MED SURG 1 CJE CERTIFICATION PAPER
2026 FULL SOLUTION GRADED A+
● What does a positive Homan's sign indicate?. Answer: DVT
● After surgery your patient is semi-comatose with vital signs within
normal limits. As the nurse, what position would be best for this patient?
a. Semi-Fowlers
b. Prone
c. Low-Fowlers
d. Side positioning preferably on the left side. Answer: d
● Why would a semi-comatose be placed in a left side positioning
position?. Answer: because of the increased risk of aspiration and the
promotion of circulation
● After surgery your patient starts to shiver uncontrollably. What nursing
intervention would you do FIRST?
a.. Apply warm blankets & continue oxygen as prescribed
b. Take the patient's rectal temperature
c. Page the doctor for further orders
d. Adjust the thermostat in the room. Answer: a
, ● The nurse is monitoring the patient who is 24 hours post-opt from
surgery. Which finding requires intervention?
a. BP 100/80
b. 24-hour urine output of 300 ml
c. Pain rating of 4 on 1-10 scale
d. Temperature of 99.3' F. Answer: b
● A patient is 6 days post-opt from abdominal surgery. The patient is to
be discharged later today. The patient uses the call light and asks you to
come to his room and look at his surgical site. On arrival, you see that
approximately 2 inches of internal organs are protruding through the
incision. What intervention would you NOT do?
a. Put the patient in prone position with knees extended to put pressure
on the site
b. Cover the wound with sterile normal saline dressing
c. Monitor for signs of shock
d. Notify the MD and administer as prescribed anti-emetic to prevent
vomiting. Answer: a
● A patient reports he hasn't had a bowel movement or passed gas since
surgery. On assessment, you note the abdomen is distended and no
bowel sounds are noted in the four quadrants. You notify the MD. What
non-invasive nursing interventions can you perform without a MD
order?
a. Insert a nasogastric attached to intermittent suction
2026 FULL SOLUTION GRADED A+
● What does a positive Homan's sign indicate?. Answer: DVT
● After surgery your patient is semi-comatose with vital signs within
normal limits. As the nurse, what position would be best for this patient?
a. Semi-Fowlers
b. Prone
c. Low-Fowlers
d. Side positioning preferably on the left side. Answer: d
● Why would a semi-comatose be placed in a left side positioning
position?. Answer: because of the increased risk of aspiration and the
promotion of circulation
● After surgery your patient starts to shiver uncontrollably. What nursing
intervention would you do FIRST?
a.. Apply warm blankets & continue oxygen as prescribed
b. Take the patient's rectal temperature
c. Page the doctor for further orders
d. Adjust the thermostat in the room. Answer: a
, ● The nurse is monitoring the patient who is 24 hours post-opt from
surgery. Which finding requires intervention?
a. BP 100/80
b. 24-hour urine output of 300 ml
c. Pain rating of 4 on 1-10 scale
d. Temperature of 99.3' F. Answer: b
● A patient is 6 days post-opt from abdominal surgery. The patient is to
be discharged later today. The patient uses the call light and asks you to
come to his room and look at his surgical site. On arrival, you see that
approximately 2 inches of internal organs are protruding through the
incision. What intervention would you NOT do?
a. Put the patient in prone position with knees extended to put pressure
on the site
b. Cover the wound with sterile normal saline dressing
c. Monitor for signs of shock
d. Notify the MD and administer as prescribed anti-emetic to prevent
vomiting. Answer: a
● A patient reports he hasn't had a bowel movement or passed gas since
surgery. On assessment, you note the abdomen is distended and no
bowel sounds are noted in the four quadrants. You notify the MD. What
non-invasive nursing interventions can you perform without a MD
order?
a. Insert a nasogastric attached to intermittent suction
