PN ADULT MEDICAL SURGICAL ONLINE
PRACTICE 2026 B EXAM WITH CORRECT
ANSWERS
QUESTIONA 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.
Rationale:The nurse should inform the caregiver that incontinence of the bowel and bladder is a
manifestation of impending death. Other manifestations include hypotension, bradycardia, restlessness,
and coolness of the skin.
QUESTIONA nurse in a clinic is collecting data from a client who has hyperthyroidism and has been taking
methimazole for 4 weeks. Which of the following statements by the client indicates a therapeutic response
to the medication? - answer-"I have gained 3 lbs since my last appointment"
R: Hyperthyroidism can cause weight loss. Therefore, the nurse should identify weight gain as an indication
that the methimazole therapy has been effective
QUESTIONA 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.
,R: The nurse should plan to keep a sheepskin pad between the dient's extremity and the cOM madhune to
protect the client's skin. The nurse should check the client's skin condition frequendy wile the cient is using
the CPM machine.
QUESTIONA nurse is reinforcing teaching with a client about testicular self-examination. Which of the
following instructions should the nurse include in the teaching? - answer-"Perform testicular self-
examination after taking a warm shower."
Rationale: The nurse should instruct the client to perform testicular self-examination after taking a warm
shower or bath. This causes relaxation of the scrotal skin, which allows for better palpation of the testes.
QUESTIONA nurse is assisting with an educational program for clients who have been newly diagnosed
with diabetes mellitus. Which of the following instructions should the nurse include in the program regarding
insulin? - answer-Opened insulin can be stored on a cool countertop away from light
R: The nurse should reinforce teaching with the clients that opened insulin vials do not require refrigeration,
but can be placed in a cool location for up to 4 weeks, out of direct sunlight.
QUESTIONA nurse is collecting data from a client who is receiving sumatriptan. Which of the following is
an expected outcome? - answer-Diminished headache
Rationale:
Sumatriptan is a vascular headache suppressant prescribed for relief of migraines or cluster headaches.
Therefore, the nurse should monitor the client for a diminished headache as an expected outcome of the
medication.
---------------
Nasal and throat discomfort are possible adverse effects of sumatriptan.
Muscle pain and stiffness are possible adverse effects of sumatriptan.
, The nurse should not expect sumatriptan to decrease peripheral edema.
QUESTIONA nurse is reinforcing teaching with a client who has gonorrhea. Which of the following
information should the nurse include? - answer-"You are at risk for infertility with this infection, regardless of
treatment."
R: The nurse should reinforce teaching with the client that there is a risk for infertility as a result of this
infection,
QUESTIONA nurse is changing the dressing for a client who has an abdominal incision and a closed-
suction drain. Which of the following actions should the nurse take? - answer-Cleanse the drainage plug
with alcohol swabs.
Rationale:
The nurse should cleanse the drain opening and plug with alcohol swabs to remove excess drainage and
discourage pathogens from entering the drainage system.
The nurse should secure the drainage tube to the client's gown to allow for ambulation. Pinning the gown to
the client's bedding can result in dislodgement of the drain.
The nurse should wear clean gloves to empty the drainage system because the exterior of the drain is not
sterile.
The nurse should use a precut or folded gauze dressing to fit around the drainage tube. If the nurse cuts
the gauze dressing, small threads and fibers can embed in the incision and increase inflammation and
infection.
QUESTIONA nurse is monitoring a client who has a history of an enlarged prostate and is experiencing
suprapubic discomfort. Which of the following actions should the nurse take first? - answer-Palpate the
abdomen.
PRACTICE 2026 B EXAM WITH CORRECT
ANSWERS
QUESTIONA 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.
Rationale:The nurse should inform the caregiver that incontinence of the bowel and bladder is a
manifestation of impending death. Other manifestations include hypotension, bradycardia, restlessness,
and coolness of the skin.
QUESTIONA nurse in a clinic is collecting data from a client who has hyperthyroidism and has been taking
methimazole for 4 weeks. Which of the following statements by the client indicates a therapeutic response
to the medication? - answer-"I have gained 3 lbs since my last appointment"
R: Hyperthyroidism can cause weight loss. Therefore, the nurse should identify weight gain as an indication
that the methimazole therapy has been effective
QUESTIONA 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.
,R: The nurse should plan to keep a sheepskin pad between the dient's extremity and the cOM madhune to
protect the client's skin. The nurse should check the client's skin condition frequendy wile the cient is using
the CPM machine.
QUESTIONA nurse is reinforcing teaching with a client about testicular self-examination. Which of the
following instructions should the nurse include in the teaching? - answer-"Perform testicular self-
examination after taking a warm shower."
Rationale: The nurse should instruct the client to perform testicular self-examination after taking a warm
shower or bath. This causes relaxation of the scrotal skin, which allows for better palpation of the testes.
QUESTIONA nurse is assisting with an educational program for clients who have been newly diagnosed
with diabetes mellitus. Which of the following instructions should the nurse include in the program regarding
insulin? - answer-Opened insulin can be stored on a cool countertop away from light
R: The nurse should reinforce teaching with the clients that opened insulin vials do not require refrigeration,
but can be placed in a cool location for up to 4 weeks, out of direct sunlight.
QUESTIONA nurse is collecting data from a client who is receiving sumatriptan. Which of the following is
an expected outcome? - answer-Diminished headache
Rationale:
Sumatriptan is a vascular headache suppressant prescribed for relief of migraines or cluster headaches.
Therefore, the nurse should monitor the client for a diminished headache as an expected outcome of the
medication.
---------------
Nasal and throat discomfort are possible adverse effects of sumatriptan.
Muscle pain and stiffness are possible adverse effects of sumatriptan.
, The nurse should not expect sumatriptan to decrease peripheral edema.
QUESTIONA nurse is reinforcing teaching with a client who has gonorrhea. Which of the following
information should the nurse include? - answer-"You are at risk for infertility with this infection, regardless of
treatment."
R: The nurse should reinforce teaching with the client that there is a risk for infertility as a result of this
infection,
QUESTIONA nurse is changing the dressing for a client who has an abdominal incision and a closed-
suction drain. Which of the following actions should the nurse take? - answer-Cleanse the drainage plug
with alcohol swabs.
Rationale:
The nurse should cleanse the drain opening and plug with alcohol swabs to remove excess drainage and
discourage pathogens from entering the drainage system.
The nurse should secure the drainage tube to the client's gown to allow for ambulation. Pinning the gown to
the client's bedding can result in dislodgement of the drain.
The nurse should wear clean gloves to empty the drainage system because the exterior of the drain is not
sterile.
The nurse should use a precut or folded gauze dressing to fit around the drainage tube. If the nurse cuts
the gauze dressing, small threads and fibers can embed in the incision and increase inflammation and
infection.
QUESTIONA nurse is monitoring a client who has a history of an enlarged prostate and is experiencing
suprapubic discomfort. Which of the following actions should the nurse take first? - answer-Palpate the
abdomen.
