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Medical-Surgical Nursing Exam 1 Study Guide | Notes, Practice Questions & Complete Exam Prep

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Prepare effectively for your Medical-Surgical Nursing Exam 1 with this comprehensive study guide designed to simplify complex concepts and boost exam performance, featuring clear, organized notes, key topic summaries, and practice questions that reflect real exam content. Covering essential areas such as infection, shock, pain management, oncology, and postoperative care, this resource is ideal for both structured studying and last-minute revision, helping you strengthen understanding, retain critical information, and succeed with confidence.

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,1. The nurse is caring for a client who has as a son with a streptococcus throat infection. Which
nurse recommendation would be best to advise the client to do in order to prevent acquiring the
infection?

A. Frequently wash her hands and surfaces of the home.

B. Wear a mask when in the same room with her son.

C. Ask the physician for an antibiotic to prevent the infection.

D. Keep the son in isolation in a separate room.

Correct Answer: A

Rationale: Streptococcal throat infection is spread via droplets and direct contact. Frequent
hand hygiene and cleaning surfaces are the most effective ways to prevent transmission.
Handwashing removes pathogens acquired from contaminated surfaces or direct contact.



2. The nurse is caring for a client infected with Rocky Mountain spotted fever. The nurse should
ask if the client has experienced which of the following?

A. Was bitten by a mosquito

B. Was bitten by a tick

C. Ate undercooked meat

D. Drank contaminated water

Correct Answer: B

Rationale: Rocky Mountain spotted fever is transmitted by the bite of an infected tick. The
nurse should assess for a history of tick bites, particularly in wooded or grassy areas.



3. The nurse is caring for a client with a protozoa infection. Which is the most likely mode of
transmission?

A. Inhalation of airborne particles

B. Blood transfusion

C. Ingestion of contaminated food or water

D. Sexual contact

Correct Answer: C

, Rationale: Protozoa infections (e.g., Giardia, Cryptosporidium) are most commonly
transmitted via the fecal-oral route through ingestion of contaminated food or water.


4. The nurse is caring for a client who is recovering from an allergic reaction. Which leukocyte
level would the nurse expect to be the most elevated?

A. Neutrophils

B. Eosinophils

C. Basophils

D. Lymphocytes

Correct Answer: B

Rationale: Eosinophils are the leukocytes primarily responsible for allergic responses and
defense against parasites. They increase significantly during allergic reactions.



5. The nurse is caring for a client who has an infected wound on the great toe that is red with a
purulent exudate. The nurse expects that this client has which type of infection?

A. Systemic

B. Localized

C. Primary
D. Secondary

Correct Answer: B
Rationale: A localized infection is confined to a specific area of the body, such as a single
wound on the toe with redness and purulent drainage, without systemic signs.



6. The client experienced a fall. Nursing assessment reveals that the client is experiencing
tachycardia, hypotension, confusion, tachypnea, and flat jugular veins. What should be the
nurse's first response?

A. Administer oxygen.

B. Start an IV line.

C. Elevate the legs.

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