RN ADULT MEDICAL SURGICAL
ONLINE PRACTICE 2026 NURSING
TEST PAPER QUESTIONS ANSWERS
GRADED A+
◉ A nurse is caring for a client who was just admitted from the
emergency department (ED).
Nurses' Notes
0945:
Client is experiencing a sickle cell crisis. Client states that they began
experiencing pain in the lower extremities 3 days ago and is now
experiencing pain in the chest, rating it as 4 on scale of 0 to 10.
Oxygen at 3 L/min via nasal cannula in place.
Oral mucosa pink, no cyanosis.
Pulses palpable in all four extremities, no peripheral edema noted.
Respirations even and slightly labored; lung sounds with slight wheezing
in left upper lobe.
Abdomen soft and nontender, bowel sounds active in all four quadrants.
0.45% sodium chloride IV at 200 mL/hr infusing to left hand with no
reports of pain or swelling at the site.
Drag words from the choices below to fill in each blank in the following
sentence.
Answer: Fluid volume overload is incorrect. While the client is
experiencing an increased respiratory rate and shortness of breath, fluid
volume overload typically includes moist crackles on auscultation,
,pitting edema in dependent areas, neck vein distension, and
hypertension.
Right-sided heart failure is incorrect. While clients who have sickle-cell
disease are at risk for developing heart failure, the client does not have
manifestations of right-sided heart failure. Right-sided heart failure
typically presents with signs of fluid volume overload, which includes
jugular vein distention, dependent edema, and blood pressure alterations.
Acute chest syndrome is correct. The client is most likely experiencing
acute chest syndrome, which can be caused by respiratory infections and
debris from sickled cells. The client is displaying manifestations of acute
chest syndrome, which include cough, shortness of breath, wheezing,
tachypnea, fever, and chest pain.
Pneumonia is correct. The client is most likely experiencing pneumonia
as evidenced by the manifestations of cough, shortness of breath, fever,
tachypnea, blood-tinged sputum, and chest pain.
Pneumothorax is incorrect. While the client is experiencing increased
respiratory distress, a pneumothorax typically presents with reduced or
absent breath sounds and unequal chest expansion.
◉ A nurse is caring for a client.
Nurses' Notes
1200:
Client was admitted to the unit with shortness of breath, a nonproductive
cough, chest discomfort, and myalgia. Prefers orthopneic position.
Client reports that manifestations began about 2 days ago.
For each assessment finding, click to specify if the finding is consistent
with emphysema, asthma, or pneumonia. Each finding may support
more than 1 disease process.
,Answer: Temperature is consistent with pneumonia. Fever is a
manifestation of pneumonia and is related to inflammation or infection.
Breath sounds are consistent with emphysema, asthma, and pneumonia.
The client's wheezing is a manifestation of emphysema, asthma, and
pneumonia. It is the result of narrowed airways and alveoli.
ABG results are consistent with emphysema and pneumonia. The client's
ABG results indicate respiratory acidosis, which is a manifestation of
emphysema and pneumonia.
Respiratory rate is consistent with emphysema, asthma, and pneumonia.
The client's respiratory rate is a manifestation of emphysema, asthma,
and pneumonia.
Heart rate is consistent with emphysema and pneumonia. The client is
experiencing tachycardia, which is a manifestation of emphysema and
pneumonia.
Cough is consistent with emphysema, asthma, and pneumonia. The
client's cough is a manifestation of emphysema, asthma, and pneumonia.
◉ A nurse is caring for a client who is scheduled for a right knee
arthroplasty.
Nurses' Notes
0600:
Client is admitted for surgery this a.m. Vital signs recorded. Consents
reviewed. Client reports understanding of surgery and has no further
questions for provider.
The nurse provided preoperative teaching to the client. Which of the
following statements by the client indicates an understanding of the
teaching?
, Select all that apply.
Answer: "Well, I guess there's no changing my mind about having
surgery now" is incorrect. The nurse and the client reviewed the
consents; therefore, the nurse has instructed the client that they have the
right to refuse surgery at any time.
"I will need to do the breathing exercises every 1 to 2 hours after the
surgery" is correct. The client should cough and deep breathe and use
the incentive spirometer every 1 to 2 hr to reduce the risk of
postoperative complications, such as pneumonia.
"I will be sure to ask for pain medication before my knee starts to hurt
too bad" is correct. For optimal control of postoperative pain, the client
should request analgesic medication before the pain becomes severe.
"My physical therapy will start after I leave the hospital" is incorrect.
Early ambulation leads to improved postoperative outcomes and reduces
the risk of complications of immobility, such as pneumonia and
atelectasis. The client should be informed that physical therapy will
begin the day of, or the day following, surgery.
"I will probably be going home with a walker" is correct. It can take 6
weeks for complete recovery from knee arthroplasty. Clients are often
discharged with the use of a walker and will advance to a cane or crutch
4 to 6 weeks following surgery.
◉ A nurse is providing teaching to a client who has a severe form of
stage II Lyme disease. Which of the following statements made by the
client reflects and understanding of the teaching?
Answer: My joints ache because I have Lyme disease."
ONLINE PRACTICE 2026 NURSING
TEST PAPER QUESTIONS ANSWERS
GRADED A+
◉ A nurse is caring for a client who was just admitted from the
emergency department (ED).
Nurses' Notes
0945:
Client is experiencing a sickle cell crisis. Client states that they began
experiencing pain in the lower extremities 3 days ago and is now
experiencing pain in the chest, rating it as 4 on scale of 0 to 10.
Oxygen at 3 L/min via nasal cannula in place.
Oral mucosa pink, no cyanosis.
Pulses palpable in all four extremities, no peripheral edema noted.
Respirations even and slightly labored; lung sounds with slight wheezing
in left upper lobe.
Abdomen soft and nontender, bowel sounds active in all four quadrants.
0.45% sodium chloride IV at 200 mL/hr infusing to left hand with no
reports of pain or swelling at the site.
Drag words from the choices below to fill in each blank in the following
sentence.
Answer: Fluid volume overload is incorrect. While the client is
experiencing an increased respiratory rate and shortness of breath, fluid
volume overload typically includes moist crackles on auscultation,
,pitting edema in dependent areas, neck vein distension, and
hypertension.
Right-sided heart failure is incorrect. While clients who have sickle-cell
disease are at risk for developing heart failure, the client does not have
manifestations of right-sided heart failure. Right-sided heart failure
typically presents with signs of fluid volume overload, which includes
jugular vein distention, dependent edema, and blood pressure alterations.
Acute chest syndrome is correct. The client is most likely experiencing
acute chest syndrome, which can be caused by respiratory infections and
debris from sickled cells. The client is displaying manifestations of acute
chest syndrome, which include cough, shortness of breath, wheezing,
tachypnea, fever, and chest pain.
Pneumonia is correct. The client is most likely experiencing pneumonia
as evidenced by the manifestations of cough, shortness of breath, fever,
tachypnea, blood-tinged sputum, and chest pain.
Pneumothorax is incorrect. While the client is experiencing increased
respiratory distress, a pneumothorax typically presents with reduced or
absent breath sounds and unequal chest expansion.
◉ A nurse is caring for a client.
Nurses' Notes
1200:
Client was admitted to the unit with shortness of breath, a nonproductive
cough, chest discomfort, and myalgia. Prefers orthopneic position.
Client reports that manifestations began about 2 days ago.
For each assessment finding, click to specify if the finding is consistent
with emphysema, asthma, or pneumonia. Each finding may support
more than 1 disease process.
,Answer: Temperature is consistent with pneumonia. Fever is a
manifestation of pneumonia and is related to inflammation or infection.
Breath sounds are consistent with emphysema, asthma, and pneumonia.
The client's wheezing is a manifestation of emphysema, asthma, and
pneumonia. It is the result of narrowed airways and alveoli.
ABG results are consistent with emphysema and pneumonia. The client's
ABG results indicate respiratory acidosis, which is a manifestation of
emphysema and pneumonia.
Respiratory rate is consistent with emphysema, asthma, and pneumonia.
The client's respiratory rate is a manifestation of emphysema, asthma,
and pneumonia.
Heart rate is consistent with emphysema and pneumonia. The client is
experiencing tachycardia, which is a manifestation of emphysema and
pneumonia.
Cough is consistent with emphysema, asthma, and pneumonia. The
client's cough is a manifestation of emphysema, asthma, and pneumonia.
◉ A nurse is caring for a client who is scheduled for a right knee
arthroplasty.
Nurses' Notes
0600:
Client is admitted for surgery this a.m. Vital signs recorded. Consents
reviewed. Client reports understanding of surgery and has no further
questions for provider.
The nurse provided preoperative teaching to the client. Which of the
following statements by the client indicates an understanding of the
teaching?
, Select all that apply.
Answer: "Well, I guess there's no changing my mind about having
surgery now" is incorrect. The nurse and the client reviewed the
consents; therefore, the nurse has instructed the client that they have the
right to refuse surgery at any time.
"I will need to do the breathing exercises every 1 to 2 hours after the
surgery" is correct. The client should cough and deep breathe and use
the incentive spirometer every 1 to 2 hr to reduce the risk of
postoperative complications, such as pneumonia.
"I will be sure to ask for pain medication before my knee starts to hurt
too bad" is correct. For optimal control of postoperative pain, the client
should request analgesic medication before the pain becomes severe.
"My physical therapy will start after I leave the hospital" is incorrect.
Early ambulation leads to improved postoperative outcomes and reduces
the risk of complications of immobility, such as pneumonia and
atelectasis. The client should be informed that physical therapy will
begin the day of, or the day following, surgery.
"I will probably be going home with a walker" is correct. It can take 6
weeks for complete recovery from knee arthroplasty. Clients are often
discharged with the use of a walker and will advance to a cane or crutch
4 to 6 weeks following surgery.
◉ A nurse is providing teaching to a client who has a severe form of
stage II Lyme disease. Which of the following statements made by the
client reflects and understanding of the teaching?
Answer: My joints ache because I have Lyme disease."
