MEDICAL-SURGICAL NURSING EXAM 1(NURS 3300 /
NURSING 330) COMPLETE EXAM WITH HIGH-YIELD
QUESTIONS, DETAILED ANSWER EXPLANATIONS AND
RATIONALES, COMPREHENSIVE MEDICAL-SURGICAL
NURSING CONCEPT REVIEW, CLINICAL JUDGMENT CASE
SCENARIOS, PATIENT CARE PRIORITIZATION, CRITICAL
THINKING EXERCISES, TEST-TAKING STRATEGIES, AND
COMPLETE NURSING EXAM PREPARATION TOOLKIT –
2026/2027 LATEST UPDATED EDITION
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?
Frequently wash her hands and surfaces of the home.
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?
Was bitten by a tick
The nurse is caring for a client with a protozoa infection. Which is the most
likely mode of transmission?
Ingestion of contaminated food or water
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?
Eosinophils
,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?
Localized
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?
Administer oxygen.
The family wants to know why the nurse is putting a urinary catheter in a
client experiencing shock. What is the nurse's best response?
"It will help monitor how much urine the kidneys are able to produce."
A client experiencing shock has had a urinary output of 250 mL in the last 10
hours. What is the nurse's most appropriate response?
Notify the physician.
Which client is most likely to be experiencing hypovolemic shock?
A client who had surgery 24 hours ago and who also has a nasogastric tube
The physician has ordered arterial blood gases for a client experiencing shock.
The nurse knows that which value indicates shock?
pH 7.32
,A 63-year-old Arab American male states his left leg is "hot." What is the
nurse's best first response?
Assess for pain
The client is complaining of excruciating pain in a foot that has been
amputated. The family tells the nurse that the client is just addicted to pain
medications. What is the nurse's best response?
"He is experiencing phantom limb pain."
A client has had abdominal surgery and has orders to be ambulated three
times a day. Oral pain medication has been ordered for the client. What
should the nurse do to facilitate ambulation?
Mediate 1 hour prior to ambulating the client.
The client reports frequent use of acetaminophen. How should the nurse best
respond?
"Do you drink alcohol?"
A client with chronic pain has been admitted with a fever. The nursing
assessment reveals that the client has a decreased level of consciousness. What
should the nurse ask the family about?
What medications the client has taken
, The practical nurse is reviewing the social history from a client diagnosed
with small cell carcinoma of the lung. Which information is significant for this
disease?
The client has smoked two (2) packs of cigarettes a day for 20 years
The practical nurse and an unlicensed assistive personnel (UAP) are caring
for a group of clients on a medical unit. Which information provided by the
UAP warrants immediate intervention by the practical nurse?
The client receiving Procrit (epoetin alfa) has a T 99.2˚F, P 68, R 24, and BP of
198/102
The client diagnosed with lung cancer has been told the cancer has
metastasized to the brain. Which intervention should the practical nurse
expect to implement?
Discuss implementing an advance directive
The client diagnosed with lung cancer is being discharged. Which statement
made by the client indicates a reiteration of information is required?
"It doesn't matter if I smoke now. I already have cancer."
The practical nurse is interviewing clients at the clinic. Which information
provided by a client warrants further investigation?
The client has been coughing up blood in the mornings
NURSING 330) COMPLETE EXAM WITH HIGH-YIELD
QUESTIONS, DETAILED ANSWER EXPLANATIONS AND
RATIONALES, COMPREHENSIVE MEDICAL-SURGICAL
NURSING CONCEPT REVIEW, CLINICAL JUDGMENT CASE
SCENARIOS, PATIENT CARE PRIORITIZATION, CRITICAL
THINKING EXERCISES, TEST-TAKING STRATEGIES, AND
COMPLETE NURSING EXAM PREPARATION TOOLKIT –
2026/2027 LATEST UPDATED EDITION
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?
Frequently wash her hands and surfaces of the home.
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?
Was bitten by a tick
The nurse is caring for a client with a protozoa infection. Which is the most
likely mode of transmission?
Ingestion of contaminated food or water
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?
Eosinophils
,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?
Localized
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?
Administer oxygen.
The family wants to know why the nurse is putting a urinary catheter in a
client experiencing shock. What is the nurse's best response?
"It will help monitor how much urine the kidneys are able to produce."
A client experiencing shock has had a urinary output of 250 mL in the last 10
hours. What is the nurse's most appropriate response?
Notify the physician.
Which client is most likely to be experiencing hypovolemic shock?
A client who had surgery 24 hours ago and who also has a nasogastric tube
The physician has ordered arterial blood gases for a client experiencing shock.
The nurse knows that which value indicates shock?
pH 7.32
,A 63-year-old Arab American male states his left leg is "hot." What is the
nurse's best first response?
Assess for pain
The client is complaining of excruciating pain in a foot that has been
amputated. The family tells the nurse that the client is just addicted to pain
medications. What is the nurse's best response?
"He is experiencing phantom limb pain."
A client has had abdominal surgery and has orders to be ambulated three
times a day. Oral pain medication has been ordered for the client. What
should the nurse do to facilitate ambulation?
Mediate 1 hour prior to ambulating the client.
The client reports frequent use of acetaminophen. How should the nurse best
respond?
"Do you drink alcohol?"
A client with chronic pain has been admitted with a fever. The nursing
assessment reveals that the client has a decreased level of consciousness. What
should the nurse ask the family about?
What medications the client has taken
, The practical nurse is reviewing the social history from a client diagnosed
with small cell carcinoma of the lung. Which information is significant for this
disease?
The client has smoked two (2) packs of cigarettes a day for 20 years
The practical nurse and an unlicensed assistive personnel (UAP) are caring
for a group of clients on a medical unit. Which information provided by the
UAP warrants immediate intervention by the practical nurse?
The client receiving Procrit (epoetin alfa) has a T 99.2˚F, P 68, R 24, and BP of
198/102
The client diagnosed with lung cancer has been told the cancer has
metastasized to the brain. Which intervention should the practical nurse
expect to implement?
Discuss implementing an advance directive
The client diagnosed with lung cancer is being discharged. Which statement
made by the client indicates a reiteration of information is required?
"It doesn't matter if I smoke now. I already have cancer."
The practical nurse is interviewing clients at the clinic. Which information
provided by a client warrants further investigation?
The client has been coughing up blood in the mornings
