ANSWERS | COMPREHENSIVE
PRACTICAL NURSING MEDICAL
SURGICAL STUDY GUIDE 2026 |
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Updated 2026 Questions and Answers | 100% Verified
Exam Prep and Comprehensive Rationales Included
,Meningitis Expected findings -Nuchal Ridgity
-Red Macular Rash
-photophobia
-HA
-Avoid raising legs above level of the heart
-Avoid crossing legs, hip flexion
Head injury ICP expected finding * 1. Early sign Restlessness
2. Late sign Dilated Pupils
Diabetes Management Hypoglycemia* 1. Clammy Pale Skin
2. Irrability
3. Weakness
4. Tremors
Urinary Tract Infection Reinforcing Teaching 1. Void 3-4 hours
2. Wipe front to the back
3. Drink plenty of fluids
4. Wear cotton underwear
5. Avoid bubble baths
Urinary Elimination Needs and Specimen Collection 1. Alcohol clean side port to Withdraw
Catheterization for Residual Urine
Amputation Discharge Teaching 1. Prone position, 6x a day for 20-30 min
Mechanical Ventilation Planning Care 1. Asses cuff pressure every 8 hours
Systemic Lupus Erythematosus (Medrol Meds) 1. Should Limit Contact With People With Possible Infection
2. Avoid Large Group Of People
Right Sided Heart Failure 1. Jungular Vein Distention
2. Ascending Dependent Edema
3. Weight Gain
4. Hepatomegaly (Liver Enlargement)
Left Sided Heart Failure 1. Pnea, SOB
2. Crackles
3. Oliguria
4. Frothy Sputum
5. Displaced Apical Pulse (Hypertrophy)
, Benign Hypertrophy 1. While Catheter in place, will feel the urge to void
2. Calculate urine output every 2 hours
3. Should get up in a chair ASAP
4. Avoid heavy lifting
5. Avoid Sex/Intercourse 2-6 weeks
6. Expected output 150-200 ml every 3-4 hours
Cerebrovascular Accident 1. Eat in upright position / Swallow with head and neck flexed slightly forward
2. Place food in back of mouth on unaffected side
3. Avoid extreme flexion or extension of the neck
4. Give sour/tart food
5. Meet with Speech Therapist
Hyperglycemia 1. Flushed Skin
2. Fruity Breath
3. Rapid Breathing
4. Thirst
Disaster Planning and Emergency Management 1. remove Patient First
Responding to a fire
Disaster Planning and Emergency Management 1. Fever has to stay
Recommending Clients to Discharge
Cognitive Disorders Planning Care in an Adult Day Care 1. Check Mental Status
Setting
Female Cancers Appropriate Referrals 1. Support Group
Cerebrovascular Accident Appropriate Referrals 1. Speech Therapist
Legal Responsibilities Securing Client Valuables 1. Give money to Security
Bacterial Viral and Fungal Infection, Nationally Notifiable 1. E coli
Infectious Disease
Clients Understanding of Organ Donation 1. Must be made by patient
Spinal Cord Injury Client Referral 1. OTA
2. PT
3. Social Service