MEDICAL-SURGICAL NURSING EXAM 1| QUESTIONS AND
CORRECT ANSWERS| LATEST EXAM UPDATE 2026/2027
The nurse is caring for a client who has as a son with a streptococcus throat
infection. Which nurse recommendation would be best to advise the client to do
in order to prevent acquiring the infection? -CORRECT ANSWER Frequently
wash her hands and surfaces of the home.
The nurse is caring for a client infected with Rocky Mountain spotted fever. The
nurse should ask if the client has experienced which of the following? -
CORRECT ANSWER Was bitten by a tick
The nurse is caring for a client with a protozoa infection. Which is the most
likely mode of transmission? -CORRECT ANSWER Ingestion of
contaminated food or water
The nurse is caring for a client who is recovering from an allergic reaction.
Which leukocyte level would the nurse expect to be the most elevated? -
CORRECT ANSWER Eosinophils
The nurse is caring for a client who has an infected wound on the great toe that
is red with a purulent exudate. The nurse expects that this client has which type
of infection? -CORRECT ANSWER Localized
The client experienced a fall. Nursing assessment reveals that the client is
experiencing tachycardia, hypotension, confusion, tachypnea, and flat jugular
veins. What should be the nurse's first response? -CORRECT ANSWER
Administer oxygen.
,The family wants to know why the nurse is putting a urinary catheter in a client
experiencing shock. What is the nurse's best response? -CORRECT ANSWER
"It will help monitor how much urine the kidneys are able to produce."
A client experiencing shock has had a urinary output of 250 mL in the last 10
hours. What is the nurse's most appropriate response? -CORRECT ANSWER
Notify the physician.
Which client is most likely to be experiencing hypovolemic shock? -
CORRECT ANSWER A client who had surgery 24 hours ago and who also
has a nasogastric tube
The physician has ordered arterial blood gases for a client experiencing shock.
The nurse knows that which value indicates shock? -CORRECT ANSWER pH
7.32
A 63-year-old Arab American male states his left leg is "hot." What is the
nurse's best first response? -CORRECT ANSWER Assess for pain
The client is complaining of excruciating pain in a foot that has been amputated.
The family tells the nurse that the client is just addicted to pain medications.
What is the nurse's best response? -CORRECT ANSWER "He is experiencing
phantom limb pain."
A client has had abdominal surgery and has orders to be ambulated three times a
day. Oral pain medication has been ordered for the client. What should the nurse
do to facilitate ambulation? -CORRECT ANSWER Mediate 1 hour prior to
ambulating the client.
The client reports frequent use of acetaminophen. How should the nurse best
respond? -CORRECT ANSWER "Do you drink alcohol?"
, A client with chronic pain has been admitted with a fever. The nursing
assessment reveals that the client has a decreased level of consciousness. What
should the nurse ask the family about? -CORRECT ANSWER What
medications the client has taken
The practical nurse is reviewing the social history from a client diagnosed with
small cell carcinoma of the lung. Which information is significant for this
disease? -CORRECT ANSWER The client has smoked two (2) packs of
cigarettes a day for 20 years
The practical nurse and an unlicensed assistive personnel (UAP) are caring for a
group of clients on a medical unit. Which information provided by the UAP
warrants immediate intervention by the practical nurse? -CORRECT
ANSWER The client receiving Procrit (epoetin alfa) has a T 99.2˚F, P 68, R 24,
and BP of 198/102
The client diagnosed with lung cancer has been told the cancer has metastasized
to the brain. Which intervention should the practical nurse expect to implement?
-CORRECT ANSWER Discuss implementing an advance directive
The client diagnosed with lung cancer is being discharged. Which statement
made by the client indicates a reiteration of information is required? -
CORRECT ANSWER "It doesn't matter if I smoke now. I already have
cancer."
The practical nurse is interviewing clients at the clinic. Which information
provided by a client warrants further investigation? -CORRECT ANSWER
The client has been coughing up blood in the mornings
CORRECT ANSWERS| LATEST EXAM UPDATE 2026/2027
The nurse is caring for a client who has as a son with a streptococcus throat
infection. Which nurse recommendation would be best to advise the client to do
in order to prevent acquiring the infection? -CORRECT ANSWER Frequently
wash her hands and surfaces of the home.
The nurse is caring for a client infected with Rocky Mountain spotted fever. The
nurse should ask if the client has experienced which of the following? -
CORRECT ANSWER Was bitten by a tick
The nurse is caring for a client with a protozoa infection. Which is the most
likely mode of transmission? -CORRECT ANSWER Ingestion of
contaminated food or water
The nurse is caring for a client who is recovering from an allergic reaction.
Which leukocyte level would the nurse expect to be the most elevated? -
CORRECT ANSWER Eosinophils
The nurse is caring for a client who has an infected wound on the great toe that
is red with a purulent exudate. The nurse expects that this client has which type
of infection? -CORRECT ANSWER Localized
The client experienced a fall. Nursing assessment reveals that the client is
experiencing tachycardia, hypotension, confusion, tachypnea, and flat jugular
veins. What should be the nurse's first response? -CORRECT ANSWER
Administer oxygen.
,The family wants to know why the nurse is putting a urinary catheter in a client
experiencing shock. What is the nurse's best response? -CORRECT ANSWER
"It will help monitor how much urine the kidneys are able to produce."
A client experiencing shock has had a urinary output of 250 mL in the last 10
hours. What is the nurse's most appropriate response? -CORRECT ANSWER
Notify the physician.
Which client is most likely to be experiencing hypovolemic shock? -
CORRECT ANSWER A client who had surgery 24 hours ago and who also
has a nasogastric tube
The physician has ordered arterial blood gases for a client experiencing shock.
The nurse knows that which value indicates shock? -CORRECT ANSWER pH
7.32
A 63-year-old Arab American male states his left leg is "hot." What is the
nurse's best first response? -CORRECT ANSWER Assess for pain
The client is complaining of excruciating pain in a foot that has been amputated.
The family tells the nurse that the client is just addicted to pain medications.
What is the nurse's best response? -CORRECT ANSWER "He is experiencing
phantom limb pain."
A client has had abdominal surgery and has orders to be ambulated three times a
day. Oral pain medication has been ordered for the client. What should the nurse
do to facilitate ambulation? -CORRECT ANSWER Mediate 1 hour prior to
ambulating the client.
The client reports frequent use of acetaminophen. How should the nurse best
respond? -CORRECT ANSWER "Do you drink alcohol?"
, A client with chronic pain has been admitted with a fever. The nursing
assessment reveals that the client has a decreased level of consciousness. What
should the nurse ask the family about? -CORRECT ANSWER What
medications the client has taken
The practical nurse is reviewing the social history from a client diagnosed with
small cell carcinoma of the lung. Which information is significant for this
disease? -CORRECT ANSWER The client has smoked two (2) packs of
cigarettes a day for 20 years
The practical nurse and an unlicensed assistive personnel (UAP) are caring for a
group of clients on a medical unit. Which information provided by the UAP
warrants immediate intervention by the practical nurse? -CORRECT
ANSWER The client receiving Procrit (epoetin alfa) has a T 99.2˚F, P 68, R 24,
and BP of 198/102
The client diagnosed with lung cancer has been told the cancer has metastasized
to the brain. Which intervention should the practical nurse expect to implement?
-CORRECT ANSWER Discuss implementing an advance directive
The client diagnosed with lung cancer is being discharged. Which statement
made by the client indicates a reiteration of information is required? -
CORRECT ANSWER "It doesn't matter if I smoke now. I already have
cancer."
The practical nurse is interviewing clients at the clinic. Which information
provided by a client warrants further investigation? -CORRECT ANSWER
The client has been coughing up blood in the mornings
