Medical-Surgical Nursing Clinical Competency
Assessment: LPN & RN Practice Exam
Introduction:
Passing grade of 75 required.
19/25 = 76
25/25= 100
Assessment questions are comprised of acute nursing areas such as (infection Control-Covid,
Pressure Injury,
Urinary systems, CPR, Mobility, and Clinical skills. Questions are deigned to test your knowledge
in a variety of nursing care settings (Medical-Surgical and/or Acute Care). Questions are based
on principles and techniques and nursing situations which candidates have had previous
experience caring for these types of patients. All questions have a clinical reference point to
review, verify, and reinforce knowledge.
References:
Harding, M., Kwong, J., Roberts, D., Hagler, D., & Reinisch, C. (2020). Lewis’s Medical-surgical
nursing : Assessment and management of clinical problems (11th ed.). Elsevier, Inc.
1. The most common nosocomial infection in patients admitted to the hospital?
Rationale: Harding, M., Kwong, J., Roberts, D., Hagler, D., & Reinisch, C. (2020). Lewis’s Medical-
surgical nursing : Assessment and management of clinical problems (11th ed.,). Elsevier, Inc.
Infectious diarrhea (C. difficile)
Pneumonia (gram negative)
, Urinary tract infection
Bloodstream infections
2. If a nurse accidently sticks herself while giving a patient an IM injection what is the
first action?
Rationale: Harding, M., Kwong, J., Roberts, D., Hagler, D., & Reinisch, C. (2020). Lewis’s Medical-
surgical nursing : Assessment and management of clinical problems. Elsevier, Inc.
Report incident to supervisor/charge nurse.
Cleanse area with Betadine.
Irrigate area with sterile water.
Scrub area vigorously for 5 minutes with soap and water.
3, A geriatric patient is unsteady after ambulating from a chair. Which measure should
the nurse take all except:
Rationale: Harding, M., Kwong, J., Roberts, D., Hagler, D., & Reinisch, C. (2020). Lewis’s Medical-
surgical nursing : Assessment and management of clinical problems (11th ed.,). Elsevier, Inc.
Staff must wear a mask, gloves, and gowns.
Applying restraints
Give the patient the call light
Educate the patient on how to use the walker
4. Patient presents on your unit with severe dehdration. The doctor orders 1 (L) of
normal saline. How many ml should the patient recieve:
Rationale: Harding, M., Kwong, J., Roberts, D., Hagler, D., & Reinisch, C. (2020). Lewis’s Medical-
surgical nursing : Assessment and management of clinical problems (11th ed.,). Elsevier, Inc.
Assessment: LPN & RN Practice Exam
Introduction:
Passing grade of 75 required.
19/25 = 76
25/25= 100
Assessment questions are comprised of acute nursing areas such as (infection Control-Covid,
Pressure Injury,
Urinary systems, CPR, Mobility, and Clinical skills. Questions are deigned to test your knowledge
in a variety of nursing care settings (Medical-Surgical and/or Acute Care). Questions are based
on principles and techniques and nursing situations which candidates have had previous
experience caring for these types of patients. All questions have a clinical reference point to
review, verify, and reinforce knowledge.
References:
Harding, M., Kwong, J., Roberts, D., Hagler, D., & Reinisch, C. (2020). Lewis’s Medical-surgical
nursing : Assessment and management of clinical problems (11th ed.). Elsevier, Inc.
1. The most common nosocomial infection in patients admitted to the hospital?
Rationale: Harding, M., Kwong, J., Roberts, D., Hagler, D., & Reinisch, C. (2020). Lewis’s Medical-
surgical nursing : Assessment and management of clinical problems (11th ed.,). Elsevier, Inc.
Infectious diarrhea (C. difficile)
Pneumonia (gram negative)
, Urinary tract infection
Bloodstream infections
2. If a nurse accidently sticks herself while giving a patient an IM injection what is the
first action?
Rationale: Harding, M., Kwong, J., Roberts, D., Hagler, D., & Reinisch, C. (2020). Lewis’s Medical-
surgical nursing : Assessment and management of clinical problems. Elsevier, Inc.
Report incident to supervisor/charge nurse.
Cleanse area with Betadine.
Irrigate area with sterile water.
Scrub area vigorously for 5 minutes with soap and water.
3, A geriatric patient is unsteady after ambulating from a chair. Which measure should
the nurse take all except:
Rationale: Harding, M., Kwong, J., Roberts, D., Hagler, D., & Reinisch, C. (2020). Lewis’s Medical-
surgical nursing : Assessment and management of clinical problems (11th ed.,). Elsevier, Inc.
Staff must wear a mask, gloves, and gowns.
Applying restraints
Give the patient the call light
Educate the patient on how to use the walker
4. Patient presents on your unit with severe dehdration. The doctor orders 1 (L) of
normal saline. How many ml should the patient recieve:
Rationale: Harding, M., Kwong, J., Roberts, D., Hagler, D., & Reinisch, C. (2020). Lewis’s Medical-
surgical nursing : Assessment and management of clinical problems (11th ed.,). Elsevier, Inc.
