RN Adult Medical-Surgical Proctored Exam
2025/2026 Edition – Comprehensive NGN
Practice Questions, Detailed Rationales,
and Verified Test Bank | Graded A+
Guaranteed
1) A nurse is providing teaching to a client who has a severe form of stage II Lyme disease. Which
of the following statements made by the client reflects an understanding of the teaching?
a. “I will need to take antibiotics for 1 year.”
b. “My partner will need to take an antiviral medication.”
c. “My joints ache because I have Lyme Disease.”
d. “I bruise easily because I have Lyme Disease.”
2)
Which of the following information should the nurse include in the instructions?
a. Sputum specimens are necessary every 2 to 4 weeks until there are three negative cultures.
b. The contagious period generally lasts for 6 to 8 weeks after the initiation of medication therapy.
c. Family members should follow airborne precautions at home.
d. A follow-up tuberculosis
6) A nurse is caring for a client who has increased intracranial pressure (ICP) and is receiving
mannitol via continuous IV infusion. Which of the following findings should the nurse report to the
provider as an adverse effect of this medication?
a. Decreased heart rate
b. Crackles heard on auscultation
,c. Increased urinary output
d. Decreased deep tendon reflexes
7) A nurse is providing discharge teaching to a client who is postoperative following a modified
radical mastectomy. Which of the following instructions should the nurse include?
a. Flex the affected arm when ambulating
b. Numbness can occur along the inside of the affected arm
c. Beginactive range-of-motion exercises 1 day after surgery
d. Dress in clothing that fits snugly
8) A nurse is providing education to a client who has tuberculosis (TB) and their family. Which of
the following information should the nurse include in the teaching?
a. After 1 week of medication, TB is no longer communicable.
b. Dispose of contaminated tissues in a paper bag.
c. Airborne precautions are necessary in the home.
d. Family members in the household should undergo TB testing.
9) A nurse is providing discharge teaching about infection prevention to a client who has AIDS.
Which of the following statements by the client indicates understanding of the teaching?
a. “I will eat a salad at least once each day to increase my intake of vitamin K.”
b. “I can work in my flower garden as long as I wear gardening gloves to cover my
skin.”
c. “I will no longer floss my teeth after brushing my teeth.”
d. “I can sip on a glass of juice for at least 2 hours before I should discard it.”
10) A nurse is assessing a client who is at risk for the development of pernicious anemia resulting
from peptic ulcer disease. Which of the following images depicts a condition caused by pernicious
anemia?
a.
11) A nurse is reviewing the laboratory results of a client who has aplastic anemia. Which of the
following findings indicates a potential complication?
a. RBC count 5.2 million/mm3
, b. WBC count 2,000/mm3
c. Platelets 380,000/mm3
d. Potassium 4 mEq/L
12) A nurse is assessing heart sounds of a client who reports substernal precordial pain. Identify
which of the following sounds the nurse should document in the client’s medical record by listening to
the audio clip.
a. Murmur
b. S4
c. Pericardial friction rub
d. Ventricular gallop
13) A nurse is admitting a client who has active tuberculosis. Which of the following types of
transmission precautions should the nurse initiate?
a. Airborne
b. Droplet
c. Contact
d. Protective environment
14) A nurse is preparing to present a program about prevention of atherosclerosis at a health fair.
Which of the following recommendations should the nurse plant to include? (select all that apply)
a. Follow a smoking cessationprogram
b. Maintian
c. Take this medication before meals to increase appetite.
d. Reduce dietary fiber intake to improve medication absorption.
18) A nurse is assessing a client who has advanced lung cancer and is receiving palliative care. The
client has just undergone thoracentesis. The nurse should expect a reduction in which of the following
common manifestations of advanced cancer?
a. Dyspnea
b. Hemoptysis
c. Mucus production
d. Dysphagia
2025/2026 Edition – Comprehensive NGN
Practice Questions, Detailed Rationales,
and Verified Test Bank | Graded A+
Guaranteed
1) A nurse is providing teaching to a client who has a severe form of stage II Lyme disease. Which
of the following statements made by the client reflects an understanding of the teaching?
a. “I will need to take antibiotics for 1 year.”
b. “My partner will need to take an antiviral medication.”
c. “My joints ache because I have Lyme Disease.”
d. “I bruise easily because I have Lyme Disease.”
2)
Which of the following information should the nurse include in the instructions?
a. Sputum specimens are necessary every 2 to 4 weeks until there are three negative cultures.
b. The contagious period generally lasts for 6 to 8 weeks after the initiation of medication therapy.
c. Family members should follow airborne precautions at home.
d. A follow-up tuberculosis
6) A nurse is caring for a client who has increased intracranial pressure (ICP) and is receiving
mannitol via continuous IV infusion. Which of the following findings should the nurse report to the
provider as an adverse effect of this medication?
a. Decreased heart rate
b. Crackles heard on auscultation
,c. Increased urinary output
d. Decreased deep tendon reflexes
7) A nurse is providing discharge teaching to a client who is postoperative following a modified
radical mastectomy. Which of the following instructions should the nurse include?
a. Flex the affected arm when ambulating
b. Numbness can occur along the inside of the affected arm
c. Beginactive range-of-motion exercises 1 day after surgery
d. Dress in clothing that fits snugly
8) A nurse is providing education to a client who has tuberculosis (TB) and their family. Which of
the following information should the nurse include in the teaching?
a. After 1 week of medication, TB is no longer communicable.
b. Dispose of contaminated tissues in a paper bag.
c. Airborne precautions are necessary in the home.
d. Family members in the household should undergo TB testing.
9) A nurse is providing discharge teaching about infection prevention to a client who has AIDS.
Which of the following statements by the client indicates understanding of the teaching?
a. “I will eat a salad at least once each day to increase my intake of vitamin K.”
b. “I can work in my flower garden as long as I wear gardening gloves to cover my
skin.”
c. “I will no longer floss my teeth after brushing my teeth.”
d. “I can sip on a glass of juice for at least 2 hours before I should discard it.”
10) A nurse is assessing a client who is at risk for the development of pernicious anemia resulting
from peptic ulcer disease. Which of the following images depicts a condition caused by pernicious
anemia?
a.
11) A nurse is reviewing the laboratory results of a client who has aplastic anemia. Which of the
following findings indicates a potential complication?
a. RBC count 5.2 million/mm3
, b. WBC count 2,000/mm3
c. Platelets 380,000/mm3
d. Potassium 4 mEq/L
12) A nurse is assessing heart sounds of a client who reports substernal precordial pain. Identify
which of the following sounds the nurse should document in the client’s medical record by listening to
the audio clip.
a. Murmur
b. S4
c. Pericardial friction rub
d. Ventricular gallop
13) A nurse is admitting a client who has active tuberculosis. Which of the following types of
transmission precautions should the nurse initiate?
a. Airborne
b. Droplet
c. Contact
d. Protective environment
14) A nurse is preparing to present a program about prevention of atherosclerosis at a health fair.
Which of the following recommendations should the nurse plant to include? (select all that apply)
a. Follow a smoking cessationprogram
b. Maintian
c. Take this medication before meals to increase appetite.
d. Reduce dietary fiber intake to improve medication absorption.
18) A nurse is assessing a client who has advanced lung cancer and is receiving palliative care. The
client has just undergone thoracentesis. The nurse should expect a reduction in which of the following
common manifestations of advanced cancer?
a. Dyspnea
b. Hemoptysis
c. Mucus production
d. Dysphagia
