RN Adult Medical-Surgical Nursing Exam
test with verified answers 2025-2026
1. A client with heart failure is prescribed furosemide.
Which assessment finding requires the nurse’s immediate
intervention?
A. Dry mouth
B. Muscle weakness
C. Mild tinnitus
D. Weight loss of 1 lb in 24 hours
Answer: B. Muscle weakness
Rationale: Muscle weakness is a sign of hypokalemia, a potential adverse effect of
furosemide. Electrolyte imbalance can lead to life-threatening dysrhythmias and requires
immediate intervention.
2. A nurse is caring for a client with COPD. Which oxygen
therapy order should the nurse question?
A. Nasal cannula at 1 L/min
B. Nasal cannula at 2 L/min
C. Venturi mask at 28%
D. Non-rebreather mask at 100%
Answer: D. Non-rebreather mask at 100%
Rationale: High-concentration oxygen (100%) can suppress the hypoxic respiratory drive in
COPD clients, leading to respiratory depression. Low-flow or controlled oxygen delivery is
preferred.
3. A postoperative client reports sudden chest pain and
shortness of breath. What is the nurse’s priority action?
A. Obtain a full set of vital signs
B. Place the client in high Fowler’s position
C. Apply oxygen
D. Assess surgical dressing
Answer: C. Apply oxygen
Rationale: Sudden chest pain and dyspnea indicate a possible pulmonary embolism.
, Applying oxygen is the priority to improve oxygenation while additional assessments
follow.
4. Which dietary choice is appropriate for a client with
chronic kidney disease?
A. Grilled chicken with rice
B. Banana and peanut butter smoothie
C. Baked potato with sour cream
D. Tomato soup with whole-grain bread
Answer: A. Grilled chicken with rice
Rationale: Clients with CKD need low potassium and low phosphorus meals. Bananas,
potatoes, and tomato products are high in potassium and should be limited.
5. A client receiving morphine IV develops a respiratory
rate of 8 breaths/min. What is the nurse’s next action?
A. Administer naloxone
B. Reassess in 10 minutes
C. Notify the provider
D. Increase IV fluids
Answer: A. Administer naloxone
Rationale: Respiratory depression is a life-threatening opioid complication. Naloxone
reverses the effects of opioids and should be administered immediately.
6. A client with type 1 diabetes is diaphoretic, shaky, and
confused. What is the most appropriate intervention?
A. Administer glucagon IM
B. Provide 4 oz of orange juice
C. Check urine ketones
D. Call the health care provider
Answer: B. Provide 4 oz of orange juice
Rationale: These symptoms indicate hypoglycemia, and the client is awake enough to take
rapid-acting oral carbohydrates like juice.
test with verified answers 2025-2026
1. A client with heart failure is prescribed furosemide.
Which assessment finding requires the nurse’s immediate
intervention?
A. Dry mouth
B. Muscle weakness
C. Mild tinnitus
D. Weight loss of 1 lb in 24 hours
Answer: B. Muscle weakness
Rationale: Muscle weakness is a sign of hypokalemia, a potential adverse effect of
furosemide. Electrolyte imbalance can lead to life-threatening dysrhythmias and requires
immediate intervention.
2. A nurse is caring for a client with COPD. Which oxygen
therapy order should the nurse question?
A. Nasal cannula at 1 L/min
B. Nasal cannula at 2 L/min
C. Venturi mask at 28%
D. Non-rebreather mask at 100%
Answer: D. Non-rebreather mask at 100%
Rationale: High-concentration oxygen (100%) can suppress the hypoxic respiratory drive in
COPD clients, leading to respiratory depression. Low-flow or controlled oxygen delivery is
preferred.
3. A postoperative client reports sudden chest pain and
shortness of breath. What is the nurse’s priority action?
A. Obtain a full set of vital signs
B. Place the client in high Fowler’s position
C. Apply oxygen
D. Assess surgical dressing
Answer: C. Apply oxygen
Rationale: Sudden chest pain and dyspnea indicate a possible pulmonary embolism.
, Applying oxygen is the priority to improve oxygenation while additional assessments
follow.
4. Which dietary choice is appropriate for a client with
chronic kidney disease?
A. Grilled chicken with rice
B. Banana and peanut butter smoothie
C. Baked potato with sour cream
D. Tomato soup with whole-grain bread
Answer: A. Grilled chicken with rice
Rationale: Clients with CKD need low potassium and low phosphorus meals. Bananas,
potatoes, and tomato products are high in potassium and should be limited.
5. A client receiving morphine IV develops a respiratory
rate of 8 breaths/min. What is the nurse’s next action?
A. Administer naloxone
B. Reassess in 10 minutes
C. Notify the provider
D. Increase IV fluids
Answer: A. Administer naloxone
Rationale: Respiratory depression is a life-threatening opioid complication. Naloxone
reverses the effects of opioids and should be administered immediately.
6. A client with type 1 diabetes is diaphoretic, shaky, and
confused. What is the most appropriate intervention?
A. Administer glucagon IM
B. Provide 4 oz of orange juice
C. Check urine ketones
D. Call the health care provider
Answer: B. Provide 4 oz of orange juice
Rationale: These symptoms indicate hypoglycemia, and the client is awake enough to take
rapid-acting oral carbohydrates like juice.
