MED SURG PROCTORED (2026/2027) UPDATE|EXAM QUESTIONS WITH MULTIPLE CHOICES |VERIFIED & REVISED ANSWERS (NEW)!!!

MED SURG PROCTORED (2026/2027)
UPDATE|EXAM
QUESTIONS WITH MULTIPLE
CHOICES |VERIFIED & REVISED
ANSWERS (NEW)!!!
1.mAmnurseminmamburnmtreatmentmcentermismcaringmformamclientmwhomismadmittedmwith

severemburnsmtombothmlowermextremitiesmandmismpendingmanmescharotomy.mThemclient's

spousemasksmthemnursemwhatmthemprocedurementails.mWhichmofmthemfollowing

nursingmstatementsmismappropriate?

a."largemincisionsmwillmbemmademinmthemescharmtomimprovemcirculation"

b.m"mImcanmcallmthemdoctormbackmheremifmyoumwantmmemto"

c.m"ampiecemofmskinmwillmbemremovedmandmgraftedmovermthemburnedmarea"

d.m"deadmtissuemwillmbemsurgicallymremoved"m-
mCORRECTmANSWERma."largemincisionsmwillmbemmademinmthemescharmtomimprovemcirculation"




Amnursemismmonitoringmthemfluidmreplacementmofmamclientmwhomhasmsustainedmburns.

Whichmofmthemfollowingmfluidsmismusedminmthemfirstm24mhoursmfollowingmamburnminjury?

a.m5%mdextroseminmwater

b.m5%mdextroseminmnormalmsaline

c.mnormalmsaline

d.mlactatedmringersm-mCORRECTmANSWERmd.mlactatedmringers



Amnursemismcaringmformamclientmwhomhasmfull-thicknessmburnsmallmoverm75%mofmhis

body.mWhichmofmthemfollowingmmethodsmismappropriatemtomaccuratelymmonitormthe

cardiovascularmsystem?

a.mauscultatemcuffmbloodmpressure

,b.mpalpatempulsempressure

c.mobtainmamcentralmvenousmpressure

d.mmonitormthempulmonarymarterympressurem-
mCORRECTmANSWERmc.mobtainmamcentralmvenousmpressure




4.mAmnursemismassessingmthemdepthmandmextentmofmamclientmwhomhasmseveremburnsmtomthe

face,mneck,mandmuppermextremities.mWhichmofmthemfollowingmfactorsmismthemfirstmpriority

whenmassessingmthemseveritymofmthemburn?

a.mAgemofmthemclient

b.mAssociatedmmedicalmhistory

c.mLocationmofmthemburn

d.mCausemofmthemburnm-mCORRECTmANSWERmd.mCausemofmthemburn



Amclientmarrivesmatmthememergencymdeptmfollowingmanmexplosionmatmthemchemical

plant.mHemhasmdeepmpartialmandmfull-thicknessmchemicalmburnsmovermmoremthanm25m%

ofmhismbodymsurfacemarea.mWhatmismthemnurse'smprioritymintervention?

a.mInitiatemfluidmresuscitation

b.mMedicationmformpain

c.mAdministermantibiotics

d.mMaintainmampatentmairwaym-mCORRECTmANSWERmd.mMaintainmampatentmairway



Amnursemismcaringmformamclientmwhomcamemthememergencymdeptmreportingmchestmpain.

Themprovidermsuspectsmammyocardialminfarction.mWhilemwaitingmformthemlaboratorymto

reportmthemclient'smtroponinmlevels,mthemclientmasksmwhatmthismbloodmtestmwillmshow.

Themnursemshouldmexplainmthatmtroponinmis

a.mAnmenzymemthatmindicatesmdamagemtombrain,mheart,mandmskeletalmmuscle

, tissues

b.mAmproteinmwhosemlevelsmreflectmthemriskmformcoronarymarterymdisease

c.mAmheartmmusclemproteinmthatmappearsminmthembloodstreammwhenmtheremis

damagemtomthemheart

d.mAmproteinmthatmhelpsmtransportmoxygenmthroughoutmthembodym-
mCORRECTmANSWERmc.mAmheartmmusclemproteinmthatmappearsminmthembloodstreammwhenmtheremi


s

damagemtomthemheart



Amnursemismassessingmamclientmwhomhasmdisseminatedmintravascularmcoagulation

(DIC).mWhichmofmthemfollowingmshouldmthemnursemexpectminmthemfindings?

a.mExcessivemthrombosismandmbleeding

b.mProgressivemincreaseminmplateletmproduction

c.mImmediatemsodiummandmfluidmretention

d.mIncreasedmclottingmfactorsm-mCORRECTmANSWERmd.mIncreasedmclottingmfactors



Amnursemismaboutmtomadministermwarfarinm(Coumadin)mtomamclientmwhomhasmatrial

fibrillation.mWhenmthemclientmasksmwhatmhismmedicationmwillmdo,mwhichmofmthe

followingmismanmappropriatemnursingmresponse?

a.mItmhelpsmconvertmatrialmfibrillationmtomsinusmrhythm

b.mIsmdissolvesmclotsminmthembloodstream

c.mItmslowsmthemresponsemofmthemventriclesmtomthemfastmatrialmimpulses

d.mItmpreventsmstrokesminmclientsmwhomhavematrialmfibrillationm-
mCORRECTmANSWERmd.mItmpreventsmstrokesminmclientsmwhomhavematrialmfibrillation




Amnurseminmamcardiacmcaremunitmismcaringmformamclientmwithmacutemheartmfailure.mWhich

ofmthemfollowingmfindingsmshouldmthemnursemexpect?