Solution Manual
Medical-Surgical Nursing Comprehensive Assessment
NGN-Aligned Questions with Verified Answers
Q1: A patient presents with sudden shortness of breath and wheezing.
What is the nurse’s priority action?
A) Administer prescribed bronchodilator and monitor oxygen saturation
B) Encourage oral fluids only
C) Provide deep breathing exercises
D) Schedule pulmonary testing
Answer: A
Q2: A patient with type 2 diabetes reports confusion, sweating, and
tremors. What is the first action?
A) Check blood glucose and provide fast-acting carbohydrate if hypoglycemic
B) Administer insulin
C) Encourage rest
D) Schedule routine labs
Answer: A
Q3: A patient presents with chest pain radiating to the jaw and left arm.
What is priority?
A) Obtain ECG and notify provider immediately
B) Provide antacids
C) Encourage ambulation
D) Wait for labs
Answer: A
,Q4: A patient reports dizziness and syncope after taking antihypertensive
medication. What is the nurse’s first action?
A) Assess orthostatic vital signs
B) Ignore symptoms
C) Administer additional antihypertensive
D) Schedule labs
Answer: A
Q5: A patient presents with abdominal pain and vomiting. Which
assessment is priority?
A) Assess vital signs, hydration status, and perform abdominal exam
B) Administer antiemetics only
C) Schedule dietitian consult
D) Wait for labs
Answer: A
Q6: A patient has sudden weakness and slurred speech. What is priority?
A) Perform rapid neurologic assessment and activate stroke protocol
B) Schedule outpatient follow-up
C) Provide fluids only
D) Monitor diet
Answer: A
Q7: A patient presents with fever, productive cough, and shortness of
breath. What is priority?
A) Obtain sputum culture and start prescribed antibiotics
B) Encourage fluids only
C) Administer antipyretics only
D) Schedule labs
Answer: A
, Q8: Which is an early sign of hypoxia in adults?
A) Restlessness, tachypnea, and cyanosis
B) Bradycardia only
C) Calm and pink appearance
D) Normal vital signs
Answer: A
Q9: A patient presents with hypotension and tachycardia. What is the first
action?
A) Assess perfusion, vital signs, and fluid status
B) Administer vasopressors immediately
C) Provide oral fluids only
D) Wait for labs
Answer: A
Q10: A patient presents with confusion, fever, and hypotension. Which is
priority?
A) Assess vital signs, neurologic status, and initiate sepsis protocol
B) Provide fluids only
C) Schedule routine labs
D) Observe
Answer: A
Q11: Which lab finding indicates risk for kidney injury?
A) Elevated creatinine
B) Low hemoglobin only
C) High glucose only
D) Normal electrolytes
Answer: A
Medical-Surgical Nursing Comprehensive Assessment
NGN-Aligned Questions with Verified Answers
Q1: A patient presents with sudden shortness of breath and wheezing.
What is the nurse’s priority action?
A) Administer prescribed bronchodilator and monitor oxygen saturation
B) Encourage oral fluids only
C) Provide deep breathing exercises
D) Schedule pulmonary testing
Answer: A
Q2: A patient with type 2 diabetes reports confusion, sweating, and
tremors. What is the first action?
A) Check blood glucose and provide fast-acting carbohydrate if hypoglycemic
B) Administer insulin
C) Encourage rest
D) Schedule routine labs
Answer: A
Q3: A patient presents with chest pain radiating to the jaw and left arm.
What is priority?
A) Obtain ECG and notify provider immediately
B) Provide antacids
C) Encourage ambulation
D) Wait for labs
Answer: A
,Q4: A patient reports dizziness and syncope after taking antihypertensive
medication. What is the nurse’s first action?
A) Assess orthostatic vital signs
B) Ignore symptoms
C) Administer additional antihypertensive
D) Schedule labs
Answer: A
Q5: A patient presents with abdominal pain and vomiting. Which
assessment is priority?
A) Assess vital signs, hydration status, and perform abdominal exam
B) Administer antiemetics only
C) Schedule dietitian consult
D) Wait for labs
Answer: A
Q6: A patient has sudden weakness and slurred speech. What is priority?
A) Perform rapid neurologic assessment and activate stroke protocol
B) Schedule outpatient follow-up
C) Provide fluids only
D) Monitor diet
Answer: A
Q7: A patient presents with fever, productive cough, and shortness of
breath. What is priority?
A) Obtain sputum culture and start prescribed antibiotics
B) Encourage fluids only
C) Administer antipyretics only
D) Schedule labs
Answer: A
, Q8: Which is an early sign of hypoxia in adults?
A) Restlessness, tachypnea, and cyanosis
B) Bradycardia only
C) Calm and pink appearance
D) Normal vital signs
Answer: A
Q9: A patient presents with hypotension and tachycardia. What is the first
action?
A) Assess perfusion, vital signs, and fluid status
B) Administer vasopressors immediately
C) Provide oral fluids only
D) Wait for labs
Answer: A
Q10: A patient presents with confusion, fever, and hypotension. Which is
priority?
A) Assess vital signs, neurologic status, and initiate sepsis protocol
B) Provide fluids only
C) Schedule routine labs
D) Observe
Answer: A
Q11: Which lab finding indicates risk for kidney injury?
A) Elevated creatinine
B) Low hemoglobin only
C) High glucose only
D) Normal electrolytes
Answer: A
