/27/2026,
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4:25:30 AMMedical-Surgical Assignment ExamAssignment
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Exam 3:41:20
Dr.
1 ofP@#&&*#&()&(*&)*$*)($*)*@($*(*@)$(*@$(&(*$$(&*$($2ZOIZHxh-2Page
13Medical-Surgical
AM~~~~~~())))))))))))))(@)(*@U*(Medical-Surgical
Assignment Exam Dr. P.pdf10/27/2026,
Assignment
3:41:39
Exam
AM Dr.
1 ofP@#
13M
Medical-Surgical Assignment Exam Dr. P
A male client is admitted after being hit on the head with a tire iron. In the
change-of-shift report, the client's Glasgow Coma Scale (GCS) score is 14, and pulse
(P) 90 beats/minute (bpm), respirations (R) 18 breaths/minute, and blood pressure (BP)
104/60. Which finding is most important for the practical nurse to follow-up when
checking the client after the shift change? - CORRECT ANSWER-Current GCS score is
12.
The practical nurse (PN) recognizes which stool characteristics as typical of a client with
acute cholecystitis? - CORRECT ANSWER-Pale, floating.
A 55-year-old male client with an abdominal aortic aneurysm (AAA) presents to the
emergent care center reporting abdominal and scrotal pain and feeling dizzy. Which
finding should the practical nurse report to the healthcare provider? - CORRECT
ANSWER-Blood pressure of 160/90.
A male client is admitted to the medical unit after falling off a second story roof to a
concrete sidewalk. The client's skin is warm and pink, and his vital signs are heart rate
60 beats/minute, respirations 26 breaths/minute, blood pressure 80/48. Which action is
most important for the practical nurse to implement? - CORRECT ANSWER-Maintain
normal saline infusion and IV access.
An older male resident of an extended care facility, who had no obvious injuries after a
fall a couple of weeks earlier, has become increasingly confusion over the last 4-5 days.
Which complication should the practical nurse suspect as a result of the recent fall? -
CORRECT ANSWER-Chronic subdural hematoma.
The practical nurse (PN) is discussing cancer screening for a group of women who
attend a healthy living seminar at the clinic. What information should the PN review? -
CORRECT ANSWER-The Pap smear test is recommended when sexual activity
begins.
A client with a headache, fever, and stiff neck is admitted with the diagnosis of bacterial
meningitis. Which prescription should the practical nurse administer first? - CORRECT
ANSWER-Ceftriaxone (Rocephin).
A male client with a chest tube and a three-chamber water seal drainage system calls
the practical nurse (PN) to the bedside and says his chest tube (CT) is not working. The
/27/2026,
ent Exam10/27/2026,
3:41:20
Dr. P@#&&*#&()&(*&)*$*)($*)*@($*(*@)$(*@$(&(*$$(&*$($2ZOIZHxh-2Page
AM~~~~~~())))))))))))))(@)(*@U*(Medical-Surgical
4:25:30 AMMedical-Surgical Assignment ExamAssignment
Dr. P10/27/2026,
Exam 3:41:20
Dr.
1 ofP@#&&*#&()&(*&)*$*)($*)*@($*(*@)$(*@$(&(*$$(&*$($2ZOIZHxh-2Page
13Medical-Surgical
AM~~~~~~())))))))))))))(@)(*@U*(Medical-Surgical
Assignment Exam Dr. P.pdf10/27/2026,
Assignment
3:41:39
Exam
AM Dr.
1 ofP@#
13M
,/27/2026,
ent Exam10/27/2026,
3:41:20
Dr. P@#&&*#&()&(*&)*$*)($*)*@($*(*@)$(*@$(&(*$$(&*$($2ZOIZHxh-2Page
AM~~~~~~())))))))))))))(@)(*@U*(Medical-Surgical
4:25:30 AMMedical-Surgical Assignment ExamAssignment
Dr. P10/27/2026,
Exam 3:41:20
Dr.
2 ofP@#&&*#&()&(*&)*$*)($*)*@($*(*@)$(*@$(&(*$$(&*$($2ZOIZHxh-2Page
13Medical-Surgical
AM~~~~~~())))))))))))))(@)(*@U*(Medical-Surgical
Assignment Exam Dr. P.pdf10/27/2026,
Assignment
3:41:39
Exam
AM Dr.
2 ofP@#
13M
PN observes that the client's respiratory effort and breath sounds are normal. Which
action should the PN implement? - CORRECT ANSWER-Observe the water-seal
chamber for bubbling.
The practical nurse (PN) at an extended care facility is called to the unit's activity room
where a client has "fainted." Which finding indicates to the PN that the client
experienced a syncopal episode? - CORRECT ANSWER-A sudden experience that
everything went black.
A client is brought to the emergent care center for chest pain and receives morphine,
oxygen, nitroglycerin, and aspirin per acute coronary syndrome (ACS) protocol. Which
additional protocol prescriptions should the practical nurse obtain from the emergency
medication cart? - CORRECT ANSWER-Eptifibatide (Integrilin), a glycoprotein (IIb/IIIA)
inhibitor.
A client presents to the urgent care clinic with a sudden onset of left upper quadrant
pain radiating to the back. Based on which laboratory values should the practical nurse
(PN) ensure the client remains NPO? (Select all that apply.) - CORRECT
ANSWER-Amylase is 660 units/L.
Lipase is 1600 units/L.
A client who is experiencing an acute asthma attack is receiving rescue medication. The
practical nurse (PN) reviews the client's history to determine the client's respiratory
function over the past few months. Which device results should the practical nurse
review to obtain data that measures the client's personal best respiratory function? -
CORRECT ANSWER-Peak flow meter.
The practical nurse (PN) is assessing breath sounds of a client who has spontaneous
respirations after an endotracheal tube (ET) insertion. The breath sounds are absent on
the left side. What action should the PN do? - CORRECT ANSWER-Contact the nurse
in charge immediately.
A client who had an abdominal cholecystectomy today has a T-tube that has drained
200 ml of greenish-brown fluid in the past 12 hours. What action should the practical
nurse (PN) take? - CORRECT ANSWER-Document the findings in the electronic
medical record.
/27/2026,
ent Exam10/27/2026,
3:41:20
Dr. P@#&&*#&()&(*&)*$*)($*)*@($*(*@)$(*@$(&(*$$(&*$($2ZOIZHxh-2Page
AM~~~~~~())))))))))))))(@)(*@U*(Medical-Surgical
4:25:30 AMMedical-Surgical Assignment ExamAssignment
Dr. P10/27/2026,
Exam 3:41:20
Dr.
2 ofP@#&&*#&()&(*&)*$*)($*)*@($*(*@)$(*@$(&(*$$(&*$($2ZOIZHxh-2Page
13Medical-Surgical
AM~~~~~~())))))))))))))(@)(*@U*(Medical-Surgical
Assignment Exam Dr. P.pdf10/27/2026,
Assignment
3:41:39
Exam
AM Dr.
2 ofP@#
13M
ent Exam10/27/2026,
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AM~~~~~~())))))))))))))(@)(*@U*(Medical-Surgical
4:25:30 AMMedical-Surgical Assignment ExamAssignment
Dr. P10/27/2026,
Exam 3:41:20
Dr.
1 ofP@#&&*#&()&(*&)*$*)($*)*@($*(*@)$(*@$(&(*$$(&*$($2ZOIZHxh-2Page
13Medical-Surgical
AM~~~~~~())))))))))))))(@)(*@U*(Medical-Surgical
Assignment Exam Dr. P.pdf10/27/2026,
Assignment
3:41:39
Exam
AM Dr.
1 ofP@#
13M
Medical-Surgical Assignment Exam Dr. P
A male client is admitted after being hit on the head with a tire iron. In the
change-of-shift report, the client's Glasgow Coma Scale (GCS) score is 14, and pulse
(P) 90 beats/minute (bpm), respirations (R) 18 breaths/minute, and blood pressure (BP)
104/60. Which finding is most important for the practical nurse to follow-up when
checking the client after the shift change? - CORRECT ANSWER-Current GCS score is
12.
The practical nurse (PN) recognizes which stool characteristics as typical of a client with
acute cholecystitis? - CORRECT ANSWER-Pale, floating.
A 55-year-old male client with an abdominal aortic aneurysm (AAA) presents to the
emergent care center reporting abdominal and scrotal pain and feeling dizzy. Which
finding should the practical nurse report to the healthcare provider? - CORRECT
ANSWER-Blood pressure of 160/90.
A male client is admitted to the medical unit after falling off a second story roof to a
concrete sidewalk. The client's skin is warm and pink, and his vital signs are heart rate
60 beats/minute, respirations 26 breaths/minute, blood pressure 80/48. Which action is
most important for the practical nurse to implement? - CORRECT ANSWER-Maintain
normal saline infusion and IV access.
An older male resident of an extended care facility, who had no obvious injuries after a
fall a couple of weeks earlier, has become increasingly confusion over the last 4-5 days.
Which complication should the practical nurse suspect as a result of the recent fall? -
CORRECT ANSWER-Chronic subdural hematoma.
The practical nurse (PN) is discussing cancer screening for a group of women who
attend a healthy living seminar at the clinic. What information should the PN review? -
CORRECT ANSWER-The Pap smear test is recommended when sexual activity
begins.
A client with a headache, fever, and stiff neck is admitted with the diagnosis of bacterial
meningitis. Which prescription should the practical nurse administer first? - CORRECT
ANSWER-Ceftriaxone (Rocephin).
A male client with a chest tube and a three-chamber water seal drainage system calls
the practical nurse (PN) to the bedside and says his chest tube (CT) is not working. The
/27/2026,
ent Exam10/27/2026,
3:41:20
Dr. P@#&&*#&()&(*&)*$*)($*)*@($*(*@)$(*@$(&(*$$(&*$($2ZOIZHxh-2Page
AM~~~~~~())))))))))))))(@)(*@U*(Medical-Surgical
4:25:30 AMMedical-Surgical Assignment ExamAssignment
Dr. P10/27/2026,
Exam 3:41:20
Dr.
1 ofP@#&&*#&()&(*&)*$*)($*)*@($*(*@)$(*@$(&(*$$(&*$($2ZOIZHxh-2Page
13Medical-Surgical
AM~~~~~~())))))))))))))(@)(*@U*(Medical-Surgical
Assignment Exam Dr. P.pdf10/27/2026,
Assignment
3:41:39
Exam
AM Dr.
1 ofP@#
13M
,/27/2026,
ent Exam10/27/2026,
3:41:20
Dr. P@#&&*#&()&(*&)*$*)($*)*@($*(*@)$(*@$(&(*$$(&*$($2ZOIZHxh-2Page
AM~~~~~~())))))))))))))(@)(*@U*(Medical-Surgical
4:25:30 AMMedical-Surgical Assignment ExamAssignment
Dr. P10/27/2026,
Exam 3:41:20
Dr.
2 ofP@#&&*#&()&(*&)*$*)($*)*@($*(*@)$(*@$(&(*$$(&*$($2ZOIZHxh-2Page
13Medical-Surgical
AM~~~~~~())))))))))))))(@)(*@U*(Medical-Surgical
Assignment Exam Dr. P.pdf10/27/2026,
Assignment
3:41:39
Exam
AM Dr.
2 ofP@#
13M
PN observes that the client's respiratory effort and breath sounds are normal. Which
action should the PN implement? - CORRECT ANSWER-Observe the water-seal
chamber for bubbling.
The practical nurse (PN) at an extended care facility is called to the unit's activity room
where a client has "fainted." Which finding indicates to the PN that the client
experienced a syncopal episode? - CORRECT ANSWER-A sudden experience that
everything went black.
A client is brought to the emergent care center for chest pain and receives morphine,
oxygen, nitroglycerin, and aspirin per acute coronary syndrome (ACS) protocol. Which
additional protocol prescriptions should the practical nurse obtain from the emergency
medication cart? - CORRECT ANSWER-Eptifibatide (Integrilin), a glycoprotein (IIb/IIIA)
inhibitor.
A client presents to the urgent care clinic with a sudden onset of left upper quadrant
pain radiating to the back. Based on which laboratory values should the practical nurse
(PN) ensure the client remains NPO? (Select all that apply.) - CORRECT
ANSWER-Amylase is 660 units/L.
Lipase is 1600 units/L.
A client who is experiencing an acute asthma attack is receiving rescue medication. The
practical nurse (PN) reviews the client's history to determine the client's respiratory
function over the past few months. Which device results should the practical nurse
review to obtain data that measures the client's personal best respiratory function? -
CORRECT ANSWER-Peak flow meter.
The practical nurse (PN) is assessing breath sounds of a client who has spontaneous
respirations after an endotracheal tube (ET) insertion. The breath sounds are absent on
the left side. What action should the PN do? - CORRECT ANSWER-Contact the nurse
in charge immediately.
A client who had an abdominal cholecystectomy today has a T-tube that has drained
200 ml of greenish-brown fluid in the past 12 hours. What action should the practical
nurse (PN) take? - CORRECT ANSWER-Document the findings in the electronic
medical record.
/27/2026,
ent Exam10/27/2026,
3:41:20
Dr. P@#&&*#&()&(*&)*$*)($*)*@($*(*@)$(*@$(&(*$$(&*$($2ZOIZHxh-2Page
AM~~~~~~())))))))))))))(@)(*@U*(Medical-Surgical
4:25:30 AMMedical-Surgical Assignment ExamAssignment
Dr. P10/27/2026,
Exam 3:41:20
Dr.
2 ofP@#&&*#&()&(*&)*$*)($*)*@($*(*@)$(*@$(&(*$$(&*$($2ZOIZHxh-2Page
13Medical-Surgical
AM~~~~~~())))))))))))))(@)(*@U*(Medical-Surgical
Assignment Exam Dr. P.pdf10/27/2026,
Assignment
3:41:39
Exam
AM Dr.
2 ofP@#
13M
