MED SURG 1 EXAM | PRACTICE
QUESTIONS AND DETAILED ANSWERS |
GRADED A+ | GUARANTEED SUCCESS
Updated 2026 Questions and Answers | 100% Verified
Exam Prep and Comprehensive Rationales Included
,1. A patient is being admitted to the hospital on the day c) "What type of surgery are you having and why are you having it done?"
before a scheduled surgery. What is the most appropriate
initial question for the nurse to ask this preoperative
patient?
a) "What did your surgeon say to you about the type of
surgery you are having?"
b) "What questions do you have about your surgery?"
c) "What type of surgery are you having and why are you
having it done?"
d) "What do you know about what will be done to you?"
2. A benzodiazepine has been administered to a patient a) Anxiety
preoperatively. After the drug has been administered, the d) Level of Consciousness
nurse plans to monitor the patient for which side effects? e) Sedation
Select all that apply.
a) Anxiety
b) Hypotension
c) Hypocalcemia
d) Level of Consciousness
e) Sedation
3. A preoperative patient has an elevated hemoglobin d) Dehydration
and hematocrit. What would the nurse suspect regarding
the significance of this increased value?
a) Immune deficiency
b) Kidney dysfunction
c) Malignancy
d) Dehydration
,4. Which activities should the nurse carry out in the a) Identify potential or actual health problems.
preoperative period for a client scheduled for surgery? b) Verify the presence of a signed consent form.
Select all that apply. e) Assess effectiveness of teaching related to postoperative recovery.
a) Identify potential or actual health problems.
b) Verify the presence of a signed consent form.
c) Assess patient's response to interventions.
d) Intervene to prevent complications.
e) Assess effectiveness of teaching related to
postoperative recovery.
5. A patient having surgery has a degree of risk b) Involvement of vital organs
associated with the surgery. The nurse would evaluate e) A history of respiratory disease and diabetes
which patient-related factors as contributing to a high
degree of risk associated with surgery? Select all that
apply.
a) Type of institution where surgery is performed
b) Involvement of vital organs
c) Average nutritional status
d) Low likelihood of procedure complications
e) A history of respiratory disease and diabetes
6. A patient has just entered the postanesthesia care unit a) Vital signs, level of consciousness, presence of pain
(PACU) from surgery. For which priority needs should the
nurse immediately assess the postoperative patient?
a) Vital signs, level of consciousness, presence of pain
b) Skin coloring, surgical incision, limb movements
c) Skin temperature, blood pressure, mental status
d) Temperature, emotional status, wound drainage
7. The nurse in the postanesthesia care unit (PACU) is a) Pallor or cyanosis
assessing a postoperative patient. Which indicators d) Fluid loss
suggest to the nurse an alteration in tissue perfusion? e) Decreased urinary output
Select all that apply.
a) Pallor or cyanosis
b) Difficulty with mobility
c) Pain in the incision area
d) Fluid loss
e) Decreased urinary output
, 8. After surgery, the nurse encourages the patient to d) Let the lungs alternatively achieve maximum expansion
move from side to side at least every 2 hours. The patient
questions this activity. How does the nurse explain the
purpose of this intervention?
a) Assist peristalsis to return more quickly
b) Lessen muscle weakness
c) Increase patient's ability to sleep
d) Let the lungs alternatively achieve maximum expansion
9. The nurse is creating a plan of care for a postoperative c) Absence of nonverbal signs of pain
patient. The nursing diagnosis in acute pain. What would e) Verbally rates pain as 3 on a 1 to 10 scale
be appropriate outcomes for this patient? Select all that
apply.
a) Balanced fluid intake and output
b) Seeks help as needed
c) Absence of nonverbal signs of pain
d) Performs leg exercises as instructed
e) Verbally rates pain as 3 on a 1 to 10 scale
10. The patient has been in the postanesthesia care unit c) Detect for possible hemorrhage
(PACU) for one hour. The patient is now groggy but able
to respond to voice commands. While assessing the
patient, for what reason would the nurse check the
bedclothes underneath the patient?
a) Determine drainage from tubes or drains
b) Assess for fluid balance
c) Detect for possible hemorrhage
d) Monitor perspiration
11. A 65-year-old was diagnosed and treated for right a) Pleurisy
lower lobe pneumonia 4 days ago. Today, the patient
came to the ED reporting abrupt onset of chest pain that
is worse with inspiration. The nurse knows that the
symptoms are consistent with:
a) Pleurisy
b) Stable angina
c) Bacteremia
d) Meningitis
12. The ED nurse is caring for Ginny, a 45-year-old female c) Panic Attack
with a recent history of sexual assault. Ginny came to the
ED crying and shaking and stated that she had dyspnea,
feeling like she was choking and couldn't breathe, chest
pain, and sweating. Ginny reports that the symptoms
started about 15 minutes before she came to the ED.
Ginny's symptoms are consistent with:
a) Myocardial Infarction
b) Pneumonia
c) Panic Attack
d) Influenza
QUESTIONS AND DETAILED ANSWERS |
GRADED A+ | GUARANTEED SUCCESS
Updated 2026 Questions and Answers | 100% Verified
Exam Prep and Comprehensive Rationales Included
,1. A patient is being admitted to the hospital on the day c) "What type of surgery are you having and why are you having it done?"
before a scheduled surgery. What is the most appropriate
initial question for the nurse to ask this preoperative
patient?
a) "What did your surgeon say to you about the type of
surgery you are having?"
b) "What questions do you have about your surgery?"
c) "What type of surgery are you having and why are you
having it done?"
d) "What do you know about what will be done to you?"
2. A benzodiazepine has been administered to a patient a) Anxiety
preoperatively. After the drug has been administered, the d) Level of Consciousness
nurse plans to monitor the patient for which side effects? e) Sedation
Select all that apply.
a) Anxiety
b) Hypotension
c) Hypocalcemia
d) Level of Consciousness
e) Sedation
3. A preoperative patient has an elevated hemoglobin d) Dehydration
and hematocrit. What would the nurse suspect regarding
the significance of this increased value?
a) Immune deficiency
b) Kidney dysfunction
c) Malignancy
d) Dehydration
,4. Which activities should the nurse carry out in the a) Identify potential or actual health problems.
preoperative period for a client scheduled for surgery? b) Verify the presence of a signed consent form.
Select all that apply. e) Assess effectiveness of teaching related to postoperative recovery.
a) Identify potential or actual health problems.
b) Verify the presence of a signed consent form.
c) Assess patient's response to interventions.
d) Intervene to prevent complications.
e) Assess effectiveness of teaching related to
postoperative recovery.
5. A patient having surgery has a degree of risk b) Involvement of vital organs
associated with the surgery. The nurse would evaluate e) A history of respiratory disease and diabetes
which patient-related factors as contributing to a high
degree of risk associated with surgery? Select all that
apply.
a) Type of institution where surgery is performed
b) Involvement of vital organs
c) Average nutritional status
d) Low likelihood of procedure complications
e) A history of respiratory disease and diabetes
6. A patient has just entered the postanesthesia care unit a) Vital signs, level of consciousness, presence of pain
(PACU) from surgery. For which priority needs should the
nurse immediately assess the postoperative patient?
a) Vital signs, level of consciousness, presence of pain
b) Skin coloring, surgical incision, limb movements
c) Skin temperature, blood pressure, mental status
d) Temperature, emotional status, wound drainage
7. The nurse in the postanesthesia care unit (PACU) is a) Pallor or cyanosis
assessing a postoperative patient. Which indicators d) Fluid loss
suggest to the nurse an alteration in tissue perfusion? e) Decreased urinary output
Select all that apply.
a) Pallor or cyanosis
b) Difficulty with mobility
c) Pain in the incision area
d) Fluid loss
e) Decreased urinary output
, 8. After surgery, the nurse encourages the patient to d) Let the lungs alternatively achieve maximum expansion
move from side to side at least every 2 hours. The patient
questions this activity. How does the nurse explain the
purpose of this intervention?
a) Assist peristalsis to return more quickly
b) Lessen muscle weakness
c) Increase patient's ability to sleep
d) Let the lungs alternatively achieve maximum expansion
9. The nurse is creating a plan of care for a postoperative c) Absence of nonverbal signs of pain
patient. The nursing diagnosis in acute pain. What would e) Verbally rates pain as 3 on a 1 to 10 scale
be appropriate outcomes for this patient? Select all that
apply.
a) Balanced fluid intake and output
b) Seeks help as needed
c) Absence of nonverbal signs of pain
d) Performs leg exercises as instructed
e) Verbally rates pain as 3 on a 1 to 10 scale
10. The patient has been in the postanesthesia care unit c) Detect for possible hemorrhage
(PACU) for one hour. The patient is now groggy but able
to respond to voice commands. While assessing the
patient, for what reason would the nurse check the
bedclothes underneath the patient?
a) Determine drainage from tubes or drains
b) Assess for fluid balance
c) Detect for possible hemorrhage
d) Monitor perspiration
11. A 65-year-old was diagnosed and treated for right a) Pleurisy
lower lobe pneumonia 4 days ago. Today, the patient
came to the ED reporting abrupt onset of chest pain that
is worse with inspiration. The nurse knows that the
symptoms are consistent with:
a) Pleurisy
b) Stable angina
c) Bacteremia
d) Meningitis
12. The ED nurse is caring for Ginny, a 45-year-old female c) Panic Attack
with a recent history of sexual assault. Ginny came to the
ED crying and shaking and stated that she had dyspnea,
feeling like she was choking and couldn't breathe, chest
pain, and sweating. Ginny reports that the symptoms
started about 15 minutes before she came to the ED.
Ginny's symptoms are consistent with:
a) Myocardial Infarction
b) Pneumonia
c) Panic Attack
d) Influenza
