WGU C785 ADVANCED MED SURG ACTUAL EXAM WITH
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(100% VERIFIED ANSWERS) | ALREADY GRADED A+| ||
PROFESSOR VERIFIED|| ||BRANDNEW!!!|| 2026
COMPREHENSIVE 300-QUESTION ADVANCED PRACTICE BANK
ENDOCRINE & METABOLIC EMERGENCIES (DKA/HHS)
1. A nurse is caring for a client who has Diabetic Ketoacidosis (DKA). Which of the following
findings should indicate to the nurse that the client's condition is improving?
▪ Glucose 272 mg/dL
▪ pH 7.20
▪ Ketones 4+
▪ Bicarbonate 12 mEq/L
Correct Answer: Glucose 272 mg/dL
Detailed Rationale: Improvement in DKA is noted by a steady decrease in blood glucose levels (below 300
mg/dL) and the resolution of acidosis and ketosis.
INFECTIOUS DISEASE & TRANSMISSION PRECAUTIONS
2. A nurse is admitting a client who has active Tuberculosis (TB). Which of the following types of
transmission precautions should the nurse initiate?
▪ Contact
▪ Droplet
▪ Airborne
▪ Protective
Correct Answer: Airborne
Detailed Rationale: Active pulmonary TB requires airborne precautions, including a negative-pressure room
and the use of an N95 respirator mask.
GASTROINTESTINAL & NUTRITIONAL DISORDERS
3. A nurse is providing discharge teaching to a client with a new prescription for psyllium.
Which of the following instructions is a priority?
▪ Take the medication with a high-fat meal.
▪ Drink 240 mL (8 oz) of water after administration.
▪ Expect immediate results within 1 hour.
▪ Limit fluid intake for the rest of the day.
Correct Answer: Drink 240 mL (8 oz) of water after administration.
Detailed Rationale: Psyllium is a bulk-forming laxative; adequate fluid intake is necessary to prevent
esophageal or intestinal obstruction.
, CARDIOVASCULAR & PERIPHERAL VASCULAR HEALTH
4. A nurse is assessing a client for pernicious anemia following a gastrectomy. Which of the
following physical findings should the nurse expect?
▪ Koilonychia (spoon-shaped nails)
▪ Glossitis (smooth, beefy red tongue)
▪ Jaundice
▪ Petechiae
Correct Answer: Glossitis (smooth, beefy red tongue)
Detailed Rationale: Pernicious anemia, caused by a lack of intrinsic factor/Vitamin B12, often manifests with a
smooth, red, sore tongue known as glossitis.
POSTOPERATIVE CARE & SURGICAL COMPLICATIONS
5. A nurse is receiving a handoff report for a client who is postoperative following a repair of
Zenker's diverticulum. In which location should the nurse anticipate the surgical incision?
▪ Abdomen
▪ Chest
▪ Neck
▪ Lower back
Correct Answer: Neck
Detailed Rationale: Zenker's diverticulum occurs in the pharyngoesophageal area; therefore, the surgical
repair involves an incision in the neck area.
PHARMACOLOGY & PATIENT TEACHING
6. A nurse is planning a health promotional presentation for a group of African American clients.
Which disorder should the nurse identify as the greatest risk for this demographic?
▪ Skin cancer
▪ Hypertension
▪ Osteoporosis
▪ Celiac disease
Correct Answer: Hypertension
Detailed Rationale: African American clients have the highest prevalence and severity of hypertension, which
significantly increases the risk for stroke and heart disease.
ENDOCRINE & METABOLIC EMERGENCIES (DKA/HHS)
,7. A nurse is caring for a client who has Diabetic Ketoacidosis (DKA). Which of the following
findings should indicate to the nurse that the client's condition is improving?
▪ Glucose 272 mg/dL
▪ pH 7.20
▪ Ketones 4+
▪ Bicarbonate 12 mEq/L
Correct Answer: Glucose 272 mg/dL
Detailed Rationale: Improvement in DKA is noted by a steady decrease in blood glucose levels (below 300
mg/dL) and the resolution of acidosis and ketosis.
INFECTIOUS DISEASE & TRANSMISSION PRECAUTIONS
8. A nurse is admitting a client who has active Tuberculosis (TB). Which of the following types of
transmission precautions should the nurse initiate?
▪ Contact
▪ Droplet
▪ Airborne
▪ Protective
Correct Answer: Airborne
Detailed Rationale: Active pulmonary TB requires airborne precautions, including a negative-pressure room
and the use of an N95 respirator mask.
GASTROINTESTINAL & NUTRITIONAL DISORDERS
9. A nurse is providing discharge teaching to a client with a new prescription for psyllium.
Which of the following instructions is a priority?
▪ Take the medication with a high-fat meal.
▪ Drink 240 mL (8 oz) of water after administration.
▪ Expect immediate results within 1 hour.
▪ Limit fluid intake for the rest of the day.
Correct Answer: Drink 240 mL (8 oz) of water after administration.
Detailed Rationale: Psyllium is a bulk-forming laxative; adequate fluid intake is necessary to prevent
esophageal or intestinal obstruction.
CARDIOVASCULAR & PERIPHERAL VASCULAR HEALTH
, 10. A nurse is assessing a client for pernicious anemia following a gastrectomy. Which of the
following physical findings should the nurse expect?
▪ Koilonychia (spoon-shaped nails)
▪ Glossitis (smooth, beefy red tongue)
▪ Jaundice
▪ Petechiae
Correct Answer: Glossitis (smooth, beefy red tongue)
Detailed Rationale: Pernicious anemia, caused by a lack of intrinsic factor/Vitamin B12, often manifests with a
smooth, red, sore tongue known as glossitis.
POSTOPERATIVE CARE & SURGICAL COMPLICATIONS
11. A nurse is receiving a handoff report for a client who is postoperative following a repair of
Zenker's diverticulum. In which location should the nurse anticipate the surgical incision?
▪ Abdomen
▪ Chest
▪ Neck
▪ Lower back
Correct Answer: Neck
Detailed Rationale: Zenker's diverticulum occurs in the pharyngoesophageal area; therefore, the surgical
repair involves an incision in the neck area.
PHARMACOLOGY & PATIENT TEACHING
12. A nurse is planning a health promotional presentation for a group of African American
clients. Which disorder should the nurse identify as the greatest risk for this demographic?
▪ Skin cancer
▪ Hypertension
▪ Osteoporosis
▪ Celiac disease
Correct Answer: Hypertension
Detailed Rationale: African American clients have the highest prevalence and severity of hypertension, which
significantly increases the risk for stroke and heart disease.
ENDOCRINE & METABOLIC EMERGENCIES (DKA/HHS)
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(100% VERIFIED ANSWERS) | ALREADY GRADED A+| ||
PROFESSOR VERIFIED|| ||BRANDNEW!!!|| 2026
COMPREHENSIVE 300-QUESTION ADVANCED PRACTICE BANK
ENDOCRINE & METABOLIC EMERGENCIES (DKA/HHS)
1. A nurse is caring for a client who has Diabetic Ketoacidosis (DKA). Which of the following
findings should indicate to the nurse that the client's condition is improving?
▪ Glucose 272 mg/dL
▪ pH 7.20
▪ Ketones 4+
▪ Bicarbonate 12 mEq/L
Correct Answer: Glucose 272 mg/dL
Detailed Rationale: Improvement in DKA is noted by a steady decrease in blood glucose levels (below 300
mg/dL) and the resolution of acidosis and ketosis.
INFECTIOUS DISEASE & TRANSMISSION PRECAUTIONS
2. A nurse is admitting a client who has active Tuberculosis (TB). Which of the following types of
transmission precautions should the nurse initiate?
▪ Contact
▪ Droplet
▪ Airborne
▪ Protective
Correct Answer: Airborne
Detailed Rationale: Active pulmonary TB requires airborne precautions, including a negative-pressure room
and the use of an N95 respirator mask.
GASTROINTESTINAL & NUTRITIONAL DISORDERS
3. A nurse is providing discharge teaching to a client with a new prescription for psyllium.
Which of the following instructions is a priority?
▪ Take the medication with a high-fat meal.
▪ Drink 240 mL (8 oz) of water after administration.
▪ Expect immediate results within 1 hour.
▪ Limit fluid intake for the rest of the day.
Correct Answer: Drink 240 mL (8 oz) of water after administration.
Detailed Rationale: Psyllium is a bulk-forming laxative; adequate fluid intake is necessary to prevent
esophageal or intestinal obstruction.
, CARDIOVASCULAR & PERIPHERAL VASCULAR HEALTH
4. A nurse is assessing a client for pernicious anemia following a gastrectomy. Which of the
following physical findings should the nurse expect?
▪ Koilonychia (spoon-shaped nails)
▪ Glossitis (smooth, beefy red tongue)
▪ Jaundice
▪ Petechiae
Correct Answer: Glossitis (smooth, beefy red tongue)
Detailed Rationale: Pernicious anemia, caused by a lack of intrinsic factor/Vitamin B12, often manifests with a
smooth, red, sore tongue known as glossitis.
POSTOPERATIVE CARE & SURGICAL COMPLICATIONS
5. A nurse is receiving a handoff report for a client who is postoperative following a repair of
Zenker's diverticulum. In which location should the nurse anticipate the surgical incision?
▪ Abdomen
▪ Chest
▪ Neck
▪ Lower back
Correct Answer: Neck
Detailed Rationale: Zenker's diverticulum occurs in the pharyngoesophageal area; therefore, the surgical
repair involves an incision in the neck area.
PHARMACOLOGY & PATIENT TEACHING
6. A nurse is planning a health promotional presentation for a group of African American clients.
Which disorder should the nurse identify as the greatest risk for this demographic?
▪ Skin cancer
▪ Hypertension
▪ Osteoporosis
▪ Celiac disease
Correct Answer: Hypertension
Detailed Rationale: African American clients have the highest prevalence and severity of hypertension, which
significantly increases the risk for stroke and heart disease.
ENDOCRINE & METABOLIC EMERGENCIES (DKA/HHS)
,7. A nurse is caring for a client who has Diabetic Ketoacidosis (DKA). Which of the following
findings should indicate to the nurse that the client's condition is improving?
▪ Glucose 272 mg/dL
▪ pH 7.20
▪ Ketones 4+
▪ Bicarbonate 12 mEq/L
Correct Answer: Glucose 272 mg/dL
Detailed Rationale: Improvement in DKA is noted by a steady decrease in blood glucose levels (below 300
mg/dL) and the resolution of acidosis and ketosis.
INFECTIOUS DISEASE & TRANSMISSION PRECAUTIONS
8. A nurse is admitting a client who has active Tuberculosis (TB). Which of the following types of
transmission precautions should the nurse initiate?
▪ Contact
▪ Droplet
▪ Airborne
▪ Protective
Correct Answer: Airborne
Detailed Rationale: Active pulmonary TB requires airborne precautions, including a negative-pressure room
and the use of an N95 respirator mask.
GASTROINTESTINAL & NUTRITIONAL DISORDERS
9. A nurse is providing discharge teaching to a client with a new prescription for psyllium.
Which of the following instructions is a priority?
▪ Take the medication with a high-fat meal.
▪ Drink 240 mL (8 oz) of water after administration.
▪ Expect immediate results within 1 hour.
▪ Limit fluid intake for the rest of the day.
Correct Answer: Drink 240 mL (8 oz) of water after administration.
Detailed Rationale: Psyllium is a bulk-forming laxative; adequate fluid intake is necessary to prevent
esophageal or intestinal obstruction.
CARDIOVASCULAR & PERIPHERAL VASCULAR HEALTH
, 10. A nurse is assessing a client for pernicious anemia following a gastrectomy. Which of the
following physical findings should the nurse expect?
▪ Koilonychia (spoon-shaped nails)
▪ Glossitis (smooth, beefy red tongue)
▪ Jaundice
▪ Petechiae
Correct Answer: Glossitis (smooth, beefy red tongue)
Detailed Rationale: Pernicious anemia, caused by a lack of intrinsic factor/Vitamin B12, often manifests with a
smooth, red, sore tongue known as glossitis.
POSTOPERATIVE CARE & SURGICAL COMPLICATIONS
11. A nurse is receiving a handoff report for a client who is postoperative following a repair of
Zenker's diverticulum. In which location should the nurse anticipate the surgical incision?
▪ Abdomen
▪ Chest
▪ Neck
▪ Lower back
Correct Answer: Neck
Detailed Rationale: Zenker's diverticulum occurs in the pharyngoesophageal area; therefore, the surgical
repair involves an incision in the neck area.
PHARMACOLOGY & PATIENT TEACHING
12. A nurse is planning a health promotional presentation for a group of African American
clients. Which disorder should the nurse identify as the greatest risk for this demographic?
▪ Skin cancer
▪ Hypertension
▪ Osteoporosis
▪ Celiac disease
Correct Answer: Hypertension
Detailed Rationale: African American clients have the highest prevalence and severity of hypertension, which
significantly increases the risk for stroke and heart disease.
ENDOCRINE & METABOLIC EMERGENCIES (DKA/HHS)
