(Med-Surg) Proctored Exam 2026 Level 3 with
NGN 100 Questions and 100% Verified Answers
to Pass Actual PN Med-Surg Exam Guaranteed
First-Time Pass
A nurse is caring for a client who is taking lithium and reports persistent nausea
and vomiting for 2 days. Which of the following laboratory values should the nurse
report to the provider?
a) Potassium 4.0 mEq/L
b) Lithium 0.9 mEq/L
c) BUN 12 mg/dL
d) Sodium 132 mEq/L - -ANSWER=---D. Sodium 132 mEq/L
Rationale:
,The nurse should identify that a sodium level of 132 mEq/L is not within the
expected reference range of 136 to 145 mEq/L. This finding indicates
hyponatremia, which can lead to lithium accumulation and places the client at risk
for lithium toxicity. The nurse should report this finding to the provider.
A nurse is caring for a client who has cancer and has a WBC count of 4,000/mm3.
Which of the following
actions should the nurse take?
a) Cleanse the client's toothbrush with hydrogen peroxide.
b) Instruct the client to use a disposable razor to shave.
c) Decrease the client's protein intake.
d) Encourage the client to eat unpasteurized dairy products. - -ANSWER=---A.
Cleanse the client's toothbrush with hydrogen peroxide.
Rationale:
,A WBC count of 4,000/mm3 is considered low and is known as leukopenia. A low
WBC count can be caused by cancer or cancer treatment. The nurse should instruct
the client to cleanse their toothbrush with hydrogen peroxide. People with
leukemia or leukopenia should avoid using disposable razors, which can cause cuts
and bleeding that can lead to infections. Instead, they recommend using an electric
razor to reduce the risk of injury. Encouraging the client to eat unpasteurized dairy
products is not recommended as they can contain harmful bacteria that can cause
infections. Decreasing the client's protein intake is not recommended as protein is
important for wound healing and immune function
TEST
A nurse enters a client's room and sees smoke coming from the bathroom. Which
of the following actions should the nurse take first?
a) Activate the fire alarm system.
b) Use a fire extinguisher at the source of the
smoke.
c) Assist the client to a nearby common area.
d) Close the doors to the room and to the
bathroom. - -ANSWER=---C. Assist the client to a nearby common area.
Rationale:
, use
Rescue
Alarm
Contain
Extinguish
TEST
A nurse is contributing to the plan of care for a client who reports difficulty eating
due to chronic arthritis. Which of the following interventions should the nurse
include in the plan?
a) Apply foam handles to the client's eating utensils.