MED SURG FINAL EXAM WITH
CORRECT ANSWERS 2025
You enter a patient room and see the nursing assistant, who is
emptying the urinary bag, let go of the open drain spout so it
isfreely moving.
What action do you take? correct answers >> Ask the
nursing assistant to hold the drain spout securely and explain that
to prevention contamination of the open end of the drain spout it
should not be allowed totouch anything.
What action can the nurse take to break the chain of infection
mode of transmission link? correct answers >> Practice hand
hygiene.
In collecting patient data, which of these would the nurse
recognize as signs/symptoms of a localized infection? Select all
that apply. correct answers >> Redness
Swelling
Warmth
The nurse would be correct in explaining to a patient that innate
immunity is obtained in which of the following ways? correct
answers >> Genetically
,Which of these preventive measures would the nurse implement
to prevent C. difficiletransmission? Select all that apply.
correct answers >> Frequent hand washing with soap and water
Contact precautions
Which of these actions would the nurse take to provide safe anti-
infective medication administration? Select all that apply.
correct answers >> Check patient allergies.
Monitor peak/trough results as ordered
Report white lesions on tongue.
Review normal drug dose range.
Mr. Santos is a 65-year-old carpenter scheduled for aortic valve
replacement this morning. His consent is signed and he is ready
to be transferred to the operating room (OR) at any minute.
You find him weeping in his bed. He states,"I would rather stay
the way I am and be alive. I'm afraid of dying. I don't want tohave
surgery." correct answers >> Introduce yourself and the
patient.
C: I am concerned about Mr. Santos who is weeping and afraid.
U: I am uncomfortable with hisemotional state.
S: I believe his safety is at risk and he needs to be seen by you.
After transfer from the PACU, a patient accidentally pulls out the
jugular line through which fluids are infusing and is bleeding from
the insertion site.
What action do you take? correct answers >> Apply pressure
to the bleeding site with a sterile dressing while calling for
assistance from the transferring anesthesia team
, A patient who is 1-day postop has a temperature of 99.9°F
(37.72°C).
What independent nursing action do youtake now? correct
answers >> Assist the patient to cough and deep breathe to
prevent atelectasis, which could be elevating the temperature.
A family member reports to another nurse that her father who
had surgery is moaning and restless. You hear the nurse remark
that "analgesics other than acetaminophen are not given to
patients with dementia to prevent masking the symptoms of
dementia."
What action do you take? correct answers >> Discuss the
rationale for that statement with the nurse for your
understanding.
Inform the nurse of your understanding that all patients deserve
excellent pain management, especially those who cannot report
their own pain.
Which of these is a role of the LPN/LVN in the preoperative phase?
Select all that apply correct answers >> Assist with data
collection.
Develop the patient's plan of care.
Reinforce patient teaching.
Provide emotional support to patients.
Include families in preoperative care.
Which of these would the nurse state to describe the
postoperative phase of surgery to the patient during preoperative
CORRECT ANSWERS 2025
You enter a patient room and see the nursing assistant, who is
emptying the urinary bag, let go of the open drain spout so it
isfreely moving.
What action do you take? correct answers >> Ask the
nursing assistant to hold the drain spout securely and explain that
to prevention contamination of the open end of the drain spout it
should not be allowed totouch anything.
What action can the nurse take to break the chain of infection
mode of transmission link? correct answers >> Practice hand
hygiene.
In collecting patient data, which of these would the nurse
recognize as signs/symptoms of a localized infection? Select all
that apply. correct answers >> Redness
Swelling
Warmth
The nurse would be correct in explaining to a patient that innate
immunity is obtained in which of the following ways? correct
answers >> Genetically
,Which of these preventive measures would the nurse implement
to prevent C. difficiletransmission? Select all that apply.
correct answers >> Frequent hand washing with soap and water
Contact precautions
Which of these actions would the nurse take to provide safe anti-
infective medication administration? Select all that apply.
correct answers >> Check patient allergies.
Monitor peak/trough results as ordered
Report white lesions on tongue.
Review normal drug dose range.
Mr. Santos is a 65-year-old carpenter scheduled for aortic valve
replacement this morning. His consent is signed and he is ready
to be transferred to the operating room (OR) at any minute.
You find him weeping in his bed. He states,"I would rather stay
the way I am and be alive. I'm afraid of dying. I don't want tohave
surgery." correct answers >> Introduce yourself and the
patient.
C: I am concerned about Mr. Santos who is weeping and afraid.
U: I am uncomfortable with hisemotional state.
S: I believe his safety is at risk and he needs to be seen by you.
After transfer from the PACU, a patient accidentally pulls out the
jugular line through which fluids are infusing and is bleeding from
the insertion site.
What action do you take? correct answers >> Apply pressure
to the bleeding site with a sterile dressing while calling for
assistance from the transferring anesthesia team
, A patient who is 1-day postop has a temperature of 99.9°F
(37.72°C).
What independent nursing action do youtake now? correct
answers >> Assist the patient to cough and deep breathe to
prevent atelectasis, which could be elevating the temperature.
A family member reports to another nurse that her father who
had surgery is moaning and restless. You hear the nurse remark
that "analgesics other than acetaminophen are not given to
patients with dementia to prevent masking the symptoms of
dementia."
What action do you take? correct answers >> Discuss the
rationale for that statement with the nurse for your
understanding.
Inform the nurse of your understanding that all patients deserve
excellent pain management, especially those who cannot report
their own pain.
Which of these is a role of the LPN/LVN in the preoperative phase?
Select all that apply correct answers >> Assist with data
collection.
Develop the patient's plan of care.
Reinforce patient teaching.
Provide emotional support to patients.
Include families in preoperative care.
Which of these would the nurse state to describe the
postoperative phase of surgery to the patient during preoperative
