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PN ADULT MEDICAL SURGICAL ONLINE PRACTICE EXAM 1
LATEST UPDATE 2025/2026 WITH NGN QUESTIONS AND
CORRECT ANSWERS
A nurse is caring for a client who is scheduled for surgery and is experiencing anxiety. Which of
the following interventions should the nurse identify as the priority? - Answer: Determine the
client's understanding of the procedure.
A nurse is contributing to the plan of care for a client who has peripheral arterial disease of the
lower extremities. Which of the following interventions should the nurse include? - Answer:
Dangle the extremities off the side of the bed.
A nurse is assisting in the plan of care for a client who had a recent left hemispheric stroke.
Which of the following actions should the nurse include in the plan? - Answer: Use simple
verbal cues when directing tasks.
A nurse is reinforcing teaching with the caregiver of a client who is terminally ill about
manifestations of impending death. Which of the following manifestations should the nurse
include? - Answer: Incontinence of the bowel and bladder
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? - Answer: Pinch the NG tube.
A nurse is caring for a client who is preoperative and is receiving an IV infusion of cefazolin.
Ten minutes after beginning the infusion, the client reports intense itching. Which of the
following actions should the nurse take first? - Answer: Stop the medication infusion.
A nurse is reinforcing discharge teaching with a client who has cirrhosis. Which of the following
instructions should the nurse include? - Answer: "Consume foods that are low in sodium."
A nurse is reinforcing teaching with a client who is scheduled for a guaiac fecal occult blood test.
Which of the following instructions should the nurse include in the teaching? - Answer: Avoid
eating red meat for 3 days prior to the test.
A nurse is preparing to administer phytonadione 7 mg subcutaneously to a client who has an INR
of 4. Available is phytonadione 10 mg/mL. How many mL should the nurse administer? (Round
the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) -
Answer: 0.7 mL
A nurse is reinforcing teaching with a client who is taking insulin glargine. Which of the
following information should the nurse include in the teaching? - Answer: "This type of insulin
should be given at the same time every day."
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A nurse is caring for a client who has a methicillin-resistant Staphylococcus aureus (MRSA)
infection in a surgical wound. Which of the following information should the nurse plan to share
with visitors? - Answer: Visitors must don a gown and gloves prior to entering the client's room.
A nurse is collecting data from a 55-year-old female client who reports vaginal dryness and hot
flashes. The client is interested in trying hormone replacement therapy (HRT). Which of the
following should the nurse recognize as a contraindication to HRT? - Answer: History of
treatment for blood clots
A nurse is reinforcing teaching about management of constipation with a client who has
hypothyroidism. Which of the following instructions should the nurse include in the teaching? -
Answer: Increase intake of fiber-rich foods.
A nurse is reinforcing teaching with a client who has multiple sclerosis and a new prescription
for baclofen. Which of the following instructions should the nurse include in the teaching? -
Answer: Avoid stopping this medication suddenly.
A nurse is caring for a client who has an area indicating potential breakdown over the sacrum.
Which of the following actions should the nurse take? - Answer: Minimize the time the head of
the bed is elevated.
A nurse is assisting with the care of a client who is receiving 0.9% sodium chloride by
continuous IV infusion. The client reports pain and swelling at the IV site. In which order should
the nurse perform the following steps? (Move the steps into the box on the right, placing them in
the order of performance. Use all the steps.) - Answer: Check IV site
Stop the infusion
Withdraw the IV catheter
Elevate the affected arm
Notify the charge nurse
Drag words from the choices below to fill in each blank in the following sentence.
During the emergent phase of burn care, the client is at risk for developing____________ and
_____________. - Answer: Hypovolemia
Respiratory failure
A nurse in an oncology clinic is reinforcing teaching about Mohs surgery with a client who has
skin cancer. Which of the following information should the nurse include in the teaching? -
Answer: Mohs surgery is a horizontal shaving of thin layers of the tumor.
A nurse is contributing to the plan of care for a client who is postoperative following a total knee
arthroplasty. The client is using a continuous passive motion (CPM) machine. Which of the
following interventions should the nurse recommend for the plan of care? - Answer: Keep a
sheepskin pad between the client's extremity and the CPM machine.
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A nurse is reinforcing teaching about joint protection with a client who has an acute exacerbation
of rheumatoid arthritis. Which of the following information should the nurse include in the
teaching? - Answer: Apply cold packs to the inflamed joints.
A nurse is caring for a client who has difficulty swallowing. Which of the following actions
should the nurse implement to prevent aspiration? - Answer: Give the client liquids with
increased viscosity.
A nurse is discussing health screening guidelines with an older adult client. Which of the
following statements should the nurse include? - Answer: "You should have a pneumococcal
immunization every 10 years."
A nurse is planning to implement droplet precautions for a client who has manifestations of
pertussis. Which of the following interventions should the nurse include when contributing to the
plan of care? - Answer: Apply a mask on the client if transport is needed.
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? - Answer: Keep the client in a side-lying position.
A nurse is caring for a client who has a compound fracture of the femur and was placed in
balanced suspension skeletal traction 4 days ago. Which of the following actions should the
nurse take? - Answer: Perform pin site care daily.
A nurse is reinforcing discharge teaching about wound care with the caregiver of a client who is
postoperative. Which of the following instructions should the nurse include in the teaching? -
Answer: Report purulent drainage to the provider.
A nurse is collecting data from a client who has hypokalemia. Which of the following findings
should the nurse identify as the priority? - Answer: Dysrhythmia
Complete the diagram by dragging from the choices below to specify what condition the client is
most likely experiencing, 2 actions the nurse should take to address that condition, and 2
parameters the nurse should monitor to assess the client's progress. - Answer: Reduce the
temperature in the clients room.
Limit visitors
Hyperthyroidism
Increased temperature
Weight daily
A nurse is caring for a client who reports stomatitis. Which of the following dietary
recommendations should the nurse make? - Answer: "Eat soft foods."
A nurse is caring for a client who has a history of breast cancer. The client asks the nurse about
birth control. Which of the following methods of birth control is contraindicated for this client? -
Answer: Combination oral contraceptives
PN ADULT MEDICAL SURGICAL ONLINE PRACTICE EXAM 1
LATEST UPDATE 2025/2026 WITH NGN QUESTIONS AND
CORRECT ANSWERS
A nurse is caring for a client who is scheduled for surgery and is experiencing anxiety. Which of
the following interventions should the nurse identify as the priority? - Answer: Determine the
client's understanding of the procedure.
A nurse is contributing to the plan of care for a client who has peripheral arterial disease of the
lower extremities. Which of the following interventions should the nurse include? - Answer:
Dangle the extremities off the side of the bed.
A nurse is assisting in the plan of care for a client who had a recent left hemispheric stroke.
Which of the following actions should the nurse include in the plan? - Answer: Use simple
verbal cues when directing tasks.
A nurse is reinforcing teaching with the caregiver of a client who is terminally ill about
manifestations of impending death. Which of the following manifestations should the nurse
include? - Answer: Incontinence of the bowel and bladder
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? - Answer: Pinch the NG tube.
A nurse is caring for a client who is preoperative and is receiving an IV infusion of cefazolin.
Ten minutes after beginning the infusion, the client reports intense itching. Which of the
following actions should the nurse take first? - Answer: Stop the medication infusion.
A nurse is reinforcing discharge teaching with a client who has cirrhosis. Which of the following
instructions should the nurse include? - Answer: "Consume foods that are low in sodium."
A nurse is reinforcing teaching with a client who is scheduled for a guaiac fecal occult blood test.
Which of the following instructions should the nurse include in the teaching? - Answer: Avoid
eating red meat for 3 days prior to the test.
A nurse is preparing to administer phytonadione 7 mg subcutaneously to a client who has an INR
of 4. Available is phytonadione 10 mg/mL. How many mL should the nurse administer? (Round
the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) -
Answer: 0.7 mL
A nurse is reinforcing teaching with a client who is taking insulin glargine. Which of the
following information should the nurse include in the teaching? - Answer: "This type of insulin
should be given at the same time every day."
,2|Page
A nurse is caring for a client who has a methicillin-resistant Staphylococcus aureus (MRSA)
infection in a surgical wound. Which of the following information should the nurse plan to share
with visitors? - Answer: Visitors must don a gown and gloves prior to entering the client's room.
A nurse is collecting data from a 55-year-old female client who reports vaginal dryness and hot
flashes. The client is interested in trying hormone replacement therapy (HRT). Which of the
following should the nurse recognize as a contraindication to HRT? - Answer: History of
treatment for blood clots
A nurse is reinforcing teaching about management of constipation with a client who has
hypothyroidism. Which of the following instructions should the nurse include in the teaching? -
Answer: Increase intake of fiber-rich foods.
A nurse is reinforcing teaching with a client who has multiple sclerosis and a new prescription
for baclofen. Which of the following instructions should the nurse include in the teaching? -
Answer: Avoid stopping this medication suddenly.
A nurse is caring for a client who has an area indicating potential breakdown over the sacrum.
Which of the following actions should the nurse take? - Answer: Minimize the time the head of
the bed is elevated.
A nurse is assisting with the care of a client who is receiving 0.9% sodium chloride by
continuous IV infusion. The client reports pain and swelling at the IV site. In which order should
the nurse perform the following steps? (Move the steps into the box on the right, placing them in
the order of performance. Use all the steps.) - Answer: Check IV site
Stop the infusion
Withdraw the IV catheter
Elevate the affected arm
Notify the charge nurse
Drag words from the choices below to fill in each blank in the following sentence.
During the emergent phase of burn care, the client is at risk for developing____________ and
_____________. - Answer: Hypovolemia
Respiratory failure
A nurse in an oncology clinic is reinforcing teaching about Mohs surgery with a client who has
skin cancer. Which of the following information should the nurse include in the teaching? -
Answer: Mohs surgery is a horizontal shaving of thin layers of the tumor.
A nurse is contributing to the plan of care for a client who is postoperative following a total knee
arthroplasty. The client is using a continuous passive motion (CPM) machine. Which of the
following interventions should the nurse recommend for the plan of care? - Answer: Keep a
sheepskin pad between the client's extremity and the CPM machine.
, 3|Page
A nurse is reinforcing teaching about joint protection with a client who has an acute exacerbation
of rheumatoid arthritis. Which of the following information should the nurse include in the
teaching? - Answer: Apply cold packs to the inflamed joints.
A nurse is caring for a client who has difficulty swallowing. Which of the following actions
should the nurse implement to prevent aspiration? - Answer: Give the client liquids with
increased viscosity.
A nurse is discussing health screening guidelines with an older adult client. Which of the
following statements should the nurse include? - Answer: "You should have a pneumococcal
immunization every 10 years."
A nurse is planning to implement droplet precautions for a client who has manifestations of
pertussis. Which of the following interventions should the nurse include when contributing to the
plan of care? - Answer: Apply a mask on the client if transport is needed.
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? - Answer: Keep the client in a side-lying position.
A nurse is caring for a client who has a compound fracture of the femur and was placed in
balanced suspension skeletal traction 4 days ago. Which of the following actions should the
nurse take? - Answer: Perform pin site care daily.
A nurse is reinforcing discharge teaching about wound care with the caregiver of a client who is
postoperative. Which of the following instructions should the nurse include in the teaching? -
Answer: Report purulent drainage to the provider.
A nurse is collecting data from a client who has hypokalemia. Which of the following findings
should the nurse identify as the priority? - Answer: Dysrhythmia
Complete the diagram by dragging from the choices below to specify what condition the client is
most likely experiencing, 2 actions the nurse should take to address that condition, and 2
parameters the nurse should monitor to assess the client's progress. - Answer: Reduce the
temperature in the clients room.
Limit visitors
Hyperthyroidism
Increased temperature
Weight daily
A nurse is caring for a client who reports stomatitis. Which of the following dietary
recommendations should the nurse make? - Answer: "Eat soft foods."
A nurse is caring for a client who has a history of breast cancer. The client asks the nurse about
birth control. Which of the following methods of birth control is contraindicated for this client? -
Answer: Combination oral contraceptives
