PN ADULT MEDICAL SURGICAL ACTUAL
EXAM PAPER 2026 VERIFIED CLINICAL
SOLUTIONS HIGH PERFORMANCE RESULTS
◉ A nurse is assisting with the care for a client who has a
prescription for digoxin 0.25 mg PO daily. While taking the client's
apical pulse, the nurse notes a rate of 58/min. Which of the
following actions should the nurse take?
Answer: Withhold the dose.
◉ A nurse is collecting data from a 55-year-old female client who
reports vaginal dryness and hot flashes. The client is interested in
trying hormone replacement therapy (HRT). Which of the following
should the nurse recognize as a contraindication to HRT?
Answer: History of treatment for blood clots
◉ A nurse is reinforcing teaching with a client who has diabetes
mellitus and a new prescription for regular and NPH insulin. Which
of the following instructions on preparing the insulins should the
nurse include?
Answer: Withdraw the regular insulin before withdrawing the NPH
insulin.
,◉ A nurse is reinforcing teaching about glycosylated hemoglobin
(HbA1c) testing with a client who has diabetes mellitus. Which of
the following statements indicates that the client understands the
teaching?
Answer: "I will have my HbA1c checked twice per year."
◉ A nurse is assisting in the care of a client who is receiving a
continuous tube feeding of 60 mL/hr at 1.2 cal/mL. How many
calories will the client receive in 12 hr? (Round the answer to the
nearest whole number. Use a leading zero if it applies. Do not use a
trailing zero.)
Answer: 864 calories
◉ A nurse is assisting with the care for a client who is 2 hr
postoperative following the amputation of a foot. Which of the
following actions should the nurse take first?
Answer: Check the incisional dressing.
◉ A nurse in a health clinic is reinforcing teaching with a client
about tuberculosis (TB). Which of the following client statements
indicates an understanding of the teaching?
Answer: "I can develop TB by breathing in the infection."
, ◉ A nurse is preparing to assist a client out of bed 4 hr following a
laparoscopic cholecystectomy. Which of the following actions should
the nurse take first?
Answer: Obtain the client's blood pressure.
◉ A nurse is contributing to the plan of care for a client who has
Meniere's disease. Which of the following interventions should the
nurse include in the plan of care?
Answer: Administer an antiemetic to the client.
◉ A nurse is preparing to suction a client who has a tracheostomy.
Which of the following actions should the nurse take first?
Answer: Ventilate the client with 100% oxygen.
◉ A nurse is reinforcing teaching with a client who has chronic
kidney disease about disease management. Which of the following
statements by the client indicates an understanding of the teaching?
Answer: "I will limit my daily intake of protein."
◉ A nurse is reinforcing teaching with a client who has mitral valve
disease. Which of the following statements by the client indicates an
understanding of the disease process?
Answer: "I should call my doctor if my ankles swell."
EXAM PAPER 2026 VERIFIED CLINICAL
SOLUTIONS HIGH PERFORMANCE RESULTS
◉ A nurse is assisting with the care for a client who has a
prescription for digoxin 0.25 mg PO daily. While taking the client's
apical pulse, the nurse notes a rate of 58/min. Which of the
following actions should the nurse take?
Answer: Withhold the dose.
◉ A nurse is collecting data from a 55-year-old female client who
reports vaginal dryness and hot flashes. The client is interested in
trying hormone replacement therapy (HRT). Which of the following
should the nurse recognize as a contraindication to HRT?
Answer: History of treatment for blood clots
◉ A nurse is reinforcing teaching with a client who has diabetes
mellitus and a new prescription for regular and NPH insulin. Which
of the following instructions on preparing the insulins should the
nurse include?
Answer: Withdraw the regular insulin before withdrawing the NPH
insulin.
,◉ A nurse is reinforcing teaching about glycosylated hemoglobin
(HbA1c) testing with a client who has diabetes mellitus. Which of
the following statements indicates that the client understands the
teaching?
Answer: "I will have my HbA1c checked twice per year."
◉ A nurse is assisting in the care of a client who is receiving a
continuous tube feeding of 60 mL/hr at 1.2 cal/mL. How many
calories will the client receive in 12 hr? (Round the answer to the
nearest whole number. Use a leading zero if it applies. Do not use a
trailing zero.)
Answer: 864 calories
◉ A nurse is assisting with the care for a client who is 2 hr
postoperative following the amputation of a foot. Which of the
following actions should the nurse take first?
Answer: Check the incisional dressing.
◉ A nurse in a health clinic is reinforcing teaching with a client
about tuberculosis (TB). Which of the following client statements
indicates an understanding of the teaching?
Answer: "I can develop TB by breathing in the infection."
, ◉ A nurse is preparing to assist a client out of bed 4 hr following a
laparoscopic cholecystectomy. Which of the following actions should
the nurse take first?
Answer: Obtain the client's blood pressure.
◉ A nurse is contributing to the plan of care for a client who has
Meniere's disease. Which of the following interventions should the
nurse include in the plan of care?
Answer: Administer an antiemetic to the client.
◉ A nurse is preparing to suction a client who has a tracheostomy.
Which of the following actions should the nurse take first?
Answer: Ventilate the client with 100% oxygen.
◉ A nurse is reinforcing teaching with a client who has chronic
kidney disease about disease management. Which of the following
statements by the client indicates an understanding of the teaching?
Answer: "I will limit my daily intake of protein."
◉ A nurse is reinforcing teaching with a client who has mitral valve
disease. Which of the following statements by the client indicates an
understanding of the disease process?
Answer: "I should call my doctor if my ankles swell."
