N108 Medical-Surgical Nursing — Test 3
Comprehensive Review
Eastwick College | 2026/2027 Updated | 72 Original Practice Questions with Correct Answers,
Clinical Rationales & Nursing Priorities
Coverage: Diagnostic Tests • Blood Clots • Aneurysms • Oncology • Gastrointestinal Disorders •
Hepatobiliary Conditions • Kidney and Urinary Disorders • Reproductive Healthcare • Patient
Safety
Blueprint investigation and assessment alignment
I examined your complete 18-page document titled TEST 3 Final Final MED SURG. It contains
approximately 33 identifiable major learning topics, including examination-style questions and
clinical notes. The material follows this general sequence:
Practice
Section Topics
questions
Blood-clot diagnostics, ruptured aneurysms, multiple
I. Vascular and
myeloma, cancer laboratory abnormalities, lung and 1–6
oncology
colorectal cancer
Hiatal hernia, gastroparesis, gastritis, IBD, hepatitis,
II. Gastrointestinal and
cirrhosis, gallbladder and pancreatic conditions, GERD 7–23
hepatobiliary
and IBS
UTI, pyelonephritis, polycystic kidney disease,
III. Renal and urinary 24–29
glomerulonephritis, renal calculi and CKD
IV. Reproductive Pap screening, gender-affirming procedures, human
30–33
healthcare and safety trafficking recognition and STI complications
V. Advanced clinical Additional priority-setting, laboratory interpretation,
34–72
judgment select-all-that-apply and case-based applications
Findings from deeper clinical research
Several original notes need clinical clarification before they can form a reliable nursing review:
Blood clot diagnostics: A positive D-dimer does not confirm DVT or pulmonary
embolism. Testing depends on clinical probability and appropriate imaging.
Hematology.org
, Gastritis: H. pylori, NSAIDs and critical illness are established causes. Spicy foods can
worsen symptoms but are not a major established cause of gastritis itself.
NIDDK
+1
Cirrhosis with low sodium: A sodium level of 127 mEq/L does not automatically require
holding every diuretic. Management depends on symptoms, volume status, kidney
function and clinical orders.
AASLD
+1
UTI in older adults: New confusion alone is not sufficient to diagnose a urinary infection
or justify antibiotics. Other causes of delirium must be considered.
idsociety.org
H. pylori testing: The 2024 American College of Gastroenterology guideline confirms
that urea breath and stool antigen tests are appropriate noninvasive methods, including
for verifying eradication after treatment.
American College of Gastroenterology
Pap screening: Menstruation does not universally prevent screening; test preparation and
appointment suitability depend on clinical circumstances.
CDC
Verification status: The uploaded material supports the topics used below, but I could not
authenticate it as Eastwick College's current official Test 3 blueprint or confirm the actual
,examination question count. The questions are independently developed for course-aligned
practice, not reproduced official examination questions.
Section I — Diagnostic Tests, Vascular Emergencies and
Oncology
Questions 1–6 | Corresponding to the first six major subject areas in the uploaded document
Question 1 — Diagnostic Testing for Deep Vein Thrombosis
A 62-year-old patient is admitted after experiencing unilateral leg swelling, tenderness and
warmth. The provider suspects a deep vein thrombosis (DVT) and determines that the patient has
a high clinical probability of DVT.
Which diagnostic procedure is most appropriate to evaluate the suspected clot?
A. Routine chest X-ray
B. Duplex compression venous ultrasonography
C. Electroencephalogram
D. Pulmonary function testing
Correct Answer: B. Duplex compression venous ultrasonography
Rationale: Compression ultrasonography is a principal imaging technique for investigating
suspected lower-extremity DVT. The examination evaluates the compressibility of veins and
may use Doppler techniques to assess venous blood flow.
An intraluminal thrombus can prevent a vein from compressing normally.
D-dimer testing is useful primarily for excluding venous thromboembolism in appropriately
selected patients with lower clinical probability. An elevated D-dimer is nonspecific and cannot
independently confirm thrombosis.
Nursing priority: Assess for possible thromboembolic complications, promptly communicate
concerning symptoms and facilitate ordered diagnostic testing.
Question 2 — Ruptured Aneurysm and Circulatory Compromise
A patient with a known abdominal aortic aneurysm develops sudden severe abdominal
discomfort, marked hypotension, tachycardia and decreased responsiveness.
Which complication should the nurse suspect?
, A. Uncomplicated gastroesophageal reflux
B. Hypovolemic shock resulting from internal hemorrhage
C. Chronic constipation
D. Mild dehydration from reduced water intake
Correct Answer: B. Hypovolemic shock resulting from internal hemorrhage
Rationale: Rupture of a major arterial aneurysm can produce rapid internal blood loss. Reduced
circulating blood volume decreases venous return, cardiac output and tissue perfusion.
Compensatory tachycardia may occur initially, but continued hemorrhage can lead to severe
hypotension, impaired consciousness and circulatory collapse.
Nursing priority: Recognize hemorrhagic shock, activate the emergency response system and
support immediate medical and surgical intervention.
Question 3 — Multiple Myeloma Laboratory Findings
A 69-year-old patient with multiple myeloma experiences persistent bone pain, fatigue and
increased thirst.
Which laboratory finding is most consistent with complications of the disease?
A. Serum calcium of 8.9 mg/dL
B. Serum calcium of 12.8 mg/dL
C. Hemoglobin of 15.1 g/dL
D. Serum creatinine of 0.8 mg/dL
Correct Answer: B. Serum calcium of 12.8 mg/dL
Rationale: Multiple myeloma is a plasma-cell malignancy that may cause bone destruction and
release of calcium into the bloodstream.
Hypercalcemia can produce thirst, increased urination, constipation, fatigue, nausea, weakness
and confusion.
A useful clinical memory aid is CRAB:
Letter Manifestation
C Hypercalcemia
Comprehensive Review
Eastwick College | 2026/2027 Updated | 72 Original Practice Questions with Correct Answers,
Clinical Rationales & Nursing Priorities
Coverage: Diagnostic Tests • Blood Clots • Aneurysms • Oncology • Gastrointestinal Disorders •
Hepatobiliary Conditions • Kidney and Urinary Disorders • Reproductive Healthcare • Patient
Safety
Blueprint investigation and assessment alignment
I examined your complete 18-page document titled TEST 3 Final Final MED SURG. It contains
approximately 33 identifiable major learning topics, including examination-style questions and
clinical notes. The material follows this general sequence:
Practice
Section Topics
questions
Blood-clot diagnostics, ruptured aneurysms, multiple
I. Vascular and
myeloma, cancer laboratory abnormalities, lung and 1–6
oncology
colorectal cancer
Hiatal hernia, gastroparesis, gastritis, IBD, hepatitis,
II. Gastrointestinal and
cirrhosis, gallbladder and pancreatic conditions, GERD 7–23
hepatobiliary
and IBS
UTI, pyelonephritis, polycystic kidney disease,
III. Renal and urinary 24–29
glomerulonephritis, renal calculi and CKD
IV. Reproductive Pap screening, gender-affirming procedures, human
30–33
healthcare and safety trafficking recognition and STI complications
V. Advanced clinical Additional priority-setting, laboratory interpretation,
34–72
judgment select-all-that-apply and case-based applications
Findings from deeper clinical research
Several original notes need clinical clarification before they can form a reliable nursing review:
Blood clot diagnostics: A positive D-dimer does not confirm DVT or pulmonary
embolism. Testing depends on clinical probability and appropriate imaging.
Hematology.org
, Gastritis: H. pylori, NSAIDs and critical illness are established causes. Spicy foods can
worsen symptoms but are not a major established cause of gastritis itself.
NIDDK
+1
Cirrhosis with low sodium: A sodium level of 127 mEq/L does not automatically require
holding every diuretic. Management depends on symptoms, volume status, kidney
function and clinical orders.
AASLD
+1
UTI in older adults: New confusion alone is not sufficient to diagnose a urinary infection
or justify antibiotics. Other causes of delirium must be considered.
idsociety.org
H. pylori testing: The 2024 American College of Gastroenterology guideline confirms
that urea breath and stool antigen tests are appropriate noninvasive methods, including
for verifying eradication after treatment.
American College of Gastroenterology
Pap screening: Menstruation does not universally prevent screening; test preparation and
appointment suitability depend on clinical circumstances.
CDC
Verification status: The uploaded material supports the topics used below, but I could not
authenticate it as Eastwick College's current official Test 3 blueprint or confirm the actual
,examination question count. The questions are independently developed for course-aligned
practice, not reproduced official examination questions.
Section I — Diagnostic Tests, Vascular Emergencies and
Oncology
Questions 1–6 | Corresponding to the first six major subject areas in the uploaded document
Question 1 — Diagnostic Testing for Deep Vein Thrombosis
A 62-year-old patient is admitted after experiencing unilateral leg swelling, tenderness and
warmth. The provider suspects a deep vein thrombosis (DVT) and determines that the patient has
a high clinical probability of DVT.
Which diagnostic procedure is most appropriate to evaluate the suspected clot?
A. Routine chest X-ray
B. Duplex compression venous ultrasonography
C. Electroencephalogram
D. Pulmonary function testing
Correct Answer: B. Duplex compression venous ultrasonography
Rationale: Compression ultrasonography is a principal imaging technique for investigating
suspected lower-extremity DVT. The examination evaluates the compressibility of veins and
may use Doppler techniques to assess venous blood flow.
An intraluminal thrombus can prevent a vein from compressing normally.
D-dimer testing is useful primarily for excluding venous thromboembolism in appropriately
selected patients with lower clinical probability. An elevated D-dimer is nonspecific and cannot
independently confirm thrombosis.
Nursing priority: Assess for possible thromboembolic complications, promptly communicate
concerning symptoms and facilitate ordered diagnostic testing.
Question 2 — Ruptured Aneurysm and Circulatory Compromise
A patient with a known abdominal aortic aneurysm develops sudden severe abdominal
discomfort, marked hypotension, tachycardia and decreased responsiveness.
Which complication should the nurse suspect?
, A. Uncomplicated gastroesophageal reflux
B. Hypovolemic shock resulting from internal hemorrhage
C. Chronic constipation
D. Mild dehydration from reduced water intake
Correct Answer: B. Hypovolemic shock resulting from internal hemorrhage
Rationale: Rupture of a major arterial aneurysm can produce rapid internal blood loss. Reduced
circulating blood volume decreases venous return, cardiac output and tissue perfusion.
Compensatory tachycardia may occur initially, but continued hemorrhage can lead to severe
hypotension, impaired consciousness and circulatory collapse.
Nursing priority: Recognize hemorrhagic shock, activate the emergency response system and
support immediate medical and surgical intervention.
Question 3 — Multiple Myeloma Laboratory Findings
A 69-year-old patient with multiple myeloma experiences persistent bone pain, fatigue and
increased thirst.
Which laboratory finding is most consistent with complications of the disease?
A. Serum calcium of 8.9 mg/dL
B. Serum calcium of 12.8 mg/dL
C. Hemoglobin of 15.1 g/dL
D. Serum creatinine of 0.8 mg/dL
Correct Answer: B. Serum calcium of 12.8 mg/dL
Rationale: Multiple myeloma is a plasma-cell malignancy that may cause bone destruction and
release of calcium into the bloodstream.
Hypercalcemia can produce thirst, increased urination, constipation, fatigue, nausea, weakness
and confusion.
A useful clinical memory aid is CRAB:
Letter Manifestation
C Hypercalcemia
