Questions nd Correct Answers With Rationales.
Medical-Surgical Nursing – Online Study Course
Module 1: Foundations of Medical-Surgical Nursing
1. What is the primary role of a medical-surgical nurse?
A. Perform surgeries independently
B. Provide comprehensive care to adult patients with acute and chronic illnesses
C. Administer only medications
D. Conduct research exclusively
Correct Answer: B
Rationale:
Medical-surgical nurses provide holistic care for adults with medical and surgical conditions,
including assessment, monitoring, and education.
2. Which nursing intervention is critical for infection prevention?
A. Hand hygiene before and after patient contact
B. Wearing gloves only during surgery
C. Using sterile technique only for IV insertion
D. Avoiding patient contact
Correct Answer: A
Rationale:
Hand hygiene is the single most effective way to prevent healthcare-associated infections.
3. Which vital sign change may indicate early shock?
A. BP 120/80, HR 80
B. BP 90/60, HR 110
C. BP 140/90, HR 70
D. BP 110/70, HR 72
Correct Answer: B
Rationale:
Hypotension and tachycardia are early signs of shock and require prompt intervention.
, 4. Which lab value requires immediate nursing attention?
A. Sodium 140 mEq/L
B. Potassium 6.2 mEq/L
C. Glucose 100 mg/dL
D. Hemoglobin 13 g/dL
Correct Answer: B
Rationale:
Hyperkalemia >5.5 mEq/L can cause life-threatening cardiac arrhythmias.
5. Which intervention is priority for a patient with hypoxia?
A. Administer IV fluids
B. Apply supplemental oxygen and assess respiratory status
C. Monitor urine output
D. Provide analgesics
Correct Answer: B
Rationale:
Oxygen administration and assessment are critical to prevent tissue hypoxia.
6. Which action helps prevent pressure injuries in immobile patients?
A. Reposition every 2 hours
B. Keep patient in bed continuously
C. Apply heat only
D. Restrict fluids
Correct Answer: A
Rationale:
Frequent repositioning and skin assessment prevent pressure injuries.
7. A patient on multiple medications reports dizziness and palpitations. What should the nurse do
first?
A. Document the symptoms
B. Assess vital signs and cardiac rhythm
C. Increase fluid intake
D. Call dietary services
Correct Answer: B
Rationale:
Assessing vital signs and cardiac status identifies possible medication side effects or arrhythmias.