STUDY GUIDE 2026 ADULT HEALTH AND
MEDICAL SURGICAL NURSING PRINCIPLES
◉ a nurse is teaching a pt who has a new diagnosis of MS about
visual changes she might experience as the disease progresses, what
would she include?
Answer: double vision
◉ a nurse is teaching a pt who has asthma about using a peak flow
meter, when a yellow zone meter reading appears, the nurse should
instruct the pt to take which of the following actions
Answer: take prescribed relief meds
◉ a nurse is assessing a pt who has Addison's disease, what
manifestation would indicate they are experiencing the crisis
Answer: hypotension
(aldosterone deficit)
◉ a nurse is caring for pt who has acute gastritis and is NPO, the pt
has a new prescription to resume oral intake, what item should the
nurse offer the pt
,Answer: gelatin
◉ a nurse is providing education to a pt who is scheduled for a
barium swallow, what statement indicates understanding of the
teaching?
Answer: i will remove my metal jewelry before coming in
◉ a nurse is caring for pt who is undergoing a liver biopsy, what
instruction should the nurse provide to the pt following the
procedure
Answer: lie on your right side
◉ a nurse is teaching a pt who has a hiatal hernia about dietary
selections to maintain lower esophageal sphincter (LES) pressure,
what choice by the pt indicates understanding
Answer: cheddar cheese
(avoid fried, fatty, peppermint, caffeine, tomatoes, citrus fruits, and
alcohol)
◉ a nurse is reviewing the lab results of a pt who has unstable
angina and has been receiving heparin via continuous IV infusion for
the past 5 days, what lab values should the nurse identify as an
indication that the pt has developed HIT
, Answer: platelets 90,000
◉ a nurse is teaching a pt who has a new diagnosis of polycystic
kidney disease, what statement should the nurse include in the
teaching
Answer: apply dry heat to your abdomen when needed
◉ a nurse is obtaining the health history of a young adult male
client, what information should indicate to the nurse that the pt is at
high risk for developing testicular cancer
Answer: undescended right testis
◉ a nurse is instructing a pt's caregiver on how to position the client
before administering tube feedings in the home, which
demonstrates understanding?
Answer: i will sit him up in bed
◉ a triage nurse finds a school-age child lying in the road following a
school bus crash with multiple causalities, the child has a
respiratory rate of 10/min, strong distal pulses, and groans to
painful stimuli, what action should the nurse take
Answer: place an emergent category on the child's upper body and
yell for help