Medical-Surgical Nursing Examination 1
Med surg 2 exam 1 actual exam copy
An LPN/LVN expresses interest in leadership opportunities at the long-term care facility where
he or she works. In recognition of the LPN/LVN role, which of the following steps are
appropriate? Select all that apply.
A. Apply for staff development position.
B. Chair staff education committee for unlicensed personnel.
C. Serve as night shift team leader.
D. Volunteer to organize staff holiday gatherings.
E. Write formal evaluations of co-assigned UAPs.
-Chair staff education committee for unlicensed personnel.
-Serve as night shift team leader.
-Volunteer to organize staff holiday gatherings
A nurse is reviewing the list of clients scheduled for outpatient surgery the following day. What
clients would be of most concern to the nurse?
A. A client having a breast biopsy to rule out malignancy (cancer).
B. A client scheduled for cataract removal at an eye surgical center.
C. A client who reports a blood clotting problem having abdominal hernia repair.
D. A client with chronic knee pain having an arthroplastic procedure.
,A client who reports a blood clotting problem having abdominal hernia repair.
The nurse is caring for a 16-year-old client who requires surgery to realign the bones in a
fractured tibia sustained while backpacking with a youth group. In this case, from whom is it
most appropriate to obtain consent to perform the surgical procedure?
A. The client
B. The client's parent
C. The client's physician
D. The client's youth leader
The client's parent
The nurse recognizes that more preoperative teaching is needed when hearing the client state
which of the following statements?
A. "I can have a small breakfast of juice and coffee the morning of surgery."
B. "I do not need to bring my jewelry to the hospital the day of surgery."
C. "I will bathe with the special soap I was given the night before the surgery."
D. "I will need to empty my bladder before I receive my preoperative medications."
"I can have a small breakfast of juice and coffee the morning of surgery."
A nurse is caring for a client scheduled for right rotator cuff repair (right shoulder). The client
expresses concern about having the wrong shoulder operated on. What responses by the nurse
should help to relieve the client's fears? Select all that apply.
A. "A zero with a line through it is marked on the left shoulder to avoid surgery on that one."
B. "The nurses always make sure nothing like that ever happens at this hospital."
C. "The OR nurse will ask you to identify which shoulder is being operated on."
D. "You are asked to mark your right shoulder with an 'X' to ensure the surgery is on the correct
side."
E. "Your surgeon will have to verify that the right shoulder is correct, placing his or her initials
on the right shoulder."
-"The OR nurse will ask you to identify which shoulder is being operated on."
-"You are asked to mark your right shoulder with an 'X' to ensure the surgery is on the correct
side."
, -"Your surgeon will have to verify that the right shoulder is correct, placing his or her initials on
the right shoulder."
A nurse needs to explain to a postoperative client the importance for performing leg exercises
after surgery. What is the nurse's best explanation?
A. "Contracting and relaxing leg muscles prevents the development of varicose veins."
B. "Contracting and relaxing leg muscles prevents the formation of blood clots."
C. "Contracting and relaxing leg muscles prevents the loss of muscle strength."
D. "Contracting and relaxing leg muscles prevents the swelling of the extremities."
"Contracting and relaxing leg muscles prevents the formation of blood clots."
The nurse observes that a surgical client is experiencing abdominal incisional discomfort when
coughing postoperatively. Which nursing intervention is most appropriate for reducing the
client's discomfort?
A. Administer an analgesic soon after coughing.
B. Apply light pressure to the incision with a pillow.
C. Have the client lie supine before trying to cough.
D. Tell the client to flex both knees while coughing.
Apply light pressure to the incision with a pillow.
The nurse notes that a postoperative client is on a clear liquid diet. Which food item is most
appropriate to provide?
A. A bowl of ice cream
B. A cup of creamed soup
C. A dish of gelatin
D. A glass of milk
A dish of gelatin
The nurse explains the purpose of the Penrose drain positioned in the postoperative client's
abdomen. What is the nurse's best explanation?
Med surg 2 exam 1 actual exam copy
An LPN/LVN expresses interest in leadership opportunities at the long-term care facility where
he or she works. In recognition of the LPN/LVN role, which of the following steps are
appropriate? Select all that apply.
A. Apply for staff development position.
B. Chair staff education committee for unlicensed personnel.
C. Serve as night shift team leader.
D. Volunteer to organize staff holiday gatherings.
E. Write formal evaluations of co-assigned UAPs.
-Chair staff education committee for unlicensed personnel.
-Serve as night shift team leader.
-Volunteer to organize staff holiday gatherings
A nurse is reviewing the list of clients scheduled for outpatient surgery the following day. What
clients would be of most concern to the nurse?
A. A client having a breast biopsy to rule out malignancy (cancer).
B. A client scheduled for cataract removal at an eye surgical center.
C. A client who reports a blood clotting problem having abdominal hernia repair.
D. A client with chronic knee pain having an arthroplastic procedure.
,A client who reports a blood clotting problem having abdominal hernia repair.
The nurse is caring for a 16-year-old client who requires surgery to realign the bones in a
fractured tibia sustained while backpacking with a youth group. In this case, from whom is it
most appropriate to obtain consent to perform the surgical procedure?
A. The client
B. The client's parent
C. The client's physician
D. The client's youth leader
The client's parent
The nurse recognizes that more preoperative teaching is needed when hearing the client state
which of the following statements?
A. "I can have a small breakfast of juice and coffee the morning of surgery."
B. "I do not need to bring my jewelry to the hospital the day of surgery."
C. "I will bathe with the special soap I was given the night before the surgery."
D. "I will need to empty my bladder before I receive my preoperative medications."
"I can have a small breakfast of juice and coffee the morning of surgery."
A nurse is caring for a client scheduled for right rotator cuff repair (right shoulder). The client
expresses concern about having the wrong shoulder operated on. What responses by the nurse
should help to relieve the client's fears? Select all that apply.
A. "A zero with a line through it is marked on the left shoulder to avoid surgery on that one."
B. "The nurses always make sure nothing like that ever happens at this hospital."
C. "The OR nurse will ask you to identify which shoulder is being operated on."
D. "You are asked to mark your right shoulder with an 'X' to ensure the surgery is on the correct
side."
E. "Your surgeon will have to verify that the right shoulder is correct, placing his or her initials
on the right shoulder."
-"The OR nurse will ask you to identify which shoulder is being operated on."
-"You are asked to mark your right shoulder with an 'X' to ensure the surgery is on the correct
side."
, -"Your surgeon will have to verify that the right shoulder is correct, placing his or her initials on
the right shoulder."
A nurse needs to explain to a postoperative client the importance for performing leg exercises
after surgery. What is the nurse's best explanation?
A. "Contracting and relaxing leg muscles prevents the development of varicose veins."
B. "Contracting and relaxing leg muscles prevents the formation of blood clots."
C. "Contracting and relaxing leg muscles prevents the loss of muscle strength."
D. "Contracting and relaxing leg muscles prevents the swelling of the extremities."
"Contracting and relaxing leg muscles prevents the formation of blood clots."
The nurse observes that a surgical client is experiencing abdominal incisional discomfort when
coughing postoperatively. Which nursing intervention is most appropriate for reducing the
client's discomfort?
A. Administer an analgesic soon after coughing.
B. Apply light pressure to the incision with a pillow.
C. Have the client lie supine before trying to cough.
D. Tell the client to flex both knees while coughing.
Apply light pressure to the incision with a pillow.
The nurse notes that a postoperative client is on a clear liquid diet. Which food item is most
appropriate to provide?
A. A bowl of ice cream
B. A cup of creamed soup
C. A dish of gelatin
D. A glass of milk
A dish of gelatin
The nurse explains the purpose of the Penrose drain positioned in the postoperative client's
abdomen. What is the nurse's best explanation?
