PN ADULT MEDICAL SURGICAL CERTIFICATION
EVALUATION EXAMS 2026 SOLVED
QUESTIONS GRADED A+
◉ A nurse is caring for a client who has cancer and has
a WBC count of 4,000/mm3. Which of the following
actions should the nurse take?
a) Cleanse the client's toothbrush with hydrogen
peroxide.
b) Instruct the client to use a disposable razor to
shave.
c) Decrease the client's protein intake.
d) Encourage the client to eat unpasteurized
dairy products. Answer: A. Cleanse the client's toothbrush with
hydrogen
peroxide.
◉ A nurse enters a client's room and sees smoke coming from the
bathroom. Which of the following
actions should the nurse take first?
a) Activate the fire alarm system.
,b) Use a fire extinguisher at the source of the
smoke.
c) Assist the client to a nearby common area.
d) Close the doors to the room and to the
bathroom. Answer: C. Assist the client to a nearby common area.
◉ A nurse is contributing to the plan of care for a client who reports
difficulty eating due to chronic arthritis.
Which of the following interventions should the nurse include in the
plan?
a) Apply foam handles to the client's eating
utensils.
b) Obtain a referral for physical therapy.
c) Have an assistive personnel feed the client.
d) Ask the provider for a prescription for a
pureed diet. Answer: A. Apply foam handles to the client's eating
utensils.
◉ A nurse is obtaining a medication history from a client who is to start
taking nitroglycerin for chest discomfort with activity. Which of the
following medications should the nurse instruct the client to avoid taking
within 24 hr of using nitroglycerin?
a) Atorvastatin
b) Metformin
,c) Sildenafil
d) Omeprazole. Answer: C. Sildenafil
◉ A nurse is preparing to obtain a postprandial blood glucose level from
a client who has diabetes mellitus. Which of the following actions
should the nurse take?
a) Apply the first drop of blood to the test strip.
b) Clean the client's finger with
hexachlorophene.
c) Prick the central tip of the client's finger.
d) Hold the client's finger in a dependent
position. Answer: D. Hold the client's finger in a dependent
position.
◉ A nurse is reinforcing teaching with a client about breast self-
examinations. Which of the following statements by the client indicates
an understanding of the teaching?
a) "It is common for one breast to be larger than
the other."
b) "It is common for the skin on my breasts to
dimple."
c) "I will perform breast exams the day my
period begins."
, d) "I will perform breast exams every other
month.". Answer: A. "It is common for one breast to be larger than
the other."
◉ A nurse is reinforcing teaching with a client who has a new ileostomy.
Which of the following statements by the client indicates an
understanding of the teaching?
a) "I will need to empty the bag every 4 to 6
hours."
b) "I will use moisturizing soap to clean around
the stoma before applying the bag."
c) "I will use a skin sealant before I apply the
bag."
d) "I will cut the wafer opening one-fourth of an
inch larger than the stoma.". Answer: C. "I will use a skin sealant before
I apply the
bag."
◉ A nurse is assisting in the plan of care for a client who is dehydrated
and is receiving IV fluid replacement. Which of the following
interventions should the nurse contribute to the plan of care?
a) Offer oral fluids every 4 hr.
b) Check for neck vein distention.
EVALUATION EXAMS 2026 SOLVED
QUESTIONS GRADED A+
◉ A nurse is caring for a client who has cancer and has
a WBC count of 4,000/mm3. Which of the following
actions should the nurse take?
a) Cleanse the client's toothbrush with hydrogen
peroxide.
b) Instruct the client to use a disposable razor to
shave.
c) Decrease the client's protein intake.
d) Encourage the client to eat unpasteurized
dairy products. Answer: A. Cleanse the client's toothbrush with
hydrogen
peroxide.
◉ A nurse enters a client's room and sees smoke coming from the
bathroom. Which of the following
actions should the nurse take first?
a) Activate the fire alarm system.
,b) Use a fire extinguisher at the source of the
smoke.
c) Assist the client to a nearby common area.
d) Close the doors to the room and to the
bathroom. Answer: C. Assist the client to a nearby common area.
◉ A nurse is contributing to the plan of care for a client who reports
difficulty eating due to chronic arthritis.
Which of the following interventions should the nurse include in the
plan?
a) Apply foam handles to the client's eating
utensils.
b) Obtain a referral for physical therapy.
c) Have an assistive personnel feed the client.
d) Ask the provider for a prescription for a
pureed diet. Answer: A. Apply foam handles to the client's eating
utensils.
◉ A nurse is obtaining a medication history from a client who is to start
taking nitroglycerin for chest discomfort with activity. Which of the
following medications should the nurse instruct the client to avoid taking
within 24 hr of using nitroglycerin?
a) Atorvastatin
b) Metformin
,c) Sildenafil
d) Omeprazole. Answer: C. Sildenafil
◉ A nurse is preparing to obtain a postprandial blood glucose level from
a client who has diabetes mellitus. Which of the following actions
should the nurse take?
a) Apply the first drop of blood to the test strip.
b) Clean the client's finger with
hexachlorophene.
c) Prick the central tip of the client's finger.
d) Hold the client's finger in a dependent
position. Answer: D. Hold the client's finger in a dependent
position.
◉ A nurse is reinforcing teaching with a client about breast self-
examinations. Which of the following statements by the client indicates
an understanding of the teaching?
a) "It is common for one breast to be larger than
the other."
b) "It is common for the skin on my breasts to
dimple."
c) "I will perform breast exams the day my
period begins."
, d) "I will perform breast exams every other
month.". Answer: A. "It is common for one breast to be larger than
the other."
◉ A nurse is reinforcing teaching with a client who has a new ileostomy.
Which of the following statements by the client indicates an
understanding of the teaching?
a) "I will need to empty the bag every 4 to 6
hours."
b) "I will use moisturizing soap to clean around
the stoma before applying the bag."
c) "I will use a skin sealant before I apply the
bag."
d) "I will cut the wafer opening one-fourth of an
inch larger than the stoma.". Answer: C. "I will use a skin sealant before
I apply the
bag."
◉ A nurse is assisting in the plan of care for a client who is dehydrated
and is receiving IV fluid replacement. Which of the following
interventions should the nurse contribute to the plan of care?
a) Offer oral fluids every 4 hr.
b) Check for neck vein distention.
