Medical-Surgical Nursing Exam Review
With Q&A 100% Verified 2025/2026
Guarantee A+
1. A 42-year-old client admitted with an acute myocardial infarction asks to see his chart. What should
the nurse do first?
A. Allow the client to view his chart
B. Contact the supervisor and physician for approval
C. Ask the client if he has concerns about his care
D. Tell the client that he isn’t permitted to view his chart.
2. A registered nurse who works in the preoperative area of the operating room notices that a client is
scheduled for a partial mastectomy and axillary lymph node removal the following week. The nurse
should make sure, that the client is well educated about her surgery by:
A. taking with the nursing staff at the physician’s office to find out what the client has been taught
and her level of understanding
B. making sure that the post-anesthesia recovery unit nurses know what to teach the patient
before discharge
C. providing all of the preoperative teaching before surgery
D. having the post-operative nurses teach the patient because she’ll be too anxious before surgery
3. A male client brings a list of his prescribed medications to the clinic. During the initial assessment, he
tells the nurse that
he has been experiencing delayed ejaculation. Which drug class is associated with this problem?
A. Anticoagulants
B. Antibiotics
, C. Antihypertens ive
D. Steroids
E. Situation: Larry was admitted at Manila Doctor’s Hospital because of a second-degree burn
wound.
4. Before debriding a second-degree burn wound in the left lower leg, the nurse should do which of
the following?
A. Apply Lindane (Kwell) to the affected area
B. Medicate the client with narcotic analgesic
C. Administer acylovir (Zovirax) IV
D. Apply a topical antimicrobial ointment
5. Larry’s anterior trunk, both front upper extremities, both lower extremities sustained second and
third degree burn. Estimate the total percentage of body surface area burned using the Rule of Nines.
A. 60%
B. 63%
C. 62%
D. 61%
Situation . Hearing, impairment appears to be common among elderly patients. But also occurs among
children.
6. To assess the degree of hearing impairment of a 70-year-old client. Which communication approach
would you initiate?
A. Use verbal communication and observe the response
B. Give message to client in writing
C. Asks a family member about the client’s
, D. Post a sign “Patient deaf”
7. While you are mating your routine rounds you were told that there is a client in the 1CU who is in
respirator and who lip- reads. To establish relationship with him, communication is best accomplished
by:
A. Speaking slowly but aloud
B. Writing messages
C. Gesturing while speaking
D. Using simple “charade” approach or strategy
8. One of your client’s has just undergone an ear surgery. Which of the following would be inappropriate
in planning for his care?
A. Administration of anti-emetics and analgesics as ordered
B. Daily irrigation of the ear canal
C. Walking with assistance at least 24 hours after operation
D. Teaching the patient to avoid sneezing, coughing and nose blowing
9. Which of the following conditions would an irrigation of the ear canal be appropriate intervention?
A. Foreign body in the ear canal
B. Serious otitis
C. Impacted cerumen
D. Tympanic membrane perforation
10. Children who have undetected hearing loss are likely to exhibit which of the following:
A. Indifference and lack of interest in the environment
B. Hyperactivity
C. An increased interest in reading
With Q&A 100% Verified 2025/2026
Guarantee A+
1. A 42-year-old client admitted with an acute myocardial infarction asks to see his chart. What should
the nurse do first?
A. Allow the client to view his chart
B. Contact the supervisor and physician for approval
C. Ask the client if he has concerns about his care
D. Tell the client that he isn’t permitted to view his chart.
2. A registered nurse who works in the preoperative area of the operating room notices that a client is
scheduled for a partial mastectomy and axillary lymph node removal the following week. The nurse
should make sure, that the client is well educated about her surgery by:
A. taking with the nursing staff at the physician’s office to find out what the client has been taught
and her level of understanding
B. making sure that the post-anesthesia recovery unit nurses know what to teach the patient
before discharge
C. providing all of the preoperative teaching before surgery
D. having the post-operative nurses teach the patient because she’ll be too anxious before surgery
3. A male client brings a list of his prescribed medications to the clinic. During the initial assessment, he
tells the nurse that
he has been experiencing delayed ejaculation. Which drug class is associated with this problem?
A. Anticoagulants
B. Antibiotics
, C. Antihypertens ive
D. Steroids
E. Situation: Larry was admitted at Manila Doctor’s Hospital because of a second-degree burn
wound.
4. Before debriding a second-degree burn wound in the left lower leg, the nurse should do which of
the following?
A. Apply Lindane (Kwell) to the affected area
B. Medicate the client with narcotic analgesic
C. Administer acylovir (Zovirax) IV
D. Apply a topical antimicrobial ointment
5. Larry’s anterior trunk, both front upper extremities, both lower extremities sustained second and
third degree burn. Estimate the total percentage of body surface area burned using the Rule of Nines.
A. 60%
B. 63%
C. 62%
D. 61%
Situation . Hearing, impairment appears to be common among elderly patients. But also occurs among
children.
6. To assess the degree of hearing impairment of a 70-year-old client. Which communication approach
would you initiate?
A. Use verbal communication and observe the response
B. Give message to client in writing
C. Asks a family member about the client’s
, D. Post a sign “Patient deaf”
7. While you are mating your routine rounds you were told that there is a client in the 1CU who is in
respirator and who lip- reads. To establish relationship with him, communication is best accomplished
by:
A. Speaking slowly but aloud
B. Writing messages
C. Gesturing while speaking
D. Using simple “charade” approach or strategy
8. One of your client’s has just undergone an ear surgery. Which of the following would be inappropriate
in planning for his care?
A. Administration of anti-emetics and analgesics as ordered
B. Daily irrigation of the ear canal
C. Walking with assistance at least 24 hours after operation
D. Teaching the patient to avoid sneezing, coughing and nose blowing
9. Which of the following conditions would an irrigation of the ear canal be appropriate intervention?
A. Foreign body in the ear canal
B. Serious otitis
C. Impacted cerumen
D. Tympanic membrane perforation
10. Children who have undetected hearing loss are likely to exhibit which of the following:
A. Indifference and lack of interest in the environment
B. Hyperactivity
C. An increased interest in reading
