Med Surg 1 Final Exam Questions with Answers Graded A+
the nurse is caring for a client with multiple sclerosis who
describes burning pain in both feet. which type of pain
would the nurse suspect?
Neuropathic pain
a. Somatic pain
b. Neuropathic pain
c. Acute pain
d. Procedural pain
the nurse is caring for a client who is unable to self-report
pain. which statement would the nurse make to the client's
family regarding pain management?
a. "If the client is resting, it is a good indicator that pain is
managed." "I will use a behavioral pain scale regularly since the client
b. "Behavioral assessment tools for pain correspond with is unable to self-report pain."
self-report of pain."
c. "The behavioral assessment score is very low, so intense
pain is unlikely."
d. "I will use a behavioral pain scale regularly since the
client is unable to self-report pain."
the nurse has received orders for patient-controlled anal-
gesia for four clients. which order requires the nurse to
contact the provider?
a. A 47-year-old client with endometriosis immediately A 56-year-old client with early-onset dementia 1 hour
following total abdominal hysterectomy post-total hip arthroplasty
b. A 56-year-old client with early-onset dementia 1 hour
post-total hip arthroplasty
c. A 29-year-old client with diabetes 6 hours postappen-
dectomy following rupture
,Med Surg 1 Final Exam Questions with Answers Graded A+
d. A 60-year-old client with colon cancer who is 12 hours
post-colon resection
the nurse is caring for a client who is experiencing my-
ocardial infarction and reports intense pain in the jaw
area and pressure in the chest wall. How would the nurse
document the client's pain?
a. The client describes localized pain in the jaw area and
The client describes referred pain in the jaw and reports
reports pressure in the chest wall.
localized pressure in the chest wall.
b. The client describes referred pain in the jaw and reports
localized pressure in the chest wall.
c. The client describes projected pain from the chest wall
into the jaw area.
d. The client describes radiating pain in the jaw and re-
ferred pressure in the chest wall.
a client was admitted 72 hours ago and has a 22-gauge
short peripheral intravenous catheter (short PIVC) in the
right forearm. the client has not received any IV medica-
tions in the last 12 hours. which of the following nursing
actions is appropriate (select all that apply)? - Flush the short PIVC with normal saline.
- Assess the site for redness, swelling, pain.
a. Change the location of the short PIVC. - Assess the need for continued short PIVC placement.
b. Flush the short PIVC with normal saline.
c. Assess the site for redness, swelling, pain.
d. Assess the need for continued short PIVC placement.
e. Change the dressing covering the short PIVC.
the health care provider has ordered a 500-mL bolus of
Ringer's lactate to infuse over 1 hour followed by a loading
dose of IV vancomycin. which site and gauge would the 20 gauge in the forearm
nurse select for short PIVC placement?
,Med Surg 1 Final Exam Questions with Answers Graded A+
a. 24 gauge in the wrist
b. 18 gauge in the antecubital fossa
c. 20 gauge in the forearm
d. 22 gauge in the hand
the nurse is caring for a client on Friday. The client had a
short peripheral intravenous catheter (short PIVC) insert-
ed earlier in the week on Tuesday. which action would the
nurse take?
Assess the PIVC insertion site.
a. Replace the short PIVC.
b. Assess the PIVC insertion site.
c. Discontinue the short PIVC.
d. Convert the short PIVC to a saline lock.
the nurse is caring for a 44-year-old client who requires
IV fluid replacement. the nurse has one unsuccessful at-
tempt when inserting a short peripheral IV catheter. what
action would the nurse take next?
Attempt insertion a second time
a. Consult the IV therapy team.
b. Ask a colleague to attempt.
c. Attempt insertion a second time.
d. Notify the provider of limited IV access.
the nurse is caring for an older adult who reports, "I don't
really want to drink water." which instruction would the
nurse provide?
"Your body is at least 50% water, so it is very important to
a. "Insensible water loss rarely occurs in older adults."
drink fluids."
b. "As long as you are making urine, the risk of dehydration
is low."
c. "Your body is at least 50% water, so it is very important
to drink fluids."
, Med Surg 1 Final Exam Questions with Answers Graded A+
d. "It's important to drink enough fluid to produce at least
200 mL of urine daily."
the nurse is caring for an 82-year-old client with de-
hydration who requests to walk to the bathroom. which
nursing assessment is the priority to determine safety with
ambulation?
Orthostatic blood pressure
a. Skin turgor over the sternal area
b. Orthostatic blood pressure
c. Review of recent potassium level
d. Oral mucous membranes
the nurse is caring for a client with dehydration. which
assessment finding indicates improvement in hydration
status?
Neck vein distention in the supine position
a. Equal handgrip strength
b. Negative Trousseau sign
c. Urine output of 100 mL in the last 7 hours
d. Neck vein distention in the supine position
which client would the nurse assess most frequently for
signs and symptoms of hypokalemia?
a. 72-year-old taking the diuretic spironolactone for hy-
pertension
22-year-old receiving an IV infusion of regular insulin to
b. 62-year-old receiving an IV solution of Ringer's lactate
at 200 mL/hr manage ketoacidosis
c. 42-year-old trauma victim receiving a third infusion of
packed red blood cells in 12 hours
d. 22-year-old receiving an IV infusion of regular insulin
to manage ketoacidosis
the nurse is caring for a client with multiple sclerosis who
describes burning pain in both feet. which type of pain
would the nurse suspect?
Neuropathic pain
a. Somatic pain
b. Neuropathic pain
c. Acute pain
d. Procedural pain
the nurse is caring for a client who is unable to self-report
pain. which statement would the nurse make to the client's
family regarding pain management?
a. "If the client is resting, it is a good indicator that pain is
managed." "I will use a behavioral pain scale regularly since the client
b. "Behavioral assessment tools for pain correspond with is unable to self-report pain."
self-report of pain."
c. "The behavioral assessment score is very low, so intense
pain is unlikely."
d. "I will use a behavioral pain scale regularly since the
client is unable to self-report pain."
the nurse has received orders for patient-controlled anal-
gesia for four clients. which order requires the nurse to
contact the provider?
a. A 47-year-old client with endometriosis immediately A 56-year-old client with early-onset dementia 1 hour
following total abdominal hysterectomy post-total hip arthroplasty
b. A 56-year-old client with early-onset dementia 1 hour
post-total hip arthroplasty
c. A 29-year-old client with diabetes 6 hours postappen-
dectomy following rupture
,Med Surg 1 Final Exam Questions with Answers Graded A+
d. A 60-year-old client with colon cancer who is 12 hours
post-colon resection
the nurse is caring for a client who is experiencing my-
ocardial infarction and reports intense pain in the jaw
area and pressure in the chest wall. How would the nurse
document the client's pain?
a. The client describes localized pain in the jaw area and
The client describes referred pain in the jaw and reports
reports pressure in the chest wall.
localized pressure in the chest wall.
b. The client describes referred pain in the jaw and reports
localized pressure in the chest wall.
c. The client describes projected pain from the chest wall
into the jaw area.
d. The client describes radiating pain in the jaw and re-
ferred pressure in the chest wall.
a client was admitted 72 hours ago and has a 22-gauge
short peripheral intravenous catheter (short PIVC) in the
right forearm. the client has not received any IV medica-
tions in the last 12 hours. which of the following nursing
actions is appropriate (select all that apply)? - Flush the short PIVC with normal saline.
- Assess the site for redness, swelling, pain.
a. Change the location of the short PIVC. - Assess the need for continued short PIVC placement.
b. Flush the short PIVC with normal saline.
c. Assess the site for redness, swelling, pain.
d. Assess the need for continued short PIVC placement.
e. Change the dressing covering the short PIVC.
the health care provider has ordered a 500-mL bolus of
Ringer's lactate to infuse over 1 hour followed by a loading
dose of IV vancomycin. which site and gauge would the 20 gauge in the forearm
nurse select for short PIVC placement?
,Med Surg 1 Final Exam Questions with Answers Graded A+
a. 24 gauge in the wrist
b. 18 gauge in the antecubital fossa
c. 20 gauge in the forearm
d. 22 gauge in the hand
the nurse is caring for a client on Friday. The client had a
short peripheral intravenous catheter (short PIVC) insert-
ed earlier in the week on Tuesday. which action would the
nurse take?
Assess the PIVC insertion site.
a. Replace the short PIVC.
b. Assess the PIVC insertion site.
c. Discontinue the short PIVC.
d. Convert the short PIVC to a saline lock.
the nurse is caring for a 44-year-old client who requires
IV fluid replacement. the nurse has one unsuccessful at-
tempt when inserting a short peripheral IV catheter. what
action would the nurse take next?
Attempt insertion a second time
a. Consult the IV therapy team.
b. Ask a colleague to attempt.
c. Attempt insertion a second time.
d. Notify the provider of limited IV access.
the nurse is caring for an older adult who reports, "I don't
really want to drink water." which instruction would the
nurse provide?
"Your body is at least 50% water, so it is very important to
a. "Insensible water loss rarely occurs in older adults."
drink fluids."
b. "As long as you are making urine, the risk of dehydration
is low."
c. "Your body is at least 50% water, so it is very important
to drink fluids."
, Med Surg 1 Final Exam Questions with Answers Graded A+
d. "It's important to drink enough fluid to produce at least
200 mL of urine daily."
the nurse is caring for an 82-year-old client with de-
hydration who requests to walk to the bathroom. which
nursing assessment is the priority to determine safety with
ambulation?
Orthostatic blood pressure
a. Skin turgor over the sternal area
b. Orthostatic blood pressure
c. Review of recent potassium level
d. Oral mucous membranes
the nurse is caring for a client with dehydration. which
assessment finding indicates improvement in hydration
status?
Neck vein distention in the supine position
a. Equal handgrip strength
b. Negative Trousseau sign
c. Urine output of 100 mL in the last 7 hours
d. Neck vein distention in the supine position
which client would the nurse assess most frequently for
signs and symptoms of hypokalemia?
a. 72-year-old taking the diuretic spironolactone for hy-
pertension
22-year-old receiving an IV infusion of regular insulin to
b. 62-year-old receiving an IV solution of Ringer's lactate
at 200 mL/hr manage ketoacidosis
c. 42-year-old trauma victim receiving a third infusion of
packed red blood cells in 12 hours
d. 22-year-old receiving an IV infusion of regular insulin
to manage ketoacidosis
