2022 PN Medical Surgical Practice Exam with Answers (45 Solved Questions)
- Practical Nurse Licensure
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- Shared May 2025
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1470 EXAM QUESTIONS AND ANSWERS FOR PN MEDICAL - SURGICAL ADULT MEDICAL SURGICAL 2022 100% CORRECT ANSWERED QUESTIONS WITH EXPLANATION 1. A nurse is reviewing the health record of a client who has pancreatitis. The physical exam report by the provider indicates the presence of cullens sign. Which of the following is an appropriate action by the nurse to identify this finding? A. Tap lightly at the costovertebral margin on the clients back. B. Palpate the clients Right lower quadrant C. Inspect the skin around the umbilicus D. Auscultate the area below the clients scapula - CORRECT ANSWER C. Inspect the skin around the umbilicus 2. A nurse is completing the admission assessment of a client who has acute pancreatitis. Which of the following findings is the priority to be reported to the provider?
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A. A history of cholelithiasis B. Serum amylase levels three times greater than the expected value C. Client report of severe pain radiating to the back that is rated at an "8" D. Hand spasms present when blood pressure is checked - CORRECT ANSWER D. Hand spasms present when blood pressure is checked "trouso's sign" 3. Which dietary modification is utilized for a patient diagnosed with acute pancreatitis? A. High - protein diet B. Elimination of Coffee C. Low carbohydrate diet D. High - fat diet - CORRECT ANSWER B. Elimination of Coffee 4. A nurse is providing care to a client who is 1 day post paracentesis. The nurse observes clear, pale - yellow fluid leaking from the puncture site. Which of the following is an appropriate nursing intervention? A. Place a clean towel near the drainage site B. Apply a dry, sterile dressing C. Attach an ostomy back D. Place the client in a supine position - CORRECT ANSWER B. Apply a dry, sterile dressing 5. The nurse notes that the clients total bilirubin is 1.0 mg/dl. Which action by the nurse is correct? A. Access the clients sclerae for evidence of jaundice B. Check the clients stool for presence of occult blood C. Record the results as normal D. Test the clients urine for blood.
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- CORRECT ANSWER C. Record the results as normal
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