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Medical Surgical Nursing Exam 1 (2026) – 180 Questions on Shock, Infection, Pain & Oncology

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This document contains approximately 180 comprehensive exam questions with verified answers for Medical Surgical Nursing Exam 1 (2026). The material provides extensive coverage of infection control, sepsis, shock (hypovolemic, distributive, septic, obstructive), anaphylaxis, wound care, postoperative complications, fluid and electrolyte balance, and oxygenation management. It includes priority-setting scenarios following ABC principles, interpretation of laboratory values (ABGs, tumor markers, WBC counts, carboxyhemoglobin), and emergency interventions such as oxygen administration, airway management, and rapid response activation. The document also reviews pain physiology and management, including opioid and non-opioid analgesics, adjuvant medications, overdose treatment with naloxone, myths about pain, cognitive-behavioral therapies, epidural anesthesia, and phantom limb pain. Oncology topics are thoroughly covered, including chemotherapy side effects (alopecia, nausea, nadir, cardiotoxicity), tumor markers (AFP, CA-125, PSA), cancer classifications (carcinoma), lung cancer risk factors, metastasis, and cytoprotective agents such as amifostine. Additional content includes surgical nursing principles (consent, anesthesia types, postoperative monitoring, drains, evisceration management), infectious diseases (Rocky Mountain spotted fever, tuberculosis, botulism, plague, shingles, Epstein-Barr virus), and shock progression stages with clinical manifestations. The structured Q&A format mirrors undergraduate nursing and NCLEX-style examination standards, emphasizing clinical judgment, prioritization, safety, pharmacology, pathophysiology, and evidence-based nursing interventions. This resource is particularly relevant for: Medical-Surgical Nursing I students ADN and BSN nursing programs RN pre-licensure students NCLEX-RN preparation (adult health focus) Adult Health Nursing courses Students preparing for Exam 1 or midterm assessments Keywords: medical surgical nursing exam 1 2026, med surg nursing questions and answers, shock stages and management, hypovolemic septic distributive shock, sepsis nursing interventions, infection control precautions, opioid analgesics and naloxone, pain management nursing, chemotherapy side effects nursing, tumor markers AFP CA125 PSA, lung cancer risk factors smoking 90 percent, postoperative complications nursing, wound evisceration management, anaphylactic shock treatment, ABG interpretation shock, oxygen therapy nursing, fluid and electrolyte imbalance, phantom limb pain, epidural anesthesia complications, nadir chemotherapy care, NCLEX style med surg

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Medical Surgical Nursing Exam
1 2026 Exam Questions and
Answers | 100% Solved



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? - 🧠 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? -

🧠 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? - 🧠 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? - 🧠

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? - 🧠 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? - 🧠 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? - 🧠 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? - 🧠 ANSWER

✔✔Notify the physician.


Which client is most likely to be experiencing hypovolemic shock? - 🧠

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? - 🧠 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? - 🧠 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? - 🧠 ANSWER ✔✔"He is

experiencing phantom limb pain."

COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
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, 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? - 🧠 ANSWER ✔✔Mediate 1

hour prior to ambulating the client.

The client reports frequent use of acetaminophen. How should the nurse

best respond? - 🧠 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? - 🧠 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? - 🧠 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? - 🧠 ANSWER

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