PN Adult MedicAl SurgicAl ONliNe
PrActice 2026 B lAteSt All
VerSiONS ActuAl eXAM cOMPlete
QueStiONS ANd cOrrect detAiled
ANSWerS (VeriFied ANSWerS) |
AlreAdY grAded A+ 2026/2027
WitH Free PrActice teSt SetS.
Question 1
A nurse is assisting in the care of a 51-year-old client who is on outpatient hemodialysis 3 days
per week and is awaiting a match for a kidney transplant. The client needs to have a
colonoscopy for screening purposes. Which of the following actions should the nurse take?
A) Schedule the colonoscopy for a non-dialysis day
B) Schedule the colonoscopy for the morning of a dialysis day
C) Schedule the colonoscopy immediately after dialysis treatment
D) Schedule the colonoscopy on the same day as the dialysis session
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ A) Schedule the colonoscopy for a non-
dialysis day
Rationale: Clients on hemodialysis require careful scheduling of procedures to avoid fluid and
electrolyte imbalances. Scheduling the colonoscopy on a non-dialysis day allows adequate time
,for the bowel preparation without interfering with dialysis treatment. The bowel prep can cause
fluid and electrolyte shifts that may be dangerous if the client is also receiving dialysis that day.
Additionally, the client needs to be well-hydrated and stable before the procedure, which is best
achieved on a non-dialysis day when they are not fluid-restricted for treatment.
Question 2
A nurse is assisting with the care for a client who has meningococcal pneumonia. Which of the
following personal protective equipment should the nurse use?
A) Mask
B) Gown and gloves only
C) N95 respirator
D) Eye protection and gloves
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ A) Mask
Rationale: Meningococcal pneumonia requires droplet precautions. A surgical mask provides
appropriate protection against droplet transmission when working within 3 feet of the client.
Meningococcal infections are transmitted through respiratory droplets from coughing, sneezing,
or talking. Standard precautions with gloves and gown are also used, but the mask is specifically
required for droplet precautions. An N95 respirator is used for airborne precautions such as
tuberculosis, not for meningococcal pneumonia.
Question 3
A nurse is reinforcing education to a group of female clients about lifestyle changes to prevent
hypertension. Which of the following statements should the nurse include?
A) Rinse canned foods before eating them
B) Increase intake of processed meats
C) Add salt to food during cooking
D) Consume more pickled vegetables
,✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ A) Rinse canned foods before eating
them
Rationale: Rinsing canned foods helps remove excess sodium, which is a major contributor to
hypertension. Canned foods are often high in sodium as a preservative. Reducing sodium intake
is a key lifestyle modification for preventing and managing hypertension. Processed meats,
added salt, and pickled vegetables are all high in sodium and should be limited, not increased,
in a hypertension-prevention diet.
Question 4
A nurse is reviewing the dietary intake of a client who has iron-deficiency anemia. Which of the
following foods should the nurse suggest the client include in their diet to increase iron intake?
A) Spinach
B) White bread
C) Apples
D) Celery
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ A) Spinach
Rationale: Spinach is a rich source of non-heme iron, which is important for clients with iron-
deficiency anemia. Other good sources include red meat, poultry, fish, beans, and fortified
cereals. White bread, apples, and celery are not significant sources of iron. Clients should also
be encouraged to consume vitamin C-rich foods alongside iron-rich foods to enhance iron
absorption.
Question 5
A nurse is assisting with the care for a client who has dementia due to Alzheimer's disease.
Which of the following actions should the nurse take to reduce the client's confusion?
A) Encourage reminiscence of past experiences
B) Frequently change the client's environment
, C) Provide detailed explanations of all tasks
D) Limit the client's social interactions
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ A) Encourage reminiscence of past
experiences
Rationale: Reminiscence therapy helps clients with Alzheimer's disease by focusing on long-
term memories that remain intact, providing comfort and reducing confusion. This approach
validates the client's experiences and maintains dignity. Frequently changing the environment
increases confusion, detailed explanations may overwhelm the client, and limiting social
interactions can lead to isolation and further cognitive decline.
Question 6
A nurse is collecting data from a client who has been experiencing diarrhea for the past three
days. Which of the following should the nurse recognize as findings of hypokalemia?
A) Muscle weakness
B) Increased deep tendon reflexes
C) Hypertension
D) Bradycardia
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ A) Muscle weakness
Rationale: Prolonged diarrhea can lead to potassium loss and hypokalemia. Muscle weakness is
a classic manifestation of hypokalemia due to impaired neuromuscular function. Other findings
include fatigue, constipation, decreased deep tendon reflexes, arrhythmias, and hypotension.
Increased reflexes and hypertension are not associated with hypokalemia.
Question 7
A nurse is preparing to administer phytonadione 7 mg subcutaneously to a client who has an
INR of 4. Available is phytonadione 10 mg/mL. How many mL should the nurse administer?
PrActice 2026 B lAteSt All
VerSiONS ActuAl eXAM cOMPlete
QueStiONS ANd cOrrect detAiled
ANSWerS (VeriFied ANSWerS) |
AlreAdY grAded A+ 2026/2027
WitH Free PrActice teSt SetS.
Question 1
A nurse is assisting in the care of a 51-year-old client who is on outpatient hemodialysis 3 days
per week and is awaiting a match for a kidney transplant. The client needs to have a
colonoscopy for screening purposes. Which of the following actions should the nurse take?
A) Schedule the colonoscopy for a non-dialysis day
B) Schedule the colonoscopy for the morning of a dialysis day
C) Schedule the colonoscopy immediately after dialysis treatment
D) Schedule the colonoscopy on the same day as the dialysis session
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ A) Schedule the colonoscopy for a non-
dialysis day
Rationale: Clients on hemodialysis require careful scheduling of procedures to avoid fluid and
electrolyte imbalances. Scheduling the colonoscopy on a non-dialysis day allows adequate time
,for the bowel preparation without interfering with dialysis treatment. The bowel prep can cause
fluid and electrolyte shifts that may be dangerous if the client is also receiving dialysis that day.
Additionally, the client needs to be well-hydrated and stable before the procedure, which is best
achieved on a non-dialysis day when they are not fluid-restricted for treatment.
Question 2
A nurse is assisting with the care for a client who has meningococcal pneumonia. Which of the
following personal protective equipment should the nurse use?
A) Mask
B) Gown and gloves only
C) N95 respirator
D) Eye protection and gloves
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ A) Mask
Rationale: Meningococcal pneumonia requires droplet precautions. A surgical mask provides
appropriate protection against droplet transmission when working within 3 feet of the client.
Meningococcal infections are transmitted through respiratory droplets from coughing, sneezing,
or talking. Standard precautions with gloves and gown are also used, but the mask is specifically
required for droplet precautions. An N95 respirator is used for airborne precautions such as
tuberculosis, not for meningococcal pneumonia.
Question 3
A nurse is reinforcing education to a group of female clients about lifestyle changes to prevent
hypertension. Which of the following statements should the nurse include?
A) Rinse canned foods before eating them
B) Increase intake of processed meats
C) Add salt to food during cooking
D) Consume more pickled vegetables
,✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ A) Rinse canned foods before eating
them
Rationale: Rinsing canned foods helps remove excess sodium, which is a major contributor to
hypertension. Canned foods are often high in sodium as a preservative. Reducing sodium intake
is a key lifestyle modification for preventing and managing hypertension. Processed meats,
added salt, and pickled vegetables are all high in sodium and should be limited, not increased,
in a hypertension-prevention diet.
Question 4
A nurse is reviewing the dietary intake of a client who has iron-deficiency anemia. Which of the
following foods should the nurse suggest the client include in their diet to increase iron intake?
A) Spinach
B) White bread
C) Apples
D) Celery
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ A) Spinach
Rationale: Spinach is a rich source of non-heme iron, which is important for clients with iron-
deficiency anemia. Other good sources include red meat, poultry, fish, beans, and fortified
cereals. White bread, apples, and celery are not significant sources of iron. Clients should also
be encouraged to consume vitamin C-rich foods alongside iron-rich foods to enhance iron
absorption.
Question 5
A nurse is assisting with the care for a client who has dementia due to Alzheimer's disease.
Which of the following actions should the nurse take to reduce the client's confusion?
A) Encourage reminiscence of past experiences
B) Frequently change the client's environment
, C) Provide detailed explanations of all tasks
D) Limit the client's social interactions
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ A) Encourage reminiscence of past
experiences
Rationale: Reminiscence therapy helps clients with Alzheimer's disease by focusing on long-
term memories that remain intact, providing comfort and reducing confusion. This approach
validates the client's experiences and maintains dignity. Frequently changing the environment
increases confusion, detailed explanations may overwhelm the client, and limiting social
interactions can lead to isolation and further cognitive decline.
Question 6
A nurse is collecting data from a client who has been experiencing diarrhea for the past three
days. Which of the following should the nurse recognize as findings of hypokalemia?
A) Muscle weakness
B) Increased deep tendon reflexes
C) Hypertension
D) Bradycardia
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ A) Muscle weakness
Rationale: Prolonged diarrhea can lead to potassium loss and hypokalemia. Muscle weakness is
a classic manifestation of hypokalemia due to impaired neuromuscular function. Other findings
include fatigue, constipation, decreased deep tendon reflexes, arrhythmias, and hypotension.
Increased reflexes and hypertension are not associated with hypokalemia.
Question 7
A nurse is preparing to administer phytonadione 7 mg subcutaneously to a client who has an
INR of 4. Available is phytonadione 10 mg/mL. How many mL should the nurse administer?
