PN Adult Medical Surgical Online Practice 2025 A (Questions With 100%
Correct Answers) Verified by Experts
A nurse is preparing to give furosemide to a patient with heart failure. Which of the
following findings should the nurse report before giving the medication? - ANSWER
Decreased potassium
A nurse is reviewing the chart of a client who is having an adrenal crisis caused by not
taking their medication for several days. The nurse should determine which of the
following medications contributed to the adrenal crisis. - ANSWER Prednisone
A nurse is assisting with the care of a client who is prescribed digoxin 0.25 mg PO once
daily. While taking the client's apical pulse, the nurse observes a rate of 58/minute. Which
of the following actions should the nurse perform? - ANSWER Withhold the dosage.
A nurse is reinforcing glycosylated hemoglobin (HbA1c) testing with a diabetic client.
Which of the following statements indicates that the client understands the lesson? -
ANSWER: "I'll get my HbA1c checked twice a year."
, A nurse explains transmission-based precautions for a client with Clostridium difficile to
an assistive personnel (AP). Which of the following instructions should the nurse
provide? (Choose all that apply. - ANSWER: Provide the client with disposable utensils
and dishes for meals."
"Keep the blood pressure equipment in the client's room."
"Clean contaminated surfaces with bleach solution."
A nurse is reinforcing teaching with a patient who has coronary artery disease. Which of
the following instructions should the nurse include while teaching? - ANSWER "Add
oily fish to your diet twice a week."
A nurse in an oncology clinic is reviewing Mohs surgery with a client who has skin
cancer. Which of the following information should the nurse include in her teaching? -
ANSWER Mohs surgery involves the horizontal shaving of thin layers of tumor tissue.
A nurse is collecting data from an older adult client who has several concerns. Which of
the following concerns should the nurse recognize as an expected change associated
with aging? - ANSWER "My food tastes bland even after I add seasoning."
A nurse is reinforcing dietary advice to a client about eating more vitamin C-rich foods to
improve absorption of iron supplements.
Which of the following food choices should the nurse teach? - ANSWER 1 cup boiled
broccoli.
A nurse is assisting with the care of a client who is two hours post-operative after having
a foot amputated. Which of the following actions should the nurse complete first? -
ANSWER Check the incisional dressing.
A nurse is assisting with the care of a client who is recovering from abdominal surgery.
Exhibit 1: Nurses' Notes at 1100.
The client was brought in from the PACU, and his initial vital signs were recorded. Client
is drowsy but responds to verbal stimuli. Oriented to the person, place, and time. The
client can move all of his extremities. Normal sinus rhythm was observed. Auscultation
reveals clear breath sounds. The abdominal dressing is intact, with a small amount of
serosanguinous drainage noted and marked. There are no bowel sounds in all four
quadrants. An indwelling urinary catheter is in place, draining clear yellow urine.
Lactated Ringer's is infused at 100 mL/hr through an IV catheter in the right forearm.
1200: The client rates nausea and pain as an 8 on a scale of 0 to 10. The abdominal
dressing is intact, and there is no evidence of further drainage. Urine output of 15 mL has
been noted since arrival from the PACU. Analgesic and antiemetics were administered.
Instruct the client to splint their abdomen with a pillow when coughing.
Report the client's urine output to the charge nurse.
Keep track of how much pain the client is in.
A nurse is helping to monitor a client receiving dialysis treatment.
Exhibit 1.
Nurse's Notes
0530: The client is awake and alert. Arteriovenous fistula (AVF) in the right forearm with
palpable thrill and audible bruit. Auscultation reveals clear breath sounds; however, the
client denies experiencing shortness of breath. There is no peripheral edema; capillary
refill takes less than 3 seconds; +2 bilateral pedal and radial pulses. AVF access was
Correct Answers) Verified by Experts
A nurse is preparing to give furosemide to a patient with heart failure. Which of the
following findings should the nurse report before giving the medication? - ANSWER
Decreased potassium
A nurse is reviewing the chart of a client who is having an adrenal crisis caused by not
taking their medication for several days. The nurse should determine which of the
following medications contributed to the adrenal crisis. - ANSWER Prednisone
A nurse is assisting with the care of a client who is prescribed digoxin 0.25 mg PO once
daily. While taking the client's apical pulse, the nurse observes a rate of 58/minute. Which
of the following actions should the nurse perform? - ANSWER Withhold the dosage.
A nurse is reinforcing glycosylated hemoglobin (HbA1c) testing with a diabetic client.
Which of the following statements indicates that the client understands the lesson? -
ANSWER: "I'll get my HbA1c checked twice a year."
, A nurse explains transmission-based precautions for a client with Clostridium difficile to
an assistive personnel (AP). Which of the following instructions should the nurse
provide? (Choose all that apply. - ANSWER: Provide the client with disposable utensils
and dishes for meals."
"Keep the blood pressure equipment in the client's room."
"Clean contaminated surfaces with bleach solution."
A nurse is reinforcing teaching with a patient who has coronary artery disease. Which of
the following instructions should the nurse include while teaching? - ANSWER "Add
oily fish to your diet twice a week."
A nurse in an oncology clinic is reviewing Mohs surgery with a client who has skin
cancer. Which of the following information should the nurse include in her teaching? -
ANSWER Mohs surgery involves the horizontal shaving of thin layers of tumor tissue.
A nurse is collecting data from an older adult client who has several concerns. Which of
the following concerns should the nurse recognize as an expected change associated
with aging? - ANSWER "My food tastes bland even after I add seasoning."
A nurse is reinforcing dietary advice to a client about eating more vitamin C-rich foods to
improve absorption of iron supplements.
Which of the following food choices should the nurse teach? - ANSWER 1 cup boiled
broccoli.
A nurse is assisting with the care of a client who is two hours post-operative after having
a foot amputated. Which of the following actions should the nurse complete first? -
ANSWER Check the incisional dressing.
A nurse is assisting with the care of a client who is recovering from abdominal surgery.
Exhibit 1: Nurses' Notes at 1100.
The client was brought in from the PACU, and his initial vital signs were recorded. Client
is drowsy but responds to verbal stimuli. Oriented to the person, place, and time. The
client can move all of his extremities. Normal sinus rhythm was observed. Auscultation
reveals clear breath sounds. The abdominal dressing is intact, with a small amount of
serosanguinous drainage noted and marked. There are no bowel sounds in all four
quadrants. An indwelling urinary catheter is in place, draining clear yellow urine.
Lactated Ringer's is infused at 100 mL/hr through an IV catheter in the right forearm.
1200: The client rates nausea and pain as an 8 on a scale of 0 to 10. The abdominal
dressing is intact, and there is no evidence of further drainage. Urine output of 15 mL has
been noted since arrival from the PACU. Analgesic and antiemetics were administered.
Instruct the client to splint their abdomen with a pillow when coughing.
Report the client's urine output to the charge nurse.
Keep track of how much pain the client is in.
A nurse is helping to monitor a client receiving dialysis treatment.
Exhibit 1.
Nurse's Notes
0530: The client is awake and alert. Arteriovenous fistula (AVF) in the right forearm with
palpable thrill and audible bruit. Auscultation reveals clear breath sounds; however, the
client denies experiencing shortness of breath. There is no peripheral edema; capillary
refill takes less than 3 seconds; +2 bilateral pedal and radial pulses. AVF access was
