PN ADULT MEDICAL SURGICAL ONLINE
PRACTICE 2023 B LATEST ALL VERSIONS
ACTUAL EXAM COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) | ALREADY GRADED A+
2026/2027 WITH FREE PRACTICE TEST SETS.
ORIGINAL QUESTIONS WITH IMPROVED FORMAT
Question 1:
A nurse in a telemetry unit is collecting data from a client who has a newly-inserted permanent
pacemaker. Which of the following findings should the nurse report to the provider?
A. The client experiences hiccups when sitting.
B. The client's pulse rate is 5/min faster than the preset pacemaker rate.
C. There is the presence of a pacing spike before the P-wave on the ECG rhythm strip.
D. The dressing over the insertion site is dry and intact.
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ A
Rationale: The nurse should report hiccups to the provider because this finding can indicate
that the pacemaker is pacing the diaphragm, which may require repositioning of the lead. A
pulse rate 5/min faster than the preset rate, a pacing spike before the P-wave, and a dry intact
dressing are all expected findings that do not require reporting.
,Question 2:
A nurse is assisting with the care for a client who reports shortness of breath and has an oxygen
saturation of 90%. Which of the following actions should the nurse take?
A. Administer oxygen via nasal cannula.
B. Place the client in a supine position.
C. Restrict the client's fluid intake.
D. Administer a bronchodilator orally.
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ A
Rationale: The nurse should administer oxygen via nasal cannula to a client who reports
shortness of breath and has an oxygen saturation below the expected reference range. The
nurse should continue to monitor the client and adjust the oxygen flow rate as needed. Placing
the client supine would worsen breathing, restricting fluids is not indicated, and an oral
bronchodilator would not provide immediate relief.
Question 3:
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. Increased urinary output
B. Incontinence of the bowel and bladder
C. Increased blood pressure
D. Tachycardia
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ B
Rationale: The nurse should inform the caregiver that incontinence of the bowel and bladder is
a manifestation of impending death. Other manifestations include hypotension, bradycardia,
restlessness, and coolness of the skin. Increased urinary output, increased blood pressure, and
tachycardia are not manifestations of impending death.
,Question 4:
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 been feeling more energetic lately."
C. "My heart feels like it's racing all the time."
D. "I have been sweating more than usual."
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ A
Rationale: Hyperthyroidism can cause weight loss. Therefore, the nurse should identify weight
gain as an indication that the methimazole therapy has been effective. Increased energy, racing
heart, and increased sweating are manifestations of hyperthyroidism, indicating the medication
has not yet achieved a therapeutic effect.
Question 5:
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. Remove the CPM machine during periods of rest.
C. Set the CPM machine to the highest setting for maximum benefit.
D. Position the CPM machine below the level of the client's heart.
✔✔✔ CORRECT 100% 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. The nurse should check the client's skin condition
frequently while the client is using the CPM machine. Removing the machine during rest, setting
it to the highest setting, and positioning it below heart level are incorrect actions.
, Question 6:
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 testicular self-examination after taking a warm shower."
B. "Perform testicular self-examination once a year."
C. "Use both hands to firmly compress the testicles."
D. "Perform the examination before going to bed at night."
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ A
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. The examination should be performed monthly, not yearly, and should
not involve firm compression.
Question 7:
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 remain sedentary to prevent falls.
C. Administer levodopa with a high-protein meal.
D. Restrict the client's fluid intake to prevent drooling.
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ A
Rationale: The nurse should remind the client's caregivers to frequently remind the client to
maintain correct posture and prevent falls by not watching their feet when walking. Encouraging
sedentary behavior, administering levodopa with high-protein meals, and restricting fluids are
not appropriate interventions for Parkinson's disease.
Question 8:
A home health nurse is assisting with the care for a client who has COPD. The client reports
PRACTICE 2023 B LATEST ALL VERSIONS
ACTUAL EXAM COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED
ANSWERS) | ALREADY GRADED A+
2026/2027 WITH FREE PRACTICE TEST SETS.
ORIGINAL QUESTIONS WITH IMPROVED FORMAT
Question 1:
A nurse in a telemetry unit is collecting data from a client who has a newly-inserted permanent
pacemaker. Which of the following findings should the nurse report to the provider?
A. The client experiences hiccups when sitting.
B. The client's pulse rate is 5/min faster than the preset pacemaker rate.
C. There is the presence of a pacing spike before the P-wave on the ECG rhythm strip.
D. The dressing over the insertion site is dry and intact.
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ A
Rationale: The nurse should report hiccups to the provider because this finding can indicate
that the pacemaker is pacing the diaphragm, which may require repositioning of the lead. A
pulse rate 5/min faster than the preset rate, a pacing spike before the P-wave, and a dry intact
dressing are all expected findings that do not require reporting.
,Question 2:
A nurse is assisting with the care for a client who reports shortness of breath and has an oxygen
saturation of 90%. Which of the following actions should the nurse take?
A. Administer oxygen via nasal cannula.
B. Place the client in a supine position.
C. Restrict the client's fluid intake.
D. Administer a bronchodilator orally.
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ A
Rationale: The nurse should administer oxygen via nasal cannula to a client who reports
shortness of breath and has an oxygen saturation below the expected reference range. The
nurse should continue to monitor the client and adjust the oxygen flow rate as needed. Placing
the client supine would worsen breathing, restricting fluids is not indicated, and an oral
bronchodilator would not provide immediate relief.
Question 3:
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. Increased urinary output
B. Incontinence of the bowel and bladder
C. Increased blood pressure
D. Tachycardia
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ B
Rationale: The nurse should inform the caregiver that incontinence of the bowel and bladder is
a manifestation of impending death. Other manifestations include hypotension, bradycardia,
restlessness, and coolness of the skin. Increased urinary output, increased blood pressure, and
tachycardia are not manifestations of impending death.
,Question 4:
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 been feeling more energetic lately."
C. "My heart feels like it's racing all the time."
D. "I have been sweating more than usual."
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ A
Rationale: Hyperthyroidism can cause weight loss. Therefore, the nurse should identify weight
gain as an indication that the methimazole therapy has been effective. Increased energy, racing
heart, and increased sweating are manifestations of hyperthyroidism, indicating the medication
has not yet achieved a therapeutic effect.
Question 5:
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. Remove the CPM machine during periods of rest.
C. Set the CPM machine to the highest setting for maximum benefit.
D. Position the CPM machine below the level of the client's heart.
✔✔✔ CORRECT 100% 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. The nurse should check the client's skin condition
frequently while the client is using the CPM machine. Removing the machine during rest, setting
it to the highest setting, and positioning it below heart level are incorrect actions.
, Question 6:
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 testicular self-examination after taking a warm shower."
B. "Perform testicular self-examination once a year."
C. "Use both hands to firmly compress the testicles."
D. "Perform the examination before going to bed at night."
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ A
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. The examination should be performed monthly, not yearly, and should
not involve firm compression.
Question 7:
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 remain sedentary to prevent falls.
C. Administer levodopa with a high-protein meal.
D. Restrict the client's fluid intake to prevent drooling.
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ A
Rationale: The nurse should remind the client's caregivers to frequently remind the client to
maintain correct posture and prevent falls by not watching their feet when walking. Encouraging
sedentary behavior, administering levodopa with high-protein meals, and restricting fluids are
not appropriate interventions for Parkinson's disease.
Question 8:
A home health nurse is assisting with the care for a client who has COPD. The client reports
