Medical-Surgical Nursing
Study Guide
Practice Questions & Exam
Prep 2026/2027
,The nurse is assessing a client with a high fever and chills. Risk for compromised immune system
What should be included in the Abnormal white blood cell count
assessment? Select all that apply.
Drainage from wounds
- Risk for compromised immune system History of fevers
- Abnormal white blood cell count
- Regularity of bowel movements
- Drainage from wounds
- History of fevers
Which objects are at greatest risk for infection transfer in Healthcare workers
the healthcare environment? Select all that Artificial fingernails
apply. Vital sign equipment
- Healthcare workers
- Artificial fingernails
- Vital sign equipment
- Dietary trays
- Public restrooms
A client is asking the nurse how he contracted a multidrug- Previous use of antibiotics
resistant microorganism in his foot Advanced age
wound. What factors likely contributed? Select all that
apply. Chronic illness
- Previous use of antibiotics
- Advanced age
- First exposure to the hospital environment
- Chronic illness
- Incorrect dosing of antibiotics
The nurse is teaching a group of elementary students Importance of washing hands
about infection prevention. Which factors
should be included in the discussion? Select all that apply Regular physical activity
Getting an annual influenza immunization
- Importance of washing hands Sleeping 6 to 9 hours a night
- Eating a diet with vitamin C at each meal
- Regular physical activity
- Getting an annual influenza immunization
- Sleeping 6 to 9 hours a night
The nurse needs an IV pole to begin a new medication for Disinfect the pole and begin using it.
a client. There is a pole in another client's
room that is not in use. What should be the nurse's next
action?
- Ask whether the pole has been cleaned.
- Take the pole and begin using it.
- Disinfect the pole and begin using it.
- Send the pole to the sterilizing department
A client is admitted to the hospital with bloody sputum and Airborne
night sweats, signs of tuberculosis. Which
precautions must the nurse institute immediately?
- Droplet
- Airborne
- Contact
- Protective
The client has developed kidney infection following a Local
bladder infection from the urinary catheter.
How would the nurse describe this? Select all that apply. Secondary
Healthcare-related
- Local
- Systemic
- Primary
- Secondary
- Healthcare-related
, How should the nurse deliver the breakfast tray to the Apply respirator mask and gloves, then place the tray on the client's nightstand.
bedside of a client in airborne isolation?
- Place the tray on the table just inside the client's door.
- Apply gloves and place the tray on the client's nightstand.
- Apply respirator mask and gloves, then place the tray on
the client's nightstand.
- Set the tray outside the client's room.
In which situation would standard precautions be While assisting a client with oral care
adequate? Select all that apply. While ambulating a client after a procedure
While inserting an intravenous catheter
- While talking with a client with a moist, productive cough
- While assisting a client with oral care
- While ambulating a client after a procedure
- While inserting an intravenous catheter
- When changing a dressing for a client with MRSA
The nurse notices a blood pressure cuff in the client's Disinfect it with a chemical cleaner.
room with spots of dried blood on it. What
should be the nurse next action?
- Clean it with a wet rag.
- Disinfect it with a chemical cleaner.
- Sterilize it with an autoclave.
- Report it to the charge nurse
A client with dementia becomes belligerent and combative Wait for the patient to calm down, then give him a towel bath.
when the nurse attempts to give him a
tub bath. How should the nurse proceed?
- Call for assistance to help the patient into the bathtub.
- Wait for the patient to calm down, then give him a towel
bath.
- Allow the patient to go without bathing for a day or two.
- Ask another staff member to attempt the tub bath.
The nurse asks the unlicensed assistive personnel to Hair care
complete morning care for an older adult. Bathing
What is included with this request? Select all that apply. Toileting
Oral care
- Back massage
- Hair care
- Bathing
- Toileting
- Oral care
Which statements about bed making are correct? Select all A poorly made bed can contribute to the development of pressure ulcers.
that apply. Draw sheets are used to help lift and turn heavier patients.
- When making an occupied bed, the rails should be up on
the side where the nurse is working.
- Making the bed in a hospital is like making a bed at
home.
- A poorly made bed can contribute to the development of
pressure ulcers.
- Draw sheets are used to help lift and turn heavier
patients.
- The bed linens should be changed before the bath
occurs.