PN Adult Medical Surgical Online Practice 2023 A Complete Questions and Answers Study Guide!!!! Page 1
PN Adult Medical Surgical Online
Practice 2023 A
Complete Questions and Answers Study Guide
: PN Adult Medical Surgical Online Practice 2023 A – Complete Questions and Answers Study Guide
: Comprehensive PN Adult Medical Surgical Online Practice 2023 A study guide with all questions and answers explained for
effective exam preparation. Ideal for nursing students preparing for ATI and NCLEX-style exams.
PN Adult Medical Surgical Practice 2023 A questions and answers, ATI PN Med Surg practice test, nursing exam study guide,
NCLEX PN med surg practice questions
Question 1
A nurse is preparing to administer furosemide to a client who has heart failure. Which
finding should the nurse report before administering the medication?
Answer:
Decreased potassium
Explanation:
Furosemide is a loop diuretic that can cause potassium loss. If potassium levels are already
low, administering the medication can lead to dangerous hypokalemia, increasing the risk of
cardiac dysrhythmias.
Question 2
A nurse is reviewing the chart of a client experiencing an adrenal crisis after not
taking prescribed medication for several days. Withdrawal from which medication
precipitated the crisis?
Answer:
Prednisone
Explanation:
Prednisone is a corticosteroid. Sudden withdrawal after long-term use can lead to adrenal
crisis because the adrenal glands cannot immediately resume adequate cortisol production.
Question 3
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,PN Adult Medical Surgical Online Practice 2023 A Complete Questions and Answers Study Guide!!!! Page 2
A nurse is assisting with the care for a client prescribed digoxin 0.25 mg PO daily. The
nurse notes an apical pulse of 58/min. What action should the nurse take?
Answer:
Withhold the dose.
Explanation:
Digoxin should be withheld if the apical pulse is below 60 beats per minute in adults because
the medication can further slow the heart rate.
Question 4
A nurse is reinforcing teaching about glycosylated hemoglobin (HbA1c) testing with a
client who has diabetes mellitus. Which statement indicates understanding?
Answer:
“I will have my HbA1c checked twice per year.”
Explanation:
HbA1c reflects average blood glucose levels over the previous 2–3 months. Stable diabetic
patients usually have the test performed twice yearly.
Question 5
A nurse is instructing an assistive personnel about transmission-based precautions
for a client with Clostridium difficile. Which instructions should be included? (Select
all that apply.)
Answers:
● Provide disposable utensils and dishes.
● Leave blood pressure equipment in the client’s room.
● Clean contaminated surfaces with bleach solution.
Explanation:
C. difficile requires contact precautions and proper environmental cleaning because the
organism forms spores that are resistant to many disinfectants.
Question 6
A nurse is reinforcing teaching with a client who has coronary artery disease. Which
dietary instruction should be included?
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, PN Adult Medical Surgical Online Practice 2023 A Complete Questions and Answers Study Guide!!!! Page 3
Answer:
Add oily fish to your diet twice weekly.
Explanation:
Fish such as salmon and tuna contain omega-3 fatty acids that can reduce triglycerides and
improve cardiovascular health.
Question 7
A nurse is teaching a client about Mohs surgery for skin cancer. Which information
should be included?
Answer:
Mohs surgery involves the horizontal shaving of thin layers of the tumor.
Explanation:
The surgeon removes thin layers and examines them microscopically until cancer-free tissue
remains.
Question 8
Which concern from an older adult reflects a normal age-related change?
Answer:
“My food tastes bland even after I add seasoning.”
Explanation:
Taste buds decrease with age, causing reduced taste sensation.
Question 9
Which food should a nurse recommend to increase vitamin C intake to enhance iron
absorption?
Answer:
1 cup of boiled broccoli
Explanation:
Vitamin C improves the absorption of iron in the gastrointestinal tract.
3/11/2026 3/11/2026 3/11/2026
PN Adult Medical Surgical Online
Practice 2023 A
Complete Questions and Answers Study Guide
: PN Adult Medical Surgical Online Practice 2023 A – Complete Questions and Answers Study Guide
: Comprehensive PN Adult Medical Surgical Online Practice 2023 A study guide with all questions and answers explained for
effective exam preparation. Ideal for nursing students preparing for ATI and NCLEX-style exams.
PN Adult Medical Surgical Practice 2023 A questions and answers, ATI PN Med Surg practice test, nursing exam study guide,
NCLEX PN med surg practice questions
Question 1
A nurse is preparing to administer furosemide to a client who has heart failure. Which
finding should the nurse report before administering the medication?
Answer:
Decreased potassium
Explanation:
Furosemide is a loop diuretic that can cause potassium loss. If potassium levels are already
low, administering the medication can lead to dangerous hypokalemia, increasing the risk of
cardiac dysrhythmias.
Question 2
A nurse is reviewing the chart of a client experiencing an adrenal crisis after not
taking prescribed medication for several days. Withdrawal from which medication
precipitated the crisis?
Answer:
Prednisone
Explanation:
Prednisone is a corticosteroid. Sudden withdrawal after long-term use can lead to adrenal
crisis because the adrenal glands cannot immediately resume adequate cortisol production.
Question 3
3/11/2026 3/11/2026 3/11/2026
,PN Adult Medical Surgical Online Practice 2023 A Complete Questions and Answers Study Guide!!!! Page 2
A nurse is assisting with the care for a client prescribed digoxin 0.25 mg PO daily. The
nurse notes an apical pulse of 58/min. What action should the nurse take?
Answer:
Withhold the dose.
Explanation:
Digoxin should be withheld if the apical pulse is below 60 beats per minute in adults because
the medication can further slow the heart rate.
Question 4
A nurse is reinforcing teaching about glycosylated hemoglobin (HbA1c) testing with a
client who has diabetes mellitus. Which statement indicates understanding?
Answer:
“I will have my HbA1c checked twice per year.”
Explanation:
HbA1c reflects average blood glucose levels over the previous 2–3 months. Stable diabetic
patients usually have the test performed twice yearly.
Question 5
A nurse is instructing an assistive personnel about transmission-based precautions
for a client with Clostridium difficile. Which instructions should be included? (Select
all that apply.)
Answers:
● Provide disposable utensils and dishes.
● Leave blood pressure equipment in the client’s room.
● Clean contaminated surfaces with bleach solution.
Explanation:
C. difficile requires contact precautions and proper environmental cleaning because the
organism forms spores that are resistant to many disinfectants.
Question 6
A nurse is reinforcing teaching with a client who has coronary artery disease. Which
dietary instruction should be included?
3/11/2026 3/11/2026 3/11/2026
, PN Adult Medical Surgical Online Practice 2023 A Complete Questions and Answers Study Guide!!!! Page 3
Answer:
Add oily fish to your diet twice weekly.
Explanation:
Fish such as salmon and tuna contain omega-3 fatty acids that can reduce triglycerides and
improve cardiovascular health.
Question 7
A nurse is teaching a client about Mohs surgery for skin cancer. Which information
should be included?
Answer:
Mohs surgery involves the horizontal shaving of thin layers of the tumor.
Explanation:
The surgeon removes thin layers and examines them microscopically until cancer-free tissue
remains.
Question 8
Which concern from an older adult reflects a normal age-related change?
Answer:
“My food tastes bland even after I add seasoning.”
Explanation:
Taste buds decrease with age, causing reduced taste sensation.
Question 9
Which food should a nurse recommend to increase vitamin C intake to enhance iron
absorption?
Answer:
1 cup of boiled broccoli
Explanation:
Vitamin C improves the absorption of iron in the gastrointestinal tract.
3/11/2026 3/11/2026 3/11/2026
