RN Adult Medical Surgical 2019 Practice A and B with NGN Actual Exams Review 2026 (A review of 90 Real Exam Questions and 100% Correct Answers With Rationales)

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RN Adult Medical Surgical 2019 Practice A
and B with NGN Actual Exams Review 2026
(A review of 90 Real Exam Questions and
100% Correct Answers With Rationales)

NGN

1000
k




:
Client is alert and oriented and reports not feeling well for a few days. Client is on c
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ontinuous ambulatory peritoneal dialysis (CAPD) and reports dialysate appeare
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d cloudy this morning.
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Reports abdominal pain as 4 on a scale of 0 to 10.
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Bowel sounds active in all quadrants.
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Peritoneal dialysis access site red, warm to touch, with a small amount of purulen
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t drainage noted on dressing.1300:
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Client is lying in bed with the knees flexed, guarding the abdomen. Abdomen is sl
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kightly distended, hypoactive bowel sounds. Client reports nausea. Reports pain a
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ks 6 on a scale of 0 to 10. Provider notified and updated with client condition and di
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kagnostic results. ..........ANSWER. ..... The client is experiencing manifestations o
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k peritoniti
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x-ray results j




.


NGN

,2 k| kP ka kg ke


Client admitted to medical- j j j


ksurgical unit from PACU. Client reports incisional pain as 2 on a scale of 0 to 10. Cli
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kent appears restless and frequently asks for water. Bilateral lower extremities coo
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l with +1 pedal pulses. Urine output is 40 mL for the past 2 hr. Moderate amount of
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kbright red drainage noted on surgical incision dressing. ..........ANSWER....... Inse
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rt a large-gauge IV.
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k Initiate a fluid challenge. j j j




Hypovolemia


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k Blood pressure j




A nurse is caring for a client who has a potassium level of 3 mEq/L. Which of the fo
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llowing assessment findings should the nurse expect? ..........ANSWER. .......Hypo
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active Bowel Sounds j j




NGN
k 0900
:
Client presents with abdominal pain in the upper left quadrant for the past 2 days.
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States pain became worse this morning and is radiating to the back. Rates pain as
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8 on a scale of 0 to 10.
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k Hypoactive bowel sounds; reports nausea, no vomiting; client is passing flatus.
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k Febrile, oriented to person, place, and time.
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Tachypnea with diminished breath sounds. j j j j




k Sinus tachycardia. j

, 3 k| kP k a k g k e


Client voids 300 mL of clear, amber urine.
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k 0930:

Client vomited 100 mL brown liquid. ..........ANSWER........ The client is experienci
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ng manifestations of
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k pancreatitis
k as evidenced by the
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k amylase and lipase j j




.


0530:
Client is awake and alert. j j j j




Arteriovenous fistula (AVF) to right forearm with thrill palpated and auscultated
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for bruit. Lung sounds clear upon auscultation; client denies shortness of breath.
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No peripheral edema noted; capillary refill is less than 3 seconds; +2 bilateral ped
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al and radial pulses.
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AVF access prepared and cannulated twice with no difficulty. Lines are taped and
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secured; treatment is initiated.0600:
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Client is reading a book. Access is visible, and lines are secure. Client reports no di
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scomfort or pain.0630:
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Client reports feeling warm, nauseated, and lightheaded; appears restless and sli
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ghtly confused. ..........ANSWER .......Perform a 12-lead ECG is not indicated.
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Place the client in Trendelenburg position is indicated.
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Administer a 0.9% sodium chloride 200 mL IV bolus is indicated.
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