PN Adult Medical Surgical Online
Practice Exam 2025 A
Maintain abduction of the client's right leg while in bed. - correct Answer-A nurse is
caring for a client who is 3 days postoperative following a total right hip arthroplasty.
Which of the following actions should the nurse take?
Use a traction boot to keep the client's right leg internally rotated.
Have the client sit in a reclining chair when out of bed.
Maintain abduction of the client's right leg while in bed.
Encourage the client to perform passive range-of-motion exercises.
"You feel like you want to discontinue treatment?" - correct Answer-A nurse is caring for
a client who has terminal pancreatic cancer. The client states, "I don't think I can go on
any longer." Which of the following responses should the nurse make?
"Are you experiencing abdominal pain?"
"You should talk about this with the people you're closest to."
"Many people who have cancer feel this way."
"You feel like you want to discontinue treatment?"
Implement recommendations from the speech-language pathologist. - correct Answer-A
nurse is contributing to the plan of care for a client who is having difficulty eating
following a stroke. Which of the following actions should the nurse take first?
Collaborate with a dietitian.
Ensure that the client is provided with a high-ber diet.
Implement recommendations from the speech-language pathologist.
Request a referral for an occupational therapist.
Keep the client in a side-lying position. - correct Answer-A nurse is contributing to the
plan of care for a client who was admitted to the neurological unit following a stroke 3 hr
ago. Which of the following interventions should the nurse identify as the priority?
Encourage the client to participate in self-care.
Assist the client with active range-of-motion exercises.
Keep the client in a side-lying position.
Maintain the client's body alignment
Herpes zoster - correct Answer-A nurse is participating in a health fair for older adult
clients. Which of the following vaccines should the nurse recommend for this age
group?
,Meningococcal
Herpes zoster
Human papillomavirus (HPV) Measles, mumps, and rubella (MMR)
Instruct the client to swish the medication in their mouth. - correct Answer-A nurse is
contributing to the plan of care for a client who has a new prescription for nystatin
suspension for oral candidiasis. Which of the following interventions should the nurse
include in the plan?
Use a commercial mouthwash before taking the medication.
Instruct the client to swish the medication in their mouth.
Discontinue the medication as soon as the lesions are healed.
Combine the medication with applesauce
intermittent straight catheter (clear tube with blue top) - correct Answer-A nurse is
preparing to perform intermittent urinary catheterization for a female client who has
been unable to void following surgery 6 hr ago. Which of the following catheters should
the nurse use to perform this procedure?
Hyperactive bowel sounds - correct Answer-A nurse is preparing to auscultate the
bowel sounds of a client who has a mechanical bowel obstruction in the descending
colon. When listening in the left upper quadrant, the nurse should identify this sound as
which of the following?
Hyperactive bowel sounds
Friction rub
Normal bowel sounds
Abdominal bruit
Encourage the client to complete ADLs. - correct Answer-A nurse is contributing to the
plan of care for a client who has multiple sclerosis and is taking dantrolene to manage
muscle spasms. Which of the following interventions should the nurse include?
Apply hot packs to the client's muscles.
Schedule physical therapy in the afternoon
Encourage the client to complete ADLs.
Administer valerian to promote sleep
Monitor the insertion site for bleeding is
Maintain the pressure dressing
Check the client's peripheral pulses - correct Answer-A nurse is assisting with the care
of a client who had a cardiac catheterization via the right femoral artery. Which of the
following actions should the nurse take to prevent postprocedure complications?
Monitor the insertion site for bleeding
, Position the affected extremity at a 45º
Restrict the client's fluid intake
Maintain the pressure dressing
Check the client's peripheral pulses
"Do not allow visitors to smoke cigarettes in your home." - correct Answer-A home
health nurse is reinforcing teaching about preventing asthma attacks with a client who
has asthma. Which of the following instructions should the nurse include in the
teaching?
"Cover the floor of your bedroom with carpet."
"Do not allow visitors to smoke cigarettes in your home."
"Breathe cold air to ease feelings of shortness of breath."
"Open the windows in your home during the spring to increase air flow."
Decreases pain during urination - correct Answer-A nurse is caring for a client who has
a prescription for phenazopyridine. Which of the following findings should the nurse
identify as a therapeutic effect of the medication?
Reduces bacteria in the urinary tract
Suppresses urge to void
Prevents nerve stimulation to the bladder muscle
Decreases pain during urination
Abdominal cramps - correct Answer-A nurse is monitoring a client who is taking
acarbose. Which of the following findings should the nurse identify as an adverse effect
of the medication?
Polyuria
Abdominal cramps
Renal insufficiency
Insomnia
Compartment Syndrome - correct Answer-A nurse is caring for a client who has a new
cast on their left forearm and reports severe pain in the affected arm with numbness in
the ngers. The nurse nds the skin is pale and cold with sluggish capillary refill. Which of
the following fracture complications should the nurse suspect?
Compartment syndrome
Fat embolism
Deep-vein thrombosis
Osteomyelitis
Obtain a raised toilet seat. - correct Answer-A nurse is assisting with the discharge
planning for a client who is postoperative following a total hip arthroplasty. Which of the
following instructions should the nurse include in the discharge plan?
Practice Exam 2025 A
Maintain abduction of the client's right leg while in bed. - correct Answer-A nurse is
caring for a client who is 3 days postoperative following a total right hip arthroplasty.
Which of the following actions should the nurse take?
Use a traction boot to keep the client's right leg internally rotated.
Have the client sit in a reclining chair when out of bed.
Maintain abduction of the client's right leg while in bed.
Encourage the client to perform passive range-of-motion exercises.
"You feel like you want to discontinue treatment?" - correct Answer-A nurse is caring for
a client who has terminal pancreatic cancer. The client states, "I don't think I can go on
any longer." Which of the following responses should the nurse make?
"Are you experiencing abdominal pain?"
"You should talk about this with the people you're closest to."
"Many people who have cancer feel this way."
"You feel like you want to discontinue treatment?"
Implement recommendations from the speech-language pathologist. - correct Answer-A
nurse is contributing to the plan of care for a client who is having difficulty eating
following a stroke. Which of the following actions should the nurse take first?
Collaborate with a dietitian.
Ensure that the client is provided with a high-ber diet.
Implement recommendations from the speech-language pathologist.
Request a referral for an occupational therapist.
Keep the client in a side-lying position. - correct Answer-A nurse is contributing to the
plan of care for a client who was admitted to the neurological unit following a stroke 3 hr
ago. Which of the following interventions should the nurse identify as the priority?
Encourage the client to participate in self-care.
Assist the client with active range-of-motion exercises.
Keep the client in a side-lying position.
Maintain the client's body alignment
Herpes zoster - correct Answer-A nurse is participating in a health fair for older adult
clients. Which of the following vaccines should the nurse recommend for this age
group?
,Meningococcal
Herpes zoster
Human papillomavirus (HPV) Measles, mumps, and rubella (MMR)
Instruct the client to swish the medication in their mouth. - correct Answer-A nurse is
contributing to the plan of care for a client who has a new prescription for nystatin
suspension for oral candidiasis. Which of the following interventions should the nurse
include in the plan?
Use a commercial mouthwash before taking the medication.
Instruct the client to swish the medication in their mouth.
Discontinue the medication as soon as the lesions are healed.
Combine the medication with applesauce
intermittent straight catheter (clear tube with blue top) - correct Answer-A nurse is
preparing to perform intermittent urinary catheterization for a female client who has
been unable to void following surgery 6 hr ago. Which of the following catheters should
the nurse use to perform this procedure?
Hyperactive bowel sounds - correct Answer-A nurse is preparing to auscultate the
bowel sounds of a client who has a mechanical bowel obstruction in the descending
colon. When listening in the left upper quadrant, the nurse should identify this sound as
which of the following?
Hyperactive bowel sounds
Friction rub
Normal bowel sounds
Abdominal bruit
Encourage the client to complete ADLs. - correct Answer-A nurse is contributing to the
plan of care for a client who has multiple sclerosis and is taking dantrolene to manage
muscle spasms. Which of the following interventions should the nurse include?
Apply hot packs to the client's muscles.
Schedule physical therapy in the afternoon
Encourage the client to complete ADLs.
Administer valerian to promote sleep
Monitor the insertion site for bleeding is
Maintain the pressure dressing
Check the client's peripheral pulses - correct Answer-A nurse is assisting with the care
of a client who had a cardiac catheterization via the right femoral artery. Which of the
following actions should the nurse take to prevent postprocedure complications?
Monitor the insertion site for bleeding
, Position the affected extremity at a 45º
Restrict the client's fluid intake
Maintain the pressure dressing
Check the client's peripheral pulses
"Do not allow visitors to smoke cigarettes in your home." - correct Answer-A home
health nurse is reinforcing teaching about preventing asthma attacks with a client who
has asthma. Which of the following instructions should the nurse include in the
teaching?
"Cover the floor of your bedroom with carpet."
"Do not allow visitors to smoke cigarettes in your home."
"Breathe cold air to ease feelings of shortness of breath."
"Open the windows in your home during the spring to increase air flow."
Decreases pain during urination - correct Answer-A nurse is caring for a client who has
a prescription for phenazopyridine. Which of the following findings should the nurse
identify as a therapeutic effect of the medication?
Reduces bacteria in the urinary tract
Suppresses urge to void
Prevents nerve stimulation to the bladder muscle
Decreases pain during urination
Abdominal cramps - correct Answer-A nurse is monitoring a client who is taking
acarbose. Which of the following findings should the nurse identify as an adverse effect
of the medication?
Polyuria
Abdominal cramps
Renal insufficiency
Insomnia
Compartment Syndrome - correct Answer-A nurse is caring for a client who has a new
cast on their left forearm and reports severe pain in the affected arm with numbness in
the ngers. The nurse nds the skin is pale and cold with sluggish capillary refill. Which of
the following fracture complications should the nurse suspect?
Compartment syndrome
Fat embolism
Deep-vein thrombosis
Osteomyelitis
Obtain a raised toilet seat. - correct Answer-A nurse is assisting with the discharge
planning for a client who is postoperative following a total hip arthroplasty. Which of the
following instructions should the nurse include in the discharge plan?
