LEWIS MEDICAL SURGICAL NURSING 2026
PRACTICE TEST PACK COMPLETE SOLUTIONS
VERIFIED INSIGHTS
◉ The client who had abdominal surgery tells the practical nurse, "I
felt something give way in my stomach." Which intervention should
the practical nurse implement first?
Answer: Inspect the abdominal wound incision
◉ The client is one (1) day postoperative major abdominal surgery.
Which client problem is a priority?
Answer: Fluid and electrolyte imbalance
◉ The client has an eviscerated abdominal wound. Which
intervention should the practical nurse implement?
Answer: Apply sterile normal saline dressing
◉ The client is diagnosed with peritonitis. Which information
indicates to the practical nurse the client's condition is improving?
Answer: The client has a decrease in temperature and a soft
abdomen
,◉ A patient is being released from the hospital with a prescription
for tetracycline. What should the nurse include in patient teaching?
Select all that apply.
Answer: Advise limiting exposure to the sun.
Inform patient of the possibility of gastrointestinal upset.
Suggest eating crackers and some juice when taking this medicine.
◉ The nurse wants to determine if a patient not fully awake from
anesthesia for a surgical procedure is experiencing pain. What
findings should the nurse use to make this determination?
Select all that apply.
Answer: Moaning
Restlessness
Pulling at a body area
Elevated blood pressure
◉ A patient is diagnosed with an infection that has spread to the
blood stream. Which term should the nurse use to document this
patient's health problem?
,Answer: Sepsis
◉ The nurse learns that a patient is being admitted with an
infectious disease that is transmited through the air. For which
health problems should the nurse prepare to provide care?
Select all that apply.
Answer: Measles
Tuberculosis
Chickenpox
◉ A patient is diagnosed with Rocky Mountain spotted fever. What
should the nurse explain as the method by which this disease was
transmitted to the patient?
Answer: Ticks
◉ A patient returning from the recovery room following abdominal
surgery to drain an abscess has a nonsuction-type drain placed in
the wound bed to allow drainage. Which drain should the nurse
expect to see?
Answer: Penrose drain
, ◉ A patient has an epidural catheter placed for pain control. Which
medications should the nurse question before providing them to the
patient during routine medication administration?
Select all that apply.
Answer: Aspirin 325 mg by mouth once a day
Warfarin (Coumadin) 2.5 mg by mouth every evening
◉ A patient with severe arthritis pain is prescribed celecoxib
(Celebrex). What should the nurse instruct the patient about this
medication?
Answer: Take with food.
◉ The nurse is caring for a patient exposed to a toxin. Which is the
most potent lethal toxin?
Answer: Botulinum
◉ The nurse is assisting in the care of a patient with suspected
anaphylactic shock. Which orders should the nurse question?
Select all that apply.
Answer: Morphine 2 mg intravenous (IV) now
PRACTICE TEST PACK COMPLETE SOLUTIONS
VERIFIED INSIGHTS
◉ The client who had abdominal surgery tells the practical nurse, "I
felt something give way in my stomach." Which intervention should
the practical nurse implement first?
Answer: Inspect the abdominal wound incision
◉ The client is one (1) day postoperative major abdominal surgery.
Which client problem is a priority?
Answer: Fluid and electrolyte imbalance
◉ The client has an eviscerated abdominal wound. Which
intervention should the practical nurse implement?
Answer: Apply sterile normal saline dressing
◉ The client is diagnosed with peritonitis. Which information
indicates to the practical nurse the client's condition is improving?
Answer: The client has a decrease in temperature and a soft
abdomen
,◉ A patient is being released from the hospital with a prescription
for tetracycline. What should the nurse include in patient teaching?
Select all that apply.
Answer: Advise limiting exposure to the sun.
Inform patient of the possibility of gastrointestinal upset.
Suggest eating crackers and some juice when taking this medicine.
◉ The nurse wants to determine if a patient not fully awake from
anesthesia for a surgical procedure is experiencing pain. What
findings should the nurse use to make this determination?
Select all that apply.
Answer: Moaning
Restlessness
Pulling at a body area
Elevated blood pressure
◉ A patient is diagnosed with an infection that has spread to the
blood stream. Which term should the nurse use to document this
patient's health problem?
,Answer: Sepsis
◉ The nurse learns that a patient is being admitted with an
infectious disease that is transmited through the air. For which
health problems should the nurse prepare to provide care?
Select all that apply.
Answer: Measles
Tuberculosis
Chickenpox
◉ A patient is diagnosed with Rocky Mountain spotted fever. What
should the nurse explain as the method by which this disease was
transmitted to the patient?
Answer: Ticks
◉ A patient returning from the recovery room following abdominal
surgery to drain an abscess has a nonsuction-type drain placed in
the wound bed to allow drainage. Which drain should the nurse
expect to see?
Answer: Penrose drain
, ◉ A patient has an epidural catheter placed for pain control. Which
medications should the nurse question before providing them to the
patient during routine medication administration?
Select all that apply.
Answer: Aspirin 325 mg by mouth once a day
Warfarin (Coumadin) 2.5 mg by mouth every evening
◉ A patient with severe arthritis pain is prescribed celecoxib
(Celebrex). What should the nurse instruct the patient about this
medication?
Answer: Take with food.
◉ The nurse is caring for a patient exposed to a toxin. Which is the
most potent lethal toxin?
Answer: Botulinum
◉ The nurse is assisting in the care of a patient with suspected
anaphylactic shock. Which orders should the nurse question?
Select all that apply.
Answer: Morphine 2 mg intravenous (IV) now
