Advanced Med-Surg — 2026 Exam 1 Prep
ADVANCED MED-SURG NURSING
2026 Exam 1 Prep — Question Bank
150 Multiple-Choice Questions & Answers
1. A client with myasthenia gravis reports increased weakness that improves with rest. Which teaching
point is appropriate?
A. Take medications at the same time each day as scheduled
B. Skip doses when feeling well
C. Increase physical activity during periods of weakness
D. Discontinue medication once symptoms improve
2. A client with a tracheostomy requires suctioning. Which nursing action is appropriate?
A. Apply suction while inserting the catheter
B. Apply suction only while withdrawing the catheter, for no more than 10-15 seconds
C. Suction continuously for 30 seconds
D. Instill saline routinely before every suction pass
3. Which intervention should the nurse implement to prevent postoperative wound dehiscence?
A. Encourage early, unsupported coughing without splinting
B. Teach the client to splint the incision when coughing or moving
C. Discourage all movement indefinitely
D. Remove sutures early
4. A client with cirrhosis develops confusion and asterixis. The nurse should suspect which complication?
A. Hepatic encephalopathy
B. Esophageal varices
C. Ascites
D. Portal hypertension only
5. Which laboratory finding is expected in a client with iron-deficiency anemia?
A. Elevated hemoglobin and hematocrit
B. Decreased hemoglobin and hematocrit with microcytic cells
C. Elevated platelet count only
D. Normal red blood cell indices
6. A nurse is caring for a client experiencing a hyperglycemic hyperosmolar state. Which finding is
expected?
A. Ketosis and acidosis
B. Severe hyperglycemia without significant ketosis
C. Hypoglycemia
D. Normal glucose with dehydration
7. A nurse is caring for a client with hyperthyroidism. Which manifestation should the nurse expect?
A. Bradycardia and weight gain
B. Tachycardia, heat intolerance, and weight loss
C. Cold intolerance
D. Constipation and lethargy
8. Which laboratory finding is expected in a client with acute pancreatitis?
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, Advanced Med-Surg — 2026 Exam 1 Prep
A. Decreased serum amylase and lipase
B. Elevated serum amylase and lipase
C. Decreased white blood cell count
D. Elevated hemoglobin A1c
9. Which client teaching point is appropriate for prevention of urinary tract infections?
A. Wipe from back to front after voiding
B. Wipe from front to back after voiding
C. Decrease fluid intake
D. Avoid voiding after intercourse
10. Which finding is a hallmark manifestation of cardiac tamponade?
A. Widened pulse pressure
B. Muffled heart sounds, hypotension, and jugular vein distention
C. Bradycardia and hypertension
D. Bounding peripheral pulses
11. Which finding indicates early manifestations of hypovolemic shock?
A. Bradycardia and hypertension
B. Tachycardia and mild anxiety
C. Warm, flushed skin
D. Increased urine output
12. Which instruction should the nurse provide to a client with a new colostomy regarding diet?
A. Avoid all fiber permanently
B. Introduce new foods one at a time and monitor tolerance
C. Eliminate all fruits and vegetables
D. Increase gas-forming foods intentionally
13. Which laboratory value should the nurse monitor to assess long-term glucose control in a client with
diabetes mellitus?
A. Fasting blood glucose only
B. Hemoglobin A1c
C. Random blood glucose only
D. Urine ketones
14. A client with hypertension is prescribed a thiazide diuretic. Which electrolyte imbalance should the
nurse monitor for?
A. Hyperkalemia
B. Hypokalemia
C. Hypernatremia
D. Hypercalcemia
15. A nurse is caring for a client with a new ileostomy. Which teaching point is appropriate?
A. Stool will be formed and eliminated on a regular schedule
B. Stool will be liquid to semi-liquid and drain continuously
C. The client will no longer need to monitor skin around the stoma
D. The pouch should be emptied only once per day
16. Which lab value should the nurse monitor closely for a client on warfarin therapy?
A. PTT
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, Advanced Med-Surg — 2026 Exam 1 Prep
B. INR
C. Platelet count
D. Hemoglobin A1c
17. Which laboratory finding is consistent with dehydration?
A. Decreased hematocrit
B. Elevated hematocrit and BUN
C. Decreased sodium
D. Decreased specific gravity of urine
18. Which instruction is appropriate for a client with diabetes insipidus?
A. Restrict fluid intake
B. Monitor for excessive thirst and urination and maintain adequate fluid intake
C. Avoid all fluids after dinner
D. Expect weight gain and edema
19. Which teaching point should the nurse include for a client newly diagnosed with type 2 diabetes mellitus
regarding foot care?
A. Soak feet in hot water daily
B. Inspect feet daily and wear well-fitting shoes
C. Walk barefoot indoors
D. Trim calluses without professional assistance
20. Which instruction should the nurse provide to a client following a colonoscopy with polypectomy?
A. Resume a regular diet and activity immediately with no restrictions
B. Report any significant rectal bleeding or severe abdominal pain
C. Expect no changes in bowel habits
D. Avoid all fluids for 24 hours
21. Which nursing intervention is a priority for a client with an acute asthma exacerbation?
A. Administer a bronchodilator
B. Encourage the client to lie flat
C. Delay treatment until a full assessment is complete
D. Restrict oxygen administration
22. Which finding is expected in a client with a right-sided pneumothorax?
A. Increased breath sounds on the right
B. Tracheal deviation toward the unaffected side in a tension pneumothorax
C. Equal chest expansion bilaterally
D. Increased tactile fremitus on the right
23. A nurse is caring for a client with polycythemia vera. Which complication should the nurse monitor
for?
A. Bleeding tendency only
B. Increased risk for thrombosis due to elevated red blood cell mass
C. Anemia
D. Decreased blood viscosity
24. A client with hypothyroidism is prescribed levothyroxine. Which instruction should the nurse include?
A. Take the medication with food to enhance absorption
B. Take the medication on an empty stomach in the morning
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ADVANCED MED-SURG NURSING
2026 Exam 1 Prep — Question Bank
150 Multiple-Choice Questions & Answers
1. A client with myasthenia gravis reports increased weakness that improves with rest. Which teaching
point is appropriate?
A. Take medications at the same time each day as scheduled
B. Skip doses when feeling well
C. Increase physical activity during periods of weakness
D. Discontinue medication once symptoms improve
2. A client with a tracheostomy requires suctioning. Which nursing action is appropriate?
A. Apply suction while inserting the catheter
B. Apply suction only while withdrawing the catheter, for no more than 10-15 seconds
C. Suction continuously for 30 seconds
D. Instill saline routinely before every suction pass
3. Which intervention should the nurse implement to prevent postoperative wound dehiscence?
A. Encourage early, unsupported coughing without splinting
B. Teach the client to splint the incision when coughing or moving
C. Discourage all movement indefinitely
D. Remove sutures early
4. A client with cirrhosis develops confusion and asterixis. The nurse should suspect which complication?
A. Hepatic encephalopathy
B. Esophageal varices
C. Ascites
D. Portal hypertension only
5. Which laboratory finding is expected in a client with iron-deficiency anemia?
A. Elevated hemoglobin and hematocrit
B. Decreased hemoglobin and hematocrit with microcytic cells
C. Elevated platelet count only
D. Normal red blood cell indices
6. A nurse is caring for a client experiencing a hyperglycemic hyperosmolar state. Which finding is
expected?
A. Ketosis and acidosis
B. Severe hyperglycemia without significant ketosis
C. Hypoglycemia
D. Normal glucose with dehydration
7. A nurse is caring for a client with hyperthyroidism. Which manifestation should the nurse expect?
A. Bradycardia and weight gain
B. Tachycardia, heat intolerance, and weight loss
C. Cold intolerance
D. Constipation and lethargy
8. Which laboratory finding is expected in a client with acute pancreatitis?
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, Advanced Med-Surg — 2026 Exam 1 Prep
A. Decreased serum amylase and lipase
B. Elevated serum amylase and lipase
C. Decreased white blood cell count
D. Elevated hemoglobin A1c
9. Which client teaching point is appropriate for prevention of urinary tract infections?
A. Wipe from back to front after voiding
B. Wipe from front to back after voiding
C. Decrease fluid intake
D. Avoid voiding after intercourse
10. Which finding is a hallmark manifestation of cardiac tamponade?
A. Widened pulse pressure
B. Muffled heart sounds, hypotension, and jugular vein distention
C. Bradycardia and hypertension
D. Bounding peripheral pulses
11. Which finding indicates early manifestations of hypovolemic shock?
A. Bradycardia and hypertension
B. Tachycardia and mild anxiety
C. Warm, flushed skin
D. Increased urine output
12. Which instruction should the nurse provide to a client with a new colostomy regarding diet?
A. Avoid all fiber permanently
B. Introduce new foods one at a time and monitor tolerance
C. Eliminate all fruits and vegetables
D. Increase gas-forming foods intentionally
13. Which laboratory value should the nurse monitor to assess long-term glucose control in a client with
diabetes mellitus?
A. Fasting blood glucose only
B. Hemoglobin A1c
C. Random blood glucose only
D. Urine ketones
14. A client with hypertension is prescribed a thiazide diuretic. Which electrolyte imbalance should the
nurse monitor for?
A. Hyperkalemia
B. Hypokalemia
C. Hypernatremia
D. Hypercalcemia
15. A nurse is caring for a client with a new ileostomy. Which teaching point is appropriate?
A. Stool will be formed and eliminated on a regular schedule
B. Stool will be liquid to semi-liquid and drain continuously
C. The client will no longer need to monitor skin around the stoma
D. The pouch should be emptied only once per day
16. Which lab value should the nurse monitor closely for a client on warfarin therapy?
A. PTT
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, Advanced Med-Surg — 2026 Exam 1 Prep
B. INR
C. Platelet count
D. Hemoglobin A1c
17. Which laboratory finding is consistent with dehydration?
A. Decreased hematocrit
B. Elevated hematocrit and BUN
C. Decreased sodium
D. Decreased specific gravity of urine
18. Which instruction is appropriate for a client with diabetes insipidus?
A. Restrict fluid intake
B. Monitor for excessive thirst and urination and maintain adequate fluid intake
C. Avoid all fluids after dinner
D. Expect weight gain and edema
19. Which teaching point should the nurse include for a client newly diagnosed with type 2 diabetes mellitus
regarding foot care?
A. Soak feet in hot water daily
B. Inspect feet daily and wear well-fitting shoes
C. Walk barefoot indoors
D. Trim calluses without professional assistance
20. Which instruction should the nurse provide to a client following a colonoscopy with polypectomy?
A. Resume a regular diet and activity immediately with no restrictions
B. Report any significant rectal bleeding or severe abdominal pain
C. Expect no changes in bowel habits
D. Avoid all fluids for 24 hours
21. Which nursing intervention is a priority for a client with an acute asthma exacerbation?
A. Administer a bronchodilator
B. Encourage the client to lie flat
C. Delay treatment until a full assessment is complete
D. Restrict oxygen administration
22. Which finding is expected in a client with a right-sided pneumothorax?
A. Increased breath sounds on the right
B. Tracheal deviation toward the unaffected side in a tension pneumothorax
C. Equal chest expansion bilaterally
D. Increased tactile fremitus on the right
23. A nurse is caring for a client with polycythemia vera. Which complication should the nurse monitor
for?
A. Bleeding tendency only
B. Increased risk for thrombosis due to elevated red blood cell mass
C. Anemia
D. Decreased blood viscosity
24. A client with hypothyroidism is prescribed levothyroxine. Which instruction should the nurse include?
A. Take the medication with food to enhance absorption
B. Take the medication on an empty stomach in the morning
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