PN ADULT MEDICAL SURGICAL WITH NGN NEWEST 2026
PRACTICE TEST EXAM STUDY QUESTIONS WITH
VERIFIED CORRECT ANSWERS 100% GUARANTEED PASS |
ASSURED A+
A nurse is reinforcing teaching with a client who will undergo a colonoscopy the following
week. Which of the following instructions should the nurse include?
a. Administer enemas 2 days before the procedure.
b. Do not eat or drink anything except water for 12 hrs before the procedure.
c. Restrict the diet to clear liquids for 1 to 3 days before the procedure.
d. Expect the provider to schedule another procedure to remove any polyps. - Answer>>> C.
Restrict the diet to clear liquids for 1 to 3 days before the procedure.
Rationale:
Before a colonoscopy, it is important to restrict the diet to clear liquids for 1 to 3 days prior to
the procedure. This allows for adequate visualization of the colon during the procedure.
Administering enemas 2 days before the procedure is not a standard preparation. Complete
fasting (except water) for 12 hours before the procedure is not necessary. The provider may
remove polyps during the colonoscopy if found, but scheduling another procedure is not
necessarily routine.
A nurse is caring for a client who has a tracheostomy tube. Upon data collection, the nurse
observes the client is restless and hears crackles in the lungs. Which of the following
interventions should the nurse take?
,Instill saline into the tubing
Perform suctioning
Check the cuff pressure.
Increase the humidification - Answer>>> Perform suctioning
Rationale:
The correct intervention for a client who has a tracheostomy tube and shows signs of respiratory
distress is to perform suctioning. Suctioning helps to clear the airway of secretions and improve
gas exchange. The other interventions are not appropriate for this situation. Instilling saline into
the tubing may cause bronchospasm or infection. Checking the cuff pressure or increasing the
humidification may not address the immediate problem of airway obstruction
A nurse is collecting data about immunizations for a 65-year-old client who has no identified risk
factors for disease. The nurse should identify the client's need for which of the following
immunizations?
a) Inactivated polio virus
b) Herpes zoster
c) Human papilloma virus
d) Measles, mumps, and rubella - Answer>>> B. Herpes zoster
Rationale:
Measles, mumps, rubella and inactivated polio vaccines are given to children during routine
immunization of less than 2yrs of age however according to studies this can only be given at
maximum age of 12yrs old. HPV or human papilloma virus vaccine is given to girls at 9 yrs old
,until there reproductive age only. Herpes zoster on the other hand, a single dose should be given
to 60 years old and older with no contraindication condition present as per CDC.
A nurse is obtaining a medication history from a client who is to start taking nitroglycerin for
chest discomfort with activity. Which of the following medications should the nurse instruct the
client to avoid taking within 24 hrs of using nitroglycerin?
a) Atorvastatin
b) Metformin
c) Sildenafil
d) Omeprazole - Answer>>> C. Sildenafil
Rationale:
Sildenafil treats PAH (pulmonary arterial hypertension) by relaxing the blood vessels in the
lungs to allow blood to flow easily.
Same as, nitroglycerin is a vaso-dilator which is primarily to treat anginal chest pain and thereby
it reduces blood pressure.
Remaining drugs like omeprazole and atorvastatin can be given for patients with in 24hrs of
nitroglycerin administration.
TEST
A nurse is assisting with the care plan for a client who has osteoarthritis. The client reports knee
stiffness upon ambulation. Which of the following interventions should the nurse include in the
plan of care?
, a.) Apply moist heat prior to ambulation.
b.) Rest in a soft chair.
c.) Use a continuous passive motion machine.
d.) Delay ambulation until the next day. - Answer>>> A. Apply moist heat prior to ambulation.
Rationale:
Heat therapy can alleviate knee osteoarthritis pain and stiffness in two ways.
First, the sensation of heat provides relief by overpowering the nerves that send pain signals to
your brain. This is why you'll often feel the warmth of your heating pad over the discomfort.
Second, heat improves blood flow in the area. As such, moist heat is a much better choice for
OA instead of ice because the warmth dilates blood vessels (larger diameter) around the knee,
improves circulation, loosens up muscles and helps to alleviate joint stiffness.
Applying moist heat prior to ambulation can help reduce knee stiffness and improve mobility for
clients with osteoarthritis.
TEST
Reinforcing teaching for pt has just returned home following a total hip arthroplasty, what should
the nurse include in teaching? - Answer>>> Place electrical cords against the wall
Rationale:
PRACTICE TEST EXAM STUDY QUESTIONS WITH
VERIFIED CORRECT ANSWERS 100% GUARANTEED PASS |
ASSURED A+
A nurse is reinforcing teaching with a client who will undergo a colonoscopy the following
week. Which of the following instructions should the nurse include?
a. Administer enemas 2 days before the procedure.
b. Do not eat or drink anything except water for 12 hrs before the procedure.
c. Restrict the diet to clear liquids for 1 to 3 days before the procedure.
d. Expect the provider to schedule another procedure to remove any polyps. - Answer>>> C.
Restrict the diet to clear liquids for 1 to 3 days before the procedure.
Rationale:
Before a colonoscopy, it is important to restrict the diet to clear liquids for 1 to 3 days prior to
the procedure. This allows for adequate visualization of the colon during the procedure.
Administering enemas 2 days before the procedure is not a standard preparation. Complete
fasting (except water) for 12 hours before the procedure is not necessary. The provider may
remove polyps during the colonoscopy if found, but scheduling another procedure is not
necessarily routine.
A nurse is caring for a client who has a tracheostomy tube. Upon data collection, the nurse
observes the client is restless and hears crackles in the lungs. Which of the following
interventions should the nurse take?
,Instill saline into the tubing
Perform suctioning
Check the cuff pressure.
Increase the humidification - Answer>>> Perform suctioning
Rationale:
The correct intervention for a client who has a tracheostomy tube and shows signs of respiratory
distress is to perform suctioning. Suctioning helps to clear the airway of secretions and improve
gas exchange. The other interventions are not appropriate for this situation. Instilling saline into
the tubing may cause bronchospasm or infection. Checking the cuff pressure or increasing the
humidification may not address the immediate problem of airway obstruction
A nurse is collecting data about immunizations for a 65-year-old client who has no identified risk
factors for disease. The nurse should identify the client's need for which of the following
immunizations?
a) Inactivated polio virus
b) Herpes zoster
c) Human papilloma virus
d) Measles, mumps, and rubella - Answer>>> B. Herpes zoster
Rationale:
Measles, mumps, rubella and inactivated polio vaccines are given to children during routine
immunization of less than 2yrs of age however according to studies this can only be given at
maximum age of 12yrs old. HPV or human papilloma virus vaccine is given to girls at 9 yrs old
,until there reproductive age only. Herpes zoster on the other hand, a single dose should be given
to 60 years old and older with no contraindication condition present as per CDC.
A nurse is obtaining a medication history from a client who is to start taking nitroglycerin for
chest discomfort with activity. Which of the following medications should the nurse instruct the
client to avoid taking within 24 hrs of using nitroglycerin?
a) Atorvastatin
b) Metformin
c) Sildenafil
d) Omeprazole - Answer>>> C. Sildenafil
Rationale:
Sildenafil treats PAH (pulmonary arterial hypertension) by relaxing the blood vessels in the
lungs to allow blood to flow easily.
Same as, nitroglycerin is a vaso-dilator which is primarily to treat anginal chest pain and thereby
it reduces blood pressure.
Remaining drugs like omeprazole and atorvastatin can be given for patients with in 24hrs of
nitroglycerin administration.
TEST
A nurse is assisting with the care plan for a client who has osteoarthritis. The client reports knee
stiffness upon ambulation. Which of the following interventions should the nurse include in the
plan of care?
, a.) Apply moist heat prior to ambulation.
b.) Rest in a soft chair.
c.) Use a continuous passive motion machine.
d.) Delay ambulation until the next day. - Answer>>> A. Apply moist heat prior to ambulation.
Rationale:
Heat therapy can alleviate knee osteoarthritis pain and stiffness in two ways.
First, the sensation of heat provides relief by overpowering the nerves that send pain signals to
your brain. This is why you'll often feel the warmth of your heating pad over the discomfort.
Second, heat improves blood flow in the area. As such, moist heat is a much better choice for
OA instead of ice because the warmth dilates blood vessels (larger diameter) around the knee,
improves circulation, loosens up muscles and helps to alleviate joint stiffness.
Applying moist heat prior to ambulation can help reduce knee stiffness and improve mobility for
clients with osteoarthritis.
TEST
Reinforcing teaching for pt has just returned home following a total hip arthroplasty, what should
the nurse include in teaching? - Answer>>> Place electrical cords against the wall
Rationale:
