MEDICAL SURGICAL NURSING Exam Questions And Correct Verified Answers 2026 Edition
FUNDAMENTALS OF NURSING
Purpose of small volume enema
ANSWER:Used to clean the sigmoid and rectum
How enema function
ANSWER: Causes distention of the bowel and stimulates the defecation reflex
During enema administration, direct rectal tip of enema solution container to
ANSWER: Causes distention of the bowel and stimulates the defecation reflex
Once the client is in position the nurse visualizes the anus and is ready to insert the rectal tip. She is doing the
procedure correctly when she directs the rectal tip to the:
ANSWER: umbilicus
Principle behind obtaining informed consent before invasive procedure
ANSWER:Autonomy
Autonomy
ANSWER: respect for an individual's right to self-determination and freedom to choose and implement one's
own decision
be sure that alI patients have consented to all treatments and procedure
explain procedures to patients properly
A staff nurse reports to the supervisor that a newly hired nurse is "falsifying data in the vital signs sheet for the
clients assigned to her." What action should the supervisor do FIRST?
ANSWER: Take the client's vital signs and compare with the data recorded by the new nurse
ANSWER:C
Priority management in patient with restraint
ANSWER: Release every 2 to 4 hours, Assess every 30 minutes or as needed
The parents understand safety precautions on children when they state that they:
ANSWER:Will keep plastic bags and wraps are away from reach of children
ANSWER:C
Accidental poisoning is an important concern because poisons cause serious injuries to children and the elderly.
As you conduct your safety awareness class for parents, you find that you need to give more detailed
instructions when a parent says "I will:
ANSWER: induce vomiting if my child swallows kerosene."
Which of the following are required measures observed by health care workers when in contact with blood and
bod
y
fluid
s?14
07
ANSWER: Hand hygiene and gloves
When communicating with Theresa, the nurse assumes the face to face position to:
ANSWER: Express availability and desire to communicate
,MEDICAL SURGICAL NURSING Exam Questions And Correct Verified Answers 2026 Edition
FUNDAMENTALS OF NURSING
Communication zonefor communication between nurse and patient
ANSWER:Personal distance
,While communicating with Theresa you use atteffle listening. This requires that the
nurse:ANSWER:Pays attention to both the content and feeling tone of the client
The client complains of pain in the left chest down to the left shoulder and left jaw. In your documentation for
your nurses' notes, you will record this as:
ANSWER: Radiating pain
The changes in Mrs. De Vera's vital signs that you would expect when she complains of pain are the following
EXCEPT:
ANSWER: Decrease in temperature
A client with congestive heart failure is taking hydrochlorothiazide once a day. While the client is taking
the medication, the nurse should encourage the client to eat which of the following fruits:ANSWER:banana
The nurse is administering a bronchodilator to a client with severe upper respiratory tract infection. The client
is manifesting the desired effect of the bronchodilator when the nurse assesses which of the
following:ANSWER:Effortless respiration
When the nurse conducts physical assessment of the abdomen, auscultation should precede palpation
to:ANSWER:Prevent altering the frequency and character of bowel sounds
Dimming lights of the room as request by the client, level of Maslow's hierarchy of needs
met ANSWER:Safety and Security
Inadequate nutrition
ANSWER: Emaciated and weak appearance
Desired effect of the bronchodilator in patient with severe upper respiratory tract infection
ANSWER: effortless respiration
In abdominal assessment, auscultation should precede palpation to:
ANSWER:Prevent altering the frequency and character of bowel sounds
During palpation
ANSWER: use fingertips
After giving analgesic, what is the priority
ANSWER: reassess pain level after 30 minutes to 1 hour of giving the drug
McCaffery's guideline in pain management
1408 has become the prevailing conceptualization of pain for clinicians over the past few decades
ANSWER:"whatever the experiencing person says it is, existing whenever and wherever the person say it does"
To maintain efficacy of nitroglycerine, store drug where
ANSWER:Keep sublingual tablets in amber glass bottle
Appropriate instruction to patient with Patient-Controlled Analgesia
ANSWER: "Push the button when you feel the pain is starting."
, Possible sign of ruptured appendix 1409ANSWER: Pain subsides
An effective intervention to prevent perforation of the inflamed appendix
ANSWER:Keep patient on N PO
Short discrete bubbling sounds over the lower region of lungs
ANSWER:crackles
Continuous,high-pitched, squeaky musical sounds adventitious breath sound
ANSWER:wheezing
Acromegaly,manifestation
ANSWER: Enlarged extremities due to skeletal thickness and macroglossia (large tongue)
Transphenoidal hypophysectomy, incision site
ANSWER: under the upper lip
What to wear BEFORE scrubbing of hands in OR
ANSWER: head cap, mask,goggles
Skin preparation in OR, what and how to wear
ANSWER:sterile gloves-open glove technique
Most painful site of the wrist during venipuncture
ANSWER:inner aspect of the WRIST
Cause of hypospadias
ANSWER: congenital (occurs during 3rd month of fetal development)
Surgical operation needed to be postponed for a child with hypospadias
ANSWER:Circumcision
Radioactive iodine uptake determines what
ANSWER: Absorption of the iodine isotope
Diet for hypothyroidism
ANSWER: low calorie,high fiber
Post-thyroidectomy, assessment for possible laryngeal nerve damage
ANSWER:Talk with the client and note change in voice
1409
Serum calcium level of 5.0 mg/dl, what to do
ANSWER:Assess for signs of tetany
Confirmatory diagnosis for hiatal hernia
ANSWER: barium swallow
To prevent increase in gastric acid secretion
ANSWER:avoid cigarette smoking
FUNDAMENTALS OF NURSING
Purpose of small volume enema
ANSWER:Used to clean the sigmoid and rectum
How enema function
ANSWER: Causes distention of the bowel and stimulates the defecation reflex
During enema administration, direct rectal tip of enema solution container to
ANSWER: Causes distention of the bowel and stimulates the defecation reflex
Once the client is in position the nurse visualizes the anus and is ready to insert the rectal tip. She is doing the
procedure correctly when she directs the rectal tip to the:
ANSWER: umbilicus
Principle behind obtaining informed consent before invasive procedure
ANSWER:Autonomy
Autonomy
ANSWER: respect for an individual's right to self-determination and freedom to choose and implement one's
own decision
be sure that alI patients have consented to all treatments and procedure
explain procedures to patients properly
A staff nurse reports to the supervisor that a newly hired nurse is "falsifying data in the vital signs sheet for the
clients assigned to her." What action should the supervisor do FIRST?
ANSWER: Take the client's vital signs and compare with the data recorded by the new nurse
ANSWER:C
Priority management in patient with restraint
ANSWER: Release every 2 to 4 hours, Assess every 30 minutes or as needed
The parents understand safety precautions on children when they state that they:
ANSWER:Will keep plastic bags and wraps are away from reach of children
ANSWER:C
Accidental poisoning is an important concern because poisons cause serious injuries to children and the elderly.
As you conduct your safety awareness class for parents, you find that you need to give more detailed
instructions when a parent says "I will:
ANSWER: induce vomiting if my child swallows kerosene."
Which of the following are required measures observed by health care workers when in contact with blood and
bod
y
fluid
s?14
07
ANSWER: Hand hygiene and gloves
When communicating with Theresa, the nurse assumes the face to face position to:
ANSWER: Express availability and desire to communicate
,MEDICAL SURGICAL NURSING Exam Questions And Correct Verified Answers 2026 Edition
FUNDAMENTALS OF NURSING
Communication zonefor communication between nurse and patient
ANSWER:Personal distance
,While communicating with Theresa you use atteffle listening. This requires that the
nurse:ANSWER:Pays attention to both the content and feeling tone of the client
The client complains of pain in the left chest down to the left shoulder and left jaw. In your documentation for
your nurses' notes, you will record this as:
ANSWER: Radiating pain
The changes in Mrs. De Vera's vital signs that you would expect when she complains of pain are the following
EXCEPT:
ANSWER: Decrease in temperature
A client with congestive heart failure is taking hydrochlorothiazide once a day. While the client is taking
the medication, the nurse should encourage the client to eat which of the following fruits:ANSWER:banana
The nurse is administering a bronchodilator to a client with severe upper respiratory tract infection. The client
is manifesting the desired effect of the bronchodilator when the nurse assesses which of the
following:ANSWER:Effortless respiration
When the nurse conducts physical assessment of the abdomen, auscultation should precede palpation
to:ANSWER:Prevent altering the frequency and character of bowel sounds
Dimming lights of the room as request by the client, level of Maslow's hierarchy of needs
met ANSWER:Safety and Security
Inadequate nutrition
ANSWER: Emaciated and weak appearance
Desired effect of the bronchodilator in patient with severe upper respiratory tract infection
ANSWER: effortless respiration
In abdominal assessment, auscultation should precede palpation to:
ANSWER:Prevent altering the frequency and character of bowel sounds
During palpation
ANSWER: use fingertips
After giving analgesic, what is the priority
ANSWER: reassess pain level after 30 minutes to 1 hour of giving the drug
McCaffery's guideline in pain management
1408 has become the prevailing conceptualization of pain for clinicians over the past few decades
ANSWER:"whatever the experiencing person says it is, existing whenever and wherever the person say it does"
To maintain efficacy of nitroglycerine, store drug where
ANSWER:Keep sublingual tablets in amber glass bottle
Appropriate instruction to patient with Patient-Controlled Analgesia
ANSWER: "Push the button when you feel the pain is starting."
, Possible sign of ruptured appendix 1409ANSWER: Pain subsides
An effective intervention to prevent perforation of the inflamed appendix
ANSWER:Keep patient on N PO
Short discrete bubbling sounds over the lower region of lungs
ANSWER:crackles
Continuous,high-pitched, squeaky musical sounds adventitious breath sound
ANSWER:wheezing
Acromegaly,manifestation
ANSWER: Enlarged extremities due to skeletal thickness and macroglossia (large tongue)
Transphenoidal hypophysectomy, incision site
ANSWER: under the upper lip
What to wear BEFORE scrubbing of hands in OR
ANSWER: head cap, mask,goggles
Skin preparation in OR, what and how to wear
ANSWER:sterile gloves-open glove technique
Most painful site of the wrist during venipuncture
ANSWER:inner aspect of the WRIST
Cause of hypospadias
ANSWER: congenital (occurs during 3rd month of fetal development)
Surgical operation needed to be postponed for a child with hypospadias
ANSWER:Circumcision
Radioactive iodine uptake determines what
ANSWER: Absorption of the iodine isotope
Diet for hypothyroidism
ANSWER: low calorie,high fiber
Post-thyroidectomy, assessment for possible laryngeal nerve damage
ANSWER:Talk with the client and note change in voice
1409
Serum calcium level of 5.0 mg/dl, what to do
ANSWER:Assess for signs of tetany
Confirmatory diagnosis for hiatal hernia
ANSWER: barium swallow
To prevent increase in gastric acid secretion
ANSWER:avoid cigarette smoking
