NUR1250-Med Surg 1 Questions and Correct Answers (2026)

NUR1250-
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Med Surg 1 Questions and Correct Answ
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ers (2026)
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1. ]A ]patient ]is ]being ]admitted ]to ]the ]hospital ]on ]the ]day ]before ]a ]scheduled ]surgery. ]What ]is ]the ]
most ]appropriate ]initial ]question ]for ]the ]nurse ]to ]ask ]this ]preoperative ]patient?

a) ]"What ]did ]your ]surgeon ]say ]to ]you ]about ]the ]type ]of ]surgery ]you ]are ]having?"

b) ]"What ]questions ]do ]you ]have ]about ]your ]surgery?"

c) ]"What ]type ]of ]surgery ]are ]you ]having ]and ]why ]are ]you ]having ]it ]done?"

d) ]"What ]do ]you ]know ]about ]what ]will ]be ]done ]to ]you?" ]- ]correct ]answer: ]c) ]"What ]type ]of ]surg
ery ]are ]you ]having ]and ]why ]are ]you ]having ]it ]done?"



2. ]A ]benzodiazepine ]has ]been ]administered ]to ]a ]patient ]preoperatively. ]After ]the ]drug ]has ]been ]
administered, ]the ]nurse ]plans ]to ]monitor ]the ]patient ]for ]which ]side ]effects? ]Select ]all ]that ]apply.

a) ]Anxiety

b) ]Hypotension

c) ]Hypocalcemia

d) ]Level ]of ]Consciousness

e) ]Sedation ]- ]correct ]answer: ]a) ]Anxiety

d) ]Level ]of ]Consciousness

e) ]Sedation



3. ]A ]preoperative ]patient ]has ]an ]elevated ]hemoglobin ]and ]hematocrit. ]What ]would ]the ]nurse ]su
spect ]regarding ]the ]significance ]of ]this ]increased ]value?

a) ]Immune ]deficiency

b) ]Kidney ]dysfunction

,c) ]Malignancy

d) ]Dehydration ]- ]correct ]answer: ]d) ]Dehydration



4. ]Which ]activities ]should ]the ]nurse ]carry ]out ]in ]the ]preoperative ]period ]for ]a ]client ]scheduled ]f
or ]surgery? ]Select ]all ]that ]apply.

a) ]Identify ]potential ]or ]actual ]health ]problems.

b) ]Verify ]the ]presence ]of ]a ]signed ]consent ]form.

c) ]Assess ]patient's ]response ]to ]interventions.

d) ]Intervene ]to ]prevent ]complications.

e) ]Assess ]effectiveness ]of ]teaching ]related ]to ]postoperative ]recovery. ]- ]correct ]answer: ]a) ]Identif
y ]potential ]or ]actual ]health ]problems.

b) ]Verify ]the ]presence ]of ]a ]signed ]consent ]form.

e) ]Assess ]effectiveness ]of ]teaching ]related ]to ]postoperative ]recovery.



5. ]A ]patient ]having ]surgery ]has ]a ]degree ]of ]risk ]associated ]with ]the ]surgery. ]The ]nurse ]would ]eva
luate ]which ]patient-
related ]factors ]as ]contributing ]to ]a ]high ]degree ]of ]risk ]associated ]with ]surgery? ]Select ]all ]that ]ap
ply.

a) ]Type ]of ]institution ]where ]surgery ]is ]performed

b) ]Involvement ]of ]vital ]organs

c) ]Average ]nutritional ]status

d) ]Low ]likelihood ]of ]procedure ]complications

e) ]A ]history ]of ]respiratory ]disease ]and ]diabetes ]- ]correct ]answer: ]b) ]Involvement ]of ]vital ]organs

e) ]A ]history ]of ]respiratory ]disease ]and ]diabetes



6. ]A ]patient ]has ]just ]entered ]the ]postanesthesia ]care ]unit ]
(PACU) ]from ]surgery. ]For ]which ]priority ]needs ]should ]the ]nurse ]immediately ]assess ]the ]postoper
ative ]patient?

,a) ]Vital ]signs, ]level ]of ]consciousness, ]presence ]of ]pain

b) ]Skin ]coloring, ]surgical ]incision, ]limb ]movements

c) ]Skin ]temperature, ]blood ]pressure, ]mental ]status

d) ]Temperature, ]emotional ]status, ]wound ]drainage ]- ]correct ]answer: ]a) ]Vital ]signs, ]level ]of ]consc
iousness, ]presence ]of ]pain



7. ]The ]nurse ]in ]the ]postanesthesia ]care ]unit ]
(PACU) ]is ]assessing ]a ]postoperative ]patient. ]Which ]indicators ]suggest ]to ]the ]nurse ]an ]alteration ]i
n ]tissue ]perfusion? ]Select ]all ]that ]apply.

a) ]Pallor ]or ]cyanosis

b) ]Difficulty ]with ]mobility

c) ]Pain ]in ]the ]incision ]area

d) ]Fluid ]loss

e) ]Decreased ]urinary ]output ]- ]correct ]answer: ]a) ]Pallor ]or ]cyanosis

d) ]Fluid ]loss

e) ]Decreased ]urinary ]output



8. ]After ]surgery, ]the ]nurse ]encourages ]the ]patient ]to ]move ]from ]side ]to ]side ]at ]least ]every ]2 ]hou
rs. ]The ]patient ]questions ]this ]activity. ]How ]does ]the ]nurse ]explain ]the ]purpose ]of ]this ]interventi
on?

a) ]Assist ]peristalsis ]to ]return ]more ]quickly

b) ]Lessen ]muscle ]weakness

c) ]Increase ]patient's ]ability ]to ]sleep

d) ]Let ]the ]lungs ]alternatively ]achieve ]maximum ]expansion ]- ]correct ]answer: ]d) ]Let ]the ]lungs ]alte
rnatively ]achieve ]maximum ]expansion



9. ]The ]nurse ]is ]creating ]a ]plan ]of ]care ]for ]a ]postoperative ]patient. ]The ]nursing ]diagnosis ]in ]acute ]
pain. ]What ]would ]be ]appropriate ]outcomes ]for ]this ]patient? ]Select ]all ]that ]apply.

, a) ]Balanced ]fluid ]intake ]and ]output

b) ]Seeks ]help ]as ]needed

c) ]Absence ]of ]nonverbal ]signs ]of ]pain

d) ]Performs ]leg ]exercises ]as ]instructed

e) ]Verbally ]rates ]pain ]as ]3 ]on ]a ]1 ]to ]10 ]scale ]- ]correct ]answer: ]c) ]Absence ]of ]nonverbal ]signs ]of ]p
ain

e) ]Verbally ]rates ]pain ]as ]3 ]on ]a ]1 ]to ]10 ]scale



10. ]The ]patient ]has ]been ]in ]the ]postanesthesia ]care ]unit ]
(PACU) ]for ]one ]hour. ]The ]patient ]is ]now ]groggy ]but ]able ]to ]respond ]to ]voice ]commands. ]While ]a
ssessing ]the ]patient, ]for ]what ]reason ]would ]the ]nurse ]check ]the ]bedclothes ]underneath ]the ]pati
ent?

a) ]Determine ]drainage ]from ]tubes ]or ]drains

b) ]Assess ]for ]fluid ]balance

c) ]Detect ]for ]possible ]hemorrhage

d) ]Monitor ]perspiration ]- ]correct ]answer: ]c) ]Detect ]for ]possible ]hemorrhage



11. ]A ]65-year-
old ]was ]diagnosed ]and ]treated ]for ]right ]lower ]lobe ]pneumonia ]4 ]days ]ago. ]Today, ]the ]patient ]ca
me ]to ]the ]ED ]reporting ]abrupt ]onset ]of ]chest ]pain ]that ]is ]worse ]with ]inspiration. ]The ]nurse ]kno
ws ]that ]the ]symptoms ]are ]consistent ]with:

a) ]Pleurisy

b) ]Stable ]angina

c) ]Bacteremia

d) ]Meningitis ]- ]correct ]answer: ]a) ]Pleurisy



12. ]The ]ED ]nurse ]is ]caring ]for ]Ginny, ]a ]45-year-
old ]female ]with ]a ]recent ]history ]of ]sexual ]assault. ]Ginny ]came ]to ]the ]ED ]crying ]and ]shaking ]and ]s
tated ]that ]she ]had ]dyspnea, ]feeling ]like ]she ]was ]choking ]and ]couldn't ]breathe, ]chest ]pain, ]and ]s