RN Adult Medical Surgical Online Practice
2026 B Questions with Correct Answers &
Detailed Answers | Full Coverage of All
Competencies | 2026 Latest Version
Graded A+
A nurse is caring for a client who presents to a clinic for a 1-
week follow-up visit after hospitalization for heart failure.
Based on the information in the client's chart, which of the
following findings should the nurse report to the provider?
(Click on the "Exhibit" button for additional information about
the client. There are three tabs that contain separate
categories of data.)
Heart rate 55/min
Rational:
The client's heart rate of 55/min is a decrease from the client's
baseline of 74/min, and it can indicate the development of
,digoxin toxicity. The nurse should report this finding to the
provider.
A nurse is teaching a client about the use of transcutaneous
electrical nerve stimulation (TENS) for the management of
bone cancer pain. Thenurse should explain that applying a
TENS unit to the painful area has which of the following
effects?
A tingling sensation replacing the pain
Rational:
A TENS unit applies small electric currents to the painful area,
with the client increasing the current until the "pins and
needles" sensation overrides the pain.
A nurse in an ICU is assessing a client who has a traumatic
brain injury. Which of the following findings should the nurse
identify as a componentof Cushing's triad?
Bradycardia
Rational:
A client who has increased intracranial pressure from a
traumatic brain injury can develop bradycardia, which is one
component of Cushing's triad. The other components of
Cushing's triad are severe hypertension and a widened pulse
pressure.
,A nurse is teaching a family about the care of a parent who
has a new diagnosis of Alzheimer's disease. Which of the
following information shouldthe nurse include in the
teaching?
Create complete outfits and allow the client to select one each
day.
Rational:
The family should place completed outfits on hangers and allow
the client to select which one to wear each day.
A nurse is planning care for a client who has extensive burn
injuries and is immunocompromised. Which of the following
precautions should thenurse include in the plan of care to
prevent a Pseudomonas aeruginosa infection?
Avoid placing plants or flowers in the client's room.
Rational:
Live plants can harbor P. aeruginosa, and this bacterium can
infect burn wounds and cause life-threatening complications.
The nurse should ensure no one brings live plants or flowers
into the client's room.
A nurse is providing teaching to a client who has irritable
bowel syndrome (IBS). Which of the following instructions
should the nurse include in the teaching?
Increase fiber intake to at least 30 g per day.
, Rational:
Dietary fiber helps produce bulky, soft stools and establish
regular bowel patterns.
A nurse is assessing a client who has diabetes insipidus. Which
of the following findings should the nurse expect?
Low urine specific gravity
Rational:
An expected finding for a client who has diabetes insipidus is a
urine specific gravity between 1.001 and 1.005. Decreased
water reabsorption by the renal tubules is caused by an
alteration in antidiuretic hormone release or the kidneys'
responsiveness to the hormone.
A nurse is caring for a client who has a new prescription for
total parenteral nutrition (TPN). The client is to receive 2,000
kcal per day. The TPN solution has 500 kcal/L. The IV pump
should be set at how many mL/hr? (Round the answer to the
nearest whole number. Use a leading zero if it applies. Do not
use a trailing zero.)
167 mL/hr
Rational:
mL/hr =
4000/24 = 166.6 = 167
2026 B Questions with Correct Answers &
Detailed Answers | Full Coverage of All
Competencies | 2026 Latest Version
Graded A+
A nurse is caring for a client who presents to a clinic for a 1-
week follow-up visit after hospitalization for heart failure.
Based on the information in the client's chart, which of the
following findings should the nurse report to the provider?
(Click on the "Exhibit" button for additional information about
the client. There are three tabs that contain separate
categories of data.)
Heart rate 55/min
Rational:
The client's heart rate of 55/min is a decrease from the client's
baseline of 74/min, and it can indicate the development of
,digoxin toxicity. The nurse should report this finding to the
provider.
A nurse is teaching a client about the use of transcutaneous
electrical nerve stimulation (TENS) for the management of
bone cancer pain. Thenurse should explain that applying a
TENS unit to the painful area has which of the following
effects?
A tingling sensation replacing the pain
Rational:
A TENS unit applies small electric currents to the painful area,
with the client increasing the current until the "pins and
needles" sensation overrides the pain.
A nurse in an ICU is assessing a client who has a traumatic
brain injury. Which of the following findings should the nurse
identify as a componentof Cushing's triad?
Bradycardia
Rational:
A client who has increased intracranial pressure from a
traumatic brain injury can develop bradycardia, which is one
component of Cushing's triad. The other components of
Cushing's triad are severe hypertension and a widened pulse
pressure.
,A nurse is teaching a family about the care of a parent who
has a new diagnosis of Alzheimer's disease. Which of the
following information shouldthe nurse include in the
teaching?
Create complete outfits and allow the client to select one each
day.
Rational:
The family should place completed outfits on hangers and allow
the client to select which one to wear each day.
A nurse is planning care for a client who has extensive burn
injuries and is immunocompromised. Which of the following
precautions should thenurse include in the plan of care to
prevent a Pseudomonas aeruginosa infection?
Avoid placing plants or flowers in the client's room.
Rational:
Live plants can harbor P. aeruginosa, and this bacterium can
infect burn wounds and cause life-threatening complications.
The nurse should ensure no one brings live plants or flowers
into the client's room.
A nurse is providing teaching to a client who has irritable
bowel syndrome (IBS). Which of the following instructions
should the nurse include in the teaching?
Increase fiber intake to at least 30 g per day.
, Rational:
Dietary fiber helps produce bulky, soft stools and establish
regular bowel patterns.
A nurse is assessing a client who has diabetes insipidus. Which
of the following findings should the nurse expect?
Low urine specific gravity
Rational:
An expected finding for a client who has diabetes insipidus is a
urine specific gravity between 1.001 and 1.005. Decreased
water reabsorption by the renal tubules is caused by an
alteration in antidiuretic hormone release or the kidneys'
responsiveness to the hormone.
A nurse is caring for a client who has a new prescription for
total parenteral nutrition (TPN). The client is to receive 2,000
kcal per day. The TPN solution has 500 kcal/L. The IV pump
should be set at how many mL/hr? (Round the answer to the
nearest whole number. Use a leading zero if it applies. Do not
use a trailing zero.)
167 mL/hr
Rational:
mL/hr =
4000/24 = 166.6 = 167
