COMPREHENSIVE TEST BANK MED-SURG EXIT EXAM
2026/2027 AND PRACTICE QUESTIONS WITH A STUDY
GUIDE | ALL VERSIONS OF THE EXAM WITH ALL
MODULES COVERED | ACCURATE AND VERIFIED
QUESTIONS AND ANSWERS FOR GUARANTEED PASS |
LATEST UPDATE 2026 EDITION
To decrease a patient's shortness of breath and a sense of impending
doom during an asthma attack, the nurse will:
A. Place the patient on a cardiac monitor and observe from the nurses'
station.
B. Let the patient rest alone in a quiet, calm environment.
C. Reassure the patient that the doctor will arrive soon
D. Stay with the patient and encourage pursed-lip breathing.
D
The patient experiencing an acute asthma exacerbation will be fearful
and anxious. It is important for the nurse to stay with the patient for
ongoing assessment and to provide a calm environment. Helping the
patient breathe with pursed lips will facilitate the expiration of trapped
air and help the patient regain control of his or her breathing.
,A 68 year old woman is admitted to the surgical unit after a gastric
resection for gastric cancer. She states that she doesn't want anyone to
see her in this condition, even her husband. This nurse's best response
is:
A. "Patients' rights protect your privacy. I won't allow anyone in."
B. "I've seen gastric cancer patients who look much worse. Don't worry."
C. "Would you like to talk to a social worker?"
D. "What about your condition worries you?"
D
The nurse should allow the patient to share her concerns and express
her feelings in a nonjudgmental environment.
If there is psych/behavioral component- AFFIRM AND VALIDATE, NO
PROBING
A patient with a tricuspid valve disorder will have impaired blood flow
between the:
A. Vena cava and right atrium
B. Left atrium and left ventricle
C. Right atrium and right ventricle
D. Right ventricle and pulmonary artery
C
Tricuspid valve is located between right atrium and right ventricle
MITRAL VALVE- left atrium and left ventricle
,If the Purkinje system is damaged, conduction of the electrical impulse
is impaired through the:
A. Atria
B. AV node
C. Ventricles
D. Bundle of His
C
Purkinje fibers provide a high-speed distribution of excitation
throughout the ventricular myocardium; if the pattern of contraction is
disrupted, the ventricles will not efficiently eject blood
Order of impulse is SA node to AV node to Bundle of His to bundle
branch to purkinje fibers
Which of the following is a sign of poor perfusion?
A. Mean arterial pressure <80 mmHg
B. Urine output <0.5 ml/kg/hr for 2 consecutive hours
C. Lactate levels > 1mmol/L
D. Systolic BP of 150 mmHg
B
UO should be greater or equal to .5ml per kg per hour.
MAPs should be between 65-85
Lactate levels should be less than 2.3
SBP of 150 is high but does not indicate poor perfusion
, When performing discharge teaching with a patient who is taking
warfarin sodium (Coumadin), the nurse learns that patient used
complementary therapies at home. Which of the following substances is
most concerning?
A. Echinacea
B. Vitamin B12
C. Vitamin D
D. Garlic
D. Garlic
When taking warfarin, caution with - garlic, ginseng, ginkgo, ibuprofen,
pain drugs, vitamin E
Garlic may increase bleeding, so supplemental garlic may cause a
synergic effect when combined with coumadin
2026/2027 AND PRACTICE QUESTIONS WITH A STUDY
GUIDE | ALL VERSIONS OF THE EXAM WITH ALL
MODULES COVERED | ACCURATE AND VERIFIED
QUESTIONS AND ANSWERS FOR GUARANTEED PASS |
LATEST UPDATE 2026 EDITION
To decrease a patient's shortness of breath and a sense of impending
doom during an asthma attack, the nurse will:
A. Place the patient on a cardiac monitor and observe from the nurses'
station.
B. Let the patient rest alone in a quiet, calm environment.
C. Reassure the patient that the doctor will arrive soon
D. Stay with the patient and encourage pursed-lip breathing.
D
The patient experiencing an acute asthma exacerbation will be fearful
and anxious. It is important for the nurse to stay with the patient for
ongoing assessment and to provide a calm environment. Helping the
patient breathe with pursed lips will facilitate the expiration of trapped
air and help the patient regain control of his or her breathing.
,A 68 year old woman is admitted to the surgical unit after a gastric
resection for gastric cancer. She states that she doesn't want anyone to
see her in this condition, even her husband. This nurse's best response
is:
A. "Patients' rights protect your privacy. I won't allow anyone in."
B. "I've seen gastric cancer patients who look much worse. Don't worry."
C. "Would you like to talk to a social worker?"
D. "What about your condition worries you?"
D
The nurse should allow the patient to share her concerns and express
her feelings in a nonjudgmental environment.
If there is psych/behavioral component- AFFIRM AND VALIDATE, NO
PROBING
A patient with a tricuspid valve disorder will have impaired blood flow
between the:
A. Vena cava and right atrium
B. Left atrium and left ventricle
C. Right atrium and right ventricle
D. Right ventricle and pulmonary artery
C
Tricuspid valve is located between right atrium and right ventricle
MITRAL VALVE- left atrium and left ventricle
,If the Purkinje system is damaged, conduction of the electrical impulse
is impaired through the:
A. Atria
B. AV node
C. Ventricles
D. Bundle of His
C
Purkinje fibers provide a high-speed distribution of excitation
throughout the ventricular myocardium; if the pattern of contraction is
disrupted, the ventricles will not efficiently eject blood
Order of impulse is SA node to AV node to Bundle of His to bundle
branch to purkinje fibers
Which of the following is a sign of poor perfusion?
A. Mean arterial pressure <80 mmHg
B. Urine output <0.5 ml/kg/hr for 2 consecutive hours
C. Lactate levels > 1mmol/L
D. Systolic BP of 150 mmHg
B
UO should be greater or equal to .5ml per kg per hour.
MAPs should be between 65-85
Lactate levels should be less than 2.3
SBP of 150 is high but does not indicate poor perfusion
, When performing discharge teaching with a patient who is taking
warfarin sodium (Coumadin), the nurse learns that patient used
complementary therapies at home. Which of the following substances is
most concerning?
A. Echinacea
B. Vitamin B12
C. Vitamin D
D. Garlic
D. Garlic
When taking warfarin, caution with - garlic, ginseng, ginkgo, ibuprofen,
pain drugs, vitamin E
Garlic may increase bleeding, so supplemental garlic may cause a
synergic effect when combined with coumadin
