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MEDICAL-SURGICAL NURSING PRACTICE
EXAM/ MED SURG 1 EXAM*** QUESTIONS AND
ANSWERS | VERIFIED AND WELL DETAILED
ANSWERS |DOWNLOAD AND PASS | LATEST
EXAM UPDATE 2026/2027
1. The nurse is preparing to administer an intravenous (IV)
insulin drip to a patient with hyperglycemia. The nurse
knows that only one insulin can be used intravenously.
Which insulin can only be given IV?
a) NPH
b) Regular
c) Lispro
d) Lantus
❖b) Regular
2. A 33-year-old patient hospitalized for a colon resection
has just had TPN therapy initiated via a central venous
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catheter. What nursing actions promote an optimal
patient outcome to TPN therapy? Select all that apply.
a) Take vital signs every four hours
b) Perform a finger stick glucose twice a day
c) Record accurate I & O
d) Monitor liver function tests
e) Record daily weights
f) Infuse TPN using aseptic technique over 8 hours
g) Monitor serum electrolyte levels
❖Take vital signs every four hours
❖Perform a finger stick glucose twice a day
❖Record accurate I & O
❖Record daily weights
❖g) Monitor serum electrolyte levels
3. When the nurse is caring for a patient with type 1
diabetes, what clinical manifestation would be a priority
to closely monitor?
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a) Hypoglycemia
b) Hyponatremia
c) Ketonuria
d) Polyphagia
❖Hypoglycemia
4. The nurse is caring for a patient has been having
abnormally low blood glucose concentration. What
glucose level would the nurse expect when assessing the
laboratory results?
a) Lower than 50-60 mg/dL
b) Between 60 and 80 mg/dL
c) Between 75 and 90 mg/dL
d) 95 mg/dL
❖Lower than 50-60 mg/dL
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5. An 84-year-old female patient is brought to the ED by
her sister. The sister reports that the patient is unable to
properly care for herself and has recently lost weight.
Which laboratory test result would best help the nurse
assess the patient's nutritional status?
a) Pre-albumin level
b) Prothrombin time
c) Urinalysis
d) WBC count
❖Pre-albumin level
6. A patient was assessed to have a Stage I pressure ulcer
on his hip despite turning and positioning every 2 hours.
The nurse formulates which of the following as the
appropriate nursing diagnosis for the patient?
a) Impaired skin integrity related to infrequent turning
and positioning
b) Impaired skin integrity related to the effects of pressure
MEDICAL-SURGICAL NURSING PRACTICE
EXAM/ MED SURG 1 EXAM*** QUESTIONS AND
ANSWERS | VERIFIED AND WELL DETAILED
ANSWERS |DOWNLOAD AND PASS | LATEST
EXAM UPDATE 2026/2027
1. The nurse is preparing to administer an intravenous (IV)
insulin drip to a patient with hyperglycemia. The nurse
knows that only one insulin can be used intravenously.
Which insulin can only be given IV?
a) NPH
b) Regular
c) Lispro
d) Lantus
❖b) Regular
2. A 33-year-old patient hospitalized for a colon resection
has just had TPN therapy initiated via a central venous
,Page 2 of 136
catheter. What nursing actions promote an optimal
patient outcome to TPN therapy? Select all that apply.
a) Take vital signs every four hours
b) Perform a finger stick glucose twice a day
c) Record accurate I & O
d) Monitor liver function tests
e) Record daily weights
f) Infuse TPN using aseptic technique over 8 hours
g) Monitor serum electrolyte levels
❖Take vital signs every four hours
❖Perform a finger stick glucose twice a day
❖Record accurate I & O
❖Record daily weights
❖g) Monitor serum electrolyte levels
3. When the nurse is caring for a patient with type 1
diabetes, what clinical manifestation would be a priority
to closely monitor?
,Page 3 of 136
a) Hypoglycemia
b) Hyponatremia
c) Ketonuria
d) Polyphagia
❖Hypoglycemia
4. The nurse is caring for a patient has been having
abnormally low blood glucose concentration. What
glucose level would the nurse expect when assessing the
laboratory results?
a) Lower than 50-60 mg/dL
b) Between 60 and 80 mg/dL
c) Between 75 and 90 mg/dL
d) 95 mg/dL
❖Lower than 50-60 mg/dL
, Page 4 of 136
5. An 84-year-old female patient is brought to the ED by
her sister. The sister reports that the patient is unable to
properly care for herself and has recently lost weight.
Which laboratory test result would best help the nurse
assess the patient's nutritional status?
a) Pre-albumin level
b) Prothrombin time
c) Urinalysis
d) WBC count
❖Pre-albumin level
6. A patient was assessed to have a Stage I pressure ulcer
on his hip despite turning and positioning every 2 hours.
The nurse formulates which of the following as the
appropriate nursing diagnosis for the patient?
a) Impaired skin integrity related to infrequent turning
and positioning
b) Impaired skin integrity related to the effects of pressure
