RN ADULT MEDICAL SURGICAL
ONLINE PRACTICE 2026 A NGN
NEWEST QUESTIONS AND ANSWERS
NGN
1000:
Client is alert and oriented and reports not feeling well for
a few days. Client is on continuous ambulatory peritoneal
dialysis (CAPD) and reports dialysate appeared cloudy
this morning.
Reports abdominal pain as 4 on a scale of 0 to 10.
Bowel sounds active in all quadrants.
Peritoneal dialysis access site red, warm to touch, with a
small amount of purulent drainage noted on
dressing.1300:
Client is lying in bed with the knees flexed, guarding the
abdomen. Abdomen is slightly distended, hypoactive
bowel sounds. Client reports nausea. Reports pain as 6 on
a scale of 0 to 10. Provider notified and updated with client
condition and diagnostic results. Correct Answer The
client is experiencing manifestations of
peritonitis
due to
x-ray results
.
NGN
Client admitted to medical-surgical unit from PACU. Client
reports incisional pain as 2 on a scale of 0 to 10. Client
,appears restless and frequently asks for water. Bilateral
lower extremities cool with +1 pedal pulses. Urine output is
40 mL for the past 2 hr. Moderate amount of bright red
drainage noted on surgical incision dressing. Correct
Answer Insert a large-gauge IV.
Initiate a fluid challenge.
Hypovolemia
Urine output
Blood pressure
A nurse is caring for a client who has a potassium level of
3 mEq/L. Which of the following assessment findings
should the nurse expect? Correct Answer Hypoactive
Bowel Sounds
NGN
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. Correct Answer The
client is experiencing manifestations of
pancreatitis
as evidenced by the
amylase and lipase
.
0530:
Client is awake and alert.
Arteriovenous fistula (AVF) to right forearm with thrill
palpated and auscultated for bruit. Lung sounds clear
upon auscultation; client denies shortness of breath. No
peripheral edema noted; capillary refill is less than 3
seconds; +2 bilateral pedal and radial pulses.
AVF access prepared and cannulated twice with no
difficulty. Lines are taped and secured; treatment is
initiated.0600:
Client is reading a book. Access is visible, and lines are
secure. Client reports no discomfort or pain.0630:
Client reports feeling warm, nauseated, and lightheaded;
appears restless and slightly confused. Correct Answer
Perform a 12-lead ECG is not indicated.
Place the client in Trendelenburg position is indicated.
Administer a 0.9% sodium chloride 200 mL IV bolus is
indicated.
Apply oxygen at 2 L/min via nasal cannula is indicated
Notify the provider immediately is indicated
ONLINE PRACTICE 2026 A NGN
NEWEST QUESTIONS AND ANSWERS
NGN
1000:
Client is alert and oriented and reports not feeling well for
a few days. Client is on continuous ambulatory peritoneal
dialysis (CAPD) and reports dialysate appeared cloudy
this morning.
Reports abdominal pain as 4 on a scale of 0 to 10.
Bowel sounds active in all quadrants.
Peritoneal dialysis access site red, warm to touch, with a
small amount of purulent drainage noted on
dressing.1300:
Client is lying in bed with the knees flexed, guarding the
abdomen. Abdomen is slightly distended, hypoactive
bowel sounds. Client reports nausea. Reports pain as 6 on
a scale of 0 to 10. Provider notified and updated with client
condition and diagnostic results. Correct Answer The
client is experiencing manifestations of
peritonitis
due to
x-ray results
.
NGN
Client admitted to medical-surgical unit from PACU. Client
reports incisional pain as 2 on a scale of 0 to 10. Client
,appears restless and frequently asks for water. Bilateral
lower extremities cool with +1 pedal pulses. Urine output is
40 mL for the past 2 hr. Moderate amount of bright red
drainage noted on surgical incision dressing. Correct
Answer Insert a large-gauge IV.
Initiate a fluid challenge.
Hypovolemia
Urine output
Blood pressure
A nurse is caring for a client who has a potassium level of
3 mEq/L. Which of the following assessment findings
should the nurse expect? Correct Answer Hypoactive
Bowel Sounds
NGN
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. Correct Answer The
client is experiencing manifestations of
pancreatitis
as evidenced by the
amylase and lipase
.
0530:
Client is awake and alert.
Arteriovenous fistula (AVF) to right forearm with thrill
palpated and auscultated for bruit. Lung sounds clear
upon auscultation; client denies shortness of breath. No
peripheral edema noted; capillary refill is less than 3
seconds; +2 bilateral pedal and radial pulses.
AVF access prepared and cannulated twice with no
difficulty. Lines are taped and secured; treatment is
initiated.0600:
Client is reading a book. Access is visible, and lines are
secure. Client reports no discomfort or pain.0630:
Client reports feeling warm, nauseated, and lightheaded;
appears restless and slightly confused. Correct Answer
Perform a 12-lead ECG is not indicated.
Place the client in Trendelenburg position is indicated.
Administer a 0.9% sodium chloride 200 mL IV bolus is
indicated.
Apply oxygen at 2 L/min via nasal cannula is indicated
Notify the provider immediately is indicated
