ADULT 2 PRACTICE EXAMINATION 2026
QUESTIONS WITH ANSWERS GRADED A+
◍ A nurse is caring for a client who is receiving total parenteral nutrition
(TPN). A new bag is not available when the current infusion is nearly
completed. Which of the following actions should the nurse take?.
Answer: Administer dextrose 10% in water until the new bag
arrives.Rational:TPN solutions have a high concentration of dextrose.
Therefore, if a TPN solution is temporarily unavailable, the nurse should
administer dextrose 10% or 20% in water to avoid a precipitous drop in the
client's blood glucose level.
◍ A nurse in an emergency department is caring for a client who reports
vomiting and diarrhea for the past 3 days. Which of the following findings
should indicate to the nurse that the client is experiencing fluid volume
deficit?.
Answer: Heart rate 110/minRational:A client who has a 3-day history of
vomiting and diarrhea is likely to have fluid volume deficit and an elevated
heart rate.
◍ A nurse is caring for a client who is having a seizure. Which of the
following interventions is the nurse's priority?.
Answer: Turn the client to the side.Rational:The greatest risk to this client is
hypoxia from an impaired airway. Therefore, the priority intervention the
nurse should take is to place the client in a side-lying position to prevent
aspiration.
◍ A nurse is providing preoperative teaching for a client who is scheduled for
an open cholecystectomy. Which of the following actions should the nurse
take?.
Answer: Demonstrate ways to deep breathe and cough.Rational:The nurse
, should demonstrate deep breathing and coughing exercises and explain the
importance of splinting the incision to reduce the risk for respiratory
complications.
◍ cancer treatments.
Answer: radiation, surgery, chemotherapy, targeted drug therapies
◍ A nurse is planning care for a client who is postoperative following a
laparotomy and has a closed-suction drain. Which of the following actions
should the nurse take to manage the drain?.
Answer: Compress the drain reservoir after emptying.Rational:Compressing
the reservoir creates a vacuum that draws fluid out of the wound, through
the drain, and into the reservoir.
◍ A nurse is assessing a group of clients for indications of role changes. The
nurse should identify that which of the following clients is at risk for
experiencing a role change?.
Answer: A client who has multiple sclerosis and is experiencing progressive
difficulty ambulating.Rational:The nurse should identify that progression of
a neurologic disease such as multiple sclerosis can lead to a role change as
the client becomes less independent.
◍ mangament of uncertainty.
Answer: unpredictability
◍ A nurse is providing follow-up care for a client who sustained a compound
fracture 3 weeks ago. The nurse should recognize that an unexpected finding
for which of the following laboratory values is a manifestation of
osteomyelitis and should be reported to the provider?.
Answer: Sedimentation rateRational:An increased sedimentation rate occurs
when a client has any type of inflammatory process, such as osteomyelitis.
◍ A nurse is providing discharge instructions to a client following an upper
gastrointestinal series with barium contrast. Which of the following
information should the nurse provide?.
Answer: Increase fluid intakeRational:Increasing fluid intake will help to
, prevent constipation. Therefore, the nurse should instruct the client to
increase fluid intake to facilitate the elimination of the barium used during
the test.
◍ subdural hematoma.
Answer: collection of blood between brain and outer layer
◍ A nurse is assessing a client who has Grave's disease. Which of the
following images should indicate to the nurse that the client has
exophthalmos?.
Answer: Picture of a person with bulging eyesRational:The nurse should
identify an outward protrusion of the eyes as exophthalmos, a common
finding of Graves' disease. An overproduction of the thyroid hormone
causes edema of the extraocular muscle and increases fatty tissue behind the
eye, which results in the eyes protruding outward. Exophthalmos can cause
the client to experience problems with vision, including focusing on objects,
as well as pressure on the optic nerve.
◍ A nurse is caring for a client who has an arterial line. Which of the
following actions should the nurse take?.
Answer: Place a pressure bag around the flush solution.Rational:The nurse
should place a pressure bag around the flush solution of 0.9% sodium
chloride because the pressure from an artery is greater than that of the line.
◍ A nurse is caring for a client who has a potassium level of 3 mEq/
L. Which of the following assessment findings should the nurse expect?.
Answer: Hypoactive Bowel SoundsRational:Hypokalemia decreases smooth
muscle contraction in the gastrointestinal tract leading to decreased
peristalsis.
◍ A nurse is caring for a client who is 4 hr postoperative following an open
reduction internal fixation of the right ankle. Which of the following
assessment findings should the nurse report to the provider?.
Answer: Extremity cool upon palpationRational:The nurse should report
indicators of reduced circulation, such as pallor, cool temperature, or
paresthesia of the client's extremity. These findings can indicate that the
, client is at risk for developing acute compartment syndrome.
◍ A nurse is providing teaching for a female client who has recurrent urinary
tract infections. Which of the following information should the nurse
include in the teaching?.
Answer: Void before and after intercourse.Rational:The nurse should
instruct the client to empty her bladder before and after intercourse, which
flushes bacteria out of the urinary tract and prevents the occurrence of
infection.
◍ seattle longitudinal study.
Answer: systematically investigated age, cohort, and time of testing
◍ osteoarthritis.
Answer: wearing away of the cartilage and accumulation of bone spurs, pain
and stiffness
◍ A nurse is providing postoperative teaching for a client who had a total knee
arthroplasty. Which of the following instructions should the nurse include?.
Answer: Flex the foot every hour when awakeRational:The nurse should
instruct the client to flex the foot every hour to reduce the risk for
thromboembolism and promote venous return.
◍ A nurse is reviewing the ABG results of a client who has advanced COP
D. Which of the following results should the nurse expect?.
Answer: PaCO2 56 mm HgRational:A client who has COPD retains PaCO2
due to the weakening and the collapse of the alveolar sacs, which decreases
the area in the lungs for gas exchange and causes the PaCO2 to increase
above the expected reference range.
◍ A nurse is caring for a client who is postoperative.Client admitted to
medical-surgical unit from PAC
U. Client reports incisional pain as 2 on a scale of 0 to 10. Client appears
restless and frequently asks for water. Bilateral lower extremities cool with
+1 pedal pulses. Urine output is 40 mL for the past 2 hr. Moderate amount
of bright red drainage noted on surgical incision dressing..
QUESTIONS WITH ANSWERS GRADED A+
◍ A nurse is caring for a client who is receiving total parenteral nutrition
(TPN). A new bag is not available when the current infusion is nearly
completed. Which of the following actions should the nurse take?.
Answer: Administer dextrose 10% in water until the new bag
arrives.Rational:TPN solutions have a high concentration of dextrose.
Therefore, if a TPN solution is temporarily unavailable, the nurse should
administer dextrose 10% or 20% in water to avoid a precipitous drop in the
client's blood glucose level.
◍ A nurse in an emergency department is caring for a client who reports
vomiting and diarrhea for the past 3 days. Which of the following findings
should indicate to the nurse that the client is experiencing fluid volume
deficit?.
Answer: Heart rate 110/minRational:A client who has a 3-day history of
vomiting and diarrhea is likely to have fluid volume deficit and an elevated
heart rate.
◍ A nurse is caring for a client who is having a seizure. Which of the
following interventions is the nurse's priority?.
Answer: Turn the client to the side.Rational:The greatest risk to this client is
hypoxia from an impaired airway. Therefore, the priority intervention the
nurse should take is to place the client in a side-lying position to prevent
aspiration.
◍ A nurse is providing preoperative teaching for a client who is scheduled for
an open cholecystectomy. Which of the following actions should the nurse
take?.
Answer: Demonstrate ways to deep breathe and cough.Rational:The nurse
, should demonstrate deep breathing and coughing exercises and explain the
importance of splinting the incision to reduce the risk for respiratory
complications.
◍ cancer treatments.
Answer: radiation, surgery, chemotherapy, targeted drug therapies
◍ A nurse is planning care for a client who is postoperative following a
laparotomy and has a closed-suction drain. Which of the following actions
should the nurse take to manage the drain?.
Answer: Compress the drain reservoir after emptying.Rational:Compressing
the reservoir creates a vacuum that draws fluid out of the wound, through
the drain, and into the reservoir.
◍ A nurse is assessing a group of clients for indications of role changes. The
nurse should identify that which of the following clients is at risk for
experiencing a role change?.
Answer: A client who has multiple sclerosis and is experiencing progressive
difficulty ambulating.Rational:The nurse should identify that progression of
a neurologic disease such as multiple sclerosis can lead to a role change as
the client becomes less independent.
◍ mangament of uncertainty.
Answer: unpredictability
◍ A nurse is providing follow-up care for a client who sustained a compound
fracture 3 weeks ago. The nurse should recognize that an unexpected finding
for which of the following laboratory values is a manifestation of
osteomyelitis and should be reported to the provider?.
Answer: Sedimentation rateRational:An increased sedimentation rate occurs
when a client has any type of inflammatory process, such as osteomyelitis.
◍ A nurse is providing discharge instructions to a client following an upper
gastrointestinal series with barium contrast. Which of the following
information should the nurse provide?.
Answer: Increase fluid intakeRational:Increasing fluid intake will help to
, prevent constipation. Therefore, the nurse should instruct the client to
increase fluid intake to facilitate the elimination of the barium used during
the test.
◍ subdural hematoma.
Answer: collection of blood between brain and outer layer
◍ A nurse is assessing a client who has Grave's disease. Which of the
following images should indicate to the nurse that the client has
exophthalmos?.
Answer: Picture of a person with bulging eyesRational:The nurse should
identify an outward protrusion of the eyes as exophthalmos, a common
finding of Graves' disease. An overproduction of the thyroid hormone
causes edema of the extraocular muscle and increases fatty tissue behind the
eye, which results in the eyes protruding outward. Exophthalmos can cause
the client to experience problems with vision, including focusing on objects,
as well as pressure on the optic nerve.
◍ A nurse is caring for a client who has an arterial line. Which of the
following actions should the nurse take?.
Answer: Place a pressure bag around the flush solution.Rational:The nurse
should place a pressure bag around the flush solution of 0.9% sodium
chloride because the pressure from an artery is greater than that of the line.
◍ A nurse is caring for a client who has a potassium level of 3 mEq/
L. Which of the following assessment findings should the nurse expect?.
Answer: Hypoactive Bowel SoundsRational:Hypokalemia decreases smooth
muscle contraction in the gastrointestinal tract leading to decreased
peristalsis.
◍ A nurse is caring for a client who is 4 hr postoperative following an open
reduction internal fixation of the right ankle. Which of the following
assessment findings should the nurse report to the provider?.
Answer: Extremity cool upon palpationRational:The nurse should report
indicators of reduced circulation, such as pallor, cool temperature, or
paresthesia of the client's extremity. These findings can indicate that the
, client is at risk for developing acute compartment syndrome.
◍ A nurse is providing teaching for a female client who has recurrent urinary
tract infections. Which of the following information should the nurse
include in the teaching?.
Answer: Void before and after intercourse.Rational:The nurse should
instruct the client to empty her bladder before and after intercourse, which
flushes bacteria out of the urinary tract and prevents the occurrence of
infection.
◍ seattle longitudinal study.
Answer: systematically investigated age, cohort, and time of testing
◍ osteoarthritis.
Answer: wearing away of the cartilage and accumulation of bone spurs, pain
and stiffness
◍ A nurse is providing postoperative teaching for a client who had a total knee
arthroplasty. Which of the following instructions should the nurse include?.
Answer: Flex the foot every hour when awakeRational:The nurse should
instruct the client to flex the foot every hour to reduce the risk for
thromboembolism and promote venous return.
◍ A nurse is reviewing the ABG results of a client who has advanced COP
D. Which of the following results should the nurse expect?.
Answer: PaCO2 56 mm HgRational:A client who has COPD retains PaCO2
due to the weakening and the collapse of the alveolar sacs, which decreases
the area in the lungs for gas exchange and causes the PaCO2 to increase
above the expected reference range.
◍ A nurse is caring for a client who is postoperative.Client admitted to
medical-surgical unit from PAC
U. Client reports incisional pain as 2 on a scale of 0 to 10. Client appears
restless and frequently asks for water. Bilateral lower extremities cool with
+1 pedal pulses. Urine output is 40 mL for the past 2 hr. Moderate amount
of bright red drainage noted on surgical incision dressing..
