RN ADULT MEDICAL SURGICAL
ONLINE PRACTICE 2026 NGN FINAL
PAPER PRACTICE QUESTIONS
ANSWERS ACCURATE A+
◉ 2000:
Client reports pain as 3 on a scale of 0 to 10. Breath sounds clear and
present throughout. Three abdominal bandages to abdomen, dry and
intact with no drainage noted. Client voided 90 mL of clear-yellow urine
into bedpan. Perineal pad with small amount of blood, no clots; perineal
pad changed at this time.
2400:
Client sleeping, arouses to verbal stimuli. Reports pain as 2 on a scale of
0 to 10 with repositioning. Client voided 125 mL of blood-tinged urine
into bedpan. Perineal pad saturated with blood, large clots present.
Click to highlight the findings the nurse should report to the provider
immediately.
- Client sleeping, arouses to verbal stimuli
- Respiratory rate 14/min
- Oxygen saturation 95% on room air, breath sounds clear
- Reports pain as 2 on scale of 0 to 10
- Perineal pad saturated with blood, large clots present
- Change of blood pressure, heart rate of 102/min
Answer: - Perineal pad saturated with blood, large clots present
,- Change of blood pressure, heart rate of 102/min
◉ 0900:
Client presents with abdominal pain in the upper left quadrant for the
past 2 days. States pain became worse this morning and is radiating to
the back. Rates pain as 8 on a scale of 0 to 10.
Hypoactive bowel sounds; reports nausea, no vomiting; client is passing
flatus.
Febrile, oriented to person, place, and time.
Tachypnea with diminished breath sounds.
Sinus tachycardia.
Client voids 300 mL of clear, amber urine.
0930:
Client vomited 100 mL brown liquid.
Drag 1 condition and 1 client finding to fill in each blank in the
following sentence.
The client is experiencing manifestations of Condition as evidenced by
the Client Finding.
Condition:
- a cerebral vascular accident (CVA)
- cardiogenic shock
- paralytic ileus
, - adult respiratory distress syndrome
- pancreatitis
Client finding:
- blood pressure
- amylase and lipase
-oxygen saturation
- platelets levels
- urine output
Answer: Condition:
- pancreatitis
Client findings:
- amylase and lipase
◉ History and Physical
Client admitted to the medical-surgical unit with severe, acute
abdominal pain, abdominal distention, diarrhea, mucus and small
amount of blood in the stool, and a 12% weight loss over the past 2
months.
Client's weight 2 months ago was 100.3 kg (221.1 lb). Client has a
history of Crohn's disease and a seizure disorder that is managed with
diet and medication.
Respirations are equal and unlabored. S1S2 heart tones auscultated.
Abdominal assessment performed with muscle guarding and tenderness
ONLINE PRACTICE 2026 NGN FINAL
PAPER PRACTICE QUESTIONS
ANSWERS ACCURATE A+
◉ 2000:
Client reports pain as 3 on a scale of 0 to 10. Breath sounds clear and
present throughout. Three abdominal bandages to abdomen, dry and
intact with no drainage noted. Client voided 90 mL of clear-yellow urine
into bedpan. Perineal pad with small amount of blood, no clots; perineal
pad changed at this time.
2400:
Client sleeping, arouses to verbal stimuli. Reports pain as 2 on a scale of
0 to 10 with repositioning. Client voided 125 mL of blood-tinged urine
into bedpan. Perineal pad saturated with blood, large clots present.
Click to highlight the findings the nurse should report to the provider
immediately.
- Client sleeping, arouses to verbal stimuli
- Respiratory rate 14/min
- Oxygen saturation 95% on room air, breath sounds clear
- Reports pain as 2 on scale of 0 to 10
- Perineal pad saturated with blood, large clots present
- Change of blood pressure, heart rate of 102/min
Answer: - Perineal pad saturated with blood, large clots present
,- Change of blood pressure, heart rate of 102/min
◉ 0900:
Client presents with abdominal pain in the upper left quadrant for the
past 2 days. States pain became worse this morning and is radiating to
the back. Rates pain as 8 on a scale of 0 to 10.
Hypoactive bowel sounds; reports nausea, no vomiting; client is passing
flatus.
Febrile, oriented to person, place, and time.
Tachypnea with diminished breath sounds.
Sinus tachycardia.
Client voids 300 mL of clear, amber urine.
0930:
Client vomited 100 mL brown liquid.
Drag 1 condition and 1 client finding to fill in each blank in the
following sentence.
The client is experiencing manifestations of Condition as evidenced by
the Client Finding.
Condition:
- a cerebral vascular accident (CVA)
- cardiogenic shock
- paralytic ileus
, - adult respiratory distress syndrome
- pancreatitis
Client finding:
- blood pressure
- amylase and lipase
-oxygen saturation
- platelets levels
- urine output
Answer: Condition:
- pancreatitis
Client findings:
- amylase and lipase
◉ History and Physical
Client admitted to the medical-surgical unit with severe, acute
abdominal pain, abdominal distention, diarrhea, mucus and small
amount of blood in the stool, and a 12% weight loss over the past 2
months.
Client's weight 2 months ago was 100.3 kg (221.1 lb). Client has a
history of Crohn's disease and a seizure disorder that is managed with
diet and medication.
Respirations are equal and unlabored. S1S2 heart tones auscultated.
Abdominal assessment performed with muscle guarding and tenderness
