PN Adult Medical Surgical Online
Practice 2024/2025 A Exam Complete
Questions with Verified Detailed
Answers
A nurse is preparing to administer furosemide to a client who has heart failure.
Which of the following findings should the nurse report before administering
the medication? - ✔✔Decreased potassium
A nurse is reviewing the chart of a client who is experiencing an adrenal crisis,
which was precipitated by the client not taking their medication for several
days. The nurse should identify that withdrawal from which of the following
medications potentiated the adrenal crisis? - ✔✔Prednisone
A nurse is assisting with the care for a client who has a prescription for digoxin
0.25 mg PO daily. While taking the client's apical pulse, the nurse notes a rate of
58/min. Which of the following actions should the nurse take? - ✔✔Withhold
the dose.
A nurse is reinforcing teaching about glycosylated hemoglobin (HbA1c) testing
with a client who has diabetes mellitus. Which of the following statements
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©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025.
,indicates that the client understands the teaching? - ✔✔"I will have my HbA1c
checked twice per year."
A nurse is providing information regarding transmission-based precautions for a
client who has Clostridium difficile to an assistive personnel (AP). Which of the
following instructions should the nurse include? (Select all that apply.) -
✔✔"Provide the client with disposable utensils and dishes for meals."
"Leave blood pressure equipment in the client's room."
"Clean contaminated surfaces with a bleach solution."
A nurse is reinforcing teaching with a client who has coronary artery disease.
Which of the following instructions should the nurse include in the teaching? -
✔✔"Add oily fish to your diet twice weekly."
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? - ✔✔Mohs surgery is a horizontal shaving of thin layers
of the tumor.
A nurse is collecting data from an older adult client who has several concerns.
Which of the following concerns should the nurse recognize as an expected
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©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025.
,change associated with aging? - ✔✔"My food tastes bland even after I add
seasoning."
A nurse is reinforcing dietary teaching with a client about increasing the intake
of foods containing vitamin C to enhance absorption of oral iron supplements.
Which of the following food choices should the nurse include in the teaching? -
✔✔1 cup of boiled broccoli
A nurse is assisting with the care for a client who is 2 hr postoperative following
the amputation of a foot. Which of the following actions should the nurse take
first? - ✔✔Check the incisional dressing.
A nurse is assisting with the care of a client who is postoperative following
abdominal surgery.
Exhibit 1
Nurses' Notes
1100:
Client received from PACU; initial vital signs recorded. Client is drowsy but
arouses to verbal stimuli. Oriented to person, place, and time. Client is able to
move all extremities. Normal sinus rhythm noted. Breath sounds are clear upon
auscultation. Dressing to abdomen is intact with a small amount of
serosanguinous drainage noted and marked. No bowel sounds in all four
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©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025.
, quadrants. Indwelling urinary catheter is in place and draining clear, yellow
urine. Lactated Ringer's is infusing at 100 mL/hr via IV catheter in the right
forearm.1200:
Client reports nausea and pain as an 8 on a scale of 0 to 10. Abdominal dressing
is intact with no further drainage noted. Urine output of 15 mL noted since
arrival from PACU. Analgesic and antiemetic were administered as
prescribed.1230:
Client reports rel - ✔✔Which of the following actions should the nurse take?
Select all that apply.
Instruct the client to splint their abdomen with a pillow when coughing.
Report the client's urinary output to the charge nurse.
Monitor the client's pain level.
A nurse is assisting with monitoring a client who is receiving dialysis treatment.
Exhibit 1
Nurses' Notes
0530:Client is awake and alert. Arteriovenous fistula (AVF) to right forearm with
thrill palpated and auscultated for bruit. Breath sounds are clear upon
auscultation; client denies shortness of breath. No peripheral edema noted;
capillary refill is less than 3 seconds; +2 bilateral pedal and radial pulses.AVF
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©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025.
Practice 2024/2025 A Exam Complete
Questions with Verified Detailed
Answers
A nurse is preparing to administer furosemide to a client who has heart failure.
Which of the following findings should the nurse report before administering
the medication? - ✔✔Decreased potassium
A nurse is reviewing the chart of a client who is experiencing an adrenal crisis,
which was precipitated by the client not taking their medication for several
days. The nurse should identify that withdrawal from which of the following
medications potentiated the adrenal crisis? - ✔✔Prednisone
A nurse is assisting with the care for a client who has a prescription for digoxin
0.25 mg PO daily. While taking the client's apical pulse, the nurse notes a rate of
58/min. Which of the following actions should the nurse take? - ✔✔Withhold
the dose.
A nurse is reinforcing teaching about glycosylated hemoglobin (HbA1c) testing
with a client who has diabetes mellitus. Which of the following statements
1|Page
©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025.
,indicates that the client understands the teaching? - ✔✔"I will have my HbA1c
checked twice per year."
A nurse is providing information regarding transmission-based precautions for a
client who has Clostridium difficile to an assistive personnel (AP). Which of the
following instructions should the nurse include? (Select all that apply.) -
✔✔"Provide the client with disposable utensils and dishes for meals."
"Leave blood pressure equipment in the client's room."
"Clean contaminated surfaces with a bleach solution."
A nurse is reinforcing teaching with a client who has coronary artery disease.
Which of the following instructions should the nurse include in the teaching? -
✔✔"Add oily fish to your diet twice weekly."
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? - ✔✔Mohs surgery is a horizontal shaving of thin layers
of the tumor.
A nurse is collecting data from an older adult client who has several concerns.
Which of the following concerns should the nurse recognize as an expected
2|Page
©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025.
,change associated with aging? - ✔✔"My food tastes bland even after I add
seasoning."
A nurse is reinforcing dietary teaching with a client about increasing the intake
of foods containing vitamin C to enhance absorption of oral iron supplements.
Which of the following food choices should the nurse include in the teaching? -
✔✔1 cup of boiled broccoli
A nurse is assisting with the care for a client who is 2 hr postoperative following
the amputation of a foot. Which of the following actions should the nurse take
first? - ✔✔Check the incisional dressing.
A nurse is assisting with the care of a client who is postoperative following
abdominal surgery.
Exhibit 1
Nurses' Notes
1100:
Client received from PACU; initial vital signs recorded. Client is drowsy but
arouses to verbal stimuli. Oriented to person, place, and time. Client is able to
move all extremities. Normal sinus rhythm noted. Breath sounds are clear upon
auscultation. Dressing to abdomen is intact with a small amount of
serosanguinous drainage noted and marked. No bowel sounds in all four
3|Page
©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025.
, quadrants. Indwelling urinary catheter is in place and draining clear, yellow
urine. Lactated Ringer's is infusing at 100 mL/hr via IV catheter in the right
forearm.1200:
Client reports nausea and pain as an 8 on a scale of 0 to 10. Abdominal dressing
is intact with no further drainage noted. Urine output of 15 mL noted since
arrival from PACU. Analgesic and antiemetic were administered as
prescribed.1230:
Client reports rel - ✔✔Which of the following actions should the nurse take?
Select all that apply.
Instruct the client to splint their abdomen with a pillow when coughing.
Report the client's urinary output to the charge nurse.
Monitor the client's pain level.
A nurse is assisting with monitoring a client who is receiving dialysis treatment.
Exhibit 1
Nurses' Notes
0530:Client is awake and alert. Arteriovenous fistula (AVF) to right forearm with
thrill palpated and auscultated for bruit. Breath sounds are clear upon
auscultation; client denies shortness of breath. No peripheral edema noted;
capillary refill is less than 3 seconds; +2 bilateral pedal and radial pulses.AVF
4|Page
©JOSHCLAY 2025/2026. YEAR PUBLISHED 2025.
