Med-Surg Certification Practice Questions with Answers

Med-
Surg Certification Practice Questions
st st st




Astnewlystdiabeticstpatientstwillstreceivestinstructionsstfromsthisstnurse.stWhic
hstofstthestfollowingstactionsstshouldstthestnursesttakestfirst?


A.stProvidestthestpatientstwithstbrochuresstforstmakingstsmartstchoicesstforstcoo
king/baking.
B.stAskstthestpatientstwhatsttheystknowstaboutstdiabetes.
C.stInstructstthestpatientstonstexercisestorstactivitiesstthatstwillstincreasesttheirstm
etabolism.

D.stTeachstthemsthowsttostusestthestglucometer.st-stcorrectstanswer✔ ✔ B.st


Firststaskstthestpatientstwhatsttheystknowstaboutstdiabetes.


*ACTIONstquestionsstaskstforstintervention,stNOTstassessment


Thestpoststhysterectomystpatientstwithstcallsstthestclinicststatingstthatstshesthasstb
eensthavingstdifficultystwithstincontinence.stWhichstofstthestfollowingststatem
entsstifstmadestbystthestpatient,stindicatesstthatstfurtherstteachingstisstneeded?


A.stIstdrinkst8stoz.stofstfluidstonstthestevensthoursstwhilestawake.

,B.stIstwillstattemptsttostvoidst30stminutesstafterstdrinkingst200stcc.stofstfluid
C.stIstwillstonlystdrinkstfluidstwhenstIsteatstmystmeals

D.stIstwillstsetstthesttimersttostremindstmestwhensttostvoidst-stcorrectstanswer✔
✔ C.st


Astpatientstsayingstthatsthestorstshestwillstonlystdrinkstfluidsstwhensteatingstmeals
stindicatesstthatsttheystdon'tstknowstwhatsttostdostinstcasestofstincontinence.




FURTHERstTEACHINGstindicatesstthatstthestpatientstneedsstmorestinformati
on


AnstRNstassessesstastpatientstinstthestCancerstCenterstwithstastdiagnosisstofstterm
inalstcancer.stThestpatientststatessttostthestRNstthatsthestisstshortstofstbreath,sthasstn
ostappetitestandsthurtssteverywhere.stWhichstofstthestfollowingststatementsstbyst
thestnursestisstbest?


A.stTellstmesthowstyourstfamilystisstcoping
B.stShowstmestwherestitstdoesstnotsthurt
C.stI'llstteachstyoustrelaxationsttechniques
D.stYourstphysicianstshouldstincreasestyourstpainstmedicationst-
stcorrectstanswer✔ ✔ C

,Astclinicalstnursestreturnssttostthestdesksttostfindst4stphonestmessages.stWhichstof
stthestfollowingstmessagesstshouldstthestnursestrespondsttostfirst?




A.stAstpoststcervicalstlaminectomystpatientstcomplainingstofstsuddenstdifficult
ysttalking.
B.stAstpatientstwithstmultiplestsclerosisstcomplainingstofstchangestinstperiphera
lstvision.
C.stAstpatientstwithstastherniatedstdiscstcomplainingstofstconsistentstbackstpain.
D.stAstpatientstwithstastcaststduesttostastfracturestofstthestrightsttibialstbonestcompla
iningstofsttinglingsttoes.st-stcorrectstanswer✔ ✔ A


BstandstCstarestexpectedstsymptomsstofstthestpatient'sstcondition.stAstandstDstarest
unexpected.stDstisstlessstcriticalstthanstA.stBeststanswerstisstA.


Ast75styearstoldstpatientstcomplainssttostthestclinicalstnursestthatsthestissthavingstd
ifficultystsleeping.stWhichstofstthestfollowingstactionsstbystthestnursestisstmoststa
ppropriate?


A.stDeterminestthestpatient'sstusualstsleepingstandstwakingstpatterns.
B.stSuggeststthatstthestclientstabstainstfromstalcoholstandstcaffeinestbeforestbedstt
ime.
C.stRecommendstthatstclientstestablishstastbedtimestroutine.

, D.stAsksthowstmuchstsleepstthestclientstrequiredstbeforestretirement.st-
stcorrectstanswer✔ ✔ A


BstandstCstarestrecommendationsstthatstthestRNstcanstsharestaftersthe/shestdeter
minesstthestpatient'sstsleepingstandstwakingstpatterns.stSostremovestBstandstC.st
Dstisstanstinquiry,stbutstisstconcernedstaboutstthestpastst(whenstthestpersonstretire
d).stRemovestD.stAstisstthestbeststanswer.


Thestnursestcaresstforstastpatientstseveralsthoursstafterstastthyroidectomy.stThestR
Nstobservesstthatstthestpatientstisstdiaphoreticstandstconfused.stThestvitalstsignsst
are:
Tempst=st102°st(38.9st°stC);stBPstisst160/90;stpulsestisst110,strespirationstisst22.stT
hestnursestexpectsstthestphysiciansttostorderstwhichstofstthestfollowing?


A.stNPO,stDextranst10stml/kg.stIV,st02st4stL/min.
B.stPropranololst(Inderal)st1stmg.stIV,stD5Wst125stcc/hrstIV,stpropylthiaouracil
st(PTU)st200stmgstpostqld.



C.stLevothyroxinestSodiumst(Synthroid)st100stmcgstIV,stLactatedstRinger'sst1
25stcc/hrstIV,standstciprofloxacinst(cipro)st500stmg.stpostbid.
D.stMorphinestsulfatest2.5stmg.stIVstq.st4sthrs.stprn,st0.9%stNACl.st-
stcorrectstanswer✔ ✔ B


Ast63styearstoldstfemalestpatientstcontactsstthestclinicsttostreportstthatstshestissthass
tbeenstextremelystfatigued,stisstsleepingst12sthoursstastnight,stisstalwaysstcoldstan