1|Page
PN ADULT MEDICAL SURGICAL ONLINE PRACTICE 2 WITH
NGN 180 QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES LATEST UPDATE 2025/2026
A nurse is assisting with the care of a client who has restricted movement of the chest due to a
burn injury. The nurse should anticipate preparing the client for which of the following
procedures? - Answer: Escharotomy
R: The nurse should anticipate a prescription for an escharotomy to relieve constriction of the
client's chest due to a burn injury. Following removal of the eschar, chest wall movement will be
possible, and the client's oxygenation should improve.
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.
r-The nurse should instruct the client to avoid stopping baclofen suddenly because it can result in
adverse reactions, including seizures, paranoia, and hallucinations.
A nurse is assisting with the care 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.
R: The nurse should minimize the time the head of the bed is elevated to reduce pressure on the
sacral area.
A nurse in a long-term care facility is collecting data from a client who reports ful
1088
in the rectum and
abdominal cramping. Which of the following findings should indicate to the nurse that the client
might have a fecal impaction? - Answer: Small liquid stools
R: Small liquid stools can be the result of fecal material being expelled around an impaction.
A nurse is reinforcing teaching about nutrition choices with a client who has leukemia and is
receiving chemotherapy. The nurse should identify that which of the following statements by the
client indicates an understanding of the teaching? - Answer: "I drink bottled water."
Rationale:
To avoid exposure to bacteria, clients who have cancer and are receiving chemotherapy should
be sure that drinking water is safe. Drinking fresh, bottled water limits exposure to bacteria.
,2|Page
A nurse is assisting with the care 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? -
Answer: Decreases pain during urination
R: Phenazopyridine reduces pain and burning during urination by exerting an anesthetic effect on
the mucosa of the urinary tract.
A nurse is assisting with the care of a client and administers penicillin IM. The client begins
exhibiting hives and has severe difficulty breathing. After establishing a patent airway, which of
the following actions should the nurse take next? - Answer: Administer epinephrine.
R: The greatest risk to the client is death from anaphylaxis. Therefore, the nurse should
administer epinephrine to reduce bronchospasms and laryngeal edema.
A nurse is preparing to administer phytonadione 7 mg subcutaneously to a client who has an IN
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
A nurse is assisting with the care of a client who is at risk for developing pressure injuries.
Which of the following actions should the nurse take? - Answer: Position pillows between the
bony prominences.
R: The nurse should use positioning devices to keep bony prominences from being in direct
contact with each other, which will prevent skin breakdown and pressure injury development.
A nurse is contributing to planning care for a client who overdosed on oxycodone. Which of the
following medications should the nurse recommend for the client? - Answer: Naloxone
R: Naloxone is an opioid antagonist used to prevent respiratory depression as a result of opioid
overdose. The nurse should recommend this medication for the client.
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?
(Select all that apply.) - Answer: *Monitor the insertion site for bleeding is correct. The nurse
should monitor the client's insertion site for manifestations of hemorrhaging.*
Position the affected extremity at a 45º angle is incorrect. The nurse should keep the client flat
with the affected extremity extended, not flexed.
Restrict the client's fluid intake is incorrect. The nurse should encourage fluid intake for the
client following the cardiac catheterization to assist with evacuating the contrast medium from
the client's system.
, 3|Page
*Maintain the pressure dressing is correct. The nurse should maintain the client's pressure
dressing to prevent hemorrhaging and allow for the cannulation site to heal.*
*Check the client's peripheral pulses is correct. The nurse should assess the client's peripheral
pulses to help identify signs of arterial occlusion.*
The nurse is reviewing the client's diagnostic results. Which of the following findings require
follow up?
Select all that apply. - Answer: PaCO2
WBC count
Chest x-ray
Oxygen saturation
BUN
The nurse is reviewing the client's medical record.
Click to highlight the findings below that indicate that the client has a potential problem. To
deselect a finding, click on the finding again. - Answer: Client is short of breath and has a
productive cough with yellow mucus
States, "I could barely breathe when I got up this morning and I had a throbbing headache"
Client is diaphoretic
Crackles heard in posterior lung
A nurse is prioritizing care for the client.
Complete the following sentence by using the lists of options. - Answer: At 1000, the nurse
should first address the client's
Oxygen saturation
followed by the client's
Heart rate
The nurse is
assisting with the plan of care for the client.
For each potential provider prescription, click to specify if the potential prescription is
anticipated, nonessential, or contraindicated
for the client. - Answer: Cough and deep breathe every 2 hr is anticipated
Obtain a sputum culture and sensitivity is anticipated
Titrate oxygen to keep oxygen saturation greater than 90% is anticipated.
Place client on a 1,500 mL fluid restriction is contraindicated
Administer acetaminophen 500 mg PO every 6 hr PRN is anticipated.
Administer famotidine 40 mg PO daily is nonessential.
The nurse is reviewing the client's medical record.
Select the 3 findings that require nursing intervention. - Answer: Temperature
WBC
Potassium
PN ADULT MEDICAL SURGICAL ONLINE PRACTICE 2 WITH
NGN 180 QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES LATEST UPDATE 2025/2026
A nurse is assisting with the care of a client who has restricted movement of the chest due to a
burn injury. The nurse should anticipate preparing the client for which of the following
procedures? - Answer: Escharotomy
R: The nurse should anticipate a prescription for an escharotomy to relieve constriction of the
client's chest due to a burn injury. Following removal of the eschar, chest wall movement will be
possible, and the client's oxygenation should improve.
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.
r-The nurse should instruct the client to avoid stopping baclofen suddenly because it can result in
adverse reactions, including seizures, paranoia, and hallucinations.
A nurse is assisting with the care 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.
R: The nurse should minimize the time the head of the bed is elevated to reduce pressure on the
sacral area.
A nurse in a long-term care facility is collecting data from a client who reports ful
1088
in the rectum and
abdominal cramping. Which of the following findings should indicate to the nurse that the client
might have a fecal impaction? - Answer: Small liquid stools
R: Small liquid stools can be the result of fecal material being expelled around an impaction.
A nurse is reinforcing teaching about nutrition choices with a client who has leukemia and is
receiving chemotherapy. The nurse should identify that which of the following statements by the
client indicates an understanding of the teaching? - Answer: "I drink bottled water."
Rationale:
To avoid exposure to bacteria, clients who have cancer and are receiving chemotherapy should
be sure that drinking water is safe. Drinking fresh, bottled water limits exposure to bacteria.
,2|Page
A nurse is assisting with the care 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? -
Answer: Decreases pain during urination
R: Phenazopyridine reduces pain and burning during urination by exerting an anesthetic effect on
the mucosa of the urinary tract.
A nurse is assisting with the care of a client and administers penicillin IM. The client begins
exhibiting hives and has severe difficulty breathing. After establishing a patent airway, which of
the following actions should the nurse take next? - Answer: Administer epinephrine.
R: The greatest risk to the client is death from anaphylaxis. Therefore, the nurse should
administer epinephrine to reduce bronchospasms and laryngeal edema.
A nurse is preparing to administer phytonadione 7 mg subcutaneously to a client who has an IN
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
A nurse is assisting with the care of a client who is at risk for developing pressure injuries.
Which of the following actions should the nurse take? - Answer: Position pillows between the
bony prominences.
R: The nurse should use positioning devices to keep bony prominences from being in direct
contact with each other, which will prevent skin breakdown and pressure injury development.
A nurse is contributing to planning care for a client who overdosed on oxycodone. Which of the
following medications should the nurse recommend for the client? - Answer: Naloxone
R: Naloxone is an opioid antagonist used to prevent respiratory depression as a result of opioid
overdose. The nurse should recommend this medication for the client.
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?
(Select all that apply.) - Answer: *Monitor the insertion site for bleeding is correct. The nurse
should monitor the client's insertion site for manifestations of hemorrhaging.*
Position the affected extremity at a 45º angle is incorrect. The nurse should keep the client flat
with the affected extremity extended, not flexed.
Restrict the client's fluid intake is incorrect. The nurse should encourage fluid intake for the
client following the cardiac catheterization to assist with evacuating the contrast medium from
the client's system.
, 3|Page
*Maintain the pressure dressing is correct. The nurse should maintain the client's pressure
dressing to prevent hemorrhaging and allow for the cannulation site to heal.*
*Check the client's peripheral pulses is correct. The nurse should assess the client's peripheral
pulses to help identify signs of arterial occlusion.*
The nurse is reviewing the client's diagnostic results. Which of the following findings require
follow up?
Select all that apply. - Answer: PaCO2
WBC count
Chest x-ray
Oxygen saturation
BUN
The nurse is reviewing the client's medical record.
Click to highlight the findings below that indicate that the client has a potential problem. To
deselect a finding, click on the finding again. - Answer: Client is short of breath and has a
productive cough with yellow mucus
States, "I could barely breathe when I got up this morning and I had a throbbing headache"
Client is diaphoretic
Crackles heard in posterior lung
A nurse is prioritizing care for the client.
Complete the following sentence by using the lists of options. - Answer: At 1000, the nurse
should first address the client's
Oxygen saturation
followed by the client's
Heart rate
The nurse is
assisting with the plan of care for the client.
For each potential provider prescription, click to specify if the potential prescription is
anticipated, nonessential, or contraindicated
for the client. - Answer: Cough and deep breathe every 2 hr is anticipated
Obtain a sputum culture and sensitivity is anticipated
Titrate oxygen to keep oxygen saturation greater than 90% is anticipated.
Place client on a 1,500 mL fluid restriction is contraindicated
Administer acetaminophen 500 mg PO every 6 hr PRN is anticipated.
Administer famotidine 40 mg PO daily is nonessential.
The nurse is reviewing the client's medical record.
Select the 3 findings that require nursing intervention. - Answer: Temperature
WBC
Potassium
