Medical-Surgical Practice Exam Questions and Answers Updated 2026

Medical-Surgical Practice Exam
Questions and Answers
Updated 2026
C.B50-year-oldBwithBPrinzmetal'sBangina.B-
BAnswerBWhichBclientBshouldBtheBpracticalBnurseBquestionBaBPRNBprescriptionBforBsu
matriptanB(Imitrex)BforBmigraineBheadaches?



D.BABlow-doseBaspirinBgivenBdaily.B-
BAnswerBTheBpracticalBnurseB(PN)BisBreinforcingBinformationBtoBaBolderBmaleBclientB
withBaBhistoryBofBcoronaryBarteryBdiseaseBaboutBhisBprescribedBdailyBmedicationBregi
men.BWhichBmedicationBisBmostBlikelyBtoBreduceBtheBclient'sBriskBfactors?



A.BPainBreliefBafterBearBdrainageBbegins.B-
BAnswerBAnBadultBclientBwithBotitisBmediaBhasBthick,ByellowBdrainageBfromBtheBright
BearBcanal.BWhatBadditionalBfindingsBshouldBtheBpracticalBnurseB(PN)BexpectBtoBident
ify?



C.BContinueBtoBmonitorBclient'sBbloodBpressure.B-
BAnswerBTheBpracticalBnurseBisBcaringBforBaBclientBwhoBisBadmittedBwithBsignsBofBp
ossibleBacuteBbrainBattackB(Stroke)BthreeBhoursBago.BTheBclient'sBbloodBpressureBisB1
70/96,BregularBradialBpulseB76Bbeats/minute,BrespirationsBareBnonlaboredBatB11Bbreat
hs/minute,BandBaBSp02BofB99%.BWhatBactionBisBmostBimportantBforBtheBPNBtoBimpl
ement?



D.BReportsBtheBhospitalBroomBisBanBoffice.B-
BAnswerBABclientBwhoBwasBhitBinBtheBheadBwithBaBbaseballBisBadmittedBtoBtheBhos
pitalBforBobservation.BWhichBfindingBrequiresBtheBpracticalBnurseB(PN)BtoBfollow-
upBwithBfurtherBassessment?



D.BItBisBaBcombinationBofBwearBandBtearBandBcalciumBlossBthatBcausesBtheBchange.B
-
BAnswerBAnBolderBfemaleBclientBwithBosteoporosisBasksBtheBpracticalBnurseB(PN)BtoB

,explainBwhyBsheBisBnowB2BinchesBshorterBthanBwhenBsheBwasByounger.BWhatBinform
ationBisBbestBforBtheBpracticalBnurseB(PN)BtoBprovide?



A.B500/mm3.B-
BAnswerBABpracticalBnurseB(PN)BisBcoordinatingBtheBcareBofBfourBclientsBonBanBoncol
ogyBunit.BWhichBneutrophilBcountBshouldBtheBPNBidentifyBasBaBriskBforBaBlife-
threateningBinfectionBinBoneBofBtheBclients?



C.BSurgeryBcanBrestoreBvisionBwithBcorrectiveBlensBimplantsBorBglasses.B-
BAnswerBAnBolderBclientBwhoBhasBhadBaBcataractBinBtheBrightBeyeBforBseveralByears
BtellsBtheBpracticalBnurseB(PN),B"NowBIBhaveBlostBtheBsightBinBmyBrightBeyeBbecause
BIBwaitedBtooBlongBforBtreatment."BWhatBinformationBshouldBtheBPNBprovide?



D.BElevateBtheBarmBaboveBtheBlevelBofBtheBheart.B-
BAnswerBTheBpracticalBnurseB(PN)BisBvisitingBaBmaleBclientBwithBdiabetesBwhoBhasBa
BnewBcastBonBhisBarm.BTheBclient'sBfingersBareBpale,Bcool,BslightlyBswollen,BandBtheB
radialBpulseBisBstrong.BWhatBshouldBtheBPNBdoBfirst?



1.BMaintainBtheBclient'sBairway

2.BApplyBpadsBtoBtheBbedsideBrails.

3.BAvoidBstimulationBduringBpost-ictalBphase.

4.BObserveBtheBclientBforBincontinence.B-
BAnswerBABclientBwithBepilepsyBisBhavingBbilateralBrhythmicBjerkingBmovementsBofBall
Bextremities.BAfterBcallingBforBhelp,BwhichBactionBshouldBtheBpracticalBnurseB(PN)Bdo
Bnext?



B.BSittingBuprightBinBaBtripodBpositionBleaningBonBanBoverbedBtable.B-
BAnswerBTheBpracticalBnurseB(PN)BshouldBplaceBaBclientBinBwhichBpositionBforBaBthor
acentesis?



A.BImplementBstandardBprecautionsBwithBtheBCSFBspecimen.B-
BAnswerBWhichBactionBshouldBtheBpracticalBnurseBtakeBwhenBhandlingBaBsampleBofB
cerebrospinalBfluidB(CSF)BcollectedBforBdiagnosticBtestingBfromBaBclient?

, C.BAvoidBusingBiceBpacksBonBtheBexposedBarea.B-
BAnswerBWhichBinstructionBshouldBtheBpracticalBnurseB(PN)BreinforceBwithBaBfemaleB
clientBaboutBskinBcareBafterBherBfirstBradiotherapyBtreatment?



D.BSleepsBwithBtwoBadditionalBpillows.B-
BAnswerBABclientBwithBheartBfailureB(HF)BtakesBaBdailyBtabletBofBfurosemideB(Lasix)Ba
ndBlisinoprilB(Zestril).BWhichBfindingBduringBtheBclinicBvisitBshouldBindicateBtoBtheBpra
cticalBnurseBthatBtheBclient'sBconditionBisBworsening?



D.BReportBtheBchangeBinBconditionBtoBtheBhealthcareBprovider.B-
BAnswerBABclientBwhoBisB3BdaysBpostoperativeBafterBaBlaminectomyBisBcoughingBupB
thickBgreenBsputumBandBwheezing.BWhatBactionBisBmostBimportantBforBtheBpracticalB
nurseB(PN)BtoBimplement?



B.BOfferBtheBclientBtheBcommodeBorBurinalBeveryBtwoBhours.B-
BAnswerBABmaleBclientBwhoBhadBaBstrokeBisBincontinentBofBurine.BWhichBactionBsho
uldBtheBpracticalBnurseB(PN)BimplementBinBprovidingBbladderBtraining?



C.BChangeBtheBtransparentBdressingBeveryB72Bhours.B-
BAnswerBWhichBactionBshouldBtheBpracticalBnurseB(PN)BimplementBtoBreduceBtheBrisk
BofBinfectionBforBaBclientBwhoBisBreceivingBtotalBparenteralBnutritionB(TPN)?



B.BHemoglobinBofB10Bgrams/dlB-
BAnswerBWhichBfindingBshouldBtheBpracticalBnurseB(PN)BidentifyBasBtypicalBforBaBclie
ntBwhoBisBhypoxic?



A.BHighBpitchedBexpiratoryBsound.B-BAnswerBWhichBfindingBforBaBclientBwhoBisB1-
dayBpostoperativeBforBaBpartialBthyroidectomyBrequiresBimmediateBfollow-
upBbyBtheBpracticalBnurseB(PN)?



B.BSmooth,Bbeefy-redBoralBcavity.