PNR206 (New 2025/ 2026 Update) Medical-
Surgical Nursing II Guide with Questions and
Verified Answers| 100% Correct| Grade A-
Fortis
A client's results for this morning's platelet count is 30,000/mm
3 . What action should the practical nurse (PN) implement first?
Institute bleeding precautions.
A client is admitted with a C4 spinal cord injury (SCI) after
falling from a roof at a construction site. After returning to the
unit for a CT scan to confirm the vertebral fracture, which
assessment by the practical nurse has the highest priority?
Check the respiratory effort and pulse oximeter reading.
A client with cholelithiasis is admitted with jaundice due to
obstruction of the common bile duct. Which finding is most
important for the practical nurse to report to the healthcare
provider?
Hard, rigid abdomen.
Which actions should the practical nurse implement for a client
whose fractured tibia is causing swelling of the lower leg?
Ice application and elevation.
,A male client with increased intracranial pressure (ICP) due to a
skull fracture is in the supine position with his legs elevated.
What should the practical nurse (PN) do first?
Raise the head 30 degrees and lower the feet.
A client with Parkinson's disease asks the practical nurse (PN) to
explain how this disease causes his muscles to malfunction.
Which underlying pathophysiology should the PN use as a basis
for the explanation?
Degeneration of the basal ganglia leads to a decrease in
dopamine levels.
We have an expert-written solution to this problem!
A client with newly diagnosed essential hypertension is learning
to cope with stressful situations in his life. Which activity should
the practical nurse (PN) implement to help the client learn
constructive coping?
Role play a situation the client identifies as stressful.
Which finding should the practical nurse (PN) identify as
typical for a client who is hypoxic?
Hemoglobin of 10 grams/dl
Which finding for a client with heart failure (HF) should the
practical nurse (PN) report to the charge nurse?
, Distended neck veins while upright.
The practical nurse (PN) is caring for a client with chronic
obstructive pulmonary disease (COPD). To reduce carbon
dioxide ( CO 2 ) retention in the lungs, which information
should the PN reinforce?
Use pursed-lip and abdominal breathing.
A male client who has been taking a four-drug regimen for
tuberculosis (TB) tells the practical nurse (PN) that he has
finished the first drug, isoniazid, and will start taking rifampin
next. How should the PN respond?
The four-drug protocol should be taken concurrently.
We have an expert-written solution to this problem!
The practical nurse (PN) is reviewing the health history of a
client with coronary artery disease (CAD). Which finding should
the PN identify that places the client at risk for stroke?
Atrial fibrillation.
We have an expert-written solution to this problem!
After receiving report, the practical nurse (PN) begins
assessment for a client with chronic obstructive pulmonary
Surgical Nursing II Guide with Questions and
Verified Answers| 100% Correct| Grade A-
Fortis
A client's results for this morning's platelet count is 30,000/mm
3 . What action should the practical nurse (PN) implement first?
Institute bleeding precautions.
A client is admitted with a C4 spinal cord injury (SCI) after
falling from a roof at a construction site. After returning to the
unit for a CT scan to confirm the vertebral fracture, which
assessment by the practical nurse has the highest priority?
Check the respiratory effort and pulse oximeter reading.
A client with cholelithiasis is admitted with jaundice due to
obstruction of the common bile duct. Which finding is most
important for the practical nurse to report to the healthcare
provider?
Hard, rigid abdomen.
Which actions should the practical nurse implement for a client
whose fractured tibia is causing swelling of the lower leg?
Ice application and elevation.
,A male client with increased intracranial pressure (ICP) due to a
skull fracture is in the supine position with his legs elevated.
What should the practical nurse (PN) do first?
Raise the head 30 degrees and lower the feet.
A client with Parkinson's disease asks the practical nurse (PN) to
explain how this disease causes his muscles to malfunction.
Which underlying pathophysiology should the PN use as a basis
for the explanation?
Degeneration of the basal ganglia leads to a decrease in
dopamine levels.
We have an expert-written solution to this problem!
A client with newly diagnosed essential hypertension is learning
to cope with stressful situations in his life. Which activity should
the practical nurse (PN) implement to help the client learn
constructive coping?
Role play a situation the client identifies as stressful.
Which finding should the practical nurse (PN) identify as
typical for a client who is hypoxic?
Hemoglobin of 10 grams/dl
Which finding for a client with heart failure (HF) should the
practical nurse (PN) report to the charge nurse?
, Distended neck veins while upright.
The practical nurse (PN) is caring for a client with chronic
obstructive pulmonary disease (COPD). To reduce carbon
dioxide ( CO 2 ) retention in the lungs, which information
should the PN reinforce?
Use pursed-lip and abdominal breathing.
A male client who has been taking a four-drug regimen for
tuberculosis (TB) tells the practical nurse (PN) that he has
finished the first drug, isoniazid, and will start taking rifampin
next. How should the PN respond?
The four-drug protocol should be taken concurrently.
We have an expert-written solution to this problem!
The practical nurse (PN) is reviewing the health history of a
client with coronary artery disease (CAD). Which finding should
the PN identify that places the client at risk for stroke?
Atrial fibrillation.
We have an expert-written solution to this problem!
After receiving report, the practical nurse (PN) begins
assessment for a client with chronic obstructive pulmonary
