MCA1 – Medical-Surgical Nursing I (Adult Health Nursing
COMPLETE EXAM LATEST VERSION 2026-2027 QUESTIONS
AND ANSWERS
A nurse is teaching a patient how to promote healing following abdominal surgery. What should be
included in the teaching (select all that apply.)?
Select all that apply.
Take the antibiotic until the wound feels better.
Take the analgesic every day to promote adequate rest for healing.
Be sure to wash hands after changing the dressing to avoid infection.
Take in more fluid, protein, and vitamins C, B, and A to facilitate healing.
Notify the health care provider of redness, swelling, and increased drainage. - answer>>Be sure to wash
hands after changing the dressing to avoid infection.
Take in more fluid, protein, and vitamins C, B, and A to facilitate healing.
Fluid is needed to replace fluid from insensible loss and from exudates as well as the increased
metabolic rate. Protein corrects the negative nitrogen balance that results from the increased metabolic
rate and that needed for synthesis of immune factors and healing. Vitamin C helps synthesize capillaries
and collagen. Vitamin B complex facilitates metabolism. Vitamin A aids in epithelialization. The health
care provider should be notified if there are signs of infection. If prophylactic antibiotics are prescribed,
they must be taken until they are completely gone. Initially analgesics are taken throughout the day
(e.g., every 3 to 4 hours) as needed. Infection must be avoided with aseptic procedures, including
washing the hands before changing the dressing.
,The unlicensed assistive personnel (UAP) is assisting the patient with Crohn's disease with perineal care.
The UAP tells the nurse that the patient had feces coming from the vagina. What is the priority action by
the nurse?
Notify the health care provider.
Document the fistula formation.
Assess the patient and vaginal drainage.
Have the UAP apply a dressing to the vagina. - answer>>Assess the patient and vaginal drainage.
With Crohn's disease, a fistula may have formed between the bowel and the vagina. The nurse should
first assess the patient and drainage from the vagina. Then the nurse should notify the health care
provider, document the occurrence and care provided, describe interventions prescribed, and
document the care and patient response.
After the unlicensed assistive personnel (UAP) bathed the patient, she then told the nurse about a
reddened area on the patient's coccyx. After assessing the area, what should be included in the plan of
care?
Reposition every 2 hours.
Measure the size of the reddened area.
Massage the area to increase blood flow.
Evaluate the area later to see if it is better. - answer>>Reposition every 2 hours.
The most important thing to do for this patient is to prevent deterioration of the ulcer and eliminate
factors that led to pressure ulcers. This would include eliminating pressure on the reddened area with
, repositioning every 2 hours in bed and every hour while up in the chair. The nurse must complete the
assessment of the new reddened area as well as evaluation of the area. Massage is not used when there
is the possibility of damaged blood vessels or fragile skin, so the RN cannot advise the UAP to do this
until the RN has assessed the patient and the area.
The nurse is caring for a patient who is immunocompromised while receiving chemotherapy for
advanced breast cancer. What signs and symptoms will the nurse teach the patient to report that may
indicate an infection?
Fever and chills
Increased blood pressure
Increased respiratory rate
General malaise and fatigue - answer>>General malaise and fatigue
An immunosuppressed individual may have the classic symptoms of inflammation or infection masked
by the inability to launch a normal immune response. Therefore, in this person, early symptoms may be
malaise, fatigue, or "just not feeling well."
A patient has been provided with a compression dressing in an attempt to facilitate rapid healing of an
ankle sprain. What is a priority nursing assessment?
Frequent examination of the character and quantity of exudate
Monitoring for signs and symptoms of local or systemic infections
Assessment of the patient's circulation distal to the location of the dressing
COMPLETE EXAM LATEST VERSION 2026-2027 QUESTIONS
AND ANSWERS
A nurse is teaching a patient how to promote healing following abdominal surgery. What should be
included in the teaching (select all that apply.)?
Select all that apply.
Take the antibiotic until the wound feels better.
Take the analgesic every day to promote adequate rest for healing.
Be sure to wash hands after changing the dressing to avoid infection.
Take in more fluid, protein, and vitamins C, B, and A to facilitate healing.
Notify the health care provider of redness, swelling, and increased drainage. - answer>>Be sure to wash
hands after changing the dressing to avoid infection.
Take in more fluid, protein, and vitamins C, B, and A to facilitate healing.
Fluid is needed to replace fluid from insensible loss and from exudates as well as the increased
metabolic rate. Protein corrects the negative nitrogen balance that results from the increased metabolic
rate and that needed for synthesis of immune factors and healing. Vitamin C helps synthesize capillaries
and collagen. Vitamin B complex facilitates metabolism. Vitamin A aids in epithelialization. The health
care provider should be notified if there are signs of infection. If prophylactic antibiotics are prescribed,
they must be taken until they are completely gone. Initially analgesics are taken throughout the day
(e.g., every 3 to 4 hours) as needed. Infection must be avoided with aseptic procedures, including
washing the hands before changing the dressing.
,The unlicensed assistive personnel (UAP) is assisting the patient with Crohn's disease with perineal care.
The UAP tells the nurse that the patient had feces coming from the vagina. What is the priority action by
the nurse?
Notify the health care provider.
Document the fistula formation.
Assess the patient and vaginal drainage.
Have the UAP apply a dressing to the vagina. - answer>>Assess the patient and vaginal drainage.
With Crohn's disease, a fistula may have formed between the bowel and the vagina. The nurse should
first assess the patient and drainage from the vagina. Then the nurse should notify the health care
provider, document the occurrence and care provided, describe interventions prescribed, and
document the care and patient response.
After the unlicensed assistive personnel (UAP) bathed the patient, she then told the nurse about a
reddened area on the patient's coccyx. After assessing the area, what should be included in the plan of
care?
Reposition every 2 hours.
Measure the size of the reddened area.
Massage the area to increase blood flow.
Evaluate the area later to see if it is better. - answer>>Reposition every 2 hours.
The most important thing to do for this patient is to prevent deterioration of the ulcer and eliminate
factors that led to pressure ulcers. This would include eliminating pressure on the reddened area with
, repositioning every 2 hours in bed and every hour while up in the chair. The nurse must complete the
assessment of the new reddened area as well as evaluation of the area. Massage is not used when there
is the possibility of damaged blood vessels or fragile skin, so the RN cannot advise the UAP to do this
until the RN has assessed the patient and the area.
The nurse is caring for a patient who is immunocompromised while receiving chemotherapy for
advanced breast cancer. What signs and symptoms will the nurse teach the patient to report that may
indicate an infection?
Fever and chills
Increased blood pressure
Increased respiratory rate
General malaise and fatigue - answer>>General malaise and fatigue
An immunosuppressed individual may have the classic symptoms of inflammation or infection masked
by the inability to launch a normal immune response. Therefore, in this person, early symptoms may be
malaise, fatigue, or "just not feeling well."
A patient has been provided with a compression dressing in an attempt to facilitate rapid healing of an
ankle sprain. What is a priority nursing assessment?
Frequent examination of the character and quantity of exudate
Monitoring for signs and symptoms of local or systemic infections
Assessment of the patient's circulation distal to the location of the dressing
