Medical-Surgical Nursing Exam 1
2026/2027 With Questions And
Answers
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? - correct 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?
- correct 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? - correct answer <<<<<💕💕💕✔✔Eosinophils
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? -
correct 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? - correct 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? - correct answer <<<<<💕💕💕✔✔Notify the physician.
Which client is most likely to be experiencing hypovolemic shock? - correct answer
<<<<<💕💕💕✔✔A client who had surgery 24 hours ago and who also has a nasogastric tube
,A 63-year-old Arab American male states his left leg is "hot." What is the nurse's best first response? -
correct answer <<<<<💕💕💕✔✔Assess for pain
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? - correct
answer <<<<<💕💕💕✔✔Mediate 1 hour prior to ambulating the client.
The client reports frequent use of acetaminophen. How should the nurse best respond? - correct
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? - correct 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? - correct 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? - correct answer <<<<<💕💕💕✔✔The client receiving Procrit (epoetin alfa) has a T 99.2˚F,
P 68, R 24, and BP of 198/102
The client diagnosed with lung cancer is being discharged. Which statement made by the client indicates
a reiteration of information is required? - correct answer <<<<<💕💕💕✔✔"It doesn't matter if I
smoke now. I already have cancer."
The practical nurse is interviewing clients at the clinic. Which information provided by a client warrants
further investigation? - correct answer <<<<<💕💕💕✔✔The client has been coughing up blood in
the mornings
, The male client had abdominal surgery and the practical nurse suspects the client has peritonitis. Which
information support the diagnosis of peritonitis? - correct answer <<<<<💕💕💕✔✔Hard, rigid
abdomen and white blood cell count 22,000/mm3
The client who had abdominal surgery tells the practical nurse, "I felt something give way in my
stomach." Which intervention should the practical nurse implement first? - correct answer
<<<<<💕💕💕✔✔Inspect the abdominal wound incision
The client is one (1) day postoperative major abdominal surgery. Which client problem is a priority? -
correct answer <<<<<💕💕💕✔✔Fluid and electrolyte imbalance
The client has an eviscerated abdominal wound. Which intervention should the practical nurse
implement? - correct answer <<<<<💕💕💕✔✔Apply sterile normal saline dressing
The client is diagnosed with peritonitis. Which information indicates to the practical nurse the client's
condition is improving? - correct answer <<<<<💕💕💕✔✔The client has a decrease in
temperature and a soft abdomen
A patient is being released from the hospital with a prescription for tetracycline. What should the nurse
include in patient teaching?
Select all that apply. - correct answer <<<<<💕💕💕✔✔Advise limiting exposure to the sun.
Inform patient of the possibility of gastrointestinal upset.
Suggest eating crackers and some juice when taking this medicine.
The nurse wants to determine if a patient not fully awake from anesthesia for a surgical procedure is
experiencing pain. What findings should the nurse use to make this determination?
Select all that apply. - correct answer <<<<<💕💕💕✔✔Moaning
Restlessness
2026/2027 With Questions And
Answers
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? - correct 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?
- correct 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? - correct answer <<<<<💕💕💕✔✔Eosinophils
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? -
correct 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? - correct 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? - correct answer <<<<<💕💕💕✔✔Notify the physician.
Which client is most likely to be experiencing hypovolemic shock? - correct answer
<<<<<💕💕💕✔✔A client who had surgery 24 hours ago and who also has a nasogastric tube
,A 63-year-old Arab American male states his left leg is "hot." What is the nurse's best first response? -
correct answer <<<<<💕💕💕✔✔Assess for pain
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? - correct
answer <<<<<💕💕💕✔✔Mediate 1 hour prior to ambulating the client.
The client reports frequent use of acetaminophen. How should the nurse best respond? - correct
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? - correct 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? - correct 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? - correct answer <<<<<💕💕💕✔✔The client receiving Procrit (epoetin alfa) has a T 99.2˚F,
P 68, R 24, and BP of 198/102
The client diagnosed with lung cancer is being discharged. Which statement made by the client indicates
a reiteration of information is required? - correct answer <<<<<💕💕💕✔✔"It doesn't matter if I
smoke now. I already have cancer."
The practical nurse is interviewing clients at the clinic. Which information provided by a client warrants
further investigation? - correct answer <<<<<💕💕💕✔✔The client has been coughing up blood in
the mornings
, The male client had abdominal surgery and the practical nurse suspects the client has peritonitis. Which
information support the diagnosis of peritonitis? - correct answer <<<<<💕💕💕✔✔Hard, rigid
abdomen and white blood cell count 22,000/mm3
The client who had abdominal surgery tells the practical nurse, "I felt something give way in my
stomach." Which intervention should the practical nurse implement first? - correct answer
<<<<<💕💕💕✔✔Inspect the abdominal wound incision
The client is one (1) day postoperative major abdominal surgery. Which client problem is a priority? -
correct answer <<<<<💕💕💕✔✔Fluid and electrolyte imbalance
The client has an eviscerated abdominal wound. Which intervention should the practical nurse
implement? - correct answer <<<<<💕💕💕✔✔Apply sterile normal saline dressing
The client is diagnosed with peritonitis. Which information indicates to the practical nurse the client's
condition is improving? - correct answer <<<<<💕💕💕✔✔The client has a decrease in
temperature and a soft abdomen
A patient is being released from the hospital with a prescription for tetracycline. What should the nurse
include in patient teaching?
Select all that apply. - correct answer <<<<<💕💕💕✔✔Advise limiting exposure to the sun.
Inform patient of the possibility of gastrointestinal upset.
Suggest eating crackers and some juice when taking this medicine.
The nurse wants to determine if a patient not fully awake from anesthesia for a surgical procedure is
experiencing pain. What findings should the nurse use to make this determination?
Select all that apply. - correct answer <<<<<💕💕💕✔✔Moaning
Restlessness
