Med Surg Exam 1-3 Practice Questions
with Accurate Answers
A home health nurse is assessing an older adult client who has decreased vision
due to a history of glaucoma. Which of the following findings should the nurse
identify as a safety risk?
A. Use of a microwave for cooking
B. Loose rugs are present in the kitchen
C. Handrails are present in the bathroom
D. Electrical cords are placed along the walls correct answer B
A new graduate RN is experiencing passive - aggressive behavior from a seasoned
registered nurse (RN) at work. The RN is telling untrue stories about the new
graduate that make them appear unable to perform their work. Which step would
the new nurse take first to address this problem?
A. Challenge the RN in a public forum to embarrass them and change their
behavior
B. Talk with the unit secretary to find out if this has been a problem with other
nurses
C. Say nothing and hope things get better
D. Talk with their preceptor or unit manager and ask for assistance in handling the
issue correct answer D
A patient asks about a new diagnostic test that the RN is not familiar with. What is
the best response by the RN?
A. "It is your doctor's responsibility to explain that procedure to you. Would you
like me to call the doctor?"
,B. "I don't know a lot about that procedure, but I will find out and bring you
information about it."
C. "I can't explain that now, but I'll get back to you later after all the morning
medications are administered."
D. "The technicians in the radiology department will explain the procedure to you
while you are down there getting the test." correct answer B
A patient had I131 treatment for hyperthyroidism. All of the following would be
important to include in the plan of care except?
A. Keep the patient in a private room with a lead shield.
B. Double flush all body fluids
C. Provide meals on disposable plates with plastic silverware
D. Encourage his family to visit correct answer D
A patient has a history of Addison's disease and is admitted to the unit with
Addison's crisis with symptoms of severe hypotension and unresponsiveness.
Which statement by the client's family would provide information to the nurse as
to the possible precipitating factors to the crisis?
A. The client increased his prescribed hydrocortisone medication several days ago
B. The client increased the sodium intake in his diet
C. The client has recently experienced several major stressors including an
infection and an accident
D. All of the above could have been precipitating factors to the client going into a
crisis correct answer C
A patient needs to learn how to administer a subcutaneous injection. Which of
the following most reflects patient readiness to learn?
,A. Patient expresses the importance of learning the skill correctly
B. Patient describing difficulties a family member has in taking insulin
C. Patient has the dexterity needed to prepare and inject the mediation
D. Patient can see and understand the markings on the syringe correct answer A
A patient with multiple sclerosis tells the nurse "I am worried that this condition
will make me too tired to do anything when I get home." Which response by the
nurse most appropriately supports the goal of maintaining patient independence?
A. "Maybe you can get a family member to help you out in the evening."
B. "Let's look at the things you do every day and figure out how to space the
activities throughout your day."
C. "You are going to have to learn to be happy with doing less and taking more
naps."
D. "You should go to the drug store to get some assistive devices." correct answer
B
A stage three pressure ulcer measures 4 inches wide and 2 inches deep. It has 35
% granulation tissue, 45% slough with eschar and circumferential undermining
and the edges are not well approximated. The nurse identifies that they doctor's
note says that the wound must heal from the inside, out. Wound care orders
include wet to dry dressing changes twice daily. Which of the following best
describes this wound?
A. An unstageable wound
B. Wound base filled with beefy red granulation tissue
C. In the inflammatory (first) phase of healing
D. Healing by secondary intention correct answer D
, After cataract surgery a client is taught to avoid strain on the operated eye. Which
of the following statements if made by the client would alert the nurse that
further teaching is needed? (Select all that apply)
A. "I cannot lie on my operated side."
B. "I will lay flat in bed with no pillows."
C. "I cannot lift more than 10 pounds."
D. "I need to take stool softeners."
E. "I can rub my eye for pain relief." correct answer B, E
An older adult is admitted to a long-term care facility. The nurse performs a
baseline assessment that includes neurologic and sensory function. What is the
purpose of this assessment?
A. Determine a baseline level of function
B. Show the family the reality of the patient's mental status
C. Determine rehabilitation potential
D. Gain information about their life history correct answer A
Patients with Acromegaly have multiple problems that can affect multiple systems
in the body and increase their risk for other disease processes and medical
problems. Which of the following is not a problem/disease process related to
Acromegaly?
A. COPD
B. Chewing difficulties
C. Diabetes
D. Hypertrophy of the heart correct answer A
with Accurate Answers
A home health nurse is assessing an older adult client who has decreased vision
due to a history of glaucoma. Which of the following findings should the nurse
identify as a safety risk?
A. Use of a microwave for cooking
B. Loose rugs are present in the kitchen
C. Handrails are present in the bathroom
D. Electrical cords are placed along the walls correct answer B
A new graduate RN is experiencing passive - aggressive behavior from a seasoned
registered nurse (RN) at work. The RN is telling untrue stories about the new
graduate that make them appear unable to perform their work. Which step would
the new nurse take first to address this problem?
A. Challenge the RN in a public forum to embarrass them and change their
behavior
B. Talk with the unit secretary to find out if this has been a problem with other
nurses
C. Say nothing and hope things get better
D. Talk with their preceptor or unit manager and ask for assistance in handling the
issue correct answer D
A patient asks about a new diagnostic test that the RN is not familiar with. What is
the best response by the RN?
A. "It is your doctor's responsibility to explain that procedure to you. Would you
like me to call the doctor?"
,B. "I don't know a lot about that procedure, but I will find out and bring you
information about it."
C. "I can't explain that now, but I'll get back to you later after all the morning
medications are administered."
D. "The technicians in the radiology department will explain the procedure to you
while you are down there getting the test." correct answer B
A patient had I131 treatment for hyperthyroidism. All of the following would be
important to include in the plan of care except?
A. Keep the patient in a private room with a lead shield.
B. Double flush all body fluids
C. Provide meals on disposable plates with plastic silverware
D. Encourage his family to visit correct answer D
A patient has a history of Addison's disease and is admitted to the unit with
Addison's crisis with symptoms of severe hypotension and unresponsiveness.
Which statement by the client's family would provide information to the nurse as
to the possible precipitating factors to the crisis?
A. The client increased his prescribed hydrocortisone medication several days ago
B. The client increased the sodium intake in his diet
C. The client has recently experienced several major stressors including an
infection and an accident
D. All of the above could have been precipitating factors to the client going into a
crisis correct answer C
A patient needs to learn how to administer a subcutaneous injection. Which of
the following most reflects patient readiness to learn?
,A. Patient expresses the importance of learning the skill correctly
B. Patient describing difficulties a family member has in taking insulin
C. Patient has the dexterity needed to prepare and inject the mediation
D. Patient can see and understand the markings on the syringe correct answer A
A patient with multiple sclerosis tells the nurse "I am worried that this condition
will make me too tired to do anything when I get home." Which response by the
nurse most appropriately supports the goal of maintaining patient independence?
A. "Maybe you can get a family member to help you out in the evening."
B. "Let's look at the things you do every day and figure out how to space the
activities throughout your day."
C. "You are going to have to learn to be happy with doing less and taking more
naps."
D. "You should go to the drug store to get some assistive devices." correct answer
B
A stage three pressure ulcer measures 4 inches wide and 2 inches deep. It has 35
% granulation tissue, 45% slough with eschar and circumferential undermining
and the edges are not well approximated. The nurse identifies that they doctor's
note says that the wound must heal from the inside, out. Wound care orders
include wet to dry dressing changes twice daily. Which of the following best
describes this wound?
A. An unstageable wound
B. Wound base filled with beefy red granulation tissue
C. In the inflammatory (first) phase of healing
D. Healing by secondary intention correct answer D
, After cataract surgery a client is taught to avoid strain on the operated eye. Which
of the following statements if made by the client would alert the nurse that
further teaching is needed? (Select all that apply)
A. "I cannot lie on my operated side."
B. "I will lay flat in bed with no pillows."
C. "I cannot lift more than 10 pounds."
D. "I need to take stool softeners."
E. "I can rub my eye for pain relief." correct answer B, E
An older adult is admitted to a long-term care facility. The nurse performs a
baseline assessment that includes neurologic and sensory function. What is the
purpose of this assessment?
A. Determine a baseline level of function
B. Show the family the reality of the patient's mental status
C. Determine rehabilitation potential
D. Gain information about their life history correct answer A
Patients with Acromegaly have multiple problems that can affect multiple systems
in the body and increase their risk for other disease processes and medical
problems. Which of the following is not a problem/disease process related to
Acromegaly?
A. COPD
B. Chewing difficulties
C. Diabetes
D. Hypertrophy of the heart correct answer A
