RN Adult Medical Surgical Online Practice
2025 questions and solutions
A nurse is caring for a client who is receiving dialysis treatment.
nt nt nt nt nt nt nt nt nt nt nt
0530: nt
Client is awake and alert. nt nt nt nt
Arteriovenous fistula (AVF) to right forearm. - Correct Answer ✔✔ - Indicated: Notify the nt nt nt nt nt nt nt nt nt nt nt nt nt nt
provider immediately, Administer 0.9% sodium chloride 200 mL IV bolus, Apply oxygen at 2
nt nt nt nt nt nt nt nt nt nt nt nt nt nt
L/min via nasal cannula, Position the client's legs elevated
nt nt nt nt nt nt nt nt nt nt
Not indicated: Perform a 12-lead ECG, Obtain blood glucose level is not indicated
nt nt nt nt nt nt nt nt nt nt nt nt
A nurse is caring for a client who is postoperative following abdominal surgery.
nt nt nt nt nt nt nt nt nt nt nt nt nt
1100: Client received from PACU; initial vital signs recorded. - Correct Answer ✔✔ - Instruct
nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt
the client to splint the abdomen with a pillow for coughing.
nt nt nt nt nt nt nt nt nt nt nt
Plan to ambulate the client as soon as possible
nt nt nt nt nt nt nt nt
Report urinary output to the provider nt nt nt nt nt nt
Ask the client to rate their pain 0 to 10 pain scale
nt nt nt nt nt nt nt nt nt nt nt
A nurse is caring for a client who is receiving total parenteral nutrition (TPN). a new bag is not
nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt
available when the current infusion is nearly completed. - Correct Answer ✔✔ - Administer
nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt
dextrose 10% in water until the new bag arrives.
nt nt nt nt nt nt nt nt nt
A nurse is caring for a client who had a nephrostomy tube inserted 12 hr ago. - Correct Answer
nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt
✔✔ - The client reports back pain.
nt nt nt nt nt nt
A nurse is caring for a client who is having a seizure. - Correct Answer ✔✔ - Turn the client to
nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt
the side.
nt nt
A nurse in a provider's office is assessing a client who has hypertension and takes
nt nt nt nt nt nt nt nt nt nt nt nt nt nt
propranolol. - Correct Answer ✔✔ - Reports of a night cough.
nt nt nt nt nt nt nt nt nt nt nt nt
A nurse is planning to irrigate and dress a clean, granulating wound for a client who has a
nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt
pressure injury. - Correct Answer ✔✔ - Use a 30 mL syringe.
nt nt nt nt nt nt nt nt nt nt nt nt nt
, A nurse is assessing a client who has graves disease. W hich of the following images should
nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt
indicate to the nurse that the client has exophthalmos - Correct Answer ✔✔ - Choose the one
nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt
that's not a guy. It should be one with big bulging eyes staring at you.
nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt
A nurse is caring for a client who has DKA. Which of the following findings indicate improving?
nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt
- Correct Answer ✔✔ - Glucose 272 mg/dL
nt nt nt nt nt nt nt nt nt
A nurse is caring for a client who has hypothyroidism. W hich of the following manifestations
nt nt nt nt nt nt nt nt nt nt nt nt nt nt
should the nurse expect? - Correct Answer ✔✔ - Constipation
nt nt nt nt nt nt nt nt nt nt nt
A nurse is preparing to administer a blood transfusion to a client who has anemia. - Correct
nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt
Answer ✔✔ - check for the type and number of units of blood to administer.
nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt
a nurse is caring for a client who has a leg cast and is returning to demonstrate on the proper
nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt
use of crutches while climbing stairs. - Correct Answer ✔✔ - Place body weight on the
nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt
crutches
nt
Advances the unaffected leg onto the stair nt nt nt nt nt nt nt
Shifts weight from the crutches to the unaffected leg
nt nt nt nt nt nt nt nt
Brings the crutches and the affected leg up to the stair.
nt nt nt nt nt nt nt nt nt nt
A nurse is teaching a group of newly licensed nurses about pain management for older adult
nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt
clients. - Correct Answer ✔✔ - Ibuprofen can cause gastrointestinal bleeding in older adult
nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt
clients.
nt
A nurse is teaching a client who has a family history of colorectal cancer. to help mitigate this
nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt
risk, - Correct Answer ✔✔ - Add cabbage to the diet
nt nt nt nt nt nt nt nt nt nt nt nt
a nurse in an emergency department is caring for a client who has full-thickness burns over
nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt
20% of their total body surface area. After ensuring a patent airway and adminstering oxygen,
nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt
- Correct Answer ✔✔ - IV Fluids
nt nt nt nt nt nt nt nt
a nurse is caring for a client who has terminal cancer. the client tells the nurse, "I wish I could
nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt
stop these treatments" - Correct Answer ✔✔ - Discontinuing with the treatments is your
nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt
choice if it is your wish to do so.
nt nt nt nt nt nt nt nt nt
a nurse is providing teaching to a client who has cancer and a new prescription for an opioid
nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt
analgesic for pain management. - Correct Answer ✔✔ - you should void every 4 hours to
nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt
decrease the risk of urinary retention
nt nt nt nt nt nt
A nurse is teaching a class about clients rights. - Correct Answer ✔✔ - a client should sign an
nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt
informed consent before receiving a placebo during a research trial.
nt nt nt nt nt nt nt nt nt nt
2025 questions and solutions
A nurse is caring for a client who is receiving dialysis treatment.
nt nt nt nt nt nt nt nt nt nt nt
0530: nt
Client is awake and alert. nt nt nt nt
Arteriovenous fistula (AVF) to right forearm. - Correct Answer ✔✔ - Indicated: Notify the nt nt nt nt nt nt nt nt nt nt nt nt nt nt
provider immediately, Administer 0.9% sodium chloride 200 mL IV bolus, Apply oxygen at 2
nt nt nt nt nt nt nt nt nt nt nt nt nt nt
L/min via nasal cannula, Position the client's legs elevated
nt nt nt nt nt nt nt nt nt nt
Not indicated: Perform a 12-lead ECG, Obtain blood glucose level is not indicated
nt nt nt nt nt nt nt nt nt nt nt nt
A nurse is caring for a client who is postoperative following abdominal surgery.
nt nt nt nt nt nt nt nt nt nt nt nt nt
1100: Client received from PACU; initial vital signs recorded. - Correct Answer ✔✔ - Instruct
nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt
the client to splint the abdomen with a pillow for coughing.
nt nt nt nt nt nt nt nt nt nt nt
Plan to ambulate the client as soon as possible
nt nt nt nt nt nt nt nt
Report urinary output to the provider nt nt nt nt nt nt
Ask the client to rate their pain 0 to 10 pain scale
nt nt nt nt nt nt nt nt nt nt nt
A nurse is caring for a client who is receiving total parenteral nutrition (TPN). a new bag is not
nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt
available when the current infusion is nearly completed. - Correct Answer ✔✔ - Administer
nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt
dextrose 10% in water until the new bag arrives.
nt nt nt nt nt nt nt nt nt
A nurse is caring for a client who had a nephrostomy tube inserted 12 hr ago. - Correct Answer
nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt
✔✔ - The client reports back pain.
nt nt nt nt nt nt
A nurse is caring for a client who is having a seizure. - Correct Answer ✔✔ - Turn the client to
nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt
the side.
nt nt
A nurse in a provider's office is assessing a client who has hypertension and takes
nt nt nt nt nt nt nt nt nt nt nt nt nt nt
propranolol. - Correct Answer ✔✔ - Reports of a night cough.
nt nt nt nt nt nt nt nt nt nt nt nt
A nurse is planning to irrigate and dress a clean, granulating wound for a client who has a
nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt
pressure injury. - Correct Answer ✔✔ - Use a 30 mL syringe.
nt nt nt nt nt nt nt nt nt nt nt nt nt
, A nurse is assessing a client who has graves disease. W hich of the following images should
nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt
indicate to the nurse that the client has exophthalmos - Correct Answer ✔✔ - Choose the one
nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt
that's not a guy. It should be one with big bulging eyes staring at you.
nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt
A nurse is caring for a client who has DKA. Which of the following findings indicate improving?
nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt
- Correct Answer ✔✔ - Glucose 272 mg/dL
nt nt nt nt nt nt nt nt nt
A nurse is caring for a client who has hypothyroidism. W hich of the following manifestations
nt nt nt nt nt nt nt nt nt nt nt nt nt nt
should the nurse expect? - Correct Answer ✔✔ - Constipation
nt nt nt nt nt nt nt nt nt nt nt
A nurse is preparing to administer a blood transfusion to a client who has anemia. - Correct
nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt
Answer ✔✔ - check for the type and number of units of blood to administer.
nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt
a nurse is caring for a client who has a leg cast and is returning to demonstrate on the proper
nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt
use of crutches while climbing stairs. - Correct Answer ✔✔ - Place body weight on the
nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt
crutches
nt
Advances the unaffected leg onto the stair nt nt nt nt nt nt nt
Shifts weight from the crutches to the unaffected leg
nt nt nt nt nt nt nt nt
Brings the crutches and the affected leg up to the stair.
nt nt nt nt nt nt nt nt nt nt
A nurse is teaching a group of newly licensed nurses about pain management for older adult
nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt
clients. - Correct Answer ✔✔ - Ibuprofen can cause gastrointestinal bleeding in older adult
nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt
clients.
nt
A nurse is teaching a client who has a family history of colorectal cancer. to help mitigate this
nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt
risk, - Correct Answer ✔✔ - Add cabbage to the diet
nt nt nt nt nt nt nt nt nt nt nt nt
a nurse in an emergency department is caring for a client who has full-thickness burns over
nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt
20% of their total body surface area. After ensuring a patent airway and adminstering oxygen,
nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt
- Correct Answer ✔✔ - IV Fluids
nt nt nt nt nt nt nt nt
a nurse is caring for a client who has terminal cancer. the client tells the nurse, "I wish I could
nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt
stop these treatments" - Correct Answer ✔✔ - Discontinuing with the treatments is your
nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt
choice if it is your wish to do so.
nt nt nt nt nt nt nt nt nt
a nurse is providing teaching to a client who has cancer and a new prescription for an opioid
nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt
analgesic for pain management. - Correct Answer ✔✔ - you should void every 4 hours to
nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt
decrease the risk of urinary retention
nt nt nt nt nt nt
A nurse is teaching a class about clients rights. - Correct Answer ✔✔ - a client should sign an
nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt nt
informed consent before receiving a placebo during a research trial.
nt nt nt nt nt nt nt nt nt nt
