MED SURG CMSRN |ACTUAL QUESTIONS AND
VERIFIED ANSWERS |LATEST 2026/2027
UPDATE|GRADED A+
Question 1
A patient, age 38, has acute bronchitis. The nurse formulates a nursing diagnosis of
Ineffective airway clearance. After implementing the care plan, the nurse would expect
which outcome?
ANSWER
The patient maintains clear breath sounds
Question 2
A patient with a gunshot wound requires an emergency blood transfusion. His blood type is
AB Rh negative. Which blood type would be the safest for him to receive?
ANSWER
A RH -negative
Question 3
A patient, age 53, comes to the ED short of breath. His respiratory rate is 45 breaths/minute,
he cannot speak because of severe dyspnea. The patient's history reveals an MI and several
episodes of heart failure. When auscultating his chest what would the nurse expect to hear?
ANSWER
An S3 gallop and crackles
Question 4
1
@THE STUDY VAULT
,A patient learns from the physician that he has Hodgkin's disease. After the physician is
leaves the room, the patient tells the nurse he is afraid of dying. Which response by the
nurse is appropriate?
ANSWER
"You are afraid of dying?"
Question 5
A patient with pneumonia develops dyspnea with a respiratory rate of 32 breaths/minute
and difficulty expelling his secretions. The nurse auscultates his lung fields and hears
bronchial sounds in the left lower lobe. The nurse determines that the patient requires
which treatment first?
ANSWER
Oxygen
Question 6
Prevention and early treatment of Lyme disease are crucial because late complications of the
disease include
ANSWER
Arthritis
Question 7
A patient, age 28, is admitted with a suspected malignant melanoma on his left shoulder.
When performing a physical assessment, the nurse would expect to find which of the
following?
ANSWER
A brown or black mole with red, white, or blue areas
2
@THE STUDY VAULT
,Question 8
A patient, age 32, is admitted with a tentative diagnosis of acquired immunodeficiency
syndrome (AIDS). The practitioner orders a biopsy of his facial lesions; the preliminary biopsy
report indicates Kaposi's sarcoma. Which of the following would be the nurse's best
approach?
ANSWER
Explore the patient's feelings about his facial disfigurement
Question 9
A patient who is human immunodeficiency virus (HIV ) positive begins zidovudine therapy.
Which statement best describes the action of this drug?
ANSWER
It interferes with vital replication
Question 10
What would the nurse expect to find when assessing a patient skin with deep partial-
thickness burns?
ANSWER
Cherry-red areas with weeping blisters
Question 11
A patient, age 23, underwent a rhinoplasty 6 hours ago. After administering his pain
medication, the nurse notes that he is swallowing frequently. What is the most likely cause
of the swallowing?
ANSWER
3
@THE STUDY VAULT
, Bleeding posterior to the nasal packing
Question 12
When assessing the patient with an acute dissecting thoracic aortic aneurysm, the nurse
would expect which finding?
ANSWER
Severe chest pain
Question 13
A patient, age 72, has vascular disease. Which nursing intervention would be appropriate?
ANSWER
Encourage him to avoid caffeine and nicotine.
Question 14
During an eye assessment, a patient complains that a "curtain seems to be coming down in
front of my eye." This complaint suggests which condition:
ANSWER
Retinal detachment
Question 15
A patient, age 64, is receiving treatment for heart failure. The nurse should plan to teach
about which drugs?
ANSWER
Digoxin, vasodilating agents, and diuretics
4
@THE STUDY VAULT
VERIFIED ANSWERS |LATEST 2026/2027
UPDATE|GRADED A+
Question 1
A patient, age 38, has acute bronchitis. The nurse formulates a nursing diagnosis of
Ineffective airway clearance. After implementing the care plan, the nurse would expect
which outcome?
ANSWER
The patient maintains clear breath sounds
Question 2
A patient with a gunshot wound requires an emergency blood transfusion. His blood type is
AB Rh negative. Which blood type would be the safest for him to receive?
ANSWER
A RH -negative
Question 3
A patient, age 53, comes to the ED short of breath. His respiratory rate is 45 breaths/minute,
he cannot speak because of severe dyspnea. The patient's history reveals an MI and several
episodes of heart failure. When auscultating his chest what would the nurse expect to hear?
ANSWER
An S3 gallop and crackles
Question 4
1
@THE STUDY VAULT
,A patient learns from the physician that he has Hodgkin's disease. After the physician is
leaves the room, the patient tells the nurse he is afraid of dying. Which response by the
nurse is appropriate?
ANSWER
"You are afraid of dying?"
Question 5
A patient with pneumonia develops dyspnea with a respiratory rate of 32 breaths/minute
and difficulty expelling his secretions. The nurse auscultates his lung fields and hears
bronchial sounds in the left lower lobe. The nurse determines that the patient requires
which treatment first?
ANSWER
Oxygen
Question 6
Prevention and early treatment of Lyme disease are crucial because late complications of the
disease include
ANSWER
Arthritis
Question 7
A patient, age 28, is admitted with a suspected malignant melanoma on his left shoulder.
When performing a physical assessment, the nurse would expect to find which of the
following?
ANSWER
A brown or black mole with red, white, or blue areas
2
@THE STUDY VAULT
,Question 8
A patient, age 32, is admitted with a tentative diagnosis of acquired immunodeficiency
syndrome (AIDS). The practitioner orders a biopsy of his facial lesions; the preliminary biopsy
report indicates Kaposi's sarcoma. Which of the following would be the nurse's best
approach?
ANSWER
Explore the patient's feelings about his facial disfigurement
Question 9
A patient who is human immunodeficiency virus (HIV ) positive begins zidovudine therapy.
Which statement best describes the action of this drug?
ANSWER
It interferes with vital replication
Question 10
What would the nurse expect to find when assessing a patient skin with deep partial-
thickness burns?
ANSWER
Cherry-red areas with weeping blisters
Question 11
A patient, age 23, underwent a rhinoplasty 6 hours ago. After administering his pain
medication, the nurse notes that he is swallowing frequently. What is the most likely cause
of the swallowing?
ANSWER
3
@THE STUDY VAULT
, Bleeding posterior to the nasal packing
Question 12
When assessing the patient with an acute dissecting thoracic aortic aneurysm, the nurse
would expect which finding?
ANSWER
Severe chest pain
Question 13
A patient, age 72, has vascular disease. Which nursing intervention would be appropriate?
ANSWER
Encourage him to avoid caffeine and nicotine.
Question 14
During an eye assessment, a patient complains that a "curtain seems to be coming down in
front of my eye." This complaint suggests which condition:
ANSWER
Retinal detachment
Question 15
A patient, age 64, is receiving treatment for heart failure. The nurse should plan to teach
about which drugs?
ANSWER
Digoxin, vasodilating agents, and diuretics
4
@THE STUDY VAULT
