NCLEX EXAM zm
Exam Solution zm
Medical Surgical Exam 2026 A+ GRADE ASSURED COM zm zm zm zm zm zm zm
PLETE SOLUTIONS AND VERIFIED ANSWERS (14613)
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QUESTION 1 zm
Which client should the practical nurse question a PRN prescription for sumatriptan (
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Imitrex) for migraine headaches?zm zm zm
ANSWER
C. 50-year-old with Prinzmetal's angina.
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QUESTION 2 zm
The practical nurse (PN) is reinforcing information to a older male client with a histo
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ry of coronary artery disease about his prescribed daily medication regimen. Which m
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edication is most likely to reduce the client's risk factors?
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ANSWER
D. A low-dose aspirin given daily.
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QUESTION 3 zm
An adult client with otitis media has thick, yellow drainage from the right ear canal.
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What additional findings should the practical nurse (PN) expect to identify?
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ANSWER
A. Pain relief after ear drainage begins.
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QUESTION 4 zm
The practical nurse is caring for a client who is admitted with signs of possible acute
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brain attack (Stroke) three hours ago. The client's blood pressure is 170/96, regular r
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adial pulse 76 beats/minute, respirations are nonlabored at 11 breaths/minute, and a
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Sp02 of 99%. What action is most important for the PN to implement?
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,ANSWER
C. Continue to monitor client's blood pressure.
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QUESTION 5 zm
A client who was hit in the head with a baseball is admitted to the hospital for observ
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ation. Which finding requires the practical nurse (PN) to follow-
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up with further assessment?
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ANSWER
D. Reports the hospital room is an office.
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QUESTION 6 zm
An older female client with osteoporosis asks the practical nurse (PN) to explain why
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she is now 2 inches shorter than when she was younger. What information is best for
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mthe practical nurse (PN) to provide?
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ANSWER
D. It is a combination of wear and tear and calcium loss that causes the change.
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QUESTION 7 zm
A practical nurse (PN) is coordinating the care of four clients on an oncology unit. Wh
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ich neutrophil count should the PN identify as a risk for a life-
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threatening infection in one of the clients? zm zm zm zm zm zm
ANSWER
A. 500/mm3.
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QUESTION 8 zm
An older client who has had a cataract in the right eye for several years tells the prac
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tical nurse (PN), "Now I have lost the sight in my right eye because I waited too long f
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or treatment." What information should the PN provide?
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ANSWER
C. Surgery can restore vision with corrective lens implants or glasses.
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QUESTION 9 zm
, The practical nurse (PN) is visiting a male client with diabetes who has a new cast on
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his arm. The client's fingers are pale, cool, slightly swollen, and the radial pulse is str
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ong. What should the PN do first?
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ANSWER
D. Elevate the arm above the level of the heart.
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QUESTION 10 zm
A client with epilepsy is having bilateral rhythmic jerking movements of all extremitie
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s. After calling for help, which action should the practical nurse (PN) do next?
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ANSWER
1. Maintain the client's airway 2. Apply pads to the bedside rails. 3. Avoid stimulation during post-
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ictal phase. 4. Observe the client for incontinence.
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QUESTION 11 zm
The practical nurse (PN) should place a client in which position for a thoracentesis?
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ANSWER
B. Sitting upright in a tripod position leaning on an overbed table.
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QUESTION 12 zm
Which action should the practical nurse take when handling a sample of cerebrospina
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l fluid (CSF) collected for diagnostic testing from a client?
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ANSWER
A. Implement standard precautions with the CSF specimen.
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QUESTION 13 zm
Which instruction should the practical nurse (PN) reinforce with a female client about
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skin care after her first radiotherapy treatment?
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ANSWER
C. Avoid using ice packs on the exposed area.
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QUESTION 14 zm
Exam Solution zm
Medical Surgical Exam 2026 A+ GRADE ASSURED COM zm zm zm zm zm zm zm
PLETE SOLUTIONS AND VERIFIED ANSWERS (14613)
zm zm zm zm zm
QUESTION 1 zm
Which client should the practical nurse question a PRN prescription for sumatriptan (
zm zm zm zm zm zm zm zm zm zm zm zm
Imitrex) for migraine headaches?zm zm zm
ANSWER
C. 50-year-old with Prinzmetal's angina.
zm zm zm zm
QUESTION 2 zm
The practical nurse (PN) is reinforcing information to a older male client with a histo
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ry of coronary artery disease about his prescribed daily medication regimen. Which m
zm zm zm zm zm zm zm zm zm zm zm zm
edication is most likely to reduce the client's risk factors?
zm zm zm zm zm zm zm zm zm
ANSWER
D. A low-dose aspirin given daily.
zm zm zm zm zm
QUESTION 3 zm
An adult client with otitis media has thick, yellow drainage from the right ear canal.
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
What additional findings should the practical nurse (PN) expect to identify?
zm zm zm zm zm zm zm zm zm zm
ANSWER
A. Pain relief after ear drainage begins.
zm zm zm zm zm zm
QUESTION 4 zm
The practical nurse is caring for a client who is admitted with signs of possible acute
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
brain attack (Stroke) three hours ago. The client's blood pressure is 170/96, regular r
zm zm zm zm zm zm zm zm zm zm zm zm zm
adial pulse 76 beats/minute, respirations are nonlabored at 11 breaths/minute, and a
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Sp02 of 99%. What action is most important for the PN to implement?
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,ANSWER
C. Continue to monitor client's blood pressure.
zm zm zm zm zm zm
QUESTION 5 zm
A client who was hit in the head with a baseball is admitted to the hospital for observ
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ation. Which finding requires the practical nurse (PN) to follow-
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up with further assessment?
zm zm zm
ANSWER
D. Reports the hospital room is an office.
zm zm zm zm zm zm zm
QUESTION 6 zm
An older female client with osteoporosis asks the practical nurse (PN) to explain why
zm zm zm zm zm zm zm zm zm zm zm zm zm zm
she is now 2 inches shorter than when she was younger. What information is best for
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm z
mthe practical nurse (PN) to provide?
zm zm zm zm zm
ANSWER
D. It is a combination of wear and tear and calcium loss that causes the change.
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
QUESTION 7 zm
A practical nurse (PN) is coordinating the care of four clients on an oncology unit. Wh
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ich neutrophil count should the PN identify as a risk for a life-
zm zm zm zm zm zm zm zm zm zm zm zm
threatening infection in one of the clients? zm zm zm zm zm zm
ANSWER
A. 500/mm3.
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QUESTION 8 zm
An older client who has had a cataract in the right eye for several years tells the prac
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
tical nurse (PN), "Now I have lost the sight in my right eye because I waited too long f
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
or treatment." What information should the PN provide?
zm zm zm zm zm zm zm
ANSWER
C. Surgery can restore vision with corrective lens implants or glasses.
zm zm zm zm zm zm zm zm zm zm
QUESTION 9 zm
, The practical nurse (PN) is visiting a male client with diabetes who has a new cast on
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm z
his arm. The client's fingers are pale, cool, slightly swollen, and the radial pulse is str
m zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ong. What should the PN do first?
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ANSWER
D. Elevate the arm above the level of the heart.
zm zm zm zm zm zm zm zm zm
QUESTION 10 zm
A client with epilepsy is having bilateral rhythmic jerking movements of all extremitie
zm zm zm zm zm zm zm zm zm zm zm zm
s. After calling for help, which action should the practical nurse (PN) do next?
zm zm zm zm zm zm zm zm zm zm zm zm zm
ANSWER
1. Maintain the client's airway 2. Apply pads to the bedside rails. 3. Avoid stimulation during post-
zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm zm
ictal phase. 4. Observe the client for incontinence.
zm zm zm zm zm zm zm
QUESTION 11 zm
The practical nurse (PN) should place a client in which position for a thoracentesis?
zm zm zm zm zm zm zm zm zm zm zm zm zm
ANSWER
B. Sitting upright in a tripod position leaning on an overbed table.
zm zm zm zm zm zm zm zm zm zm zm
QUESTION 12 zm
Which action should the practical nurse take when handling a sample of cerebrospina
zm zm zm zm zm zm zm zm zm zm zm zm
l fluid (CSF) collected for diagnostic testing from a client?
zm zm zm zm zm zm zm zm zm
ANSWER
A. Implement standard precautions with the CSF specimen.
zm zm zm zm zm zm zm
QUESTION 13 zm
Which instruction should the practical nurse (PN) reinforce with a female client about
zm zm zm zm zm zm zm zm zm zm zm zm z
skin care after her first radiotherapy treatment?
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ANSWER
C. Avoid using ice packs on the exposed area.
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QUESTION 14 zm
