COMPREHENSIVE TEST V5 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
Which of the following nursing assessment findings is not a symptom
of polycythemia vera?
A. Headache
B. Dizziness
C. Shortness of breath
D. Excessive bleeding or bruising
Answer: Excessive bleeding or bruising
Rationale: Polycythemia vera is an excess in RBCs caused by a mutation
in a hematopoietic stem cell, & is characterized by a hematocrit of
>55%. Bleeding may be a sign of hemophilia or thrombocytopenia, &
isn't seen with polycythemia vera.
Periodic phlebotomy is performed to keep the blood volume &
viscosity within normal limits.
,Which of the following is not a complication of benign prostatic
hypertrophy (BPH)?
A. Pyelonephritis
B. Bladder calculi
C. Glomerulonephritis
D. Urinary retention
Answer: Glomerulonephritis
Rationale: Glomerulonephritis is inflammation of the glomeruli and is
not caused by infections or changes in the urinary tract.
BPH does cause increased risk of UTIs due to urinary retention. This
increases the risk of pyelonephritis. Urinary retention also increases the
risk of bladder calculi.
,For which of the following patients would a hemoglobin A1C not
provide usable information?
A. 65 y/o male with heart failure who had 80 mg of furosemide (Lasix)
over the last 12 hours
B. 23 y/o male with type one diabetes mellitus who had a splenectomy
2 years ago
C. 32 y/or female with gestational diabetes who has just been
diagnosed with preeclampsia
D. 13 y/o female who has type one diabetes mellitus & spina bifida
Answer: 23 y/o male with type one diabetes mellitus who had a
splenectomy 2 years ago
Rationale: Hemoglobin A1C measures glucose accumulation on RBCs,
which have a lifespan of above 3 months. At the end of their lifespan,
RBCs are removed from circulation by the spleen. A patient who has a
history of splenectomy will have an elevated A1C due to increased
lifespan of RBCs, and the data obtained won't be useful.
, The nurse is providing teaching a patient who has just undergone a
colectomy with an ileostomy formation. Which of the following foods
is least likely to increase the risk of blockage?
A. Cabbage
B. Coconut
C. Corn
D. Onions
Answer: Onions
Rationale: Onions are the least likely to cause intestinal blockages of
the foods listed. Fibrous foods that are difficult to digest may lead to an
increased risk of blockage.
Intermediate-acting insulins are effective for an approximate
duration of:
A. 6-10 hours
B. 3-6 hours
C. 14-18 hours
D. 24-28 hours
Answer: 14-18 hours
Rationale: Intermediate-acting insulin (example: NPH) has an onset of
2-4 hours with a peak of 6-10 hours, & a maximal duration of 14-18 hours.
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
Which of the following nursing assessment findings is not a symptom
of polycythemia vera?
A. Headache
B. Dizziness
C. Shortness of breath
D. Excessive bleeding or bruising
Answer: Excessive bleeding or bruising
Rationale: Polycythemia vera is an excess in RBCs caused by a mutation
in a hematopoietic stem cell, & is characterized by a hematocrit of
>55%. Bleeding may be a sign of hemophilia or thrombocytopenia, &
isn't seen with polycythemia vera.
Periodic phlebotomy is performed to keep the blood volume &
viscosity within normal limits.
,Which of the following is not a complication of benign prostatic
hypertrophy (BPH)?
A. Pyelonephritis
B. Bladder calculi
C. Glomerulonephritis
D. Urinary retention
Answer: Glomerulonephritis
Rationale: Glomerulonephritis is inflammation of the glomeruli and is
not caused by infections or changes in the urinary tract.
BPH does cause increased risk of UTIs due to urinary retention. This
increases the risk of pyelonephritis. Urinary retention also increases the
risk of bladder calculi.
,For which of the following patients would a hemoglobin A1C not
provide usable information?
A. 65 y/o male with heart failure who had 80 mg of furosemide (Lasix)
over the last 12 hours
B. 23 y/o male with type one diabetes mellitus who had a splenectomy
2 years ago
C. 32 y/or female with gestational diabetes who has just been
diagnosed with preeclampsia
D. 13 y/o female who has type one diabetes mellitus & spina bifida
Answer: 23 y/o male with type one diabetes mellitus who had a
splenectomy 2 years ago
Rationale: Hemoglobin A1C measures glucose accumulation on RBCs,
which have a lifespan of above 3 months. At the end of their lifespan,
RBCs are removed from circulation by the spleen. A patient who has a
history of splenectomy will have an elevated A1C due to increased
lifespan of RBCs, and the data obtained won't be useful.
, The nurse is providing teaching a patient who has just undergone a
colectomy with an ileostomy formation. Which of the following foods
is least likely to increase the risk of blockage?
A. Cabbage
B. Coconut
C. Corn
D. Onions
Answer: Onions
Rationale: Onions are the least likely to cause intestinal blockages of
the foods listed. Fibrous foods that are difficult to digest may lead to an
increased risk of blockage.
Intermediate-acting insulins are effective for an approximate
duration of:
A. 6-10 hours
B. 3-6 hours
C. 14-18 hours
D. 24-28 hours
Answer: 14-18 hours
Rationale: Intermediate-acting insulin (example: NPH) has an onset of
2-4 hours with a peak of 6-10 hours, & a maximal duration of 14-18 hours.
