Medical-Surgical ]Nursing ]Exam ]1-(2026) ]Questions ]with ]Correct ]Verified ]Answers

Medical-Surgical Nursing Exam 1- ] ] ]




(2026) Questions with Correct Verified A
] ] ] ] ]




nswers
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The ]nurse ]is ]caring ]for ]a ]client ]who ]has ]as ]a ]son ]with ]a ]streptococcus ]throat ]infection. ]Which ]nur
se ]recommendation ]would ]be ]best ]to ]advise ]the ]client ]to ]do ]in ]order ]to ]prevent ]acquiring ]the ]inf
ection? ]- ]correct ]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? ]- ]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 ]trans
mission? ]- ]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 ]nurse ]is ]caring ]for ]a ]client ]who ]has ]an ]infected ]wound ]on ]the ]great ]toe ]that ]is ]red ]with ]a ]pur
ulent ]exudate. ]The ]nurse ]expects ]that ]this ]client ]has ]which ]type ]of ]infection? ]- ]correct ]answer: ]L
ocalized



The ]client ]experienced ]a ]fall. ]Nursing ]assessment ]reveals ]that ]the ]client ]is ]experiencing ]tachycar
dia, ]hypotension, ]confusion, ]tachypnea, ]and ]flat ]jugular ]veins. ]What ]should ]be ]the ]nurse's ]first ]r
esponse? ]- ]correct ]answer: ]Administer ]oxygen.



The ]family ]wants ]to ]know ]why ]the ]nurse ]is ]putting ]a ]urinary ]catheter ]in ]a ]client ]experiencing ]sho
ck. ]What ]is ]the ]nurse's ]best ]response? ]- ]correct ]answer: ]"It ]will ]help ]monitor ]how ]much ]urine ]th
e ]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




The ]physician ]has ]ordered ]arterial ]blood ]gases ]for ]a ]client ]experiencing ]shock. ]The ]nurse ]knows ]
that ]which ]value ]indicates ]shock? ]- ]correct ]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? ]- ]corr
ect ]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?
]- ]correct ]answer: ]"He ]is ]experiencing ]phantom ]limb ]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? ]- ]correc
t ]answer: ]"Do ]you ]drink ]alcohol?"



A ]client ]with ]chronic ]pain ]has ]been ]admitted ]with ]a ]fever. ]The ]nursing ]assessment ]reveals ]that ]t
he ]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 ]carcino
ma ]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 ]P


rocrit ](epoetin ]alfa) ]has ]a ]T ]99.2˚F, ]P ]68, ]R ]24, ]and ]BP ]of ]198/102



The ]client ]diagnosed ]with ]lung ]cancer ]has ]been ]told ]the ]cancer ]has ]metastasized ]to ]the ]brain. ]W
hich ]intervention ]should ]the ]practical ]nurse ]expect ]to ]implement? ]- ]correct ]answer: ]Discuss ]impl
ementing ]an ]advance ]directive



The ]client ]diagnosed ]with ]lung ]cancer ]is ]being ]discharged. ]Which ]statement ]made ]by ]the ]client ]i
ndicates ]a ]reiteration ]of ]information ]is ]required? ]- ]correct ]answer: ]"It ]doesn't ]matter ]if ]I ]smoke ]n
ow. ]I ]already ]have ]cancer."



The ]practical ]nurse ]is ]interviewing ]clients ]at ]the ]clinic. ]Which ]information ]provided ]by ]a ]client ]w
arrants ]further ]investigation? ]- ]correct ]answer: ]The ]client ]has ]been ]coughing ]up ]blood ]in ]the ]mo
rnings



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: ]Insp
ect ]the ]abdominal ]wound ]incision



The ]client ]is ]one ]
(1) ]day ]postoperative ]major ]abdominal ]surgery. ]Which ]client ]problem ]is ]a ]priority? ]- ]correct ]ans
wer: ]Fluid ]and ]electrolyte ]imbalance