RN Adult Medical Surgical Online
Practice 2025 B (Latest Update 2025 /
2026) Questions with 100% Correct
Verified Answers [ Grade A]-
Chamberlain
A nurse and an assistive personnel (AP) are caring for a client who has bacterial
meningitis. The nurse should give the AP which of the following instructions?
A. Wear a mask.
B. Wear a gown.
C. Keep the client's room well-lit.
D. Maintain the head of the bed at a 45° elevation. - correct answer Answer: A. Wear
a mask
- Bacterial meningitis requires droplet precautions. Therefore, the AP and the nurse
should wear a mask when coming within 0.9 m (3 ft) of the client until 24 hr after the
client has begun receiving antibiotic therapy.
,Rationale:
B - A gown is necessary when caring for clients who require contact precautions.
Bacterial meningitis does not spread via direct contact.
C - Staff caring for this client should keep the illumination in the room dim and avoid
bright light from windows to promote comfort and rest and avoid photophobia.
D - Staff caring for this client should keep the head of the bed at a 30° elevation
A nurse is evaluating a client who has a new diagnosis of type 1 diabetes mellitus.
Which of the following client statements indicates the client is successfully coping
with the change?
A. "It is just easier to let my partner administer my insulin."
B. "I used to never worry about my feet. Now, I inspect my feet every day with a
mirror."
C. "I'm concerned I won't be able to read my blood sugar level because the screen is
so small."
D. "I know a lot of people who have diabetes and do not take insulin. I wish I didn't
have to." - correct answer Answer: B. "I used to never worry about my feet. Now, I
inspect my feet every day with a mirror."
,- This statement indicates that the client is successfully coping with the change
because the client is performing preventive foot care to reduce the risk for
complications.
Rationale:
A - This statement does not indicate that the client is successfully coping with the
change.
C - This statement does not indicate that the client is successfully coping with the
change. The nurse should provide the client with a monitor that has a larger screen.
D - This statement does not indicate that the client is successfully coping with the
change.
A nurse is planning care for a client who is having a modified radical mastectomy of
the right breast. Which of the following interventions should the nurse include in the
plan of care?
A. Instruct the client that the drain will be removed when there is 25 mL of output or
less over a 24-hr period.
B. Assist the client to start arm exercises 48 hr after surgery.
C. Maintain the right arm in an extended position at the client's side when in bed.
, D. Place the client in a supine position for the first 24 hr after surgery. - correct
answer Answer: A. Instruct the client that the drain will be removed when there is 25
mL of output or less over a 24-hr period.
- The nurse should instruct the client that the drain will remain in place for 1 to 3
weeks after surgery and will be removed when there is 25 mL of output or less in a
24-hr period.
Rationale:
B - The nurse should instruct the client to start exercising the right arm 24 hr after
surgery.
C - The nurse should elevate the client's right arm on a pillow to promote lymphatic
fluid return.
D - The nurse should elevate the head of the client's bed to at least 30° to promote
drainage from the surgical site and facilitate breathing.
Cough:
- Client states that sleep during the night is interrupted by coughing and shortness of
breath most nights of the week.
Temp: 38.7° C (101.6° F)
Practice 2025 B (Latest Update 2025 /
2026) Questions with 100% Correct
Verified Answers [ Grade A]-
Chamberlain
A nurse and an assistive personnel (AP) are caring for a client who has bacterial
meningitis. The nurse should give the AP which of the following instructions?
A. Wear a mask.
B. Wear a gown.
C. Keep the client's room well-lit.
D. Maintain the head of the bed at a 45° elevation. - correct answer Answer: A. Wear
a mask
- Bacterial meningitis requires droplet precautions. Therefore, the AP and the nurse
should wear a mask when coming within 0.9 m (3 ft) of the client until 24 hr after the
client has begun receiving antibiotic therapy.
,Rationale:
B - A gown is necessary when caring for clients who require contact precautions.
Bacterial meningitis does not spread via direct contact.
C - Staff caring for this client should keep the illumination in the room dim and avoid
bright light from windows to promote comfort and rest and avoid photophobia.
D - Staff caring for this client should keep the head of the bed at a 30° elevation
A nurse is evaluating a client who has a new diagnosis of type 1 diabetes mellitus.
Which of the following client statements indicates the client is successfully coping
with the change?
A. "It is just easier to let my partner administer my insulin."
B. "I used to never worry about my feet. Now, I inspect my feet every day with a
mirror."
C. "I'm concerned I won't be able to read my blood sugar level because the screen is
so small."
D. "I know a lot of people who have diabetes and do not take insulin. I wish I didn't
have to." - correct answer Answer: B. "I used to never worry about my feet. Now, I
inspect my feet every day with a mirror."
,- This statement indicates that the client is successfully coping with the change
because the client is performing preventive foot care to reduce the risk for
complications.
Rationale:
A - This statement does not indicate that the client is successfully coping with the
change.
C - This statement does not indicate that the client is successfully coping with the
change. The nurse should provide the client with a monitor that has a larger screen.
D - This statement does not indicate that the client is successfully coping with the
change.
A nurse is planning care for a client who is having a modified radical mastectomy of
the right breast. Which of the following interventions should the nurse include in the
plan of care?
A. Instruct the client that the drain will be removed when there is 25 mL of output or
less over a 24-hr period.
B. Assist the client to start arm exercises 48 hr after surgery.
C. Maintain the right arm in an extended position at the client's side when in bed.
, D. Place the client in a supine position for the first 24 hr after surgery. - correct
answer Answer: A. Instruct the client that the drain will be removed when there is 25
mL of output or less over a 24-hr period.
- The nurse should instruct the client that the drain will remain in place for 1 to 3
weeks after surgery and will be removed when there is 25 mL of output or less in a
24-hr period.
Rationale:
B - The nurse should instruct the client to start exercising the right arm 24 hr after
surgery.
C - The nurse should elevate the client's right arm on a pillow to promote lymphatic
fluid return.
D - The nurse should elevate the head of the client's bed to at least 30° to promote
drainage from the surgical site and facilitate breathing.
Cough:
- Client states that sleep during the night is interrupted by coughing and shortness of
breath most nights of the week.
Temp: 38.7° C (101.6° F)
