• Medical-Surgical 09/01/2026
Nursing
Medical-Surgical Nursing Complete Study
Guide 1 | Exam Prep | 1,500+
Comprehensive Q-bank Questions, Detailed
Rationales, Predictor Exams, Clinical Case
Studies, Practice Questions and Answers
with Rationales| (A+ Guarantee) | PDF
P 1
, • Medical-Surgical 09/01/2026
Nursing
The nurse is preparing a teaching plan for a client with newly diagnosed glacoma and a history of allergic rhinitis.
Which information is most important for the nurse to provide the client about using over-the-counter (OTC)
medications for allergies?
A) Notify your healthcare provider if there is an increase in heart rate.
B) Increase fluid intake while taking an antihistamine or decongestant.
C) Avoid allergy medications that contain pseudoephedrine or phenylephrine.
D) Ophthalmic lubricating drops may be used for eye dryness due to allergy medications.
- Correct Answer :C) Avoid allergy medications that contain pseudoephedrine or phenylephrine.
* OTC allergy medications may contain ephedrine, phenylephrine, or pseudoephedrine, which can cause
adrenergic side effects, such as increased intraocular pressure, so a client with glaucoma should avoid using
these OTC medications (C). A client with hypertension should avoid using OTC medications containing
ingredients that can increase blood pressure and heart rate (A), but an increase in IOP is most important in a
client with glaucoma. (B and D) may provide symptomatic relief for other side effects, such as dry mouth or eye
dryness related to common agents used for allergic rhinits.
The nurse should explain to a client with lung cancer that pleurodesis is performed to achieve which expected
outcome?
A) Prevent the formation of effusion fluid.
B) Remove fluid from the intrapleural space.
C) Debulk tumor to maintain patency of air passages.
D) Relieve empyema after pneumonectomy. –
Correct Answer :A) Prevent the formation of effusion fluid.
P 2
, • Medical-Surgical 09/01/2026
Nursing
* Instillation of a sclerosing agent to create pleurodesis (adherence of the parietal and visceral pleura) is aimed
at preventing the formation of pleural effusion fluid (A). (B) refers to thoracentesis. (C) is achieved by surgical
resection. (D) is treated by closed-chest drainage.
A female client with type 2 diabetes mellitus reports dysuria. Which assessment finding is most important for the
nurse to report to the healthcare provider?
A) Suprapubic pain and distention.
B) Bounding pulse at 100 beats/minute.
C) Fingerstick glucose of 300 mg/dl.
D) Small vesicular perineal lesions.
- Correct Answer :C) Fingerstick glucose of 300 mg/dl.
* Elevated fingerstick glucose levels (C) spill glucose in the urine and provide a medium for bacterial growth. (A,
B, and D) should be reported, but the priority (C) is to notify the healthcare provider for prescriptions to manage
client to a euglycemic level.
An ER nurse is completing an assessment on a patient that is alert but struggles to answer questions. When she
attempts to talk, she slurs her speech and appears very frightened. What additional clinical manifestation does
the nurse expect to find if nacy's sysmptoms have been caused by a brain attack (stroke)?
A. A carotid bruit
B. A hypotensive blood pressure
C. hyperreflexic deep tendon relexes.
D. Decreased bowel sounds –
P 3
, • Medical-Surgical 09/01/2026
Nursing
Correct Answer :A) A carotid bruit.
Rationale: the carotid artery (artery to the brain) is narrowed in clients with a brain attack. A bruit is an abnormal
sound heard on auscultation resulting from interference with normal blood flow. Usually the blood pressure is
hypertensive. Initially flaccid paralysis occurs, resulting in hyporefkexic deep tendon reflexes. Bowel sounds are
not indicative of a brain attack.
Which clinical manifestation further supports an assessment of a left-sided brain attack?
A) Visual field deficit on the left side.
B) Spatial-perceptual deficits.
C) Paresthesia of the left side.
D) Global aphasia.
D) Global aphasia. - Correct Answer :D) Global aphasia.
Rationale: Global aphasia refers to difficulty speaking, listening, and understanding, as well as difficulty reading
and writing. Symptoms vary from person to person. Aphasia may occur secondary to any brain injury involving
the left hemisphere. Visual field deficits, spatial-perceptual deficits, and paresthsia of the left side usually occur
with right-sided brain attack.
When preparing a patient for a noncontrast computed tomography (CT) scan STAT, what nursing intervention
should the nurse implement?
A) Determine if the client has any allergies to iodine
B) Explain that the client will not be able to move her head throughout the CT scan.
C) Premedicate the client to decrease pain prior to having the procedure.
D) Provide an explanation of relaxation exercises prior to the procedure. –
Correct Answer :B) Explain that the client will not be able to move her head throughout the CT scan.
P 4
Nursing
Medical-Surgical Nursing Complete Study
Guide 1 | Exam Prep | 1,500+
Comprehensive Q-bank Questions, Detailed
Rationales, Predictor Exams, Clinical Case
Studies, Practice Questions and Answers
with Rationales| (A+ Guarantee) | PDF
P 1
, • Medical-Surgical 09/01/2026
Nursing
The nurse is preparing a teaching plan for a client with newly diagnosed glacoma and a history of allergic rhinitis.
Which information is most important for the nurse to provide the client about using over-the-counter (OTC)
medications for allergies?
A) Notify your healthcare provider if there is an increase in heart rate.
B) Increase fluid intake while taking an antihistamine or decongestant.
C) Avoid allergy medications that contain pseudoephedrine or phenylephrine.
D) Ophthalmic lubricating drops may be used for eye dryness due to allergy medications.
- Correct Answer :C) Avoid allergy medications that contain pseudoephedrine or phenylephrine.
* OTC allergy medications may contain ephedrine, phenylephrine, or pseudoephedrine, which can cause
adrenergic side effects, such as increased intraocular pressure, so a client with glaucoma should avoid using
these OTC medications (C). A client with hypertension should avoid using OTC medications containing
ingredients that can increase blood pressure and heart rate (A), but an increase in IOP is most important in a
client with glaucoma. (B and D) may provide symptomatic relief for other side effects, such as dry mouth or eye
dryness related to common agents used for allergic rhinits.
The nurse should explain to a client with lung cancer that pleurodesis is performed to achieve which expected
outcome?
A) Prevent the formation of effusion fluid.
B) Remove fluid from the intrapleural space.
C) Debulk tumor to maintain patency of air passages.
D) Relieve empyema after pneumonectomy. –
Correct Answer :A) Prevent the formation of effusion fluid.
P 2
, • Medical-Surgical 09/01/2026
Nursing
* Instillation of a sclerosing agent to create pleurodesis (adherence of the parietal and visceral pleura) is aimed
at preventing the formation of pleural effusion fluid (A). (B) refers to thoracentesis. (C) is achieved by surgical
resection. (D) is treated by closed-chest drainage.
A female client with type 2 diabetes mellitus reports dysuria. Which assessment finding is most important for the
nurse to report to the healthcare provider?
A) Suprapubic pain and distention.
B) Bounding pulse at 100 beats/minute.
C) Fingerstick glucose of 300 mg/dl.
D) Small vesicular perineal lesions.
- Correct Answer :C) Fingerstick glucose of 300 mg/dl.
* Elevated fingerstick glucose levels (C) spill glucose in the urine and provide a medium for bacterial growth. (A,
B, and D) should be reported, but the priority (C) is to notify the healthcare provider for prescriptions to manage
client to a euglycemic level.
An ER nurse is completing an assessment on a patient that is alert but struggles to answer questions. When she
attempts to talk, she slurs her speech and appears very frightened. What additional clinical manifestation does
the nurse expect to find if nacy's sysmptoms have been caused by a brain attack (stroke)?
A. A carotid bruit
B. A hypotensive blood pressure
C. hyperreflexic deep tendon relexes.
D. Decreased bowel sounds –
P 3
, • Medical-Surgical 09/01/2026
Nursing
Correct Answer :A) A carotid bruit.
Rationale: the carotid artery (artery to the brain) is narrowed in clients with a brain attack. A bruit is an abnormal
sound heard on auscultation resulting from interference with normal blood flow. Usually the blood pressure is
hypertensive. Initially flaccid paralysis occurs, resulting in hyporefkexic deep tendon reflexes. Bowel sounds are
not indicative of a brain attack.
Which clinical manifestation further supports an assessment of a left-sided brain attack?
A) Visual field deficit on the left side.
B) Spatial-perceptual deficits.
C) Paresthesia of the left side.
D) Global aphasia.
D) Global aphasia. - Correct Answer :D) Global aphasia.
Rationale: Global aphasia refers to difficulty speaking, listening, and understanding, as well as difficulty reading
and writing. Symptoms vary from person to person. Aphasia may occur secondary to any brain injury involving
the left hemisphere. Visual field deficits, spatial-perceptual deficits, and paresthsia of the left side usually occur
with right-sided brain attack.
When preparing a patient for a noncontrast computed tomography (CT) scan STAT, what nursing intervention
should the nurse implement?
A) Determine if the client has any allergies to iodine
B) Explain that the client will not be able to move her head throughout the CT scan.
C) Premedicate the client to decrease pain prior to having the procedure.
D) Provide an explanation of relaxation exercises prior to the procedure. –
Correct Answer :B) Explain that the client will not be able to move her head throughout the CT scan.
P 4
