SURGICAL PROCTORED EXAM 2025 QUESTIONS AND ANSWERS LATEST UPDATE 2025-2026
A patient is hospitalized for initiation of regional antibiotic irrigation for acute osteomyelitis of
the right femur. Which intervention will be included in the plan of care?
a. Immobilization of the right leg
b. Avoiding administration of nonsteroidal anti-inflammatory drugs (NSAIDs)
c. Frequent weight-bearing exercise
d. Support of the right leg in a flexed position - Answers The correct answer is: Immobilization
of the right leg
Discharge teaching for the patient with esophageal reflux disease includes
instructing the patient to: a. Decrease protein intake
b. Elevate the foot of the bed with 6-inch blocks
c. Eat a high-carbohydrate snack before bed
d. Reduce caffeine intake and smoking - Answers The correct answer is: Reduce caffeine intake
and smoking
Once healing has occurred, persons with a hip prosthesis are encouraged
to participate in: a. High-impact exercises such as swimming
b. Low-impact exercises such as jogging
c. High-impact exercises such as bowling
d. Low-impact exercises such as walking - Answers The correct answer is: Low-impact
exercises such as walking
patient with glaucoma who has been using timolol (Timoptic) drops for several days tells the
nurse
that the eyedrops cause eye burning and visual blurriness for a short time after administration.
The best
response to the patient's statement is
a. "These symptoms are caused by glaucoma and may indicate a need for an increased dosage
of the
eyedrops."
,b. "The drops are uncomfortable, but it is very important for you to use them as prescribed to
retain
your vision."
c. "These are normal side effects of the drug, which should become less noticeable with time."
d. "If you occlude the puncta after you administer the drops, it will help relieve these side
effects." - Answers The correct answer is: "The drops are uncomfortable, but it is very important
for you to use them as
prescribed to retain your vision."
Patients should be taught that Zollinger-Ellison
syndrome is:
a. An ulcerative syndrome caused by a gastrinoma
b. An infectious syndrome caused by Helicobacter pylori
c. Related to the indiscriminate use of nonsteroidal antiinflammatory drugs (NSAIDs) d. A type
of peptic
ulcer related to stress - Answers The correct answer is: An ulcerative syndrome caused by a
gastrinoma
After a patient has a short-arm plaster cast applied in the emergency department, which
statement by
the patient indicates a good understanding of the nurse's discharge teaching?
a. "I can use a cotton-tipped applicator to rub lotion on any dry areas under the cast."
b. "I should avoid moving my fingers and elbow until the cast is removed."
c. "I can get the cast wet as long as I dry it right away with a hair dryer."
d. "I will apply an ice pack to the cast over the fracture site for the next 24 hours." - Answers The
correct answer is: "I will apply an ice pack to the cast over the fracture site for the next 24
hours."
The leading cause of blindness in the elderly is:
a. Glaucoma
b. Macular degeneration
c. Ocular tumors
, d. Retinal detachment - Answers The correct answer is: Macular degeneration
Which describes a fracture located at a 45-degree angle to the
long axis of bone? a. Oblique fracture
b. Impacted fracture
c. Avulsion fracture
d. Compound fracture - Answers The correct answer is:
Oblique fracture
Dumping
syndrome after gastric
surgery:
a. Can be controlled by increasing fluid ingestion
b. Produces a sudden decrease in blood glucose, initiating gastric emptying
c. Is caused by rapid emptying of hypertonic chyme into the jejunum
d. Is treated most effectively with a high-cholesterol, low-fat diet and fluid restriction - Answers
The correct answer is: Is caused by rapid emptying of hypertonic chyme into the jejunum
When performing an eye examination, the nurse will assess for accommodation by
a. observing the pupils when the patient focuses on a close object and then on a distant object.
b. shining a light into the patient's eye and watching the pupil response in the opposite eye.
c. touching the patient's pupil with a small piece of sterile cotton and watching for a blink
reaction.
d. covering one eye for 1 minute and noting the pupil reaction when the cover is removed. -
Answers Accommodation is defined as the ability of the lens to adjust to various distances.
Which is classic indication of hip fracture?
a. Internal rotation of the injured leg
b. Shortening and external rotation of the injured leg
c. Groin pain accompanied by urinary retention
d. Absence of pedal pulses on the affected side - Answers The correct answer is: Shortening
A patient is hospitalized for initiation of regional antibiotic irrigation for acute osteomyelitis of
the right femur. Which intervention will be included in the plan of care?
a. Immobilization of the right leg
b. Avoiding administration of nonsteroidal anti-inflammatory drugs (NSAIDs)
c. Frequent weight-bearing exercise
d. Support of the right leg in a flexed position - Answers The correct answer is: Immobilization
of the right leg
Discharge teaching for the patient with esophageal reflux disease includes
instructing the patient to: a. Decrease protein intake
b. Elevate the foot of the bed with 6-inch blocks
c. Eat a high-carbohydrate snack before bed
d. Reduce caffeine intake and smoking - Answers The correct answer is: Reduce caffeine intake
and smoking
Once healing has occurred, persons with a hip prosthesis are encouraged
to participate in: a. High-impact exercises such as swimming
b. Low-impact exercises such as jogging
c. High-impact exercises such as bowling
d. Low-impact exercises such as walking - Answers The correct answer is: Low-impact
exercises such as walking
patient with glaucoma who has been using timolol (Timoptic) drops for several days tells the
nurse
that the eyedrops cause eye burning and visual blurriness for a short time after administration.
The best
response to the patient's statement is
a. "These symptoms are caused by glaucoma and may indicate a need for an increased dosage
of the
eyedrops."
,b. "The drops are uncomfortable, but it is very important for you to use them as prescribed to
retain
your vision."
c. "These are normal side effects of the drug, which should become less noticeable with time."
d. "If you occlude the puncta after you administer the drops, it will help relieve these side
effects." - Answers The correct answer is: "The drops are uncomfortable, but it is very important
for you to use them as
prescribed to retain your vision."
Patients should be taught that Zollinger-Ellison
syndrome is:
a. An ulcerative syndrome caused by a gastrinoma
b. An infectious syndrome caused by Helicobacter pylori
c. Related to the indiscriminate use of nonsteroidal antiinflammatory drugs (NSAIDs) d. A type
of peptic
ulcer related to stress - Answers The correct answer is: An ulcerative syndrome caused by a
gastrinoma
After a patient has a short-arm plaster cast applied in the emergency department, which
statement by
the patient indicates a good understanding of the nurse's discharge teaching?
a. "I can use a cotton-tipped applicator to rub lotion on any dry areas under the cast."
b. "I should avoid moving my fingers and elbow until the cast is removed."
c. "I can get the cast wet as long as I dry it right away with a hair dryer."
d. "I will apply an ice pack to the cast over the fracture site for the next 24 hours." - Answers The
correct answer is: "I will apply an ice pack to the cast over the fracture site for the next 24
hours."
The leading cause of blindness in the elderly is:
a. Glaucoma
b. Macular degeneration
c. Ocular tumors
, d. Retinal detachment - Answers The correct answer is: Macular degeneration
Which describes a fracture located at a 45-degree angle to the
long axis of bone? a. Oblique fracture
b. Impacted fracture
c. Avulsion fracture
d. Compound fracture - Answers The correct answer is:
Oblique fracture
Dumping
syndrome after gastric
surgery:
a. Can be controlled by increasing fluid ingestion
b. Produces a sudden decrease in blood glucose, initiating gastric emptying
c. Is caused by rapid emptying of hypertonic chyme into the jejunum
d. Is treated most effectively with a high-cholesterol, low-fat diet and fluid restriction - Answers
The correct answer is: Is caused by rapid emptying of hypertonic chyme into the jejunum
When performing an eye examination, the nurse will assess for accommodation by
a. observing the pupils when the patient focuses on a close object and then on a distant object.
b. shining a light into the patient's eye and watching the pupil response in the opposite eye.
c. touching the patient's pupil with a small piece of sterile cotton and watching for a blink
reaction.
d. covering one eye for 1 minute and noting the pupil reaction when the cover is removed. -
Answers Accommodation is defined as the ability of the lens to adjust to various distances.
Which is classic indication of hip fracture?
a. Internal rotation of the injured leg
b. Shortening and external rotation of the injured leg
c. Groin pain accompanied by urinary retention
d. Absence of pedal pulses on the affected side - Answers The correct answer is: Shortening
