MED-SURG 1 FINAL Exam Study
Guide 2026/2027 Accurate Questions
with Correct Detailed Solutions ||
100% Guaranteed Pass Newest
Version
Description: Comprehensive multiple-choice questions covering key medical-surgical
nursing concepts including fluid & electrolytes, perioperative care, cardiovascular,
respiratory, endocrine, gastrointestinal, renal, neurological, musculoskeletal, and
oncologic disorders.
Keywords: Med-Surg, Nursing, Final Exam, Revision, MCQ, Adult Health,
Pathophysiology, Assessment, Intervention, Evaluation
1. A nurse is assessing a client with fluid volume deficit. Which finding should the
nurse expect?
A. Bounding pulse
B. Hypertension
C. Tachycardia ✅
D. Peripheral edema
2. The nurse is caring for a client receiving furosemide. Which electrolyte
imbalance is most concerning?
A. Hyperkalemia
B. Hypokalemia ✅
,C. Hypernatremia
D. Hypercalcemia
3. Which client is at highest risk for developing hyperkalemia?
A. Client with diarrhea
B. Client on dialysis ✅
C. Client with vomiting
D. Client on diuretics
4. A nurse notes a client has positive Trousseau's sign. This indicates:
A. Hyperkalemia
B. Hypocalcemia ✅
C. Hypernatremia
D. Hypokalemia
5. The nurse should monitor for which complication in a client with rapid IV
infusion of potassium?
A. Cardiac dysrhythmias ✅
B. Hypernatremia
C. Hypoglycemia
D. Metabolic alkalosis
6. Which IV solution is isotonic?
A. 0.45% NaCl
B. 0.9% NaCl ✅
C. 3% NaCl
D. 0.225% NaCl
7. A client with metabolic acidosis would likely exhibit which respiratory pattern?
A. Bradypnea
B. Kussmaul respirations ✅
C. Cheyne-Stokes
D. Apneustic
,8. The nurse assesses a client with hypomagnesemia. Which finding is expected?
A. Decreased deep tendon reflexes
B. Hyperactive deep tendon reflexes ✅
C. Bradycardia
D. Constipation
9. Which assessment finding indicates fluid volume excess?
A. Poor skin turgor
B. Crackles in lungs ✅
C. Flat neck veins
D. Dry mucous membranes
10. A nurse administers sodium polystyrene sulfonate (Kayexalate) to treat:
A. Hyperkalemia ✅
B. Hypokalemia
C. Hypernatremia
D. Hyponatremia
11. The nurse is preparing a client for surgery. Which is the priority preoperative
assessment?
A. Allergies ✅
B. Hair color
C. Shoe size
D. Marital status
12. A client is scheduled for surgery and reports taking aspirin daily. The nurse
should:
A. Ignore the finding
B. Notify the surgeon ✅
C. Double the dose
D. Give another aspirin
, 13. Which position is best for a client immediately post-op to prevent aspiration?
A. Supine
B. Side-lying ✅
C. Trendelenburg
D. Prone
14. Malignant hyperthermia is triggered by:
A. Antibiotics
B. Anesthetic agents ✅
C. Antihypertensives
D. Diuretics
15. A nurse assesses a postoperative client with a temperature of 38.9°C on day 2.
This may indicate:
A. Atelectasis ✅
B. Hypothermia
C. Normal finding
D. Malignant hyperthermia
16. Which finding indicates a wound infection?
A. Pink wound edges
B. Purulent drainage ✅
C. Approximated edges
D. Dry incision
17. The nurse should instruct a client to perform leg exercises postoperatively to
prevent:
A. Pneumonia
B. DVT ✅
C. Constipation
D. Atelectasis
Guide 2026/2027 Accurate Questions
with Correct Detailed Solutions ||
100% Guaranteed Pass Newest
Version
Description: Comprehensive multiple-choice questions covering key medical-surgical
nursing concepts including fluid & electrolytes, perioperative care, cardiovascular,
respiratory, endocrine, gastrointestinal, renal, neurological, musculoskeletal, and
oncologic disorders.
Keywords: Med-Surg, Nursing, Final Exam, Revision, MCQ, Adult Health,
Pathophysiology, Assessment, Intervention, Evaluation
1. A nurse is assessing a client with fluid volume deficit. Which finding should the
nurse expect?
A. Bounding pulse
B. Hypertension
C. Tachycardia ✅
D. Peripheral edema
2. The nurse is caring for a client receiving furosemide. Which electrolyte
imbalance is most concerning?
A. Hyperkalemia
B. Hypokalemia ✅
,C. Hypernatremia
D. Hypercalcemia
3. Which client is at highest risk for developing hyperkalemia?
A. Client with diarrhea
B. Client on dialysis ✅
C. Client with vomiting
D. Client on diuretics
4. A nurse notes a client has positive Trousseau's sign. This indicates:
A. Hyperkalemia
B. Hypocalcemia ✅
C. Hypernatremia
D. Hypokalemia
5. The nurse should monitor for which complication in a client with rapid IV
infusion of potassium?
A. Cardiac dysrhythmias ✅
B. Hypernatremia
C. Hypoglycemia
D. Metabolic alkalosis
6. Which IV solution is isotonic?
A. 0.45% NaCl
B. 0.9% NaCl ✅
C. 3% NaCl
D. 0.225% NaCl
7. A client with metabolic acidosis would likely exhibit which respiratory pattern?
A. Bradypnea
B. Kussmaul respirations ✅
C. Cheyne-Stokes
D. Apneustic
,8. The nurse assesses a client with hypomagnesemia. Which finding is expected?
A. Decreased deep tendon reflexes
B. Hyperactive deep tendon reflexes ✅
C. Bradycardia
D. Constipation
9. Which assessment finding indicates fluid volume excess?
A. Poor skin turgor
B. Crackles in lungs ✅
C. Flat neck veins
D. Dry mucous membranes
10. A nurse administers sodium polystyrene sulfonate (Kayexalate) to treat:
A. Hyperkalemia ✅
B. Hypokalemia
C. Hypernatremia
D. Hyponatremia
11. The nurse is preparing a client for surgery. Which is the priority preoperative
assessment?
A. Allergies ✅
B. Hair color
C. Shoe size
D. Marital status
12. A client is scheduled for surgery and reports taking aspirin daily. The nurse
should:
A. Ignore the finding
B. Notify the surgeon ✅
C. Double the dose
D. Give another aspirin
, 13. Which position is best for a client immediately post-op to prevent aspiration?
A. Supine
B. Side-lying ✅
C. Trendelenburg
D. Prone
14. Malignant hyperthermia is triggered by:
A. Antibiotics
B. Anesthetic agents ✅
C. Antihypertensives
D. Diuretics
15. A nurse assesses a postoperative client with a temperature of 38.9°C on day 2.
This may indicate:
A. Atelectasis ✅
B. Hypothermia
C. Normal finding
D. Malignant hyperthermia
16. Which finding indicates a wound infection?
A. Pink wound edges
B. Purulent drainage ✅
C. Approximated edges
D. Dry incision
17. The nurse should instruct a client to perform leg exercises postoperatively to
prevent:
A. Pneumonia
B. DVT ✅
C. Constipation
D. Atelectasis
