DETAILED ANSWER KEY FOR MEDICAL
SURGICAL EXAM ACTUAL EXAM PAPER
2026 A+ SOLUTIONS QUESTIONS WITH
ANSWERS GRADED A+
⩥ Why is stridor bad? Answer: it means that there is an obstruction or
edema in airway
⩥ What is common in heart rate in a patient with low fluid volume
(hypovolemia)? Answer: usually greater than 110- to compensate for the
low bp
⩥ What is normal urine gravity? Answer: 1.000 - 1.030
⩥ What is the role of positive pressure? Answer: to promote lung
expansion and stabilize chest
⩥ Would you recommend exercise for a pt who has been discharged
with heart failure? Answer: yes
⩥ How often should exercise be in heart failure pt? Answer: regular
routine
,⩥ Should you consume milk with iron supplements? Answer: no- can
cause gastric disturbance.
⩥ Would you take iron with antacids? Answer: no- causes gastric
disturbances
⩥ Would you tell the pt to lower red meat intake with iron deficiency?
Answer: no- increase iron rich foods
⩥ What is a common side effect with iron pills? Answer: constipation
⩥ What would you tell them to eat with taking iron pills? Answer: high
fiber
⩥ When does pain worsen with compartement syndrome? Answer: when
passive moving occurs.
⩥ What does warmth under cast indicate? Answer: infection
⩥ Should pt decrease complex carbs for atherosceleoris? Answer: no,
increase them
⩥ What carb should a client with atherosceloris decrease? Answer:
simple sugars
,⩥ Is MRSA airborne or contact? Answer: contact
⩥ What does phenyotoin do to hepatic enzymes (for seizures meds)?
Answer: it decreases effectiveness
⩥ What should you tell the pt not to take with ciprofloxacin? Answer:
magnesium containg antacids
⩥ Why wouldn't you take magnesium containing anatacids with cipro?
Answer: calcium can decrease absorption of med
⩥ What is a common side effect of rifampin? Answer: color of urine-
⩥ Can you take ciproflaxcin with alcohol? Answer: yes
⩥ After a parathryoidectomy what would be the priority for the nurse?
Answer: to put trach tray by bedside in case of airway
occlusion(AIRWAY)
⩥ What meds increase osteoporosis? Answer: fludrocortisone
, ⩥ With enoxaparin, what is the priority as the med the nurse? Answer:
give dosage same time every day
⩥ Is restlessness common in hyperthyroidism? Answer: yes
⩥ What would be urgent for hyperthyroidism? Answer: high BP
⩥ If a pt has a weird heart sound what would be first thing you do?
Answer: listen to it again but on the left side (least invasive)
⩥ Why would gentamicin be withheld from a pt? Answer: if creatine
levels are too high
⩥ What is normal creatine? Answer: .6-1.2
⩥ What is one of the first vital signs of a hemorrhage? Answer: increase
heart rate
⩥ What med would you give for a febrile reaction? Answer: tylenol
(reduces fever)
⩥ How long does a drain stay in place for a radical mastectomy?
Answer: 1 to 3 week
SURGICAL EXAM ACTUAL EXAM PAPER
2026 A+ SOLUTIONS QUESTIONS WITH
ANSWERS GRADED A+
⩥ Why is stridor bad? Answer: it means that there is an obstruction or
edema in airway
⩥ What is common in heart rate in a patient with low fluid volume
(hypovolemia)? Answer: usually greater than 110- to compensate for the
low bp
⩥ What is normal urine gravity? Answer: 1.000 - 1.030
⩥ What is the role of positive pressure? Answer: to promote lung
expansion and stabilize chest
⩥ Would you recommend exercise for a pt who has been discharged
with heart failure? Answer: yes
⩥ How often should exercise be in heart failure pt? Answer: regular
routine
,⩥ Should you consume milk with iron supplements? Answer: no- can
cause gastric disturbance.
⩥ Would you take iron with antacids? Answer: no- causes gastric
disturbances
⩥ Would you tell the pt to lower red meat intake with iron deficiency?
Answer: no- increase iron rich foods
⩥ What is a common side effect with iron pills? Answer: constipation
⩥ What would you tell them to eat with taking iron pills? Answer: high
fiber
⩥ When does pain worsen with compartement syndrome? Answer: when
passive moving occurs.
⩥ What does warmth under cast indicate? Answer: infection
⩥ Should pt decrease complex carbs for atherosceleoris? Answer: no,
increase them
⩥ What carb should a client with atherosceloris decrease? Answer:
simple sugars
,⩥ Is MRSA airborne or contact? Answer: contact
⩥ What does phenyotoin do to hepatic enzymes (for seizures meds)?
Answer: it decreases effectiveness
⩥ What should you tell the pt not to take with ciprofloxacin? Answer:
magnesium containg antacids
⩥ Why wouldn't you take magnesium containing anatacids with cipro?
Answer: calcium can decrease absorption of med
⩥ What is a common side effect of rifampin? Answer: color of urine-
⩥ Can you take ciproflaxcin with alcohol? Answer: yes
⩥ After a parathryoidectomy what would be the priority for the nurse?
Answer: to put trach tray by bedside in case of airway
occlusion(AIRWAY)
⩥ What meds increase osteoporosis? Answer: fludrocortisone
, ⩥ With enoxaparin, what is the priority as the med the nurse? Answer:
give dosage same time every day
⩥ Is restlessness common in hyperthyroidism? Answer: yes
⩥ What would be urgent for hyperthyroidism? Answer: high BP
⩥ If a pt has a weird heart sound what would be first thing you do?
Answer: listen to it again but on the left side (least invasive)
⩥ Why would gentamicin be withheld from a pt? Answer: if creatine
levels are too high
⩥ What is normal creatine? Answer: .6-1.2
⩥ What is one of the first vital signs of a hemorrhage? Answer: increase
heart rate
⩥ What med would you give for a febrile reaction? Answer: tylenol
(reduces fever)
⩥ How long does a drain stay in place for a radical mastectomy?
Answer: 1 to 3 week
