PN ADULT MEDICAL SURGICAL
ONLINE PRACTICE A NEW SOLUTION
UPDATED FOR 2023/2026 –
QUESTIONS WITH ANSWERS &
RATIONALES | INSTANT DOWNLOAD
PDF
CORE DOMAINS
• Foundations of Adult Medical-Surgical Nursing
• Perioperative Nursing Care
• Cardiovascular System Disorders
• Respiratory System Disorders
• Neurological System Disorders
• Gastrointestinal and Hepatic Disorders
• Renal and Urinary System Disorders
• Endocrine System Disorders
• Musculoskeletal and Integumentary Systems
• Hematologic and Immunologic Systems
INTRODUCTION
The PN Adult Medical Surgical Online Practice examination is designed to
assess the practical nurse's readiness to provide safe, effective care to adult
,clients with complex medical-surgical conditions. The assessment evaluates
critical knowledge across core domains, including perioperative management,
cardiovascular emergencies, respiratory support, and regulatory compliance.
The exam structure utilizes multiple-choice and scenario-based questions
that require clinical judgment and decision-making skills. Candidates must
demonstrate the ability to prioritize interventions, interpret laboratory data,
and apply evidence-based practice standards in real-world professional
settings. This comprehensive evaluation ensures competency in delivering
holistic, patient-centered care.
SECTION ONE: QUESTIONS 1–100
1. A nurse is assisting with the care of a client who is postoperative
following abdominal surgery. Which of the following actions should
the nurse take to prevent respiratory complications?
A. Apply oxygen via face mask
B. Instruct the client to splint their abdomen with a pillow when coughing
C. Plan to ambulate the client as soon as possible
D. Monitor the client's pain level
B. Instruct the client to splint their abdomen with a pillow when coughing
RATIONALE: Splinting the abdomen with a pillow during coughing
supports the incision, reduces pain, and promotes effective airway clearance.
Early ambulation and pain management are also important, but splinting is
the direct intervention for effective coughing.
2. A nurse is reviewing the laboratory reports of a client who reports
chest pain. Which of the following laboratory results indicates the
client is experiencing a myocardial infarction?
A. Elevated Creatinine
B. Elevated Troponin
,C. Elevated BUN
D. Elevated WBC
B. Elevated Troponin
RATIONALE: Troponin is a cardiac biomarker that rises in response to
myocardial injury and is highly specific for myocardial infarction.
3. A nurse is assisting in the care for a client who is suspected of having
a myocardial infarction. Which of the following actions should the
nurse take to prepare the client for an ECG?
A. Apply lotion to the client's skin prior to electrode placement
B. Cleanse the client's skin prior to electrode placement
C. Shave the client's chest completely
D. Place electrodes over bony prominences
B. Cleanse the client's skin prior to electrode placement
RATIONALE: Cleansing the skin removes oils and dead skin cells,
promoting better electrode adhesion and more accurate ECG tracing.
4. A nurse is assisting in the care of a client who is experiencing
withdrawal from heroin. Which of the following medications should
the nurse expect the provider to prescribe?
A. Naloxone
B. Disulfiram
C. Methadone
D. Naltrexone
C. Methadone
, RATIONALE: Methadone is an opioid agonist used for detoxification and
maintenance therapy to manage withdrawal symptoms from heroin and other
opioids.
5. A nurse is preparing to remove a client's NG tube. Which of the
following interventions should the nurse take to decrease the risk for
aspiration?
A. Have the client take a deep breath and hold it
B. Place the client in a supine position
C. Pinch the NG tube
D. Administer water during removal
C. Pinch the NG tube
RATIONALE: Pinching the NG tube as it is withdrawn prevents any
residual gastric contents from draining into the pharynx, reducing the risk of
aspiration. The client should be positioned in semi-Fowler's or sitting
position, not supine.
6. A nurse is reinforcing teaching with a client who is on a low-sodium
diet and asks about how to improve the taste of bland food. Which of
the following foods should the nurse recommend?
A. Soy sauce
B. Lemon juice
C. Salt substitute
D. Ketchup
B. Lemon juice
RATIONALE: Lemon juice is a sodium-free flavor enhancer that can
improve the taste of bland food without adding sodium. Soy sauce and
ONLINE PRACTICE A NEW SOLUTION
UPDATED FOR 2023/2026 –
QUESTIONS WITH ANSWERS &
RATIONALES | INSTANT DOWNLOAD
CORE DOMAINS
• Foundations of Adult Medical-Surgical Nursing
• Perioperative Nursing Care
• Cardiovascular System Disorders
• Respiratory System Disorders
• Neurological System Disorders
• Gastrointestinal and Hepatic Disorders
• Renal and Urinary System Disorders
• Endocrine System Disorders
• Musculoskeletal and Integumentary Systems
• Hematologic and Immunologic Systems
INTRODUCTION
The PN Adult Medical Surgical Online Practice examination is designed to
assess the practical nurse's readiness to provide safe, effective care to adult
,clients with complex medical-surgical conditions. The assessment evaluates
critical knowledge across core domains, including perioperative management,
cardiovascular emergencies, respiratory support, and regulatory compliance.
The exam structure utilizes multiple-choice and scenario-based questions
that require clinical judgment and decision-making skills. Candidates must
demonstrate the ability to prioritize interventions, interpret laboratory data,
and apply evidence-based practice standards in real-world professional
settings. This comprehensive evaluation ensures competency in delivering
holistic, patient-centered care.
SECTION ONE: QUESTIONS 1–100
1. A nurse is assisting with the care of a client who is postoperative
following abdominal surgery. Which of the following actions should
the nurse take to prevent respiratory complications?
A. Apply oxygen via face mask
B. Instruct the client to splint their abdomen with a pillow when coughing
C. Plan to ambulate the client as soon as possible
D. Monitor the client's pain level
B. Instruct the client to splint their abdomen with a pillow when coughing
RATIONALE: Splinting the abdomen with a pillow during coughing
supports the incision, reduces pain, and promotes effective airway clearance.
Early ambulation and pain management are also important, but splinting is
the direct intervention for effective coughing.
2. A nurse is reviewing the laboratory reports of a client who reports
chest pain. Which of the following laboratory results indicates the
client is experiencing a myocardial infarction?
A. Elevated Creatinine
B. Elevated Troponin
,C. Elevated BUN
D. Elevated WBC
B. Elevated Troponin
RATIONALE: Troponin is a cardiac biomarker that rises in response to
myocardial injury and is highly specific for myocardial infarction.
3. A nurse is assisting in the care for a client who is suspected of having
a myocardial infarction. Which of the following actions should the
nurse take to prepare the client for an ECG?
A. Apply lotion to the client's skin prior to electrode placement
B. Cleanse the client's skin prior to electrode placement
C. Shave the client's chest completely
D. Place electrodes over bony prominences
B. Cleanse the client's skin prior to electrode placement
RATIONALE: Cleansing the skin removes oils and dead skin cells,
promoting better electrode adhesion and more accurate ECG tracing.
4. A nurse is assisting in the care of a client who is experiencing
withdrawal from heroin. Which of the following medications should
the nurse expect the provider to prescribe?
A. Naloxone
B. Disulfiram
C. Methadone
D. Naltrexone
C. Methadone
, RATIONALE: Methadone is an opioid agonist used for detoxification and
maintenance therapy to manage withdrawal symptoms from heroin and other
opioids.
5. A nurse is preparing to remove a client's NG tube. Which of the
following interventions should the nurse take to decrease the risk for
aspiration?
A. Have the client take a deep breath and hold it
B. Place the client in a supine position
C. Pinch the NG tube
D. Administer water during removal
C. Pinch the NG tube
RATIONALE: Pinching the NG tube as it is withdrawn prevents any
residual gastric contents from draining into the pharynx, reducing the risk of
aspiration. The client should be positioned in semi-Fowler's or sitting
position, not supine.
6. A nurse is reinforcing teaching with a client who is on a low-sodium
diet and asks about how to improve the taste of bland food. Which of
the following foods should the nurse recommend?
A. Soy sauce
B. Lemon juice
C. Salt substitute
D. Ketchup
B. Lemon juice
RATIONALE: Lemon juice is a sodium-free flavor enhancer that can
improve the taste of bland food without adding sodium. Soy sauce and
