LEWIS'S MEDICAL-SURGICAL NURSING EXAM
STUDY GUIDE 2026 FULL QUESTIONS AND
ANSWERS GRADED A+
◉ The nurse is preparing to assess a patient receiving chemotherapy
and radiation for adverse effects of the treatments. In which order
(1-5) should the nurse assess the patient for these adverse effects?
Place the effects in the order in which they should be assessed.
Answer: Emesis
Infection
Bleeding
Tiredness
Skin changes
◉ The nurse is caring for a patient who has just returned from an
endoscopic examination of the esophagus. Which is the most
important observation the nurse should make before offering the
patient food and water? Answer: Test for an intact gag reflex.
◉ A patient is experiencing a drop in blood pressure. What should
the nurse expect to assess in this patient?
Select all that apply. Answer: Epinephrine is released.
,The heart beats faster and stronger.
The body retains sodium and water.
Blood is shunted away from the skin, intestines, and kidneys.
◉ The nurse is evaluating care provided to a patient with a fractured
humerus. Which observations indicate that nursing care has been
effective?
Select all that apply. Answer: Palpable pulses
Normal skin color
Capillary refill time 2 seconds
Pain level 2 on a scale of 1 to 10
◉ A patient who received an epidural anesthetic for a surgical case
is prescribed a blood patch for a spinal headache. What should the
nurse explain about the purpose of this blood patch? Answer: Stops
cerebrospinal fluid leakage
, ◉ A patient presents with sudden onset of high fever, chills, malaise,
dyspnea, cough, and hemoptysis. Laboratory studies show an
elevated white blood cell count with a predominance of neutrophils
and prolonged clotting values. For which disease should the nurse
plan this patient's care? Answer: Plague
◉ The nurse is explaining the infectious disease process to a patient
awaiting test results for a bacterial infection. What should the nurse
explain as destroying the walls of bacteria, resulting in their
destruction? Answer: Lysozymes
◉ A patient with a systemic infection picks at the meal trays and
ingests very litle solid food. What should the nurse do to support
this patient's nutritional status for healing?
Select all that apply. Answer: Remove the bedpan from the patient's
bed area.
Ask what types of foods the patient finds enjoyable.
Explain that a soft or pureed diet is the best for healing.
Remove the incentive spirometer from the over the bed table.
STUDY GUIDE 2026 FULL QUESTIONS AND
ANSWERS GRADED A+
◉ The nurse is preparing to assess a patient receiving chemotherapy
and radiation for adverse effects of the treatments. In which order
(1-5) should the nurse assess the patient for these adverse effects?
Place the effects in the order in which they should be assessed.
Answer: Emesis
Infection
Bleeding
Tiredness
Skin changes
◉ The nurse is caring for a patient who has just returned from an
endoscopic examination of the esophagus. Which is the most
important observation the nurse should make before offering the
patient food and water? Answer: Test for an intact gag reflex.
◉ A patient is experiencing a drop in blood pressure. What should
the nurse expect to assess in this patient?
Select all that apply. Answer: Epinephrine is released.
,The heart beats faster and stronger.
The body retains sodium and water.
Blood is shunted away from the skin, intestines, and kidneys.
◉ The nurse is evaluating care provided to a patient with a fractured
humerus. Which observations indicate that nursing care has been
effective?
Select all that apply. Answer: Palpable pulses
Normal skin color
Capillary refill time 2 seconds
Pain level 2 on a scale of 1 to 10
◉ A patient who received an epidural anesthetic for a surgical case
is prescribed a blood patch for a spinal headache. What should the
nurse explain about the purpose of this blood patch? Answer: Stops
cerebrospinal fluid leakage
, ◉ A patient presents with sudden onset of high fever, chills, malaise,
dyspnea, cough, and hemoptysis. Laboratory studies show an
elevated white blood cell count with a predominance of neutrophils
and prolonged clotting values. For which disease should the nurse
plan this patient's care? Answer: Plague
◉ The nurse is explaining the infectious disease process to a patient
awaiting test results for a bacterial infection. What should the nurse
explain as destroying the walls of bacteria, resulting in their
destruction? Answer: Lysozymes
◉ A patient with a systemic infection picks at the meal trays and
ingests very litle solid food. What should the nurse do to support
this patient's nutritional status for healing?
Select all that apply. Answer: Remove the bedpan from the patient's
bed area.
Ask what types of foods the patient finds enjoyable.
Explain that a soft or pureed diet is the best for healing.
Remove the incentive spirometer from the over the bed table.
