MEDICAL SURGICAL NURSING 7TH
EDITION 2026 PRACTICE TEST QUESTIONS
AND SOLUTIONS GRADED A+
⩥ D. A low-dose aspirin given daily.
Answer: The practical nurse (PN) is reinforcing information to a older
male client with a history of coronary artery disease about his prescribed
daily medication regimen. Which medication is most likely to reduce the
client's risk factors?
⩥ A. Pain relief after ear drainage begins.
Answer: An adult client with otitis media has thick, yellow drainage
from the right ear canal. What additional findings should the practical
nurse (PN) expect to identify?
⩥ C. Continue to monitor client's blood pressure.
Answer: The practical nurse is caring for a client who is admitted with
signs of possible acute brain attack (Stroke) three hours ago. The client's
blood pressure is 170/96, regular radial pulse 76 beats/minute,
respirations are nonlabored at 11 breaths/minute, and a Sp02 of 99%.
What action is most important for the PN to implement?
⩥ D. Reports the hospital room is an office.
,Answer: A client who was hit in the head with a baseball is admitted to
the hospital for observation. Which finding requires the practical nurse
(PN) to follow-up with further assessment?
⩥ D. It is a combination of wear and tear and calcium loss that causes
the change.
Answer: An older female client with osteoporosis asks the practical
nurse (PN) to explain why she is now 2 inches shorter than when she
was younger. What information is best for the practical nurse (PN) to
provide?
⩥ A. 500/mm3.
Answer: A practical nurse (PN) is coordinating the care of four clients
on an oncology unit. Which neutrophil count should the PN identify as a
risk for a life-threatening infection in one of the clients?
⩥ C. Surgery can restore vision with corrective lens implants or glasses.
Answer: An older client who has had a cataract in the right eye for
several years tells the practical nurse (PN), "Now I have lost the sight in
my right eye because I waited too long for treatment." What information
should the PN provide?
⩥ D. Elevate the arm above the level of the heart.
Answer: The practical nurse (PN) is visiting a male client with diabetes
who has a new cast on his arm. The client's fingers are pale, cool,
, slightly swollen, and the radial pulse is strong. What should the PN do
first?
⩥ 1. Maintain the client's airway
2. Apply pads to the bedside rails.
3. Avoid stimulation during post-ictal phase.
4. Observe the client for incontinence.
Answer: A client with epilepsy is having bilateral rhythmic jerking
movements of all extremities. After calling for help, which action should
the practical nurse (PN) do next?
⩥ B. Sitting upright in a tripod position leaning on an overbed table.
Answer: The practical nurse (PN) should place a client in which position
for a thoracentesis?
⩥ A. Implement standard precautions with the CSF specimen.
Answer: Which action should the practical nurse take when handling a
sample of cerebrospinal fluid (CSF) collected for diagnostic testing from
a client?
⩥ C. Avoid using ice packs on the exposed area.
Answer: Which instruction should the practical nurse (PN) reinforce
with a female client about skin care after her first radiotherapy
treatment?
EDITION 2026 PRACTICE TEST QUESTIONS
AND SOLUTIONS GRADED A+
⩥ D. A low-dose aspirin given daily.
Answer: The practical nurse (PN) is reinforcing information to a older
male client with a history of coronary artery disease about his prescribed
daily medication regimen. Which medication is most likely to reduce the
client's risk factors?
⩥ A. Pain relief after ear drainage begins.
Answer: An adult client with otitis media has thick, yellow drainage
from the right ear canal. What additional findings should the practical
nurse (PN) expect to identify?
⩥ C. Continue to monitor client's blood pressure.
Answer: The practical nurse is caring for a client who is admitted with
signs of possible acute brain attack (Stroke) three hours ago. The client's
blood pressure is 170/96, regular radial pulse 76 beats/minute,
respirations are nonlabored at 11 breaths/minute, and a Sp02 of 99%.
What action is most important for the PN to implement?
⩥ D. Reports the hospital room is an office.
,Answer: A client who was hit in the head with a baseball is admitted to
the hospital for observation. Which finding requires the practical nurse
(PN) to follow-up with further assessment?
⩥ D. It is a combination of wear and tear and calcium loss that causes
the change.
Answer: An older female client with osteoporosis asks the practical
nurse (PN) to explain why she is now 2 inches shorter than when she
was younger. What information is best for the practical nurse (PN) to
provide?
⩥ A. 500/mm3.
Answer: A practical nurse (PN) is coordinating the care of four clients
on an oncology unit. Which neutrophil count should the PN identify as a
risk for a life-threatening infection in one of the clients?
⩥ C. Surgery can restore vision with corrective lens implants or glasses.
Answer: An older client who has had a cataract in the right eye for
several years tells the practical nurse (PN), "Now I have lost the sight in
my right eye because I waited too long for treatment." What information
should the PN provide?
⩥ D. Elevate the arm above the level of the heart.
Answer: The practical nurse (PN) is visiting a male client with diabetes
who has a new cast on his arm. The client's fingers are pale, cool,
, slightly swollen, and the radial pulse is strong. What should the PN do
first?
⩥ 1. Maintain the client's airway
2. Apply pads to the bedside rails.
3. Avoid stimulation during post-ictal phase.
4. Observe the client for incontinence.
Answer: A client with epilepsy is having bilateral rhythmic jerking
movements of all extremities. After calling for help, which action should
the practical nurse (PN) do next?
⩥ B. Sitting upright in a tripod position leaning on an overbed table.
Answer: The practical nurse (PN) should place a client in which position
for a thoracentesis?
⩥ A. Implement standard precautions with the CSF specimen.
Answer: Which action should the practical nurse take when handling a
sample of cerebrospinal fluid (CSF) collected for diagnostic testing from
a client?
⩥ C. Avoid using ice packs on the exposed area.
Answer: Which instruction should the practical nurse (PN) reinforce
with a female client about skin care after her first radiotherapy
treatment?
