PN Adult Medical Surgical
Online Practice 2025/26 B Exam
Questions and Answers 100%
Guaranteed Success | Already
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A nurse in a telemetry unit is collecting data from a client who has a newly-
inserted permanent pacemaker. Which of the following findings should the
nurse report to the provider?
,The client experiences hiccups when sitting.
The client's pulse rate is 5/min faster than the preset pacemaker rate.
There is the presence of a pacing spike before the P-wave on the ECG
rhythm strip.
The dressing over the insertion site is dry and intact. - 🧠 ANSWER ✔✔The
client experiences hiccups when sitting.
Click to highlight the findings the nurse should report to the charge nurse
immediately. To deselect a finding, click on the finding again. - 🧠 ANSWER
✔✔• Perineal pad is saturated with blood, and large clots are present is
correct. The presence of vaginal bleeding and blood clots is a manifestation
of vaginal hemorrhage.
Therefore, the nurse should report this finding to the charge nurse.
• Blood pressure 98/56 mm Hg is correct. Decreased
blood pressure is a manifestation of vaginal hemorrhage.
Therefore, the nurse should report this finding to the charge nurse.
,• Heart rate 102/min is correct, Tachycardia is a manifestation of vaginal
hemorrhage. Therefore, the nurse should report this finding to the charge
nurse.
A nurse is assisting with the care for a client who reports shortness of
breath and has an oxygen saturation
90%. Which of the following actions should the nurse take? - 🧠 ANSWER
✔✔Administer oxygen via nasal cannula
R: The nurse should administer oxygen via nasal cannula to a client who
reports shortness of breath and has an oxygen saturation below the
expected reference range. The nurse should continue to monitor the client
and adjust the oxygen flow rate as needed.
A 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.
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
, 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.
A 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
A 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.
Online Practice 2025/26 B Exam
Questions and Answers 100%
Guaranteed Success | Already
Rated A+
A nurse in a telemetry unit is collecting data from a client who has a newly-
inserted permanent pacemaker. Which of the following findings should the
nurse report to the provider?
,The client experiences hiccups when sitting.
The client's pulse rate is 5/min faster than the preset pacemaker rate.
There is the presence of a pacing spike before the P-wave on the ECG
rhythm strip.
The dressing over the insertion site is dry and intact. - 🧠 ANSWER ✔✔The
client experiences hiccups when sitting.
Click to highlight the findings the nurse should report to the charge nurse
immediately. To deselect a finding, click on the finding again. - 🧠 ANSWER
✔✔• Perineal pad is saturated with blood, and large clots are present is
correct. The presence of vaginal bleeding and blood clots is a manifestation
of vaginal hemorrhage.
Therefore, the nurse should report this finding to the charge nurse.
• Blood pressure 98/56 mm Hg is correct. Decreased
blood pressure is a manifestation of vaginal hemorrhage.
Therefore, the nurse should report this finding to the charge nurse.
,• Heart rate 102/min is correct, Tachycardia is a manifestation of vaginal
hemorrhage. Therefore, the nurse should report this finding to the charge
nurse.
A nurse is assisting with the care for a client who reports shortness of
breath and has an oxygen saturation
90%. Which of the following actions should the nurse take? - 🧠 ANSWER
✔✔Administer oxygen via nasal cannula
R: The nurse should administer oxygen via nasal cannula to a client who
reports shortness of breath and has an oxygen saturation below the
expected reference range. The nurse should continue to monitor the client
and adjust the oxygen flow rate as needed.
A 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.
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
, 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.
A 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
A 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.
