MEDICAL-SURGICAL PRACTICE EXAM QUESTIONS
AND ANSWERS UPDATED 2026/2027 ALL ANSWERS
100% ACCURATE BEST GRADED A+ FOR SUCCESS
Which client should the practical nurse question a PRN prescription for
sumatriptan (Imitrex) for migraine headaches?
C. 50-year-old with Prinzmetal's angina.
The practical nurse (PN) is reinforcing information to a older male client
with a history of coronary artery disease about his prescribed daily
medication regimen. Which medication is most likely to reduce the
client's risk factors?
D. A low-dose aspirin given daily.
An adult client with otitis media has thick, yellow drainage from the
right ear canal. What additional findings should the practical nurse (PN)
expect to identify?
A. Pain relief after ear drainage begins.
The practical nurse is caring for a client who is admitted with signs of
possible acute brain attack (Stroke) three hours ago. The client's blood
pressure is 170/96, regular radial pulse 76 beats/minute, respirations
are nonlabored at 11 breaths/minute, and a Sp02 of 99%. What action
is most important for the PN to implement?
C. Continue to monitor client's blood pressure.
A client who was hit in the head with a baseball is admitted to the
hospital for observation. Which finding requires the practical nurse (PN)
to follow-up with further assessment?
D. Reports the hospital room is an office.
,MEDICAL-SURGICAL PRACTICE EXAM QUESTIONS
AND ANSWERS UPDATED 2026/2027 ALL ANSWERS
100% ACCURATE BEST GRADED A+ FOR SUCCESS
An older female client with osteoporosis asks the practical nurse (PN) to
explain why she is now 2 inches shorter than when she was younger.
What information is best for the practical nurse (PN) to provide?
D. It is a combination of wear and tear and calcium loss that causes the
change.
A practical nurse (PN) is coordinating the care of four clients on an
oncology unit. Which neutrophil count should the PN identify as a risk
for a life-threatening infection in one of the clients?
A. 500/mm3.
An older client who has had a cataract in the right eye for several years
tells the practical nurse (PN), "Now I have lost the sight in my right eye
because I waited too long for treatment." What information should the
PN provide?
C. Surgery can restore vision with corrective lens implants or glasses.
The practical nurse (PN) is visiting a male client with diabetes who has a
new cast on his arm. The client's fingers are pale, cool, slightly swollen,
and the radial pulse is strong. What should the PN do first?
D. Elevate the arm above the level of the heart.
A client with epilepsy is having bilateral rhythmic jerking movements of
all extremities. After calling for help, which action should the practical
nurse (PN) do next?
, MEDICAL-SURGICAL PRACTICE EXAM QUESTIONS
AND ANSWERS UPDATED 2026/2027 ALL ANSWERS
100% ACCURATE BEST GRADED A+ FOR SUCCESS
1. Maintain the client's airway
2. Apply pads to the bedside rails.
3. Avoid stimulation during post-ictal phase.
4. Observe the client for incontinence.
The practical nurse (PN) should place a client in which position for a
thoracentesis?
B. Sitting upright in a tripod position leaning on an overbed table.
Which action should the practical nurse take when handling a sample of
cerebrospinal fluid (CSF) collected for diagnostic testing from a client?
A. Implement standard precautions with the CSF specimen.
Which instruction should the practical nurse (PN) reinforce with a
female client about skin care after her first radiotherapy treatment?
C. Avoid using ice packs on the exposed area.
A client with heart failure (HF) takes a daily tablet of furosemide (Lasix)
and lisinopril (Zestril). Which finding during the clinic visit should
indicate to the practical nurse that the client's condition is worsening?
D. Sleeps with two additional pillows.
A client who is 3 days postoperative after a laminectomy is coughing up
thick green sputum and wheezing. What action is most important for
the practical nurse (PN) to implement?
D. Report the change in condition to the healthcare provider.
AND ANSWERS UPDATED 2026/2027 ALL ANSWERS
100% ACCURATE BEST GRADED A+ FOR SUCCESS
Which client should the practical nurse question a PRN prescription for
sumatriptan (Imitrex) for migraine headaches?
C. 50-year-old with Prinzmetal's angina.
The practical nurse (PN) is reinforcing information to a older male client
with a history of coronary artery disease about his prescribed daily
medication regimen. Which medication is most likely to reduce the
client's risk factors?
D. A low-dose aspirin given daily.
An adult client with otitis media has thick, yellow drainage from the
right ear canal. What additional findings should the practical nurse (PN)
expect to identify?
A. Pain relief after ear drainage begins.
The practical nurse is caring for a client who is admitted with signs of
possible acute brain attack (Stroke) three hours ago. The client's blood
pressure is 170/96, regular radial pulse 76 beats/minute, respirations
are nonlabored at 11 breaths/minute, and a Sp02 of 99%. What action
is most important for the PN to implement?
C. Continue to monitor client's blood pressure.
A client who was hit in the head with a baseball is admitted to the
hospital for observation. Which finding requires the practical nurse (PN)
to follow-up with further assessment?
D. Reports the hospital room is an office.
,MEDICAL-SURGICAL PRACTICE EXAM QUESTIONS
AND ANSWERS UPDATED 2026/2027 ALL ANSWERS
100% ACCURATE BEST GRADED A+ FOR SUCCESS
An older female client with osteoporosis asks the practical nurse (PN) to
explain why she is now 2 inches shorter than when she was younger.
What information is best for the practical nurse (PN) to provide?
D. It is a combination of wear and tear and calcium loss that causes the
change.
A practical nurse (PN) is coordinating the care of four clients on an
oncology unit. Which neutrophil count should the PN identify as a risk
for a life-threatening infection in one of the clients?
A. 500/mm3.
An older client who has had a cataract in the right eye for several years
tells the practical nurse (PN), "Now I have lost the sight in my right eye
because I waited too long for treatment." What information should the
PN provide?
C. Surgery can restore vision with corrective lens implants or glasses.
The practical nurse (PN) is visiting a male client with diabetes who has a
new cast on his arm. The client's fingers are pale, cool, slightly swollen,
and the radial pulse is strong. What should the PN do first?
D. Elevate the arm above the level of the heart.
A client with epilepsy is having bilateral rhythmic jerking movements of
all extremities. After calling for help, which action should the practical
nurse (PN) do next?
, MEDICAL-SURGICAL PRACTICE EXAM QUESTIONS
AND ANSWERS UPDATED 2026/2027 ALL ANSWERS
100% ACCURATE BEST GRADED A+ FOR SUCCESS
1. Maintain the client's airway
2. Apply pads to the bedside rails.
3. Avoid stimulation during post-ictal phase.
4. Observe the client for incontinence.
The practical nurse (PN) should place a client in which position for a
thoracentesis?
B. Sitting upright in a tripod position leaning on an overbed table.
Which action should the practical nurse take when handling a sample of
cerebrospinal fluid (CSF) collected for diagnostic testing from a client?
A. Implement standard precautions with the CSF specimen.
Which instruction should the practical nurse (PN) reinforce with a
female client about skin care after her first radiotherapy treatment?
C. Avoid using ice packs on the exposed area.
A client with heart failure (HF) takes a daily tablet of furosemide (Lasix)
and lisinopril (Zestril). Which finding during the clinic visit should
indicate to the practical nurse that the client's condition is worsening?
D. Sleeps with two additional pillows.
A client who is 3 days postoperative after a laminectomy is coughing up
thick green sputum and wheezing. What action is most important for
the practical nurse (PN) to implement?
D. Report the change in condition to the healthcare provider.
