COMPLEX MED SURG EXAM 1 2026 FINAL
PAPER QUESTIONS AND SOLUTIONS GRADED
A+
◉ A nurse is reviewing the medical record for a client who is
experiencing nausea and vomiting. Based on the client data, which of
the following actions should the nurse take? (Click on the exhibit
tabs for additional information about the client. There are three tabs
that contain separate categories of data.) Answer: Notify the charge
nurse of the client's BUN
R: The client's BUN level is above the expected reference range of 10
to 20 mg/dL, which can indicate impaired renal function. The nurse
should anticipate interventions to restore the client's fluid volume.
◉ A nurse is assisting with the care for a client who has a
methicillin-resistant Staphylococcus aureus (MRSA) nfection in a
surgical wound. Which of the following information should the
nurse plan to share with visitors? Answer: Visitors must don a gown
and gloves prior to entering the client's room.
R: The nurse should provide teaching to the visitors regarding the
infection control measures for a client who is on contact isolation
precautions. Contact precautions require visitors to put on a gown
,and gloves prior to entering the room of a client who has MRS4 to
prevent the spread of infection
◉ A nurse is reinforcing teaching with a client about increasing
dietary fiber. The nurse should recommend which of the following
foods as the best source of fiber? Answer: 1/2 cup cooked kidney
beans
R: The nurse should recommend kidney beans as the best source of
fiber because 1/2 cup contains 6.5 g of fiber
◉ Complete the following sentence by using the lists of options.
Answer: After reviewing the findings in the client's medical record,
the nurse should first address the client's abdominal distention
, followed by the client's
Acute pain
R:
• Abdominal distention is correct. When using the greatest risk
framework, the nurse should identify that a manifestation of an
inflammatory intestinal disorder is abdominal distention. The nurse
should address this finding to reduce the risk for life-threatening
• Acute pain is correct. When using the greatest risk framework, the
nurse should identify that a manifestation of an inflammatory
, intestinal disorder is acute abdominal pain. The nurse should
address this finding to reduce the risk for life-threatening
complications, such as obstruction or infection.
◉ The nurse is collecting data on the client.
For each client finding, click to specify if the finding is consistent
with Appendicitis, Diverticular disease, or Crohn's disease. Each
finding may support more than 1 disease process. Answer: Blood in
the stool is consistent with diverticular disease and Crohn's disease.
Clients who have diverticular disease can have a decreased
hemoglobin and hematocrit level from chronic or severe bleeding,
and their stools should be checked for occult or frank bleeding.
Anemia relating to Crohn's disease is common because of slow
bleeding, and the stools of client's who have Crohn's disease might
contain bright red blood.
Pain in the right lower quadrant is consistent with appendicitis and
Crohn's disease. Pain in the right lower quadrant is a manifestation
of appendicitis. Clients who have inflammation from Crohn's disease
usually have constant pain located in the right lower quadrant.
Clients who have diverticular disease might experience pain in the
left lower quadrant.
Mucus in the stool is consistent with Crohn's disease.
Clients who have Crohn's disease usually have mucus and fat in their
stools.
Nausea is consistent with appendicitis, diverticular disease, and
Crohn's disease. Clients who have appendicitis, diverticular disease,
or Crohn's disease might experience nausea.
PAPER QUESTIONS AND SOLUTIONS GRADED
A+
◉ A nurse is reviewing the medical record for a client who is
experiencing nausea and vomiting. Based on the client data, which of
the following actions should the nurse take? (Click on the exhibit
tabs for additional information about the client. There are three tabs
that contain separate categories of data.) Answer: Notify the charge
nurse of the client's BUN
R: The client's BUN level is above the expected reference range of 10
to 20 mg/dL, which can indicate impaired renal function. The nurse
should anticipate interventions to restore the client's fluid volume.
◉ A nurse is assisting with the care for a client who has a
methicillin-resistant Staphylococcus aureus (MRSA) nfection in a
surgical wound. Which of the following information should the
nurse plan to share with visitors? Answer: Visitors must don a gown
and gloves prior to entering the client's room.
R: The nurse should provide teaching to the visitors regarding the
infection control measures for a client who is on contact isolation
precautions. Contact precautions require visitors to put on a gown
,and gloves prior to entering the room of a client who has MRS4 to
prevent the spread of infection
◉ A nurse is reinforcing teaching with a client about increasing
dietary fiber. The nurse should recommend which of the following
foods as the best source of fiber? Answer: 1/2 cup cooked kidney
beans
R: The nurse should recommend kidney beans as the best source of
fiber because 1/2 cup contains 6.5 g of fiber
◉ Complete the following sentence by using the lists of options.
Answer: After reviewing the findings in the client's medical record,
the nurse should first address the client's abdominal distention
, followed by the client's
Acute pain
R:
• Abdominal distention is correct. When using the greatest risk
framework, the nurse should identify that a manifestation of an
inflammatory intestinal disorder is abdominal distention. The nurse
should address this finding to reduce the risk for life-threatening
• Acute pain is correct. When using the greatest risk framework, the
nurse should identify that a manifestation of an inflammatory
, intestinal disorder is acute abdominal pain. The nurse should
address this finding to reduce the risk for life-threatening
complications, such as obstruction or infection.
◉ The nurse is collecting data on the client.
For each client finding, click to specify if the finding is consistent
with Appendicitis, Diverticular disease, or Crohn's disease. Each
finding may support more than 1 disease process. Answer: Blood in
the stool is consistent with diverticular disease and Crohn's disease.
Clients who have diverticular disease can have a decreased
hemoglobin and hematocrit level from chronic or severe bleeding,
and their stools should be checked for occult or frank bleeding.
Anemia relating to Crohn's disease is common because of slow
bleeding, and the stools of client's who have Crohn's disease might
contain bright red blood.
Pain in the right lower quadrant is consistent with appendicitis and
Crohn's disease. Pain in the right lower quadrant is a manifestation
of appendicitis. Clients who have inflammation from Crohn's disease
usually have constant pain located in the right lower quadrant.
Clients who have diverticular disease might experience pain in the
left lower quadrant.
Mucus in the stool is consistent with Crohn's disease.
Clients who have Crohn's disease usually have mucus and fat in their
stools.
Nausea is consistent with appendicitis, diverticular disease, and
Crohn's disease. Clients who have appendicitis, diverticular disease,
or Crohn's disease might experience nausea.
