Galen NUR 170 Concepts of Medical-Surgical Nursing: Final
Exam (Comprehensive) - Questions with Correct Answers
100 questions
1. Deep vein thrombosis after surgery is prevented by:
A. Bed rest
B. Early ambulation, compression devices and anticoagulants as ordered
C. Massaging the calves
D. Crossing legs
Correct Answer: B. Early ambulation, compression devices and anticoagulants as ordered
Rationale: Prophylaxis.
2. Wound dehiscence is:
A. Protrusion of organs through the wound
B. Separation of the wound edges
C. Normal healing
D. A blood clot
Correct Answer: B. Separation of the wound edges
Rationale: Partial or complete.
3. When removing PPE, the first item removed is usually:
A. Gloves (or gown and gloves together per technique)
B. Mask
C. Goggles
D. Shoe covers last
Correct Answer: A. Gloves (or gown and gloves together per technique)
Rationale: Most contaminated.
4. Standard precautions apply to:
A. Only clients with infections
B. Only surgical clients
C. Only children
D. All clients regardless of diagnosis
Correct Answer: D. All clients regardless of diagnosis
Rationale: Universal.
5. Rifampin may cause:
A. Blue urine
B. Green stools
C. Hair loss
D. Orange-red discoloration of urine and body fluids
Correct Answer: D. Orange-red discoloration of urine and body fluids
Rationale: Expected effect.
6. Signs of hypoxia include:
A. Bradycardia only
B. Restlessness, confusion, tachycardia and decreased SpO2
C. Calm alert state
D. Warm pink skin
Correct Answer: B. Restlessness, confusion, tachycardia and decreased SpO2
Rationale: Early signs.
,7. Clients on warfarin should maintain consistent intake of:
A. Protein
B. Vitamin K-rich foods such as leafy greens
C. Water
D. Sodium
Correct Answer: B. Vitamin K-rich foods such as leafy greens
Rationale: Avoid fluctuations.
8. Atrial fibrillation increases the risk of:
A. Hypoglycemia
B. Kidney stones
C. Stroke from emboli
D. Pneumonia
Correct Answer: C. Stroke from emboli
Rationale: Clot formation.
9. Pernicious anemia is treated with:
A. Iron tablets
B. Lifelong vitamin B12 injections (or high-dose oral/nasal)
C. Folic acid only
D. Blood transfusions only
Correct Answer: B. Lifelong vitamin B12 injections (or high-dose oral/nasal)
Rationale: B12.
10. Normal hemoglobin for adult males is approximately:
A. 14-18 g/dL
B. 10-12 g/dL
C. 20-24 g/dL
D. 6-8 g/dL
Correct Answer: A. 14-18 g/dL
Rationale: Normal Hgb.
11. Hepatitis A is transmitted by:
A. Blood
B. Sexual contact only
C. Airborne
D. The fecal-oral route
Correct Answer: D. The fecal-oral route
Rationale: Contaminated food/water.
12. Clients with GERD should be taught to:
A. Lie flat after meals
B. Eat large meals
C. Drink coffee at night
D. Avoid eating 2-3 hours before bedtime and elevate the head of the bed
Correct Answer: D. Avoid eating 2-3 hours before bedtime and elevate the head of the bed
Rationale: Lifestyle.
, 13. Colorectal cancer screening for average-risk adults commonly begins at age:
A. 30
B. 60
C. 45
D. 70
Correct Answer: C. 45
Rationale: Current guidelines.
14. A nasogastric tube for decompression should be checked for placement by:
A. Listening only (auscultation)
B. Asking the client
C. Visual only
D. X-ray confirmation initially, then pH and marking checks per policy
Correct Answer: D. X-ray confirmation initially, then pH and marking checks per policy
Rationale: Placement.
15. Acute pancreatitis causes:
A. Severe epigastric pain radiating to the back and elevated amylase/lipase
B. RLQ pain
C. Diarrhea only
D. Low lipase
Correct Answer: A. Severe epigastric pain radiating to the back and elevated amylase/lipase
Rationale: Enzymes.
16. A sigmoid colostomy produces stool that is:
A. Liquid always
B. Bloody
C. Absent
D. More formed
Correct Answer: D. More formed
Rationale: Distal colon.
17. The most common cause of peptic ulcer disease is:
A. Spicy foods
B. Stress alone
C. Milk
D. Helicobacter pylori infection
Correct Answer: D. Helicobacter pylori infection
Rationale: Major cause.
18. A colostomy stoma should normally appear:
A. Pale or dusky
B. Black
C. Pink to red and moist
D. Dry and purple
Correct Answer: C. Pink to red and moist
Rationale: Healthy stoma.
Exam (Comprehensive) - Questions with Correct Answers
100 questions
1. Deep vein thrombosis after surgery is prevented by:
A. Bed rest
B. Early ambulation, compression devices and anticoagulants as ordered
C. Massaging the calves
D. Crossing legs
Correct Answer: B. Early ambulation, compression devices and anticoagulants as ordered
Rationale: Prophylaxis.
2. Wound dehiscence is:
A. Protrusion of organs through the wound
B. Separation of the wound edges
C. Normal healing
D. A blood clot
Correct Answer: B. Separation of the wound edges
Rationale: Partial or complete.
3. When removing PPE, the first item removed is usually:
A. Gloves (or gown and gloves together per technique)
B. Mask
C. Goggles
D. Shoe covers last
Correct Answer: A. Gloves (or gown and gloves together per technique)
Rationale: Most contaminated.
4. Standard precautions apply to:
A. Only clients with infections
B. Only surgical clients
C. Only children
D. All clients regardless of diagnosis
Correct Answer: D. All clients regardless of diagnosis
Rationale: Universal.
5. Rifampin may cause:
A. Blue urine
B. Green stools
C. Hair loss
D. Orange-red discoloration of urine and body fluids
Correct Answer: D. Orange-red discoloration of urine and body fluids
Rationale: Expected effect.
6. Signs of hypoxia include:
A. Bradycardia only
B. Restlessness, confusion, tachycardia and decreased SpO2
C. Calm alert state
D. Warm pink skin
Correct Answer: B. Restlessness, confusion, tachycardia and decreased SpO2
Rationale: Early signs.
,7. Clients on warfarin should maintain consistent intake of:
A. Protein
B. Vitamin K-rich foods such as leafy greens
C. Water
D. Sodium
Correct Answer: B. Vitamin K-rich foods such as leafy greens
Rationale: Avoid fluctuations.
8. Atrial fibrillation increases the risk of:
A. Hypoglycemia
B. Kidney stones
C. Stroke from emboli
D. Pneumonia
Correct Answer: C. Stroke from emboli
Rationale: Clot formation.
9. Pernicious anemia is treated with:
A. Iron tablets
B. Lifelong vitamin B12 injections (or high-dose oral/nasal)
C. Folic acid only
D. Blood transfusions only
Correct Answer: B. Lifelong vitamin B12 injections (or high-dose oral/nasal)
Rationale: B12.
10. Normal hemoglobin for adult males is approximately:
A. 14-18 g/dL
B. 10-12 g/dL
C. 20-24 g/dL
D. 6-8 g/dL
Correct Answer: A. 14-18 g/dL
Rationale: Normal Hgb.
11. Hepatitis A is transmitted by:
A. Blood
B. Sexual contact only
C. Airborne
D. The fecal-oral route
Correct Answer: D. The fecal-oral route
Rationale: Contaminated food/water.
12. Clients with GERD should be taught to:
A. Lie flat after meals
B. Eat large meals
C. Drink coffee at night
D. Avoid eating 2-3 hours before bedtime and elevate the head of the bed
Correct Answer: D. Avoid eating 2-3 hours before bedtime and elevate the head of the bed
Rationale: Lifestyle.
, 13. Colorectal cancer screening for average-risk adults commonly begins at age:
A. 30
B. 60
C. 45
D. 70
Correct Answer: C. 45
Rationale: Current guidelines.
14. A nasogastric tube for decompression should be checked for placement by:
A. Listening only (auscultation)
B. Asking the client
C. Visual only
D. X-ray confirmation initially, then pH and marking checks per policy
Correct Answer: D. X-ray confirmation initially, then pH and marking checks per policy
Rationale: Placement.
15. Acute pancreatitis causes:
A. Severe epigastric pain radiating to the back and elevated amylase/lipase
B. RLQ pain
C. Diarrhea only
D. Low lipase
Correct Answer: A. Severe epigastric pain radiating to the back and elevated amylase/lipase
Rationale: Enzymes.
16. A sigmoid colostomy produces stool that is:
A. Liquid always
B. Bloody
C. Absent
D. More formed
Correct Answer: D. More formed
Rationale: Distal colon.
17. The most common cause of peptic ulcer disease is:
A. Spicy foods
B. Stress alone
C. Milk
D. Helicobacter pylori infection
Correct Answer: D. Helicobacter pylori infection
Rationale: Major cause.
18. A colostomy stoma should normally appear:
A. Pale or dusky
B. Black
C. Pink to red and moist
D. Dry and purple
Correct Answer: C. Pink to red and moist
Rationale: Healthy stoma.
