RN MEDICAL-SURGICAL STUDY GUIDE 2026 COMPREHENSIVE QUESTIONS AND ANSWERS

RN MEDICAL-SURGICAL STUDY GUIDE
2026 COMPREHENSIVE QUESTIONS AND
ANSWERS



◉Don Johnson. Answer: Acute pain
Altered body image, risk for
Audiology changes, risk for
Fluid & electrolyte imbalance, risk for
PTSD, risk for
Infection, risk for


◉Don Johnson. Answer: Scenario #1
Complete full assessment
Insert foley
Initiate IV
Apply Silvadene
Contact HCP


Scenario #2

,Reassess lung sounds
Empty foley bag
Administer pain meds
Notify HCP
Document


Scenario #3
Elevate HOB
Assess pt's sputum
Reassure the pt.
Assure the pt.
Contact respiratory therapy


Scenario #4
Obtain doppler pulse
Adjust rate of IV
Ask for available tech
Change dressing
Determine if the pt.


Scenario #5
Obtain bear hugger

,Explain to the pt.
Notify nursing supervisor
Contact nutritionist
Allow visitors to enter


◉Dotty Hamilton. Answer: Educational - increased
Fall Risk - normal
Health Change - normal
Pain - normal
Psychological Needs - increased
Neurological - normal


◉Dotty Hamilton. Answer: Bleeding, risk for
Impaired comfort, risk for
Deficient knowledge
Infection, risk for


◉Dotty Hamilton. Answer: Scenario #1
Contact surgeon
Complete pre-op
Ensure surgical consents
Check to see

, Pt. teaching


Scenario #2
Wash hands
Complete full assessment
Check wound sites
Use therapeutic
Encourage first IS


Scenario #3
Reassure & communicate
Check blood glucose
Administer ABX
Encourage aggressive IS
Start PCA pump


Scenario #4
Reassure pt.
Complete full pt. assessment
Assess whether or not
Obtain labs
Notify HCP