
7. A nurse is reinforcing teaching with a client about breast self-examinations. Which of the
following statements by the client indicates an understanding of the teaching?
A. “It is common for one breast to be larger than the other.”
B. “It is common for the skin on my breasts to dimple.”
C. “I will perform breast exams the day my period begins.”
D. “I will perform breast exams every other month.”
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ A
Rationale: Breast asymmetry is a normal variation. Dimpling, retraction, or a new lump should
be reported.
, 8. A nurse is reinforcing teaching with a client who has a new ileostomy. Which of the
following statements by the client indicates an understanding of the teaching?
A. “I will need to empty the bag every 4 to 6 hours.”
B. “I will use moisturizing soap to clean around the stoma before applying the bag.”
C. “I will use a skin sealant before I apply the bag.”
D. “I will cut the wafer opening one-fourth of an inch larger than the stoma.”
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ C
Rationale: A skin sealant protects the peristomal skin from irritation and helps the appliance
adhere.
9. A nurse is assisting in the plan of care for a client who is dehydrated and is receiving IV fluid
replacement. Which of the following interventions should the nurse contribute to the plan of
care?
A. Offer oral fluids every 4 hr.
B. Check for neck vein distention.
C. Limit oral fluids prior to bedtime.
D. Monitor pulse pressure every 6 hr.
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ B
Rationale: Neck vein distention is an early sign of fluid overload, which can occur during IV fluid
replacement.
10. A nurse is caring for a young adult client who has testicular cancer and expresses concern
about their sexual function following an orchiectomy of the involved testicle. Which of the
following responses should the nurse make?
A. “I’m sure any partner will understand that you have no control over this.”
B. “There are other ways to express intimacy besides intercourse.”
C. “You should focus on recovering from your cancer right now.”
D. “The removal of a single testicle will not prevent you from having an erection.”
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ D
