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The Definitive Med Surg 1 Final Exam : The Complete Master Compendium with 250+ Verified Cumulative Questions and Clinical Rationales | Covers Neurology, Respiratory, Cardiac, Endocrine, Dermatology, Fluids & Electrolytes, and Medical-Surgical Nu

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This is the definitive, high-yield study resource for Med Surg 1 Final Exam, meticulously updated for the academic year. It features 250+ actual cumulative exam questions with 100% correct, verified answers and detailed clinical rationales covering every domain of medical-surgical nursing essential for final exam success. This comprehensive guide includes in-depth coverage of: Section 1: Neurological Disorders Lumbar Puncture: Post-procedure throbbing headache when sitting upright → actions: assist to supine position, administer opioid medications, encourage increased fluid intake. Intraventricular Catheter/Ventriculostomy: Monitor for infection (primary complication). Glasgow Coma Scale (GCS): E3 (opens eyes to speech) + V4 (incoherent speech) + M4 (withdraws to pain) = 11. Cerebral Angiography: Report to provider: possible pregnancy, warfarin use, shellfish allergy (contrast media), ate breakfast (NPO before procedure). EEG: Instruct client to try to stay awake most of the night prior to procedure. Seizure Disorders: Imminent seizure → actions: provide privacy, ease to floor, move furniture, loosen clothing, protect head with padding. DO NOT restrain. Post-ictal: FIRST action = keep client in side-lying position. Trigger factors: avoid fatigue, remove caffeine, limit flashing lights. Phenytoin discharge teaching: take at same time every day. Vagus nerve stimulator: place magnet over device when aura occurs

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THE DEFINITIVE MED SURG 1 FINAL EXAM ,A 2026-2027
FULLY UPDATED MASTER COMPENDIUM OF VERIFIED
CUMULATIVE EXAM QUESTIONS, PRECISION ANSWERS, AND
CLINICAL RATIONALES, METICULOUSLY CRAFTED TO
GUARANTEE AN A+ PASS ON YOUR CULMINATING
MEDICAL-SURGICAL NURSING FINAL ASSESSMENT



A nurse is caring for a client who is postprocedure
following lumbar puncture and reports a throbbing
headache when sitting upright. Which of the
following actions should the nurse take? (Select all
that apply)


a.) Use the Glasgow Coma Scale when assessing the
client


b.) Assist the client to a supine position


c.) Administer an opioid medications



Page | 1

,d.) Encourgae the client to increase fluid intake


e.) Instruct the client to perform deep breathing
and coughing exercises
- Answer-b,c,d


A nurse is caring for a client who experienced a
traumatic head injury and has an intraventricular
catheter (ventriculostomy) for ICP monitoring. The
nurse should monitor the client for which of the
following complications related to the
ventriculostomy?


a.) Headache


b.) Infection


c.) Aphasia

Page | 2

,d.) Hypertension - Answer-b


A nurse is assessing a client for changes in the level
of consciousness using the Glasgow Coma Scale
(GCS). The client opens his eyes when spoken to,
speaks incoherently, and moves his extremities
when pain is applied. Which of the following GCS
scores should the nurse document?


a.) E2+V3+M5 = 10


b.) E3+V4+M4= 11


c.) E4+V5+M6= 15


d.) E2+V2+M4= 8 - Answer-b


A nurse is developing a plan of care for a client who
is scheduled for a cerebral angiography with
Page | 3

, contrast media. Which of the following statements
by the client should the nurse report to the
provider? (Slect all that apply)


a.) "I think I might be pregnant."


b.) "I take warfarin."


c.) "I take antihypertensive medication."


d.) "I am allergic to shrimp."


e.) "I ate a light breakfast this morning." - Answer-
a,b,d,e


A nurse is providing a education to a client who is to
undergo an electroencephalogram (EEG) the next
day. Which of the following information should the
nurse include in the teaching?
Page | 4

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July 26, 2026
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