Page 1 of 46
Practical Nursing (PN) Medical-Surgical Mastery Review
focusing heavily on priority nursing interventions, lab
interpretations, and acute client safety.
Download now
HIGH YIELDS QUESTIONS
NEWEST MODEL 2026 EXAM LATEST
VERSION SOLVED QUESTIONS &
ANSWERS VERIFIED 100 % Exam
📚 Learn. Practice. Excel.
Unlock your potential with exams designed to help you succeed. Enjoy a smooth
experience, challenging questions, and valuable learning opportunities that prepare you
for real-world success.
Join thousands of learners who are building confidence one exam at a time. Take your
exam today!
TIME : HOUR
, Page 2 of 46
A client presents to the urgent care clinic with a sudden onset of left upper
quadrant pain radiating to the back. Based on which laboratory values should
the practical nurse (PN) ensure the client remains NPO?
(Select all that apply.)
1. Glucose is 150 mg/dL.
2. White blood cell count of 11,000 mm3/L.
3. Alanine Aminotransferase (ALT) is 144 units/L.
4. Amylase is 660 units/L.
5. Lipase is 1600 units/L.
6. Aspartate Aminotransferase (AST) is 140 units/L.
4. Amylase is 660 units/L.
5. Lipase is 1600 units/L.
Rationale
Elevation of amylase (D) and lipase (E) indicates the probability of pancreatitis,
and the client should be NPO to prevent stimulation of pancreatic activity.
Although (A and B) are elevated, they do not require the client to be NPO. (C
and F) are elevated and indicative of possible liver disease, but the client does
not need to be NPO.
A male client who was recently diagnosed with Guillain-Barr syndrome (GBS)
tells the practical nurse (PN) that the paralysis of his lower extremities is
climbing. What is the most important intervention for the PN to implement?
Monitor respiration depth.
Protect lower extremities from injury.
Determine bilateral muscle strength and movement.
Administer moisturizing eye drops.
Monitor respiration depth.
Rationale
Guillain-Barr syndrome ascends progressively, starting at the feet, at an
unknown rate of paralytic involvement. The most important intervention is to
monitor for paralysis that may involve the diaphragm, so the rate and depth of
respirations must be monitored (A) to determine adequate ventilation.
Breathing takes priority over potential injury to the lower extremities (B). (C) is
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an expected finding. (D) should be provided if paralysis involves the cranial
nerves, but the priority is addressing ABC (airway, breathing, circulation).
A male client with a chest tube and a three-chamber water seal drainage
system calls the practical nurse (PN) to the bedside and says his chest tube
(CT) is not working. The PN observes that the client's respiratory effort and
breath sounds are normal. Which action should the PN implement?
Clamp CT to prevent air entering the pleural space.
Milk the CT to clear any tissue or blood clots.
Place a petroleum dressing over insertion site.
Observe the water-seal chamber for bubbling.
Observe the water-seal chamber for bubbling.
Rationale
Assessment of the water-seal drainage system should be implement to
determine if normal fluctuation of the water level in the water-seal chamber is
occurring or if continuous bubbling is present (D), which is indicative of an air
leak. Clamping the CT is not recommended (A) but may be necessary if the
water seal drainage system is damaged. Chest tubes should not be milked (B)
or stripped because this action increases intrapleural pressure. (C) is
implemented if the chest tube becomes dislodged, which is not evident at this
time.
The practical nurse (PN) is transferring a client to the in-patient dialysis unit
for hemodialysis scheduled for today. Which information is essential for the
PN to report to the receiving nurse?
Last 24-hour intake records.
Potassium dietary restrictions.
Schedule of antihypertensive prescriptions.
Today's hemoglobin result of 8.0 grams.
Today's hemoglobin result of 8.0 grams.
Rationale
The PN should report the client's recent hemoglobin level (D), which is low and
is essential information in planning the client's care for hemodialysis. (A and
B) are standards of care for a client who is receiving dialysis. Although routine
antihypertensive drugs (C) are withheld before hemodialysis, the priority is the
, Page 4 of 46
client's need for possible blood transfusion during the next hemodialysis
session.
A female client who is currently receiving chemotherapy (CT) for colon cancer
tells the practical nurse (PN) that she plans to become pregnant in case CT is
not successful. What action should the PN take?
Determine how the client's spouse feels about the decision.
Assess the client's ability to perform activities of daily living.
Reinforce the importance of proper nutrition during pregnancy.
Encourage her to wait until the completion of chemotherapy.
Encourage her to wait until the completion of chemotherapy.
Rationale
CT is teratogenic and causes birth defects in the first trimester, so the client
should be encouraged to wait until CT is completed (D) and talk with her
healthcare providers about the treatment risks in pregnancy. (A, B, and C) do
not address the risk of CT in pregnancy.
A male client arrives at the clinic for a routine physical examination and states
he suddenly does not feel well. The practical nurse (PN) obtains the client's
vital signs. Which assessment finding has the highest priority?
The oxygen saturation of 88%.
Blood pressure 96/60 while supine.
Forehead cool and diaphoretic.
Tympanic temperature of 97.8 o F.
The oxygen saturation of 88%.
Rationale
The priority finding is the client's low oxygenation saturation (A). Although the
client's blood pressure (B) and cool diaphoretic skin are abnormal, the client's
poor oxygenation status is of higher priority than (B and C). (D) is not a
significant finding.
An adult male arrives in the clinic an hour after he was hit on the right side of
the head in a golfing accident. The client is taking warfarin (Coumadin) for
atrial fibrillation. Which finding should the practical nurse report to the
healthcare provider immediately?
Right eyelid swollen and Snellen test 20/40.
Blood pressure 180/80 and pulse 96.
Practical Nursing (PN) Medical-Surgical Mastery Review
focusing heavily on priority nursing interventions, lab
interpretations, and acute client safety.
Download now
HIGH YIELDS QUESTIONS
NEWEST MODEL 2026 EXAM LATEST
VERSION SOLVED QUESTIONS &
ANSWERS VERIFIED 100 % Exam
📚 Learn. Practice. Excel.
Unlock your potential with exams designed to help you succeed. Enjoy a smooth
experience, challenging questions, and valuable learning opportunities that prepare you
for real-world success.
Join thousands of learners who are building confidence one exam at a time. Take your
exam today!
TIME : HOUR
, Page 2 of 46
A client presents to the urgent care clinic with a sudden onset of left upper
quadrant pain radiating to the back. Based on which laboratory values should
the practical nurse (PN) ensure the client remains NPO?
(Select all that apply.)
1. Glucose is 150 mg/dL.
2. White blood cell count of 11,000 mm3/L.
3. Alanine Aminotransferase (ALT) is 144 units/L.
4. Amylase is 660 units/L.
5. Lipase is 1600 units/L.
6. Aspartate Aminotransferase (AST) is 140 units/L.
4. Amylase is 660 units/L.
5. Lipase is 1600 units/L.
Rationale
Elevation of amylase (D) and lipase (E) indicates the probability of pancreatitis,
and the client should be NPO to prevent stimulation of pancreatic activity.
Although (A and B) are elevated, they do not require the client to be NPO. (C
and F) are elevated and indicative of possible liver disease, but the client does
not need to be NPO.
A male client who was recently diagnosed with Guillain-Barr syndrome (GBS)
tells the practical nurse (PN) that the paralysis of his lower extremities is
climbing. What is the most important intervention for the PN to implement?
Monitor respiration depth.
Protect lower extremities from injury.
Determine bilateral muscle strength and movement.
Administer moisturizing eye drops.
Monitor respiration depth.
Rationale
Guillain-Barr syndrome ascends progressively, starting at the feet, at an
unknown rate of paralytic involvement. The most important intervention is to
monitor for paralysis that may involve the diaphragm, so the rate and depth of
respirations must be monitored (A) to determine adequate ventilation.
Breathing takes priority over potential injury to the lower extremities (B). (C) is
, Page 3 of 46
an expected finding. (D) should be provided if paralysis involves the cranial
nerves, but the priority is addressing ABC (airway, breathing, circulation).
A male client with a chest tube and a three-chamber water seal drainage
system calls the practical nurse (PN) to the bedside and says his chest tube
(CT) is not working. The PN observes that the client's respiratory effort and
breath sounds are normal. Which action should the PN implement?
Clamp CT to prevent air entering the pleural space.
Milk the CT to clear any tissue or blood clots.
Place a petroleum dressing over insertion site.
Observe the water-seal chamber for bubbling.
Observe the water-seal chamber for bubbling.
Rationale
Assessment of the water-seal drainage system should be implement to
determine if normal fluctuation of the water level in the water-seal chamber is
occurring or if continuous bubbling is present (D), which is indicative of an air
leak. Clamping the CT is not recommended (A) but may be necessary if the
water seal drainage system is damaged. Chest tubes should not be milked (B)
or stripped because this action increases intrapleural pressure. (C) is
implemented if the chest tube becomes dislodged, which is not evident at this
time.
The practical nurse (PN) is transferring a client to the in-patient dialysis unit
for hemodialysis scheduled for today. Which information is essential for the
PN to report to the receiving nurse?
Last 24-hour intake records.
Potassium dietary restrictions.
Schedule of antihypertensive prescriptions.
Today's hemoglobin result of 8.0 grams.
Today's hemoglobin result of 8.0 grams.
Rationale
The PN should report the client's recent hemoglobin level (D), which is low and
is essential information in planning the client's care for hemodialysis. (A and
B) are standards of care for a client who is receiving dialysis. Although routine
antihypertensive drugs (C) are withheld before hemodialysis, the priority is the
, Page 4 of 46
client's need for possible blood transfusion during the next hemodialysis
session.
A female client who is currently receiving chemotherapy (CT) for colon cancer
tells the practical nurse (PN) that she plans to become pregnant in case CT is
not successful. What action should the PN take?
Determine how the client's spouse feels about the decision.
Assess the client's ability to perform activities of daily living.
Reinforce the importance of proper nutrition during pregnancy.
Encourage her to wait until the completion of chemotherapy.
Encourage her to wait until the completion of chemotherapy.
Rationale
CT is teratogenic and causes birth defects in the first trimester, so the client
should be encouraged to wait until CT is completed (D) and talk with her
healthcare providers about the treatment risks in pregnancy. (A, B, and C) do
not address the risk of CT in pregnancy.
A male client arrives at the clinic for a routine physical examination and states
he suddenly does not feel well. The practical nurse (PN) obtains the client's
vital signs. Which assessment finding has the highest priority?
The oxygen saturation of 88%.
Blood pressure 96/60 while supine.
Forehead cool and diaphoretic.
Tympanic temperature of 97.8 o F.
The oxygen saturation of 88%.
Rationale
The priority finding is the client's low oxygenation saturation (A). Although the
client's blood pressure (B) and cool diaphoretic skin are abnormal, the client's
poor oxygenation status is of higher priority than (B and C). (D) is not a
significant finding.
An adult male arrives in the clinic an hour after he was hit on the right side of
the head in a golfing accident. The client is taking warfarin (Coumadin) for
atrial fibrillation. Which finding should the practical nurse report to the
healthcare provider immediately?
Right eyelid swollen and Snellen test 20/40.
Blood pressure 180/80 and pulse 96.
