THE DEFINITIVE MED SURG #1 EXAM 1 SURVIVAL KIT:
A 2026-2027 FULLY UPDATED COMPENDIUM OF
VERIFIED BOARD-STYLE QUESTIONS, PRECISION
ANSWERS, AND CLINICAL RATIONALES,
METICULOUSLY CRAFTED TO GUARANTEE AN A+
PASS ON YOUR FIRST MEDICAL-SURGICAL NURSING
ASSESSMENT
A patient has a nursing diagnosis of ineffective
airway clearance related to retained secretions,
excessive mucus, and ineffective cough as
evidenced by adventitious breath sounds. What
should the nurse include in the NCP as an
appropriate NOC outcome and NIC intervention for
this nursing diagnosis?
1. Aspiration Prevention (NOC) and Aspiration
Procedures (NIC)
2. Respiratory Status: Gas Exchange (NOC) and
Oxygen Therapy (NIC)
3. Respiratory Status: Ventilation (NOC) and
Respiratory Monitoring (NIC)
,4. Respiratory Status: Airway Patency (NOC) and
Airway Management (NIC)
-Answer-4. Respiratory Status: Airway Patency
(NOC) and Airway Management (NIC)
A nurse teaches a student nurse about evidence-
based nursing practice guidelines. Which statement,
if made by the student nurse, indicates
understanding of the teaching?
1. "Patient care is based on research findings
instead of the expertise of the nurse."
2. "Patient preferences should not be considered if
guidelines are supported by evidence."
3. "Nursing care provided is based on the best
evidence for quality care and desired outcomes."
4. "Practice guidelines are used so that professional
decisions about patient care are unnecessary."
-Answer-3. "Nursing care provided is based on the
best evidence for quality care and desired
outcomes.
,A nurse is caring for an older adult who has a new
diagnosis of type 2 diabetes and reports to have
difficulty following the diet plan and and taking his
medication which of the following actions can the
nurse take so the patient is more compliant?
1. as the dietitation to assist with meal planning
2. contact the clients support system
3. assess for age related cognitive awareness
4. encourage to use a daily medication dispenser
-Answer-1. as the dietitation to assist with meal
planning
A nurse in a health care clinic is evaluating the level
of wellness for clients using the illness-wellness
continuum. The nurse should identify which of the
following clients as at the center of the continuum.?
1. college student w influenza
2. older adult with new diagnosis of type 2 diabetes
3. New mother with a UTI
, 4. Young male with a long history of controlled
arthritis
-Answer-4. Young male with a long history of
controlled arthritis
A nurse is evaluating clients at a health fair for
modifiable variables affecting health and wellness.
Which variables can the nurse identify as
modifiable?
a. smoking on occasion
2. BMI of 28
3. Alopecia
4. Trisomy 21
-Answer-a. smoking on occasion
A nurse is caring for a patient who was just told she
has breast cancer. The nurse evaluates the clients
response. Which of the following statements
A 2026-2027 FULLY UPDATED COMPENDIUM OF
VERIFIED BOARD-STYLE QUESTIONS, PRECISION
ANSWERS, AND CLINICAL RATIONALES,
METICULOUSLY CRAFTED TO GUARANTEE AN A+
PASS ON YOUR FIRST MEDICAL-SURGICAL NURSING
ASSESSMENT
A patient has a nursing diagnosis of ineffective
airway clearance related to retained secretions,
excessive mucus, and ineffective cough as
evidenced by adventitious breath sounds. What
should the nurse include in the NCP as an
appropriate NOC outcome and NIC intervention for
this nursing diagnosis?
1. Aspiration Prevention (NOC) and Aspiration
Procedures (NIC)
2. Respiratory Status: Gas Exchange (NOC) and
Oxygen Therapy (NIC)
3. Respiratory Status: Ventilation (NOC) and
Respiratory Monitoring (NIC)
,4. Respiratory Status: Airway Patency (NOC) and
Airway Management (NIC)
-Answer-4. Respiratory Status: Airway Patency
(NOC) and Airway Management (NIC)
A nurse teaches a student nurse about evidence-
based nursing practice guidelines. Which statement,
if made by the student nurse, indicates
understanding of the teaching?
1. "Patient care is based on research findings
instead of the expertise of the nurse."
2. "Patient preferences should not be considered if
guidelines are supported by evidence."
3. "Nursing care provided is based on the best
evidence for quality care and desired outcomes."
4. "Practice guidelines are used so that professional
decisions about patient care are unnecessary."
-Answer-3. "Nursing care provided is based on the
best evidence for quality care and desired
outcomes.
,A nurse is caring for an older adult who has a new
diagnosis of type 2 diabetes and reports to have
difficulty following the diet plan and and taking his
medication which of the following actions can the
nurse take so the patient is more compliant?
1. as the dietitation to assist with meal planning
2. contact the clients support system
3. assess for age related cognitive awareness
4. encourage to use a daily medication dispenser
-Answer-1. as the dietitation to assist with meal
planning
A nurse in a health care clinic is evaluating the level
of wellness for clients using the illness-wellness
continuum. The nurse should identify which of the
following clients as at the center of the continuum.?
1. college student w influenza
2. older adult with new diagnosis of type 2 diabetes
3. New mother with a UTI
, 4. Young male with a long history of controlled
arthritis
-Answer-4. Young male with a long history of
controlled arthritis
A nurse is evaluating clients at a health fair for
modifiable variables affecting health and wellness.
Which variables can the nurse identify as
modifiable?
a. smoking on occasion
2. BMI of 28
3. Alopecia
4. Trisomy 21
-Answer-a. smoking on occasion
A nurse is caring for a patient who was just told she
has breast cancer. The nurse evaluates the clients
response. Which of the following statements
