NURS 216 ADV MEDSURG ACTUAL EXAM
PAPER 2026 QUESTIONS AND SOLUTIONS
GRADED A+
◉ A nurse is caring for a client who has DKA. Which of the following
findings should indicate to the nurse that the client's condition is
improving?
Answer: Glucose 272 mg/dL
◉ A nurse is admitting a client who has active TB. Which of the
following types of transmission precautions should the nurse
initiate?
Answer: Airborne
◉ A nurse is providing teaching to a client who has asthma about the
use of a metered-dose inhaler. The nurse should identify that which
of the following client actions indicates an understanding of the
teaching?
Answer: Holding breath for 10 secs after inhaling
,◉ A nurse is assessing a client who is at risk for the development of
pernicious anemia resulting from peptic ulcer disease. Which of the
following images depicts a condition caused by pernicious anemia?
Answer: image of a smooth red tongue
◉ A nurse on a medsurg unit is reviewing the medical record of an
older adult client who is receiving IV fluid therapy. Which of the
following client information should indicate to the nurse that the
client requires re-evaluation of the IV therapy prescription?
Answer: BUN
◉ A nurse is assessing a client following the completion of
hemodialysis. Which of the following findings is the nurse's priority
to report to the provider?
Answer: Restlessness
◉ A nurse is receiving report on a client who is postop following an
open repair of Zenker's diverticulum. The nurse should anticipate
the surgical incision to be in which of the following locations?
Answer: A
◉ A nurse is teaching a group of newly licensed nurses about pain
management for older adult clients. Which of the following
statements by a newly licensed nurse indicates an understanding of
the teaching?
, Answer: Ibuprofen can cause gastrointestinal bleeding in older adult
clients
◉ A nurse is planning a health promotional presentation for a group
of African American clients at a community center. Which of the
following disorders presents the greatest risk to this group?
Answer: Hypertension
◉ A nurse is preparing to administer phenytoin 600 mg PO daily to a
client. The amount available is oral solution 125 mg/5mL. how many
mL should the nurse administer?
Answer: 24 mL
◉ A nurse is checking the ECG rhythm strip for a client who has
temporary pacemaker. The nurse notes a pacemaker artifact
followed by a QRS complex. Which of the following actions should
the nurse take?
Answer: Document that depolarization has occurred
◉ A nurse is providing discharge instructions to a client who has
active TB. Which of the following information should the nurse
include in the instructions?
Answer: Sputum specimens are necessary every 2 to 4 weeks until
there are 3 negative cultures
PAPER 2026 QUESTIONS AND SOLUTIONS
GRADED A+
◉ A nurse is caring for a client who has DKA. Which of the following
findings should indicate to the nurse that the client's condition is
improving?
Answer: Glucose 272 mg/dL
◉ A nurse is admitting a client who has active TB. Which of the
following types of transmission precautions should the nurse
initiate?
Answer: Airborne
◉ A nurse is providing teaching to a client who has asthma about the
use of a metered-dose inhaler. The nurse should identify that which
of the following client actions indicates an understanding of the
teaching?
Answer: Holding breath for 10 secs after inhaling
,◉ A nurse is assessing a client who is at risk for the development of
pernicious anemia resulting from peptic ulcer disease. Which of the
following images depicts a condition caused by pernicious anemia?
Answer: image of a smooth red tongue
◉ A nurse on a medsurg unit is reviewing the medical record of an
older adult client who is receiving IV fluid therapy. Which of the
following client information should indicate to the nurse that the
client requires re-evaluation of the IV therapy prescription?
Answer: BUN
◉ A nurse is assessing a client following the completion of
hemodialysis. Which of the following findings is the nurse's priority
to report to the provider?
Answer: Restlessness
◉ A nurse is receiving report on a client who is postop following an
open repair of Zenker's diverticulum. The nurse should anticipate
the surgical incision to be in which of the following locations?
Answer: A
◉ A nurse is teaching a group of newly licensed nurses about pain
management for older adult clients. Which of the following
statements by a newly licensed nurse indicates an understanding of
the teaching?
, Answer: Ibuprofen can cause gastrointestinal bleeding in older adult
clients
◉ A nurse is planning a health promotional presentation for a group
of African American clients at a community center. Which of the
following disorders presents the greatest risk to this group?
Answer: Hypertension
◉ A nurse is preparing to administer phenytoin 600 mg PO daily to a
client. The amount available is oral solution 125 mg/5mL. how many
mL should the nurse administer?
Answer: 24 mL
◉ A nurse is checking the ECG rhythm strip for a client who has
temporary pacemaker. The nurse notes a pacemaker artifact
followed by a QRS complex. Which of the following actions should
the nurse take?
Answer: Document that depolarization has occurred
◉ A nurse is providing discharge instructions to a client who has
active TB. Which of the following information should the nurse
include in the instructions?
Answer: Sputum specimens are necessary every 2 to 4 weeks until
there are 3 negative cultures
