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CMS MED SURG EXAM ACTUAL EXAM 2025 | ALL
QUESTIONS AND CORRECT ANSWERS | ALREADY
GRADED A+ | PROFESSOR VERIFIED
A nurse is assisting with the plan of care for a client who has aspiration
pneumonia and hypoxia. Which of the following actions should the nurse plan to
take?
A. Apply petroleum jelly to the client's nares.
B. Initiate fall precautions.
C. Implement contact precautions.
D. Maintain the client in a supine position. - (answers)B. Initiate fall precautions.
A nurse is caring for an older adult client immediately following a bronchoscopy
with biopsy. Which of the following is the priority action the nurse should take?
A. Document sputum color and consistency.
B. Check for a gag reflex.
C. Offer ice chips.
D. Instruct the client to gargle with warm saline. - (answers)B. Check for gag
reflex.
A nurse is reinforcing health promotion education at a community health fair.
Which of the following statements by attendees indicates understanding of the
teaching?
A. "I will examine my breasts a week after each menstrual period."
B. "I should get a hepatitis B vaccine on a yearly basis."
C. "I do my testicular self-exam every 6 months without fail."
D. "The flu shot I received last year will last me for 2 years." - (answers)A. "I will
examine my breasts a week after each menstrual period."
A nurse in a long-term care facility is collecting data from an older adult client.
Which of the following findings indicates that the client might be dehydrated?
A. Cool, clammy skin
B. Decrease in pulse rate
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C. increase in blood pressure
D. Recent onset of confusion - (answers)D. Recent onset of confusion
A nurse is collecting data from a client who had a long arm cast applied 2 hr ago.
Which of the following findings of the affected extremity should the nurse report
to the provider immediately?
A. The client's fingers are cool to the touch.
B. The client's capillary refill is 3 seconds.
C. The client reports Increased pain at the area of the fracture.
D. The client reports severe itching under the cast. - (answers)A. The client's
fingers are cool to the touch.
A nurse in a long-term care unit is assisting in the care of a client who has
Alzheimer's disease. Which of the following actions should the nurse take?
A. Alternate the client's daily routine
B. Keep the lights dimmed.
C. Raise the four side rails on the client's bed.
D. Participate in reminiscence therapy with the client. - (answers)D. Participate in
reminiscence therapy with the client.
A nurse is caring for a client who is postoperative following a right radical
mastectomy. Which of the following actions should the nurse take to prevent the
development of lymphedema?
A. Limit range of-motion exercises with the affected arm.
B. Use the client's left arm to obtain blood samples.
C. Keep both arms below the level of the client's heart.
D. Obtain blood pressure readings using the client's right arm. - (answers)B. Use
the client's left arm to obtain blood samples.
A nurse is assisting a provider with removing a client's lower-leg cast. Which of
the following statements by the nurse is appropriate?
A. "You can expect your leg muscles to look a little swollen."
B. "You should avoid elevating your leg while sitting"
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C. "You should hold still to prevent injury to your skin."
D. "You can expect to feel pressure when we cut the cast." - (answers)D. "You can
expect to feel pressure when we cut the cast."
A nurse on a medical-surgical unit is caring for an older adult client who has
developed sepsis due to a urinary tract infection. A member of the client's family
tells the nurse not to perform any "heroic measures" to keep the client alive.
Which of the following responses by the nurse is appropriate?
A. "The client's condition is not critical enough to discuss these issues."
B. "Let me check the client's medical record for advance directives."
C. "You should contact the client's attorney to document your wishes legally."
D. "Why do you believe treatment would not benefit the client?" - (answers)B.
"Let me check the client's medical record for advance directives."
A nurse is monitoring a client who is receiving intravenous fluids. Which of the
following findings indicates a fluid volume excess? (Select all that apply)
A. Bradycardia
B. Flat neck veins
C. Weight gain
D. Hypertension
E. Dyspnea - (answers)C. Weight gain
D. Hypertension
E. Dyspnea
A nurse is caring for a client who is postoperative following a total thyroidectomy
for hyperthyroidism. Which of the following findings should the nurse identify as
the priority?
A. Oral temperature 39° C (102.2° F)
B. Report of a sore throat
C. Serum calcium level 9.2 mg/dL
D. Moderate amount of sérosanguíneous drainage on dressings. - (answers)A.
Oral temperature 39° C (102.2° F)
A nurse is reinforcing teaching about a heart-healthy diet with a client. Which of
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the following statements by the client indicates that the teaching was effective?
A. "I will increase my intake of lean red meat."
B. "I will eat chicken as my source of fiber."
C. "I will use skim milk as my source of dairy."
D. "I will increase my servings of canned vegetables." - (answers)A. "I will increase
my intake of lean red meat."
A nurse is reinforcing discharge teaching with a client who had an abdominal
hysterectomy 2 days ago. Which of the following instructions should the nurse
include in the teaching?
A. "Douche with warm water to remove vaginal discharge."
B. "Take a shower rather than a tub bath."
C. "Avoid climbing stairs for 8 weeks."
D. "Expect bright red vaginal bleeding for 1 week following surgery." - (answers)B.
"Take a shower rather than a tub bath."
A nurse is reinforcing teaching about meal planning with a client who has
hypertension. Which of the following, statements by the client indicates an
understanding of the teaching?
A. "I can have a bologna sandwich."
B. "I can season food with vinegar."
C. "I can have canned soup."
D. "I can season food with ketchup." - (answers)B. "I can season food with
vinegar."
A nurse is caring for a client who has diabetes mellitus. Which of the following
laboratory findings indicates the client has maintained control of his blood
glucose levels for the past 3 months?
A. Fasting blood glucose 100 mg/dL
B. HBA1C 6.5%
C. HbA1C 12.5%
D. Fasting blood glucose 70 mg/dL - (answers)B. HBA1C 6.5%
CMS MED SURG EXAM ACTUAL EXAM 2025 | ALL
QUESTIONS AND CORRECT ANSWERS | ALREADY
GRADED A+ | PROFESSOR VERIFIED
A nurse is assisting with the plan of care for a client who has aspiration
pneumonia and hypoxia. Which of the following actions should the nurse plan to
take?
A. Apply petroleum jelly to the client's nares.
B. Initiate fall precautions.
C. Implement contact precautions.
D. Maintain the client in a supine position. - (answers)B. Initiate fall precautions.
A nurse is caring for an older adult client immediately following a bronchoscopy
with biopsy. Which of the following is the priority action the nurse should take?
A. Document sputum color and consistency.
B. Check for a gag reflex.
C. Offer ice chips.
D. Instruct the client to gargle with warm saline. - (answers)B. Check for gag
reflex.
A nurse is reinforcing health promotion education at a community health fair.
Which of the following statements by attendees indicates understanding of the
teaching?
A. "I will examine my breasts a week after each menstrual period."
B. "I should get a hepatitis B vaccine on a yearly basis."
C. "I do my testicular self-exam every 6 months without fail."
D. "The flu shot I received last year will last me for 2 years." - (answers)A. "I will
examine my breasts a week after each menstrual period."
A nurse in a long-term care facility is collecting data from an older adult client.
Which of the following findings indicates that the client might be dehydrated?
A. Cool, clammy skin
B. Decrease in pulse rate
,2|Page
C. increase in blood pressure
D. Recent onset of confusion - (answers)D. Recent onset of confusion
A nurse is collecting data from a client who had a long arm cast applied 2 hr ago.
Which of the following findings of the affected extremity should the nurse report
to the provider immediately?
A. The client's fingers are cool to the touch.
B. The client's capillary refill is 3 seconds.
C. The client reports Increased pain at the area of the fracture.
D. The client reports severe itching under the cast. - (answers)A. The client's
fingers are cool to the touch.
A nurse in a long-term care unit is assisting in the care of a client who has
Alzheimer's disease. Which of the following actions should the nurse take?
A. Alternate the client's daily routine
B. Keep the lights dimmed.
C. Raise the four side rails on the client's bed.
D. Participate in reminiscence therapy with the client. - (answers)D. Participate in
reminiscence therapy with the client.
A nurse is caring for a client who is postoperative following a right radical
mastectomy. Which of the following actions should the nurse take to prevent the
development of lymphedema?
A. Limit range of-motion exercises with the affected arm.
B. Use the client's left arm to obtain blood samples.
C. Keep both arms below the level of the client's heart.
D. Obtain blood pressure readings using the client's right arm. - (answers)B. Use
the client's left arm to obtain blood samples.
A nurse is assisting a provider with removing a client's lower-leg cast. Which of
the following statements by the nurse is appropriate?
A. "You can expect your leg muscles to look a little swollen."
B. "You should avoid elevating your leg while sitting"
,3|Page
C. "You should hold still to prevent injury to your skin."
D. "You can expect to feel pressure when we cut the cast." - (answers)D. "You can
expect to feel pressure when we cut the cast."
A nurse on a medical-surgical unit is caring for an older adult client who has
developed sepsis due to a urinary tract infection. A member of the client's family
tells the nurse not to perform any "heroic measures" to keep the client alive.
Which of the following responses by the nurse is appropriate?
A. "The client's condition is not critical enough to discuss these issues."
B. "Let me check the client's medical record for advance directives."
C. "You should contact the client's attorney to document your wishes legally."
D. "Why do you believe treatment would not benefit the client?" - (answers)B.
"Let me check the client's medical record for advance directives."
A nurse is monitoring a client who is receiving intravenous fluids. Which of the
following findings indicates a fluid volume excess? (Select all that apply)
A. Bradycardia
B. Flat neck veins
C. Weight gain
D. Hypertension
E. Dyspnea - (answers)C. Weight gain
D. Hypertension
E. Dyspnea
A nurse is caring for a client who is postoperative following a total thyroidectomy
for hyperthyroidism. Which of the following findings should the nurse identify as
the priority?
A. Oral temperature 39° C (102.2° F)
B. Report of a sore throat
C. Serum calcium level 9.2 mg/dL
D. Moderate amount of sérosanguíneous drainage on dressings. - (answers)A.
Oral temperature 39° C (102.2° F)
A nurse is reinforcing teaching about a heart-healthy diet with a client. Which of
, 4|Page
the following statements by the client indicates that the teaching was effective?
A. "I will increase my intake of lean red meat."
B. "I will eat chicken as my source of fiber."
C. "I will use skim milk as my source of dairy."
D. "I will increase my servings of canned vegetables." - (answers)A. "I will increase
my intake of lean red meat."
A nurse is reinforcing discharge teaching with a client who had an abdominal
hysterectomy 2 days ago. Which of the following instructions should the nurse
include in the teaching?
A. "Douche with warm water to remove vaginal discharge."
B. "Take a shower rather than a tub bath."
C. "Avoid climbing stairs for 8 weeks."
D. "Expect bright red vaginal bleeding for 1 week following surgery." - (answers)B.
"Take a shower rather than a tub bath."
A nurse is reinforcing teaching about meal planning with a client who has
hypertension. Which of the following, statements by the client indicates an
understanding of the teaching?
A. "I can have a bologna sandwich."
B. "I can season food with vinegar."
C. "I can have canned soup."
D. "I can season food with ketchup." - (answers)B. "I can season food with
vinegar."
A nurse is caring for a client who has diabetes mellitus. Which of the following
laboratory findings indicates the client has maintained control of his blood
glucose levels for the past 3 months?
A. Fasting blood glucose 100 mg/dL
B. HBA1C 6.5%
C. HbA1C 12.5%
D. Fasting blood glucose 70 mg/dL - (answers)B. HBA1C 6.5%
