LEWIS MEDICAL-SURGICAL NURSING 12TH
EDITION EXAM QUESTIONS AND ANSWERS
2026 FULL PRACTICE TEST
◉ Nurse obtains which information when restricted diets are
prescribed?. Answer: patient's current weight, height for BMI, waist
measurement for obesity, blood pressure, labs such as blood glucose,
total blood cholesterol, HDL and LDL, triglycerides level
◉ How can straining during urination and defecation cause syncope
in patients with cardiovascular disease?. Answer: when patient
bears down (valsava) increases pressure on baroreceptors then it
triggers a vagal response, causing the heart rate slow and resulting
in syncope
◉ screening for bloody urine and stool should be done for patients
taking what medications?. Answer: platelet inhibiting meds such as
aspirin, clopidogrel, abciximab, eptifibatide, tirofiban, heparin,
enoxaparin, warfarin
◉ What does activity - induced angina or shortness of breath
indicate?. Answer: It indicate coronary artery disease
, ◉ paroxysmal nocturnal dyspnea. Answer: sudden awakening with
shortness of breath, symptom of worsening heart failure
◉ assessment of skin. Answer: color, temperature and texture
◉ noteworthy changes on skin assessment. Answer: acute
obstruction of arterial blood flow in the extremities, hematoma,
edema, prolonged capillary refill, clubbing of the fingers, hair loss,
brittle nail, dry or scaling skin, atrophy of skin, color change,
ulceration
◉ acute obstruction of arterial blood flow in extremities, usually few
hours after invasive cardiac procedure such as PCI, cardiac
catheterization. Answer: 6 Ps: pain, pallor, pulselessness,
paresthesia, poikilothermia (coldness), and paralysis
◉ hematoma. Answer: localized collection of clotted blood in the
tissue due to invasive procedures, large hematomas are serious, may
compromise circulating blood
◉ edema. Answer: peripheral edemas on feet, ankle, legs.
◉ how do you assess for edema. Answer: place thumb firm pressure
over dorsum of each foot, behind each medial malleolus, over sacral
area or shins
EDITION EXAM QUESTIONS AND ANSWERS
2026 FULL PRACTICE TEST
◉ Nurse obtains which information when restricted diets are
prescribed?. Answer: patient's current weight, height for BMI, waist
measurement for obesity, blood pressure, labs such as blood glucose,
total blood cholesterol, HDL and LDL, triglycerides level
◉ How can straining during urination and defecation cause syncope
in patients with cardiovascular disease?. Answer: when patient
bears down (valsava) increases pressure on baroreceptors then it
triggers a vagal response, causing the heart rate slow and resulting
in syncope
◉ screening for bloody urine and stool should be done for patients
taking what medications?. Answer: platelet inhibiting meds such as
aspirin, clopidogrel, abciximab, eptifibatide, tirofiban, heparin,
enoxaparin, warfarin
◉ What does activity - induced angina or shortness of breath
indicate?. Answer: It indicate coronary artery disease
, ◉ paroxysmal nocturnal dyspnea. Answer: sudden awakening with
shortness of breath, symptom of worsening heart failure
◉ assessment of skin. Answer: color, temperature and texture
◉ noteworthy changes on skin assessment. Answer: acute
obstruction of arterial blood flow in the extremities, hematoma,
edema, prolonged capillary refill, clubbing of the fingers, hair loss,
brittle nail, dry or scaling skin, atrophy of skin, color change,
ulceration
◉ acute obstruction of arterial blood flow in extremities, usually few
hours after invasive cardiac procedure such as PCI, cardiac
catheterization. Answer: 6 Ps: pain, pallor, pulselessness,
paresthesia, poikilothermia (coldness), and paralysis
◉ hematoma. Answer: localized collection of clotted blood in the
tissue due to invasive procedures, large hematomas are serious, may
compromise circulating blood
◉ edema. Answer: peripheral edemas on feet, ankle, legs.
◉ how do you assess for edema. Answer: place thumb firm pressure
over dorsum of each foot, behind each medial malleolus, over sacral
area or shins
