PN ADULT MEDICAL SURGICAL 2025 EDITION
With NGN QUESTION AND CORRECT ANSWERS
WITH EXPLANATION.
Question
95: A
nurse is
reinforcing teaching with a client who is postoperative following a tympanoplasty. Which of the
following information should the nurse include?
• A) Drink fluids through a straw
, • B) Resume exercising in 10 days
• C) Plan to shampoo hair in 1 week
• D) Close mouth when sneezing
Answer: D) Close mouth when sneezing
Explanation: After a tympanoplasty, it is important to close the mouth when sneezing to avoid pressure changes that
could affect the healing of the ear. Drinking fluids through a straw or shampooing hair in 1 week might be too early,
and resuming exercise too soon could lead to complications.
Question 54:
A nurse is caring for a client who is postoperative following the placement of a colostomy. Which of the following
findings indicates the colostomy is functioning properly?
• A) Tolerating a clear liquid diet
• B) Stoma is pinkish-red
• C) Absent bowel sounds
• D) Passing of flatus
Answer: D) Passing of flatus
Explanation: Passing flatus indicates that the bowel is functioning properly after a colostomy. It shows that the
digestive tract is passing gas through the new stoma. The stoma should appear pinkish-red (indicating good blood
supply), but passing flatus is the primary sign of proper function.
,Question 49:
A nurse is assisting with the care of a postoperative client who has developed malignant hyperthermia. Which of
the following actions should the nurse take?
• A) Administer meperidine IM
• B) Apply a cooling blanket
• C) Instill a warm enema solution
• D) Ventilate client with 50% oxygen
Answer: B) Apply a cooling blanket
Explanation: Malignant hyperthermia is a life-threatening condition that causes a rapid increase in body
temperature. Applying a cooling blanket is a critical action to reduce the body temperature quickly and prevent
further complications. Administering meperidine, instilling a warm enema, or ventilating with oxygen alone are not
effective interventions for treating malignant hyperthermia.
, Question 60:
A nurse is reinforcing teaching with a client who is scheduled to undergo a bronchoscopy. Which of the following
client statements indicates an understanding of the teaching?
• A) "I will receive an injection of radioactive material prior to having the procedure."
• B) "I can eat as soon as the procedure is completed."
• C) "I might have blood-tinged sputum after the procedure."
• D) "I can have clear liquids up to 3 hours before the procedure."
Answer: C) "I might have blood-tinged sputum after the procedure."
Explanation: It is common for clients to have blood-tinged sputum after a bronchoscopy due to irritation or minor
injury to the respiratory tract during the procedure. The other options are incorrect as receiving radioactive
material is not typical for a bronchoscopy, eating immediately after the procedure is not advised, and clients should
usually avoid liquids for several hours before the procedure to prevent aspiration.
With NGN QUESTION AND CORRECT ANSWERS
WITH EXPLANATION.
Question
95: A
nurse is
reinforcing teaching with a client who is postoperative following a tympanoplasty. Which of the
following information should the nurse include?
• A) Drink fluids through a straw
, • B) Resume exercising in 10 days
• C) Plan to shampoo hair in 1 week
• D) Close mouth when sneezing
Answer: D) Close mouth when sneezing
Explanation: After a tympanoplasty, it is important to close the mouth when sneezing to avoid pressure changes that
could affect the healing of the ear. Drinking fluids through a straw or shampooing hair in 1 week might be too early,
and resuming exercise too soon could lead to complications.
Question 54:
A nurse is caring for a client who is postoperative following the placement of a colostomy. Which of the following
findings indicates the colostomy is functioning properly?
• A) Tolerating a clear liquid diet
• B) Stoma is pinkish-red
• C) Absent bowel sounds
• D) Passing of flatus
Answer: D) Passing of flatus
Explanation: Passing flatus indicates that the bowel is functioning properly after a colostomy. It shows that the
digestive tract is passing gas through the new stoma. The stoma should appear pinkish-red (indicating good blood
supply), but passing flatus is the primary sign of proper function.
,Question 49:
A nurse is assisting with the care of a postoperative client who has developed malignant hyperthermia. Which of
the following actions should the nurse take?
• A) Administer meperidine IM
• B) Apply a cooling blanket
• C) Instill a warm enema solution
• D) Ventilate client with 50% oxygen
Answer: B) Apply a cooling blanket
Explanation: Malignant hyperthermia is a life-threatening condition that causes a rapid increase in body
temperature. Applying a cooling blanket is a critical action to reduce the body temperature quickly and prevent
further complications. Administering meperidine, instilling a warm enema, or ventilating with oxygen alone are not
effective interventions for treating malignant hyperthermia.
, Question 60:
A nurse is reinforcing teaching with a client who is scheduled to undergo a bronchoscopy. Which of the following
client statements indicates an understanding of the teaching?
• A) "I will receive an injection of radioactive material prior to having the procedure."
• B) "I can eat as soon as the procedure is completed."
• C) "I might have blood-tinged sputum after the procedure."
• D) "I can have clear liquids up to 3 hours before the procedure."
Answer: C) "I might have blood-tinged sputum after the procedure."
Explanation: It is common for clients to have blood-tinged sputum after a bronchoscopy due to irritation or minor
injury to the respiratory tract during the procedure. The other options are incorrect as receiving radioactive
material is not typical for a bronchoscopy, eating immediately after the procedure is not advised, and clients should
usually avoid liquids for several hours before the procedure to prevent aspiration.
