MED SURG BC EXAM |ACTUAL QUESTIONS AND
VERIFIED ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
Which assessment data is of greatest concern when present in a patient with pneumonia?
A. Capillary refill greater than 3 seconds
B. 9000 WBC
C. RR 20 breaths per minute
D. Productive cough
CORRECT ANSWER
A. Capillary refill greater than 3 seconds
Question 2
A 19 year old college student who presents with sudden onset of headache that is
associated with neck stiffness and fever has been admitted to the hospital. In carign for
the patient with meningitis, the nurse understands that which of the following
observations is correct?
A. The presence of a skin rash eliminates the diagnosis of viral meningitis.
B. Brain herniation after lumbar puncture is more common in immunosuppressed patients.
C. The CSF protein level is decreased in bacterial meningitis.
D. The MCV4 vaccine has dramatically decreased the incidence of meningitis in patients in
long-term care facilities.
CORRECT ANSWER
B. Brain herniation after lumbar puncture is more common in immunosuppressed
patients.
1
, Skin rash cannot differentiate; CSF protein level INCREASES
Question 3
The medsurg nurse provides patient education before administering a new treatment for a
patient with MG. Which description provided by the nurse accurately describes the reason
for administering immunosuppressive therapy for this patient?
A. It decreases autoantibody production.
B. It promotes excretion of autoantibodies.
C. It increases autoantibody production.
D. It blocks autoantibody receptors.
CORRECT ANSWER
B. It promotes excretion of autoantibodies.
Question 4
The nurse is caring for a patient in the medical-surgical unit who has manifestations of
divertiluclitis. The patient asks the nurse to explain the difference between diverticulosis
and divertilulitis. Which of the following statements is correct?
A. Diverticulosis rarely occurs in adults.
B. Diverticulitis is associated with chronic NSAID use.
C. The initial treatment for divertilulitis is surgery to remove the affected bowel segment.
D. The patient's age at onset of diverticulosis is associated with the risk of diverticulitis.
CORRECT ANSWER
D. The patient's age at onset of diverticulosis is associated with the risk of diverticulitis.
2
, Diverticulitis is caused by infection of the diverticula due to impacted fecaliths and other
cellular debris.
Question 5
Which treatment intervention should be implemented in the plan of care for a patient
with acute renal failure?
A. Sulfonylureas
B. Intravenous contrast studies
C. Bed rest
D. High protein diet
CORRECT ANSWER
C. Bed rest
Question 6
The nurse is caring for a patient with a non-ST elevation myocardial infarction (NSTEMI).
Using the thombolysis in myocardial infarction tool, which of the following categories
would the nurse NOT assess?
A. Age
B. ST deviation on ECG
C. Left BBB
D. Prior aspirin intake
CORRECT ANSWER
B. ST deviation on ECG
3
, Question 7
The nurse is caring for a pt who was admitted 3 hrs after sustaining electrical burns. The
patient is AAOX4 and vital signs are BP 136/70, HR 86, NSR, T 97.6, 97%, RR 18 breaths.
The patient's skin is intact with one area of redness over the anterior chest wall. Two
hours after admission, the patient is in cardiac arrest. What is the most likely cause of this
complication>
A. Hypovolemic shock
B. Hypoxia
C. Myocardial perforation
D, myonecrosis of skeletal muscle
CORRECT ANSWER
D, myonecrosis of skeletal muscle
Question 8
Which of the following test results is consistent with pulmonary edema of a non-
cardiogenic origin?
A. CXR with B/L pulm infiltrates
B. Elevated blood levels of B-type natriuretic peptide
C. ABG analysis revealing hypoxemia
D. A pulmonary artery wedge pressure of 12 mmhg
CORRECT ANSWER
D. A pulmonary artery wedge pressure of 12 mmhg
Question 9
4
VERIFIED ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
Which assessment data is of greatest concern when present in a patient with pneumonia?
A. Capillary refill greater than 3 seconds
B. 9000 WBC
C. RR 20 breaths per minute
D. Productive cough
CORRECT ANSWER
A. Capillary refill greater than 3 seconds
Question 2
A 19 year old college student who presents with sudden onset of headache that is
associated with neck stiffness and fever has been admitted to the hospital. In carign for
the patient with meningitis, the nurse understands that which of the following
observations is correct?
A. The presence of a skin rash eliminates the diagnosis of viral meningitis.
B. Brain herniation after lumbar puncture is more common in immunosuppressed patients.
C. The CSF protein level is decreased in bacterial meningitis.
D. The MCV4 vaccine has dramatically decreased the incidence of meningitis in patients in
long-term care facilities.
CORRECT ANSWER
B. Brain herniation after lumbar puncture is more common in immunosuppressed
patients.
1
, Skin rash cannot differentiate; CSF protein level INCREASES
Question 3
The medsurg nurse provides patient education before administering a new treatment for a
patient with MG. Which description provided by the nurse accurately describes the reason
for administering immunosuppressive therapy for this patient?
A. It decreases autoantibody production.
B. It promotes excretion of autoantibodies.
C. It increases autoantibody production.
D. It blocks autoantibody receptors.
CORRECT ANSWER
B. It promotes excretion of autoantibodies.
Question 4
The nurse is caring for a patient in the medical-surgical unit who has manifestations of
divertiluclitis. The patient asks the nurse to explain the difference between diverticulosis
and divertilulitis. Which of the following statements is correct?
A. Diverticulosis rarely occurs in adults.
B. Diverticulitis is associated with chronic NSAID use.
C. The initial treatment for divertilulitis is surgery to remove the affected bowel segment.
D. The patient's age at onset of diverticulosis is associated with the risk of diverticulitis.
CORRECT ANSWER
D. The patient's age at onset of diverticulosis is associated with the risk of diverticulitis.
2
, Diverticulitis is caused by infection of the diverticula due to impacted fecaliths and other
cellular debris.
Question 5
Which treatment intervention should be implemented in the plan of care for a patient
with acute renal failure?
A. Sulfonylureas
B. Intravenous contrast studies
C. Bed rest
D. High protein diet
CORRECT ANSWER
C. Bed rest
Question 6
The nurse is caring for a patient with a non-ST elevation myocardial infarction (NSTEMI).
Using the thombolysis in myocardial infarction tool, which of the following categories
would the nurse NOT assess?
A. Age
B. ST deviation on ECG
C. Left BBB
D. Prior aspirin intake
CORRECT ANSWER
B. ST deviation on ECG
3
, Question 7
The nurse is caring for a pt who was admitted 3 hrs after sustaining electrical burns. The
patient is AAOX4 and vital signs are BP 136/70, HR 86, NSR, T 97.6, 97%, RR 18 breaths.
The patient's skin is intact with one area of redness over the anterior chest wall. Two
hours after admission, the patient is in cardiac arrest. What is the most likely cause of this
complication>
A. Hypovolemic shock
B. Hypoxia
C. Myocardial perforation
D, myonecrosis of skeletal muscle
CORRECT ANSWER
D, myonecrosis of skeletal muscle
Question 8
Which of the following test results is consistent with pulmonary edema of a non-
cardiogenic origin?
A. CXR with B/L pulm infiltrates
B. Elevated blood levels of B-type natriuretic peptide
C. ABG analysis revealing hypoxemia
D. A pulmonary artery wedge pressure of 12 mmhg
CORRECT ANSWER
D. A pulmonary artery wedge pressure of 12 mmhg
Question 9
4
