PN Adult MedicAl SurgicAl ONliNe
PrActice 2017 A 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 Questions with Multiple Choice Options and Rationales
Question 1:
A nurse is collecting data on a client who is scheduled for a cardiac catheterization. Which of the
following laboratory levels should the nurse review prior to the procedure?
A. BUN
B. Hemoglobin
C. Platelet count
D. Serum potassium
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ A. BUN
Rationale: The BUN (blood urea nitrogen) level should be reviewed prior to cardiac
catheterization because the procedure involves the use of contrast dye, which can be
,nephrotoxic. An elevated BUN may indicate impaired kidney function, increasing the risk for
contrast-induced nephropathy. While hemoglobin and platelet count are important, BUN is
specifically critical due to the contrast media used during the procedure.
Question 2:
A nurse is assisting in the plan of care regarding bowel retraining for a client who has a cervical
spinal cord injury. Which of the following interventions should the nurse plan to implement
first?
A. Determine the client's daily elimination habits.
B. Administer a suppository 30 minutes before the scheduled bowel movement.
C. Provide a high-fiber diet with adequate fluids.
D. Perform digital stimulation every morning.
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ A. Determine the client's daily
elimination habits.
Rationale: The first step in bowel retraining is to assess the client's previous elimination
patterns and habits. This provides a baseline for developing an individualized bowel program.
Digital stimulation, suppositories, and dietary modifications are interventions that come after
establishing the client's baseline elimination habits.
Question 3:
A nurse is discussing health screening guidelines with an older adult client. Which of the
following statements should the nurse include?
A. "You should have a pneumococcal immunization every 10 years."
B. "You should have a colonoscopy every 15 years."
C. "You should have a mammogram every 5 years."
D. "You should have a tetanus booster every 5 years."
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ A. "You should have a pneumococcal
immunization every 10 years."
,Rationale: Older adults should receive a pneumococcal immunization every 10 years. This is the
recommended guideline for adults over 65 years of age. Colonoscopy is typically recommended
every 10 years, mammograms every 1-2 years, and tetanus boosters every 10 years, making the
other options incorrect.
Question 4:
A nurse is reinforcing teaching with a client who has asthma. Which of the following statements
indicates an understanding of the use of budesonide and albuterol inhalers?
A. "I never forget to rinse my mouth after using my budesonide inhaler."
B. "Between office visits, I keep a record of how many times I used my albuterol inhaler."
C. "I use my albuterol inhaler before I go swimming."
D. "I use my budesonide inhaler when I have an acute attack."
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ A. "I never forget to rinse my mouth after
using my budesonide inhaler."
Rationale: Budesonide is a corticosteroid inhaler, and rinsing the mouth after use is essential to
prevent oral candidiasis (thrush). While keeping a record of albuterol use and using albuterol
before exercise are good practices, the statement about rinsing after budesonide demonstrates
specific understanding of corticosteroid inhaler management. Budesonide is a controller
medication, not a rescue inhaler for acute attacks.
Question 5:
A nurse in a long-term care facility is collecting data from a client who reports fullness in the
rectum and abdominal cramping. Which of the following findings should indicate to the nurse
that the client might have a fecal impaction?
A. Small liquid stools
B. Bloody diarrhea
C. Large formed stools
D. Absence of bowel sounds
, ✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ A. Small liquid stools
Rationale: A classic sign of fecal impaction is the passage of small amounts of liquid stool, which
leaks around the impacted stool. The client may also report rectal fullness and abdominal
cramping. This paradoxical diarrhea occurs because the liquid stool cannot pass through the
blocked rectum properly.
Question 6:
A nurse is reinforcing teaching with the family of a client who has a cervical injury and has a
halo vest in place. Which of the following safety precautions should the nurse include in the
teaching?
A. Change the sheepskin liner weekly.
B. Remove the vest for bathing.
C. Clean the pin sites with alcohol daily.
D. Adjust the vest straps as needed.
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ A. Change the sheepskin liner weekly.
Rationale: The sheepskin liner should be changed weekly to maintain skin integrity and prevent
infection. The halo vest should never be removed by the family, and pin site care should be
performed according to provider orders, typically with sterile technique. The vest straps should
not be adjusted by family members as this could compromise immobilization.
Question 7:
A nurse in an oncology clinic is reinforcing teaching about Mohs surgery with a client who has
skin cancer. Which of the following information should the nurse include in the teaching?
A. Mohs surgery is a horizontal shaving of thin layers of the tumor.
B. Mohs surgery is only used for melanoma.
C. Mohs surgery requires general anesthesia.
D. Mohs surgery has a high recurrence rate.
PrActice 2017 A 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 Questions with Multiple Choice Options and Rationales
Question 1:
A nurse is collecting data on a client who is scheduled for a cardiac catheterization. Which of the
following laboratory levels should the nurse review prior to the procedure?
A. BUN
B. Hemoglobin
C. Platelet count
D. Serum potassium
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ A. BUN
Rationale: The BUN (blood urea nitrogen) level should be reviewed prior to cardiac
catheterization because the procedure involves the use of contrast dye, which can be
,nephrotoxic. An elevated BUN may indicate impaired kidney function, increasing the risk for
contrast-induced nephropathy. While hemoglobin and platelet count are important, BUN is
specifically critical due to the contrast media used during the procedure.
Question 2:
A nurse is assisting in the plan of care regarding bowel retraining for a client who has a cervical
spinal cord injury. Which of the following interventions should the nurse plan to implement
first?
A. Determine the client's daily elimination habits.
B. Administer a suppository 30 minutes before the scheduled bowel movement.
C. Provide a high-fiber diet with adequate fluids.
D. Perform digital stimulation every morning.
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ A. Determine the client's daily
elimination habits.
Rationale: The first step in bowel retraining is to assess the client's previous elimination
patterns and habits. This provides a baseline for developing an individualized bowel program.
Digital stimulation, suppositories, and dietary modifications are interventions that come after
establishing the client's baseline elimination habits.
Question 3:
A nurse is discussing health screening guidelines with an older adult client. Which of the
following statements should the nurse include?
A. "You should have a pneumococcal immunization every 10 years."
B. "You should have a colonoscopy every 15 years."
C. "You should have a mammogram every 5 years."
D. "You should have a tetanus booster every 5 years."
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ A. "You should have a pneumococcal
immunization every 10 years."
,Rationale: Older adults should receive a pneumococcal immunization every 10 years. This is the
recommended guideline for adults over 65 years of age. Colonoscopy is typically recommended
every 10 years, mammograms every 1-2 years, and tetanus boosters every 10 years, making the
other options incorrect.
Question 4:
A nurse is reinforcing teaching with a client who has asthma. Which of the following statements
indicates an understanding of the use of budesonide and albuterol inhalers?
A. "I never forget to rinse my mouth after using my budesonide inhaler."
B. "Between office visits, I keep a record of how many times I used my albuterol inhaler."
C. "I use my albuterol inhaler before I go swimming."
D. "I use my budesonide inhaler when I have an acute attack."
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ A. "I never forget to rinse my mouth after
using my budesonide inhaler."
Rationale: Budesonide is a corticosteroid inhaler, and rinsing the mouth after use is essential to
prevent oral candidiasis (thrush). While keeping a record of albuterol use and using albuterol
before exercise are good practices, the statement about rinsing after budesonide demonstrates
specific understanding of corticosteroid inhaler management. Budesonide is a controller
medication, not a rescue inhaler for acute attacks.
Question 5:
A nurse in a long-term care facility is collecting data from a client who reports fullness in the
rectum and abdominal cramping. Which of the following findings should indicate to the nurse
that the client might have a fecal impaction?
A. Small liquid stools
B. Bloody diarrhea
C. Large formed stools
D. Absence of bowel sounds
, ✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ A. Small liquid stools
Rationale: A classic sign of fecal impaction is the passage of small amounts of liquid stool, which
leaks around the impacted stool. The client may also report rectal fullness and abdominal
cramping. This paradoxical diarrhea occurs because the liquid stool cannot pass through the
blocked rectum properly.
Question 6:
A nurse is reinforcing teaching with the family of a client who has a cervical injury and has a
halo vest in place. Which of the following safety precautions should the nurse include in the
teaching?
A. Change the sheepskin liner weekly.
B. Remove the vest for bathing.
C. Clean the pin sites with alcohol daily.
D. Adjust the vest straps as needed.
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ A. Change the sheepskin liner weekly.
Rationale: The sheepskin liner should be changed weekly to maintain skin integrity and prevent
infection. The halo vest should never be removed by the family, and pin site care should be
performed according to provider orders, typically with sterile technique. The vest straps should
not be adjusted by family members as this could compromise immobilization.
Question 7:
A nurse in an oncology clinic is reinforcing teaching about Mohs surgery with a client who has
skin cancer. Which of the following information should the nurse include in the teaching?
A. Mohs surgery is a horizontal shaving of thin layers of the tumor.
B. Mohs surgery is only used for melanoma.
C. Mohs surgery requires general anesthesia.
D. Mohs surgery has a high recurrence rate.
