PN Adult Medical Surgical Online Practice
Exam 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 with the development of a plan of care to manage pain for a client who
has herpes zoster with lesions on the lower extremities. Which of the following interventions
should the nurse include in the plan of care?
A. Position a heat lamp over the lower extremities
B. Keep bed linens off of the affected areas
C. Apply warm, moist compresses to the affected areas
D. Initiate droplet isolation precautions
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ B. Keep bed linens off of the affected
areas
Rationale: The nurse should keep bed linens off of the affected areas by using a bed cradle,
which will relieve pain caused by the linens rubbing against the lesions. Heat lamps and warm
compresses can worsen the pain associated with herpes zoster. Droplet isolation is not indicated
for herpes zoster, as it is transmitted by direct contact with lesions.
,Question 2
A nurse in an orthopedic clinic is reinforcing teaching with a client who has osteoarthritis.
Which of the following instructions should the nurse include to promote comfort?
A. Try jogging in place when joints feel stiff
B. Use a soft chair or recliner for sitting
C. Sleep on a firm mattress
D. Apply ice packs to painful joints
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ C. Sleep on a firm mattress
Rationale: A firm mattress or a bed board helps the client maintain joint alignment while
sleeping. Jogging can exacerbate joint pain in clients with osteoarthritis. Soft chairs or recliners
do not provide adequate support for joints. Ice packs are used for acute inflammation, not
chronic osteoarthritis pain.
Question 3
A nurse is caring for a client who has an intestinal obstruction and reports a new onset of
nausea. The client has an NG tube set at low intermittent suction and is receiving continuous
IV infusion of 0.9% sodium chloride. Which of the following actions should the nurse take
first?
A. Increase the IV fluid rate
B. Provide ice chips
C. Check for kinks in the NG tube
D. Administer an antiemetic
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ C. Check for kinks in the NG tube
Rationale: The nurse should first check for kinks in the NG tube because a kink would prevent
the suction from removing gastric contents, leading to nausea. This is the least invasive and
most immediate action to take. Increasing the IV fluid rate requires a provider's prescription.
,Providing ice chips is contraindicated for a client with an intestinal obstruction. Administering an
antiemetic requires a prescription and does not address the underlying cause.
Question 4
A nurse is assisting in the care of a client who has AIDS-related pneumonia. The client is
receiving antibiotic therapy and albuterol nebulizer treatments daily. Which of the following
findings should indicate to the nurse that the client's therapeutic regimen is effective?
A. Adventitious lung sounds
B. Respiratory rate of 26/min while sitting in a chair
C. Decrease in exertional dyspnea
D. Elevation of the head of the bed is required to sleep
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ C. Decrease in exertional dyspnea
Rationale: A decrease in exertional dyspnea indicates the antibiotics are resolving the infection
and the albuterol treatments are facilitating effective ventilation. Therefore, the nurse should
evaluate the therapeutic regimen as effective for the client. Adventitious lung sounds indicate
ineffective treatment. A respiratory rate of 26/min is above the expected reference range.
Elevation of the head of the bed to sleep indicates orthopnea, which is a sign of worsening
condition.
Question 5
A nurse is caring for a client who is in Buck's traction for a fractured hip. The client reports
increased pain at the site of the fracture. Which of the following actions should the nurse
take?
A. Massage the area
B. Remove the weights
C. Loosen the ropes
D. Reposition the client
, ✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ D. Reposition the client
Rationale: When the client's body is out of alignment with the traction, muscle spasms develop,
causing increased pain. Therefore, the nurse should reposition the client, ensuring there is a
straight line from the client's hip to the traction rope and pulley, evaluate the client's response,
and provide other interventions as needed. Massaging the area can dislodge clots. Removing
the weights or loosening the ropes would disrupt the traction and could cause further injury.
Question 6
A nurse is caring for a client who begins to have a seizure while ambulating in the hall.
Identify the sequence of actions the nurse should follow. (Move the steps into the box on the
right, placing them in the order of performance. Use all the steps.)
1. Lower the client to the floor
2. Place a pad beneath the client's head
3. Loosen the clothing around the client's neck
4. Time the length of the client's seizure
5. Reorient and reassure the client
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ 1, 2, 3, 4, 5
Rationale: The nurse should first lower the client to the floor to prevent injury from falling.
Next, place a pad beneath the client's head to protect the head from injury. Then, loosen the
clothing around the client's neck to maintain a patent airway. After that, time the length of the
seizure to provide accurate information to the provider. Finally, reorient and reassure the client
after the seizure has ended.
Question 7
Exam 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 with the development of a plan of care to manage pain for a client who
has herpes zoster with lesions on the lower extremities. Which of the following interventions
should the nurse include in the plan of care?
A. Position a heat lamp over the lower extremities
B. Keep bed linens off of the affected areas
C. Apply warm, moist compresses to the affected areas
D. Initiate droplet isolation precautions
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ B. Keep bed linens off of the affected
areas
Rationale: The nurse should keep bed linens off of the affected areas by using a bed cradle,
which will relieve pain caused by the linens rubbing against the lesions. Heat lamps and warm
compresses can worsen the pain associated with herpes zoster. Droplet isolation is not indicated
for herpes zoster, as it is transmitted by direct contact with lesions.
,Question 2
A nurse in an orthopedic clinic is reinforcing teaching with a client who has osteoarthritis.
Which of the following instructions should the nurse include to promote comfort?
A. Try jogging in place when joints feel stiff
B. Use a soft chair or recliner for sitting
C. Sleep on a firm mattress
D. Apply ice packs to painful joints
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ C. Sleep on a firm mattress
Rationale: A firm mattress or a bed board helps the client maintain joint alignment while
sleeping. Jogging can exacerbate joint pain in clients with osteoarthritis. Soft chairs or recliners
do not provide adequate support for joints. Ice packs are used for acute inflammation, not
chronic osteoarthritis pain.
Question 3
A nurse is caring for a client who has an intestinal obstruction and reports a new onset of
nausea. The client has an NG tube set at low intermittent suction and is receiving continuous
IV infusion of 0.9% sodium chloride. Which of the following actions should the nurse take
first?
A. Increase the IV fluid rate
B. Provide ice chips
C. Check for kinks in the NG tube
D. Administer an antiemetic
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ C. Check for kinks in the NG tube
Rationale: The nurse should first check for kinks in the NG tube because a kink would prevent
the suction from removing gastric contents, leading to nausea. This is the least invasive and
most immediate action to take. Increasing the IV fluid rate requires a provider's prescription.
,Providing ice chips is contraindicated for a client with an intestinal obstruction. Administering an
antiemetic requires a prescription and does not address the underlying cause.
Question 4
A nurse is assisting in the care of a client who has AIDS-related pneumonia. The client is
receiving antibiotic therapy and albuterol nebulizer treatments daily. Which of the following
findings should indicate to the nurse that the client's therapeutic regimen is effective?
A. Adventitious lung sounds
B. Respiratory rate of 26/min while sitting in a chair
C. Decrease in exertional dyspnea
D. Elevation of the head of the bed is required to sleep
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ C. Decrease in exertional dyspnea
Rationale: A decrease in exertional dyspnea indicates the antibiotics are resolving the infection
and the albuterol treatments are facilitating effective ventilation. Therefore, the nurse should
evaluate the therapeutic regimen as effective for the client. Adventitious lung sounds indicate
ineffective treatment. A respiratory rate of 26/min is above the expected reference range.
Elevation of the head of the bed to sleep indicates orthopnea, which is a sign of worsening
condition.
Question 5
A nurse is caring for a client who is in Buck's traction for a fractured hip. The client reports
increased pain at the site of the fracture. Which of the following actions should the nurse
take?
A. Massage the area
B. Remove the weights
C. Loosen the ropes
D. Reposition the client
, ✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ D. Reposition the client
Rationale: When the client's body is out of alignment with the traction, muscle spasms develop,
causing increased pain. Therefore, the nurse should reposition the client, ensuring there is a
straight line from the client's hip to the traction rope and pulley, evaluate the client's response,
and provide other interventions as needed. Massaging the area can dislodge clots. Removing
the weights or loosening the ropes would disrupt the traction and could cause further injury.
Question 6
A nurse is caring for a client who begins to have a seizure while ambulating in the hall.
Identify the sequence of actions the nurse should follow. (Move the steps into the box on the
right, placing them in the order of performance. Use all the steps.)
1. Lower the client to the floor
2. Place a pad beneath the client's head
3. Loosen the clothing around the client's neck
4. Time the length of the client's seizure
5. Reorient and reassure the client
✔✔✔ CORRECT 100% ANSWER 📌✔❤❤ 1, 2, 3, 4, 5
Rationale: The nurse should first lower the client to the floor to prevent injury from falling.
Next, place a pad beneath the client's head to protect the head from injury. Then, loosen the
clothing around the client's neck to maintain a patent airway. After that, time the length of the
seizure to provide accurate information to the provider. Finally, reorient and reassure the client
after the seizure has ended.
Question 7
