“MS NURSING EXAM “ NEWEST UPDATED
EXAM 2025 – 2026 SOLVED QUESTIONS
& ANSWERS VERIFIED 100% GRADED A+
(LATEST VERSION)
MS exam
The nurse is planning to teach a client with COPD how to cough effectively.
Which of the following instructions should be included?
A) Take a deep abdominal breath, bend forward, and cough 3 to 4 times on
exhalation
B) Lie flat on back, splint the thorax, take two deep breaths and cough
C) Take several rapid, shallow breaths and then cough forcefully
D) Assume a side-lying position, extend the arm over the head, and alternate
deep breathing with coughing.
Ans: A
Feedback: Client should assume a sitting position with feet on the floor. Bend
forward slightly and using pursed lip breathing, exhale.
An 87-year-old patient has been hospitalized with pneumonia. Which nursing
action would be a priority in this patient's plan of care?
A) Nasogastric intubation
B) Administration of probiotic supplements
C) Bedrest
D) Cautious hydration
Ans: D
Feedback: Supportive treatment of pneumonia in the elderly includes hydration (with
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caution and with frequent assessment because of the risk of fluid overload in the
elderly)
A critical-care nurse is caring for a patient diagnosed with pneumonia as a
surgical complication. The nurse's assessment reveals that the patient has an
increased work of breathing due to copious tracheobronchial secretions. What
should the nurse encourage the patient to do?
A) Increase oral fluids unless contraindicated.
B) Call the nurse for oral suctioning, as needed.
C) Lie in a low Fowler's or supine position.
D) Increase activity.
Ans: A
Feedback: The nurse should encourage hydration because adequate hydration thins
and loosens pulmonary secretions.
What is the Nursing diagnosis for pneumonia?
A) Ineffective Air way clearance r/t increased sputum production, thick
secretions, ineffective cough?
B) Impaired Gas Change r/t obstruction of airways by secretions or atelectasis
C) Activity Intolerance r/t obstruction of airways by edema and secretions or
atelectasis
D) Imbalanced nutrition: Less than body requirements r/t anorexia, dyspnea,
fatigue
A) Ineffective airway clearance
On auscultation, which findings suggests a right pneumothorax?
A) Bilateral inspiratory and expiratory crackles
B) Absence of breaths sound in the right thorax
C) Inspiratory wheezes in the right thorax
D) Bilateral pleural friction rub
Ans: B
Feedback: In pneumothorax, the alveoli are deflated, and no air exchange occurs in
the lungs. Therefore, breath sounds in the affected lung field are absent.
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The nurse is caring for a patient who is scheduled for a lobectomy for a
diagnosis of lung cancer. While assisting with a subclavian vein central line
insertion, the nurse notes the client's oxygen saturation rapidly dropping. The
patient complains of
shortness of breath and becomes tachypneic. The nurse suspects a
pneumothorax has
developed. Further assessment findings supporting the presence of a
pneumothorax
include what?
A) Diminished or absent breath sounds on the affected side
B) Paradoxical chest wall movement with respirations
C) Sudden loss of consciousness
D) Muffled heart sounds
Ans: A
Feedback: In the case of a simple pneumothorax, auscultating the breath sounds will
reveal absent or diminished breath sounds on the affected side.
An admitting nurse is assessing a patient with COPD. The nurse auscultates
diminished breath sounds, which signify changes in the airway. These
changes indicate to the nurse to monitor the patient for what?
A) Kyphosis and clubbing of the fingers
B) Dyspnea and hypoxemia
C) Sepsis and pneumothorax
D) Bradypnea and pursed lip breathing
Ans: B
Feedback: These changes in the airway require that the nurse monitor the patient for
dyspnea and hypoxemia.
The nurse is caring for a patient admitted with angina who is scheduled for
cardiac catheterization. The patient is anxious and asks the reason for this
test. What is the best response?
A) "Cardiac catheterization is usually done to assess how blocked or open a
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patients coronary arteries are."
B) "Cardiac catheterization is most commonly done to detect how efficiently a
patient's heart muscle contracts."
C) "Cardiac catheterization is usually done to evaluate cardiovascular
response to stress."
D) "Cardiac catheterization is most commonly done to evaluate cardiac
electrical activity."
Ans: A
Feedback: Cardiac catheterization is usually used to assess coronary artery patency
to determine if revascularization procedures are necessary. A thallium stress test
shows myocardial ischemia after stress. An ECG shows the electrical activity of the
heart.
The nurse is providing care for a patient who has just been diagnosed with
peripheral arterial occlusive disease (PAD). What assessment finding is most
consistent with this diagnosis?
A) Numbness and tingling in the distal extremities
B) Unequal peripheral pulses between extremities
C) Visible clubbing of the fingers and toes
D) Reddened extremities with muscle atrophy
Ans: B
Feedback: PAD assessment may manifest as unequal pulses between extremities,
with the affected leg cooler and paler than the unaffected leg.
A nurse working in a long-term care facility is performing the admission
assessment of a newly admitted, 85-year-old resident. During inspection of the
resident's feet, the nurse notes that she appears to have early evidence of
gangrene on one of her great toes. The nurse knows that gangrene in the
elderly is often the first sign of what.
A) Chronic venous insufficiency
B) Raynaud's phenomenon
C) VTE
D) PAD