RN ADULT MEDICAL SURGICAL ONLINE
PRACTICE 2026 POSSIBLE QUESTIONS
AND ANSWERS VERIFIED
A nurse in the emergency department is caring for a client who has full-
thickness burns over 20% of their total body surface area. After ensuring a patient
airway and administering oxygen,which of the following items should the nurse
prepare to administer first?
IV fluids
A nurse is caring for a client who is receiving total parenteral nutrition (TPN). A
new back is not available when the current infusion is nearly completed. Which of
the following actions shouldthe nurse take?
Administer dextrose 10% sodium chloride until the new bag arrives
A nurse in an acute care facility is caring for a client who is at risk for seizures.
Which of thefollowing precautions should the nurse implement?
Ensure that the client has a patent IV
A nurse is teaching a client who has a family history of colorectal cancer. To help
mitigate this risk, which of the following dietary alterations should the nurse
recommend?
Add cabbage to the diet
A nurse in a provider’s office is assessing a client who has migraine headaches and is
taking feverfew to prevent headaches. The nurse should identify that which of the
following clientmedications interacts with feverfew?
Naproxen
A nurse is providing teaching to a client who is receiving chemotherapy and has a
newprescription for epoetin alfa. Which of the following client statements indicates
an understanding of the teaching?
“ I will monitor my blood pressure while taking this medication”
A nurse is caring for a client who has a prescription for enalapril. The nurse should
identifywhich of the following findings as an adverse effect of the medication?
Orthostatic hypotension
An older adult client is brought to an ED by a family member. Which of the following
assessment findings should cause the nurse to suspect the client has hypertonic dehydration?
Urine specific gravity 1.045
A nurse is caring for a client while experiencing a seizure. Which of the following
actions shouldthe nurse take?
(3 words…I think it starts with L…last option)
A nurse is evaluation a client who has a new diagnosis of type 1 diabetes. Which of
thefollowing client statements indicates the client is successfully coping with the
change?
1
, “I used to never worry about my feet. Now, I inspect my feet every day with a
mirror”A nurse is caring for a client who has portal hypertension. The client is
vomiting blood mixed with food after a meal. Which of the following actions should
the nurse take first?
Obtain vital signs
A nurse is providing discharge teaching to a client who has heart failure and a new
prescriptionfor a potassium-sparing diuretic. Which of the following information
should the nurse include in the teaching?
Tyr to walk at least three times per week for exercise
A nurse is preparing to admit a client who has dysphasia. The nurse should plan to
place whichof the following items at bedside?
Suction machine
A nurse is caring for a client who is having a seizure. Which of the following
interventions is thenurse’s priority?
Turn the client to the side
A nurse is providing teaching to a client who was hypothyroidism and is receiving
levothyroxine.The nurse should instruct the client that which of the following supplements
can interfare with the effectiveness of this medication?
Calcium
A nurse is providing teaching to a female client who has a history of UTI’s. Which of
thefollowing information should nurse teach?
Take daily cranberry supplements
A nurse is providing teaching to a client who has esophageal cancer and is to
undergo radiation therapy. Which of the following statements should the nurse
identify as an indication that the client understands the teaching?
“I will use my hands rather than a washcloth to clean the radiation area”
A nurse is caring for a client 1 hr following a cardiac catheterization. The nurse
notes the formation of a hematoma at the insertion site and a decreased pulse rate
in the affected extremity. Which of the following interventions is the nurse’s
priority?
Apply firm pressure to the insertion site
A nurse is caring for a client who has emphysema and is receiving medication
ventilation. Theclient appears anxious and restless, and the high-pressure alarm is
sounding. Which of the following actions should the nurse take first?
Instruct the client to allow the machine to breathe for him
A nurse is reviewing the laboratory results of a client who has cirrhosis. Which of the
followinglaboratory values should the nurse expect?
Elevated bilirubin level
A nurse is teaching a client who has venous insufficiency about self-care. Which of the
followingstatements should the nurse identify as an indication that the client understands
the teaching?
“I will wear clean graduated compression stockings every day”
A nurse is caring ofr a client who is postoperative following a total hip arthroplasty.
Which ofthe following laboratory values should the nurse report to the provider?
2
PRACTICE 2026 POSSIBLE QUESTIONS
AND ANSWERS VERIFIED
A nurse in the emergency department is caring for a client who has full-
thickness burns over 20% of their total body surface area. After ensuring a patient
airway and administering oxygen,which of the following items should the nurse
prepare to administer first?
IV fluids
A nurse is caring for a client who is receiving total parenteral nutrition (TPN). A
new back is not available when the current infusion is nearly completed. Which of
the following actions shouldthe nurse take?
Administer dextrose 10% sodium chloride until the new bag arrives
A nurse in an acute care facility is caring for a client who is at risk for seizures.
Which of thefollowing precautions should the nurse implement?
Ensure that the client has a patent IV
A nurse is teaching a client who has a family history of colorectal cancer. To help
mitigate this risk, which of the following dietary alterations should the nurse
recommend?
Add cabbage to the diet
A nurse in a provider’s office is assessing a client who has migraine headaches and is
taking feverfew to prevent headaches. The nurse should identify that which of the
following clientmedications interacts with feverfew?
Naproxen
A nurse is providing teaching to a client who is receiving chemotherapy and has a
newprescription for epoetin alfa. Which of the following client statements indicates
an understanding of the teaching?
“ I will monitor my blood pressure while taking this medication”
A nurse is caring for a client who has a prescription for enalapril. The nurse should
identifywhich of the following findings as an adverse effect of the medication?
Orthostatic hypotension
An older adult client is brought to an ED by a family member. Which of the following
assessment findings should cause the nurse to suspect the client has hypertonic dehydration?
Urine specific gravity 1.045
A nurse is caring for a client while experiencing a seizure. Which of the following
actions shouldthe nurse take?
(3 words…I think it starts with L…last option)
A nurse is evaluation a client who has a new diagnosis of type 1 diabetes. Which of
thefollowing client statements indicates the client is successfully coping with the
change?
1
, “I used to never worry about my feet. Now, I inspect my feet every day with a
mirror”A nurse is caring for a client who has portal hypertension. The client is
vomiting blood mixed with food after a meal. Which of the following actions should
the nurse take first?
Obtain vital signs
A nurse is providing discharge teaching to a client who has heart failure and a new
prescriptionfor a potassium-sparing diuretic. Which of the following information
should the nurse include in the teaching?
Tyr to walk at least three times per week for exercise
A nurse is preparing to admit a client who has dysphasia. The nurse should plan to
place whichof the following items at bedside?
Suction machine
A nurse is caring for a client who is having a seizure. Which of the following
interventions is thenurse’s priority?
Turn the client to the side
A nurse is providing teaching to a client who was hypothyroidism and is receiving
levothyroxine.The nurse should instruct the client that which of the following supplements
can interfare with the effectiveness of this medication?
Calcium
A nurse is providing teaching to a female client who has a history of UTI’s. Which of
thefollowing information should nurse teach?
Take daily cranberry supplements
A nurse is providing teaching to a client who has esophageal cancer and is to
undergo radiation therapy. Which of the following statements should the nurse
identify as an indication that the client understands the teaching?
“I will use my hands rather than a washcloth to clean the radiation area”
A nurse is caring for a client 1 hr following a cardiac catheterization. The nurse
notes the formation of a hematoma at the insertion site and a decreased pulse rate
in the affected extremity. Which of the following interventions is the nurse’s
priority?
Apply firm pressure to the insertion site
A nurse is caring for a client who has emphysema and is receiving medication
ventilation. Theclient appears anxious and restless, and the high-pressure alarm is
sounding. Which of the following actions should the nurse take first?
Instruct the client to allow the machine to breathe for him
A nurse is reviewing the laboratory results of a client who has cirrhosis. Which of the
followinglaboratory values should the nurse expect?
Elevated bilirubin level
A nurse is teaching a client who has venous insufficiency about self-care. Which of the
followingstatements should the nurse identify as an indication that the client understands
the teaching?
“I will wear clean graduated compression stockings every day”
A nurse is caring ofr a client who is postoperative following a total hip arthroplasty.
Which ofthe following laboratory values should the nurse report to the provider?
2
