PN ADULT MEDICAL
SURGICAL 2026 WITH
NGN AND PN ADULT
MEDICAL SURGICAL
EXAM QUESTIONS
VERIFIED AND PROVIDED
WITH A+ GRADED
ANSWERS
,TEST
A nurse is caring for a client who is taking lithium and reports persistent nausea and
vomiting for 2 days. Which of the following laboratory values should the nurse report to
the provider?
a) Potassium 4.0 mEq/L
b) Lithium 0.9 mEq/L
c) BUN 12 mg/dL
d) Sodium 132 mEq/L
D. Sodium 132 mEq/L
Rationale:
The nurse should identify that a sodium level of 132 mEq/L is not within the expected
reference range of 136 to 145 mEq/L. This finding indicates hyponatremia, which can lead
to lithium accumulation and places the client at risk for lithium toxicity. The nurse should
report this finding to the provider.
,A nurse is caring for a client who has cancer and has a WBC count of 4,000/mm3. Which
of the following
actions should the nurse take?
a) Cleanse the client's toothbrush with hydrogen peroxide.
b) Instruct the client to use a disposable razor to shave.
c) Decrease the client's protein intake.
d) Encourage the client to eat unpasteurized dairy products.
A. Cleanse the client's toothbrush with hydrogen peroxide.
Rationale:
A WBC count of 4,000/mm3 is considered low and is known as leukopenia. A low
WBC count can be caused by cancer or cancer treatment. The nurse should instruct the
client to cleanse their toothbrush with hydrogen peroxide. People with leukemia or
leukopenia should avoid using disposable razors, which can cause cuts and bleeding that
can lead to infections. Instead, they recommend using an electric razor to reduce the
risk of injury.
Encouraging the client to eat unpasteurized dairy products is not recommended as they
can contain harmful bacteria that can cause infections. Decreasing the client's protein
intake is not recommended as protein is important for wound healing and immune
function
, TEST
A nurse enters a client's room and sees smoke coming from the bathroom. Which of the
following actions should the nurse take first?
a)Activate the fire alarm system.
b) Use a fire extinguisher at the source of
the smoke.
c) Assist the client to a nearby common area.
d) Close the doors to the room and to the
bathroom.
C. Assist the client to a nearby common area.
Rationale:
use
Rescue
Alarm
Contain
Extinguish
SURGICAL 2026 WITH
NGN AND PN ADULT
MEDICAL SURGICAL
EXAM QUESTIONS
VERIFIED AND PROVIDED
WITH A+ GRADED
ANSWERS
,TEST
A nurse is caring for a client who is taking lithium and reports persistent nausea and
vomiting for 2 days. Which of the following laboratory values should the nurse report to
the provider?
a) Potassium 4.0 mEq/L
b) Lithium 0.9 mEq/L
c) BUN 12 mg/dL
d) Sodium 132 mEq/L
D. Sodium 132 mEq/L
Rationale:
The nurse should identify that a sodium level of 132 mEq/L is not within the expected
reference range of 136 to 145 mEq/L. This finding indicates hyponatremia, which can lead
to lithium accumulation and places the client at risk for lithium toxicity. The nurse should
report this finding to the provider.
,A nurse is caring for a client who has cancer and has a WBC count of 4,000/mm3. Which
of the following
actions should the nurse take?
a) Cleanse the client's toothbrush with hydrogen peroxide.
b) Instruct the client to use a disposable razor to shave.
c) Decrease the client's protein intake.
d) Encourage the client to eat unpasteurized dairy products.
A. Cleanse the client's toothbrush with hydrogen peroxide.
Rationale:
A WBC count of 4,000/mm3 is considered low and is known as leukopenia. A low
WBC count can be caused by cancer or cancer treatment. The nurse should instruct the
client to cleanse their toothbrush with hydrogen peroxide. People with leukemia or
leukopenia should avoid using disposable razors, which can cause cuts and bleeding that
can lead to infections. Instead, they recommend using an electric razor to reduce the
risk of injury.
Encouraging the client to eat unpasteurized dairy products is not recommended as they
can contain harmful bacteria that can cause infections. Decreasing the client's protein
intake is not recommended as protein is important for wound healing and immune
function
, TEST
A nurse enters a client's room and sees smoke coming from the bathroom. Which of the
following actions should the nurse take first?
a)Activate the fire alarm system.
b) Use a fire extinguisher at the source of
the smoke.
c) Assist the client to a nearby common area.
d) Close the doors to the room and to the
bathroom.
C. Assist the client to a nearby common area.
Rationale:
use
Rescue
Alarm
Contain
Extinguish
