MEDICAL SUGICAL PRACTICE EXAM 2026
LATEST UPDATE QUESTIONS AND CORRECT
VERIFIED ANSWERS ALREADY GRADED A+
C. Assess the placement of the NGT. - ANS-The practical nurse (PN) determines that
a client's nasogastric tube (NGT), which is attached to low intermittent suction, has a
decreased amount of drainage in the collection unit. Gastric secretions have pooled in
the tubing and do not move with the onset of intermittent suction. Which action should
the PN implement?
C. Assess the client's respiratory status. - ANS-A male client returns to the surgical
nursing unit after having a thyroidectomy. Which action is most important for the
practical nurse to implement?
D. Fingerstick glucose level - ANS-A client with type 2 diabetes mellitus (DM)
presents in the clinic with a leg laceration that has not healed in two weeks. Which client
data is most important for the practical nurse to collect?
B. Notify the healthcare provider. - ANS-A male client with a crushing injury of the
right lower leg from a tractor accident complains of numbness and tingling in his right
leg and foot. The practical nurse (PN) determines the right leg is pale and he has a
weak pedal pulse. What action should the PN take?
A. Tracheostomy tray. - ANS-What equipment should the practical nurse (PN) ensure
is in the room for a client after a thyroidectomy?
D. Pain medication should be taken every day. - ANS-The practical nurse (PN) is
reviewing discharge instructions with a client after out-patient surgery. Which client
response indicates to the PN the need for teaching reinforcement?
A. Role play a situation the client identifies as stressful. - ANS-A client with newly
diagnosed essential hypertension is learning to cope with stressful situations in his life.
Which activity should the practical nurse (PN) implement to help the client learn
constructive coping?
A. Have the client remain on-site for 30 minutes after the injections. - ANS-Which
intervention is most important for the practical nurse to implement after giving a client an
initial injection for the screening for allergies?
D. Notify the healthcare provider - ANS-A male client with peptic ulcer disease
complains of feeling weak and dizzy. The practical nurse (PN) observes that the client is
, diaphoretic, has a firm abdomen, thready pulse at 104 beats/minute, and blood
pressure of 90/50. Which action should the PN implement?
B. Brain tumors increase cerebral mass, resulting in increased intracranial
pressure. - ANS-The wife of a client with a large brain tumor asks the practical nurse
(PN) to explain why the tumor should be surgically removed. What is the best response
for the PN to provide?
C. My incision will probably be painful. - ANS-A client is scheduled for transurethral
resction of the prostate (TURP). What statement by the client reveals to the practical
nurse that the client needs additional information?
D. Rales auscultated bilaterally. - ANS-During the daily assessment of a client with
emphysema, the practical nurse (PN) identifies that the client's chest is barrel-shaped
and he is demonstrating pursed-lip breathing. Which additional finding requires follow
up by the PN?
A. Exercise the affected arm everyday. - ANS-A client who received graphs for a full-
thickness burn of the right arm is admitted to the rehabilitation unit. Which action is
important for the practical nurse to reinforce with the client to prevent long-term
complications?
B. Prescribed exercises should be performed daily. - ANS-What information should
the practical nurse reinforce while reviewing discharge instructions with a client who has
a joint dislocation?
A. Check the pulse oximeter for a client with myasthenia gravis. - ANS-The
practical nurse (PN) receives a report on a group of clients assigned for the day. Which
priority assessment should the PN implement?
C. Joint damage can occur from years of weight-bearing stress. - ANS-An older
male client with osteoarthritis complains of stiffness and pain in his hips, knees and feet
each morning and asks the practical nurse (PN) why just these joints bother him. Which
explanation should the PN provide?
C. Palpation of both pedal pulses. - ANS-Which assessment is most important for the
practical nurse (PN) to implement for a client who returns from surgery for an
arthroscopic repair of the right knee?
C. A client with asthma who is coughing and has distant auscultated breath
sounds. - ANS-The practical nurse (PN) is completing focused assessments for four
clients. Which client finding should be the PN's first priority?
A. Osteoporisis. - ANS-The practical nurse (PN) is implementing a focused
assessment of a client's musculoskeletal system. Which family history finding should the
PN identify as an increased risk factor for the client?
LATEST UPDATE QUESTIONS AND CORRECT
VERIFIED ANSWERS ALREADY GRADED A+
C. Assess the placement of the NGT. - ANS-The practical nurse (PN) determines that
a client's nasogastric tube (NGT), which is attached to low intermittent suction, has a
decreased amount of drainage in the collection unit. Gastric secretions have pooled in
the tubing and do not move with the onset of intermittent suction. Which action should
the PN implement?
C. Assess the client's respiratory status. - ANS-A male client returns to the surgical
nursing unit after having a thyroidectomy. Which action is most important for the
practical nurse to implement?
D. Fingerstick glucose level - ANS-A client with type 2 diabetes mellitus (DM)
presents in the clinic with a leg laceration that has not healed in two weeks. Which client
data is most important for the practical nurse to collect?
B. Notify the healthcare provider. - ANS-A male client with a crushing injury of the
right lower leg from a tractor accident complains of numbness and tingling in his right
leg and foot. The practical nurse (PN) determines the right leg is pale and he has a
weak pedal pulse. What action should the PN take?
A. Tracheostomy tray. - ANS-What equipment should the practical nurse (PN) ensure
is in the room for a client after a thyroidectomy?
D. Pain medication should be taken every day. - ANS-The practical nurse (PN) is
reviewing discharge instructions with a client after out-patient surgery. Which client
response indicates to the PN the need for teaching reinforcement?
A. Role play a situation the client identifies as stressful. - ANS-A client with newly
diagnosed essential hypertension is learning to cope with stressful situations in his life.
Which activity should the practical nurse (PN) implement to help the client learn
constructive coping?
A. Have the client remain on-site for 30 minutes after the injections. - ANS-Which
intervention is most important for the practical nurse to implement after giving a client an
initial injection for the screening for allergies?
D. Notify the healthcare provider - ANS-A male client with peptic ulcer disease
complains of feeling weak and dizzy. The practical nurse (PN) observes that the client is
, diaphoretic, has a firm abdomen, thready pulse at 104 beats/minute, and blood
pressure of 90/50. Which action should the PN implement?
B. Brain tumors increase cerebral mass, resulting in increased intracranial
pressure. - ANS-The wife of a client with a large brain tumor asks the practical nurse
(PN) to explain why the tumor should be surgically removed. What is the best response
for the PN to provide?
C. My incision will probably be painful. - ANS-A client is scheduled for transurethral
resction of the prostate (TURP). What statement by the client reveals to the practical
nurse that the client needs additional information?
D. Rales auscultated bilaterally. - ANS-During the daily assessment of a client with
emphysema, the practical nurse (PN) identifies that the client's chest is barrel-shaped
and he is demonstrating pursed-lip breathing. Which additional finding requires follow
up by the PN?
A. Exercise the affected arm everyday. - ANS-A client who received graphs for a full-
thickness burn of the right arm is admitted to the rehabilitation unit. Which action is
important for the practical nurse to reinforce with the client to prevent long-term
complications?
B. Prescribed exercises should be performed daily. - ANS-What information should
the practical nurse reinforce while reviewing discharge instructions with a client who has
a joint dislocation?
A. Check the pulse oximeter for a client with myasthenia gravis. - ANS-The
practical nurse (PN) receives a report on a group of clients assigned for the day. Which
priority assessment should the PN implement?
C. Joint damage can occur from years of weight-bearing stress. - ANS-An older
male client with osteoarthritis complains of stiffness and pain in his hips, knees and feet
each morning and asks the practical nurse (PN) why just these joints bother him. Which
explanation should the PN provide?
C. Palpation of both pedal pulses. - ANS-Which assessment is most important for the
practical nurse (PN) to implement for a client who returns from surgery for an
arthroscopic repair of the right knee?
C. A client with asthma who is coughing and has distant auscultated breath
sounds. - ANS-The practical nurse (PN) is completing focused assessments for four
clients. Which client finding should be the PN's first priority?
A. Osteoporisis. - ANS-The practical nurse (PN) is implementing a focused
assessment of a client's musculoskeletal system. Which family history finding should the
PN identify as an increased risk factor for the client?
