LPN Module 5 Exam — Med-Surg II (2026 Update)
1. A nurse is caring for a patient with Type 1 Diabetes Mellitus who is reporting
feeling shaky and lightheaded. What is the priority nursing action?
A. Check the patient’s blood glucose level
B. Administer the scheduled dose of insulin
C. Provide a high-protein snack immediately
D. Notify the health care provider of the symptoms
Answer: A
Rationale: The symptoms of shakiness and lightheadedness are indicative of
hypoglycemia. The nurse must first confirm the blood glucose level before implementing
interventions like giving carbohydrates.
,2. When assessing a patient with a Stage 2 pressure injury, what should the
nurse expect to find?
A. Partial-thickness skin loss involving the dermis
B. Full-thickness skin loss with visible adipose tissue
C. Non-blanchable erythema of intact skin
D. Full-thickness tissue loss with exposed bone or muscle
Answer: A
Rationale: A Stage 2 pressure injury involves partial-thickness loss of dermis, appearing as
a shallow open ulcer or a ruptured/intact serum-filled blister.
3. Which clinical manifestation is most characteristic of Graves’ disease
(Hyperthyroidism)?
A. Exophthalmos and tachycardia
B. Weight gain and lethargy
C. Bradycardia and cold intolerance
D. Dry, scaly skin and constipation
Answer: A
,Rationale: Graves’ disease is an autoimmune form of hyperthyroidism characterized by an
increased metabolic rate, resulting in tachycardia, weight loss, heat intolerance, and
exophthalmos (bulging eyes).
4. A patient with Chronic Kidney Disease (CKD) is prescribed a low-potassium
diet. Which food choice by the patient indicates a need for further teaching?
A. Apples
B. White rice
C. Bananas
D. Green beans
Answer: C
Rationale: Bananas are high in potassium and should be avoided or limited by patients
with CKD to prevent hyperkalemia.
, 5. Following a Transurethral Resection of the Prostate (TURP), a patient has a
continuous bladder irrigation (CBI) system in place. The nurse notes the
drainage is bright red with large clots. What is the priority action?
A. Increase the flow rate of the irrigation fluid
B. Turn off the irrigation and notify the surgeon
C. Document the finding as a normal postoperative expectation
D. Administer an analgesic for bladder spasms
Answer: A
Rationale: The purpose of CBI is to keep the urine clear of clots. If bright red blood or clots
appear, the nurse should increase the rate of irrigation to flush the bladder and prevent
obstruction.
1. A nurse is caring for a patient with Type 1 Diabetes Mellitus who is reporting
feeling shaky and lightheaded. What is the priority nursing action?
A. Check the patient’s blood glucose level
B. Administer the scheduled dose of insulin
C. Provide a high-protein snack immediately
D. Notify the health care provider of the symptoms
Answer: A
Rationale: The symptoms of shakiness and lightheadedness are indicative of
hypoglycemia. The nurse must first confirm the blood glucose level before implementing
interventions like giving carbohydrates.
,2. When assessing a patient with a Stage 2 pressure injury, what should the
nurse expect to find?
A. Partial-thickness skin loss involving the dermis
B. Full-thickness skin loss with visible adipose tissue
C. Non-blanchable erythema of intact skin
D. Full-thickness tissue loss with exposed bone or muscle
Answer: A
Rationale: A Stage 2 pressure injury involves partial-thickness loss of dermis, appearing as
a shallow open ulcer or a ruptured/intact serum-filled blister.
3. Which clinical manifestation is most characteristic of Graves’ disease
(Hyperthyroidism)?
A. Exophthalmos and tachycardia
B. Weight gain and lethargy
C. Bradycardia and cold intolerance
D. Dry, scaly skin and constipation
Answer: A
,Rationale: Graves’ disease is an autoimmune form of hyperthyroidism characterized by an
increased metabolic rate, resulting in tachycardia, weight loss, heat intolerance, and
exophthalmos (bulging eyes).
4. A patient with Chronic Kidney Disease (CKD) is prescribed a low-potassium
diet. Which food choice by the patient indicates a need for further teaching?
A. Apples
B. White rice
C. Bananas
D. Green beans
Answer: C
Rationale: Bananas are high in potassium and should be avoided or limited by patients
with CKD to prevent hyperkalemia.
, 5. Following a Transurethral Resection of the Prostate (TURP), a patient has a
continuous bladder irrigation (CBI) system in place. The nurse notes the
drainage is bright red with large clots. What is the priority action?
A. Increase the flow rate of the irrigation fluid
B. Turn off the irrigation and notify the surgeon
C. Document the finding as a normal postoperative expectation
D. Administer an analgesic for bladder spasms
Answer: A
Rationale: The purpose of CBI is to keep the urine clear of clots. If bright red blood or clots
appear, the nurse should increase the rate of irrigation to flush the bladder and prevent
obstruction.
