MEDSURG 1 EXAM 1 2026 QUESTIONS AND
ANSWERS GRADED A+
A patient has a nursing diagnosis of ineffective airway clearance related to retained
secretions, excessive mucus, and ineffective cough as evidenced by adventitious
breath sounds. What should the nurse include in the NCP as an appropriate NOC
outcome and NIC intervention for this nursing diagnosis?
1. Aspiration Prevention (NOC) and Aspiration Procedures (NIC)
2. Respiratory Status: Gas Exchange (NOC) and Oxygen Therapy (NIC)
3. Respiratory Status: Ventilation (NOC) and Respiratory Monitoring (NIC)
4. Respiratory Status: Airway Patency (NOC) and Airway Management (NIC)
4. Respiratory Status: Airway Patency (NOC) and Airway Management (NIC)
A nurse teaches a student nurse about evidence-based nursing practice guidelines.
Which statement, if made by the student nurse, indicates understanding of the
teaching?
1. "Patient care is based on research findings instead of the expertise of the nurse."
2. "Patient preferences should not be considered if guidelines are supported by
evidence."
3. "Nursing care provided is based on the best evidence for quality care and desired
outcomes."
4. "Practice guidelines are used so that professional decisions about patient care are
unnecessary."
3. "Nursing care provided is based on the best evidence for quality care and desired
outcomes.
,a nurse is caring for an older adult who has a new diagnosis of type 2 diabetes and
reports to have difficulty following the diet plan and and taking his medication
which of the following actions can the nurse take so the patient is more compliant?
1. as the dietitation to assist with meal planning
2. contact the clients support system
3. assess for age related cognitive awareness
4. encourage to use a daily medication dispenser
5.provide educational materials for at home usage
1. as the dietitation to assist with meal planning
2. contact the clients support system
4. encourage to use a daily medication dispenser
5.provide educational materials for at home usage
a nurse in a health care clinic is evaluating the level of wellness for clients using
the illness-wellness continuum. The nurse should identify which of the following
clients as at the center of the continuum.?
1. college student w influenza
2. older adult with new diagnosis of type 2 diabetes
3. New mother with a UTI
4. Young male with a long history of controlled arthritis
4. Young male with a long history of controlled arthritis
, A nurse is evaluating clients at a health fair for modifiable variables affecting
health and wellness. Which variables can the nurse identify as modifiable?
a. smoking on occasion
2. BMI of 28
3. Alopecia
4. Trisomy 21
5. History of reflux
a. smoking on occasion
2. BMI of 28
5. History of reflux
A nurse is caring for a patient who was just told she has breast cancer. The nurse
evaluates the clients response. Which of the following statements reflects a lack of
understanding of an illness perspective?
a. " i have no family history of breast cancer"
b. " I need a second opinion, there is no lump"
c. " I am glad we live in a city where there is several large hospitals"
d. "I will schedule my surgery next week over the holidays"
b. " I need a second opinion, there is no lump"
an example of a nursing activity that best reflects the the ANA's definition of
nursing is:
1. treating dysarythmias that occur in a patient in the coronary care unit
2. diagnosing a patient with a tube feed with risk of aspiration
3. establishing protocols for a patient in the emergency department
ANSWERS GRADED A+
A patient has a nursing diagnosis of ineffective airway clearance related to retained
secretions, excessive mucus, and ineffective cough as evidenced by adventitious
breath sounds. What should the nurse include in the NCP as an appropriate NOC
outcome and NIC intervention for this nursing diagnosis?
1. Aspiration Prevention (NOC) and Aspiration Procedures (NIC)
2. Respiratory Status: Gas Exchange (NOC) and Oxygen Therapy (NIC)
3. Respiratory Status: Ventilation (NOC) and Respiratory Monitoring (NIC)
4. Respiratory Status: Airway Patency (NOC) and Airway Management (NIC)
4. Respiratory Status: Airway Patency (NOC) and Airway Management (NIC)
A nurse teaches a student nurse about evidence-based nursing practice guidelines.
Which statement, if made by the student nurse, indicates understanding of the
teaching?
1. "Patient care is based on research findings instead of the expertise of the nurse."
2. "Patient preferences should not be considered if guidelines are supported by
evidence."
3. "Nursing care provided is based on the best evidence for quality care and desired
outcomes."
4. "Practice guidelines are used so that professional decisions about patient care are
unnecessary."
3. "Nursing care provided is based on the best evidence for quality care and desired
outcomes.
,a nurse is caring for an older adult who has a new diagnosis of type 2 diabetes and
reports to have difficulty following the diet plan and and taking his medication
which of the following actions can the nurse take so the patient is more compliant?
1. as the dietitation to assist with meal planning
2. contact the clients support system
3. assess for age related cognitive awareness
4. encourage to use a daily medication dispenser
5.provide educational materials for at home usage
1. as the dietitation to assist with meal planning
2. contact the clients support system
4. encourage to use a daily medication dispenser
5.provide educational materials for at home usage
a nurse in a health care clinic is evaluating the level of wellness for clients using
the illness-wellness continuum. The nurse should identify which of the following
clients as at the center of the continuum.?
1. college student w influenza
2. older adult with new diagnosis of type 2 diabetes
3. New mother with a UTI
4. Young male with a long history of controlled arthritis
4. Young male with a long history of controlled arthritis
, A nurse is evaluating clients at a health fair for modifiable variables affecting
health and wellness. Which variables can the nurse identify as modifiable?
a. smoking on occasion
2. BMI of 28
3. Alopecia
4. Trisomy 21
5. History of reflux
a. smoking on occasion
2. BMI of 28
5. History of reflux
A nurse is caring for a patient who was just told she has breast cancer. The nurse
evaluates the clients response. Which of the following statements reflects a lack of
understanding of an illness perspective?
a. " i have no family history of breast cancer"
b. " I need a second opinion, there is no lump"
c. " I am glad we live in a city where there is several large hospitals"
d. "I will schedule my surgery next week over the holidays"
b. " I need a second opinion, there is no lump"
an example of a nursing activity that best reflects the the ANA's definition of
nursing is:
1. treating dysarythmias that occur in a patient in the coronary care unit
2. diagnosing a patient with a tube feed with risk of aspiration
3. establishing protocols for a patient in the emergency department
