RN VATI ADULT MEDICAL SURGICAL
ACTUAL TEST PAPER 2026
COMPREHENSIVE QUESTIONS DETAILED
RATIONALES COMPLETE SOLUTIONS
GRADED A+
⩥ A client with peptic ulcer disease has a new NG tube in place with
orders for NG tube monitoring for the nurse. What is an expected
finding? Answer: scant blood may be seen for the first 12-24 hrs
⩥ Suspected stomach perforation due to a peptic ulcer s/s: Answer: -
rigid abdomen
-tachycardia
-rebound tenderness
⩥ Complications of enteral feedings: Answer: Overfeeding: abd
distention, N/V
Diarrhea
Aspiration Pneumonia
,⩥ Nursing actions to prevent overfeeding r/t enteral feedings: Answer: -
check residual Q 4-6 hr
-withhold as prescribed then resume
⩥ Nursing actions for diarrhea r/t enteral feedings: Answer: -slow the
rate & contact provider
-contact dietitian
-provide skin care & protection
⩥ Nursing actions for aspiration pneumonia r/t enteral feedings: Answer:
-stop the feeding
-turn the client to his side
-suction the airway
-admin O2 if indicated
-auscultate breath sounds for increased congestion
-notify provider & get chest xray
⩥ Preprocedure & Postprocedure following a kidney biopsy nsg actions:
Answer: Pre:
NPO 4-6 hr prior, review coag studies
POST:
-monitor vitals
,-assess dressings & urinary output (hematuria)
-review Hgb & Hct
-admin PRN pain meds
-remain supine
⩥ Following a kidney biopsy, a client has cloudy & smelly urine, and an
urgency to urinate, the nurse suspects what? Answer: infection
⩥ Most immediate risk to the client following a kidney biopsy: Answer:
hemorrhage
⩥ Ongoing monitoring of a client with Cushing's disease includes:
Answer: -monitoring liver enzymes
-monitoring fluid & elecs (hyperkalemia)
-weight
-WBC, neutrophils, platelets, Hgb & Hct
⩥ Client care following a thyroidectomy: Answer: -High fowler's
-support head & neck w/pillows
-avoid neck extension
-check surgical dressing & back of neck for bleeding
-have trach supplies available
-coughing & deep breathing
, -check for laryngeal damage by asking client to speak when awake from
anesthesia
-admin pain meds
-tingling of toes or around mouth, & muscle twitching indicates
hypocalcemia & tetany
-have IV cal gluconate or cal chloride ready
-if drain, surgeon will remove after 2 days
⩥ Hypoglycemia s/s: Answer: -shakiness
-confusion
-diaphoresis
-palpitations
-headache
-lack of coordination
-blurred vision
-seizures
-coma
⩥ Post knee arthroplasty: Answer: -no pillows under knee
-to prevent heel ulcers: place small pillow/blanket under ankle area
-ice/cold therapy to help w/swelling
-compression bandage & suction
ACTUAL TEST PAPER 2026
COMPREHENSIVE QUESTIONS DETAILED
RATIONALES COMPLETE SOLUTIONS
GRADED A+
⩥ A client with peptic ulcer disease has a new NG tube in place with
orders for NG tube monitoring for the nurse. What is an expected
finding? Answer: scant blood may be seen for the first 12-24 hrs
⩥ Suspected stomach perforation due to a peptic ulcer s/s: Answer: -
rigid abdomen
-tachycardia
-rebound tenderness
⩥ Complications of enteral feedings: Answer: Overfeeding: abd
distention, N/V
Diarrhea
Aspiration Pneumonia
,⩥ Nursing actions to prevent overfeeding r/t enteral feedings: Answer: -
check residual Q 4-6 hr
-withhold as prescribed then resume
⩥ Nursing actions for diarrhea r/t enteral feedings: Answer: -slow the
rate & contact provider
-contact dietitian
-provide skin care & protection
⩥ Nursing actions for aspiration pneumonia r/t enteral feedings: Answer:
-stop the feeding
-turn the client to his side
-suction the airway
-admin O2 if indicated
-auscultate breath sounds for increased congestion
-notify provider & get chest xray
⩥ Preprocedure & Postprocedure following a kidney biopsy nsg actions:
Answer: Pre:
NPO 4-6 hr prior, review coag studies
POST:
-monitor vitals
,-assess dressings & urinary output (hematuria)
-review Hgb & Hct
-admin PRN pain meds
-remain supine
⩥ Following a kidney biopsy, a client has cloudy & smelly urine, and an
urgency to urinate, the nurse suspects what? Answer: infection
⩥ Most immediate risk to the client following a kidney biopsy: Answer:
hemorrhage
⩥ Ongoing monitoring of a client with Cushing's disease includes:
Answer: -monitoring liver enzymes
-monitoring fluid & elecs (hyperkalemia)
-weight
-WBC, neutrophils, platelets, Hgb & Hct
⩥ Client care following a thyroidectomy: Answer: -High fowler's
-support head & neck w/pillows
-avoid neck extension
-check surgical dressing & back of neck for bleeding
-have trach supplies available
-coughing & deep breathing
, -check for laryngeal damage by asking client to speak when awake from
anesthesia
-admin pain meds
-tingling of toes or around mouth, & muscle twitching indicates
hypocalcemia & tetany
-have IV cal gluconate or cal chloride ready
-if drain, surgeon will remove after 2 days
⩥ Hypoglycemia s/s: Answer: -shakiness
-confusion
-diaphoresis
-palpitations
-headache
-lack of coordination
-blurred vision
-seizures
-coma
⩥ Post knee arthroplasty: Answer: -no pillows under knee
-to prevent heel ulcers: place small pillow/blanket under ankle area
-ice/cold therapy to help w/swelling
-compression bandage & suction
