ADULT MEDICAL SURGICAL PROCTORED EXAM
2025/2026
A client with peptic ulcer disease has a new NG tube in place with orders for NG tube monitoring for the
nurse. What is an expected finding? - -------CORRECT ANSWER----scant blood may be seen for the first
12-24 hrs
A nurse has prepared a sterile field for assisting a provider with a chest tube insertion. Which of the
following events should the nurse recognize as contaminating the field (Select all that apply)
A. provider drops a sterile instrument onto the near side of the sterile field
B. nurse moistens a cotton ball with sterile normal saline and places it on sterile field
C. procedure is delayed 1hr because the provider receives an emergency call
D. nurse turns to speak to someone who enters through the door behind the nurse
E. clients hand brushes against the outer edge of the sterile field - -------CORRECT ANSWER----B, C, D
A nurse has prepared a sterile field for assisting a provider with a chest tube insertion. Which of the
following events should the nurse recognize as contaminating the field (Select all that apply)
A. provider drops a sterile instrument onto the near side of the sterile field
B. nurse moistens a cotton ball with sterile normal saline and places it on sterile field
C. procedure is delayed 1hr because the provider receives an emergency call
D. nurse turns to speak to someone who enters through the door behind the nurse
E. clients hand brushes against the outer edge of the sterile field - -------CORRECT ANSWER----B, C, D
A nurse has removed a sterile pack from its outside cover and place it on a clean work surface in
preparation for an invasive procedure. Which of the following flaps should the nurse unfold first:
A. closest to body
,B. right side
C. left side
D. farthest from body - -------CORRECT ANSWER----D
A nurse has removed a sterile pack from its outside cover and place it on a clean work surface in
preparation for an invasive procedure. Which of the following flaps should the nurse unfold first:
A. closest to body
B. right side
C. left side
D. farthest from body - -------CORRECT ANSWER----D
A nurse is wearing sterile gloves in prep for performing a sterile procedure. Which of the following
objects can the nurse touch without breaking sterile technique (Select all that apply)
A. bottle containing sterile solution
B. edge of sterile drape at the base of the field
C. inner wrapping of an item on the sterile field
D. irrigation syringe on the sterile field
E. one gloved hand with the other gloved hand - -------CORRECT ANSWER----C, D, E
A nurse is wearing sterile gloves in prep for performing a sterile procedure. Which of the following
objects can the nurse touch without breaking sterile technique (Select all that apply)
A. bottle containing sterile solution
B. edge of sterile drape at the base of the field
C. inner wrapping of an item on the sterile field
D. irrigation syringe on the sterile field
E. one gloved hand with the other gloved hand - -------CORRECT ANSWER----C, D, E
,A pt comes to the hospital with a TB induration of 10mm what would be your following nursing action? -
-------CORRECT ANSWER----obtain sputum cultures
A pt has a positive TB skin test what would your first action be? - -------CORRECT ANSWER----put a mask
on either the pt or yourself
A pt has a positive TB skin test what would your first action be? - -------CORRECT ANSWER----put a mask
on either the pt or yourself
ACE inhibitors side effects: - -------CORRECT ANSWER----A: angioedema
C: cough
E: elevated K+
Acute hemolytic transfusion reaction s/s: - -------CORRECT ANSWER-----chills
-fever
-low back pain
-tachycardia
-flushing
-hypotension
-chest tightening/pain
-tachypnea
-nausea
-anxiety
-hemoglobinuria
Anaphylactic transfusion reaction s/s: - -------CORRECT ANSWER-----wheezing
-dyspnea
-chest tightness
-cyanosis
-hypotension
, Appropriate oropharyngeal suctioning; select all: - -------CORRECT ANSWER-----encourage pt to deep
breath & cough prior
-monitor O2 sats
-store catheter in clean dry place for use
-perform care 3 times a day (Q 8hrs)
Appropriate oropharyngeal suctioning; select all: - -------CORRECT ANSWER-----encourage pt to deep
breath & cough prior
-monitor O2 sats
-store catheter in clean dry place for use
-perform care 3 times a day (Q 8hrs)
Asthma & dry powder inhaler teaching: - -------CORRECT ANSWER----breath in forcefully
Automated external defibrillator steps: - -------CORRECT ANSWER----1. turn it on & place pads on client
2. make sure no one is touching client
3. hit analyze
4. if shock is needed, AED will do it
AV block - -------CORRECT ANSWER----AV block
AV block - -------CORRECT ANSWER----AV block
Before an Endoscopy (EGD): - -------CORRECT ANSWER-----NPO 6-8 hr
-remove dentures
Before an Endoscopy (EGD): - -------CORRECT ANSWER-----NPO 6-8 hr
-remove dentures
2025/2026
A client with peptic ulcer disease has a new NG tube in place with orders for NG tube monitoring for the
nurse. What is an expected finding? - -------CORRECT ANSWER----scant blood may be seen for the first
12-24 hrs
A nurse has prepared a sterile field for assisting a provider with a chest tube insertion. Which of the
following events should the nurse recognize as contaminating the field (Select all that apply)
A. provider drops a sterile instrument onto the near side of the sterile field
B. nurse moistens a cotton ball with sterile normal saline and places it on sterile field
C. procedure is delayed 1hr because the provider receives an emergency call
D. nurse turns to speak to someone who enters through the door behind the nurse
E. clients hand brushes against the outer edge of the sterile field - -------CORRECT ANSWER----B, C, D
A nurse has prepared a sterile field for assisting a provider with a chest tube insertion. Which of the
following events should the nurse recognize as contaminating the field (Select all that apply)
A. provider drops a sterile instrument onto the near side of the sterile field
B. nurse moistens a cotton ball with sterile normal saline and places it on sterile field
C. procedure is delayed 1hr because the provider receives an emergency call
D. nurse turns to speak to someone who enters through the door behind the nurse
E. clients hand brushes against the outer edge of the sterile field - -------CORRECT ANSWER----B, C, D
A nurse has removed a sterile pack from its outside cover and place it on a clean work surface in
preparation for an invasive procedure. Which of the following flaps should the nurse unfold first:
A. closest to body
,B. right side
C. left side
D. farthest from body - -------CORRECT ANSWER----D
A nurse has removed a sterile pack from its outside cover and place it on a clean work surface in
preparation for an invasive procedure. Which of the following flaps should the nurse unfold first:
A. closest to body
B. right side
C. left side
D. farthest from body - -------CORRECT ANSWER----D
A nurse is wearing sterile gloves in prep for performing a sterile procedure. Which of the following
objects can the nurse touch without breaking sterile technique (Select all that apply)
A. bottle containing sterile solution
B. edge of sterile drape at the base of the field
C. inner wrapping of an item on the sterile field
D. irrigation syringe on the sterile field
E. one gloved hand with the other gloved hand - -------CORRECT ANSWER----C, D, E
A nurse is wearing sterile gloves in prep for performing a sterile procedure. Which of the following
objects can the nurse touch without breaking sterile technique (Select all that apply)
A. bottle containing sterile solution
B. edge of sterile drape at the base of the field
C. inner wrapping of an item on the sterile field
D. irrigation syringe on the sterile field
E. one gloved hand with the other gloved hand - -------CORRECT ANSWER----C, D, E
,A pt comes to the hospital with a TB induration of 10mm what would be your following nursing action? -
-------CORRECT ANSWER----obtain sputum cultures
A pt has a positive TB skin test what would your first action be? - -------CORRECT ANSWER----put a mask
on either the pt or yourself
A pt has a positive TB skin test what would your first action be? - -------CORRECT ANSWER----put a mask
on either the pt or yourself
ACE inhibitors side effects: - -------CORRECT ANSWER----A: angioedema
C: cough
E: elevated K+
Acute hemolytic transfusion reaction s/s: - -------CORRECT ANSWER-----chills
-fever
-low back pain
-tachycardia
-flushing
-hypotension
-chest tightening/pain
-tachypnea
-nausea
-anxiety
-hemoglobinuria
Anaphylactic transfusion reaction s/s: - -------CORRECT ANSWER-----wheezing
-dyspnea
-chest tightness
-cyanosis
-hypotension
, Appropriate oropharyngeal suctioning; select all: - -------CORRECT ANSWER-----encourage pt to deep
breath & cough prior
-monitor O2 sats
-store catheter in clean dry place for use
-perform care 3 times a day (Q 8hrs)
Appropriate oropharyngeal suctioning; select all: - -------CORRECT ANSWER-----encourage pt to deep
breath & cough prior
-monitor O2 sats
-store catheter in clean dry place for use
-perform care 3 times a day (Q 8hrs)
Asthma & dry powder inhaler teaching: - -------CORRECT ANSWER----breath in forcefully
Automated external defibrillator steps: - -------CORRECT ANSWER----1. turn it on & place pads on client
2. make sure no one is touching client
3. hit analyze
4. if shock is needed, AED will do it
AV block - -------CORRECT ANSWER----AV block
AV block - -------CORRECT ANSWER----AV block
Before an Endoscopy (EGD): - -------CORRECT ANSWER-----NPO 6-8 hr
-remove dentures
Before an Endoscopy (EGD): - -------CORRECT ANSWER-----NPO 6-8 hr
-remove dentures
