MEDICAL SURGICAL B CERTIFICATION
EVALUATION EXAMS 2026 FULL SOLUTION
VIEW AHEAD
◉ Which client is at the highest risk for compromised psychological
adjustment after a hysterectomy?
A. a 62-year-old widow who has three friends who had
uncomplicated hysterectomies
B. A 29-year-old woman whose uterus ruptured after giving birth to
her first child
C. A 46-year-old woman with three children and a recent promotion
at work
D. A 55-year-old woman with abnormal bleeding and pain for 3
years
Answer: B
The client who is a primipara and is still in her childbearing years is
at highest risk for unresolved conflicts about the end of her
childbearing opportunities. The client with a family and positive life
events, the menopausal client with physical distress, the post-
menopausal client with support of peers with similar positive
outcomes are less likely to be psychologically distressed.
,◉ A 48-year-old client with endometrial cancer is being discharged
after a total hysterectomy and bilateral salpingo-oophorectomy.
Which client statement indicates that further teaching is needed?
A. "I have asked my daughter to stay with me next week after I am
discharged"
B. "Well, I don't have to worry about getting pregnant anymore"
C. "I know I will miss having sexual intercourse with my husband"
D. "I can't wait to go on the cruise that I have planned for this
summer"
Answer: C
further teaching is needed in response to the client's
misunderstanding of sexuality after a hysterectomy that is reflected
in the statement. the client's knowledge about reproduction, a
positive outlook with plans for the future, and her anticipated need
for assistance and support during recovery indicate she understands
the present status of her recovery.
◉ A client in the pre-operative holding area receives a prescription
for midazolam (Versed) IV. The nurse determines that the surgical
consent form needs to be signed by the client. Which action should
the nurse implement?
A. give the drug and allow the client to read and sign the consent
form
,B. withhold the drug until the client validates understanding of the
surgical procedure and signs the consent form
C. counter-sign the client's initials on the consent form after giving
the drug
D. call the healthcare provider to explain the surgical procedure
before the client signs the consent
Answer: B
Midazolam, a benzodiazepine sedative, is commonly used for
conscious-sedation intraoperatively and interferes with the client's
cognition and level of consciousness, so the consent form should be
signed before the drug is administered. The validity of legal
documents will be in question if a client signs them while under the
influence of any central nervous system depressant drug.
◉ A client with acute osteomyelitis has undergone surgical
debridement of the diseased boen and asks the nurse how long will
antibiotics have to be administered. Which information should the
nurse communicate?
A. parenteral antibiotics for 2 to 3 weeks, then oral antibiotics for 4
weeks
B. parenteral antibiotics for 4 to 6 weeks, then oral antibiotics for up
to 1 year
C. oral antibiotics for 2 to 4 months, then for dental procedure
prophylaxis
, D. parenteral antibiotics for 4 to 8 weeks, then oral antibiotics for 4
to 8 weeks
Answer: D
Treatment of acute osteomyelitis requires administration of high
doses of parenteral antibiotics for 4 to 8 weeks, followed by oral
antibiotics for another 4 to 8 weeks.
◉ A client with osteoarthritis request information from the nurse
about what type of exercise regimen would be most beneficial for
him. The nurse should communicate which information?
A. repetitive strength-building exercises with weights or resistance
bands
B. high-impact aerobic exercise
C. circuit training alternating with frequent rest periods
D. low impact exercise, walking, swimming and water aerobics
Answer: D
Low impact exercises such as walking or swimming, that do not
cause further harm to damaged joints, are most beneficial to clients
with osteoarthritis. Strength-building exercises, circuit training, and
high-impact aerobics may cause too much stress on the joint areas
and subsequently increase inflammation and damage
EVALUATION EXAMS 2026 FULL SOLUTION
VIEW AHEAD
◉ Which client is at the highest risk for compromised psychological
adjustment after a hysterectomy?
A. a 62-year-old widow who has three friends who had
uncomplicated hysterectomies
B. A 29-year-old woman whose uterus ruptured after giving birth to
her first child
C. A 46-year-old woman with three children and a recent promotion
at work
D. A 55-year-old woman with abnormal bleeding and pain for 3
years
Answer: B
The client who is a primipara and is still in her childbearing years is
at highest risk for unresolved conflicts about the end of her
childbearing opportunities. The client with a family and positive life
events, the menopausal client with physical distress, the post-
menopausal client with support of peers with similar positive
outcomes are less likely to be psychologically distressed.
,◉ A 48-year-old client with endometrial cancer is being discharged
after a total hysterectomy and bilateral salpingo-oophorectomy.
Which client statement indicates that further teaching is needed?
A. "I have asked my daughter to stay with me next week after I am
discharged"
B. "Well, I don't have to worry about getting pregnant anymore"
C. "I know I will miss having sexual intercourse with my husband"
D. "I can't wait to go on the cruise that I have planned for this
summer"
Answer: C
further teaching is needed in response to the client's
misunderstanding of sexuality after a hysterectomy that is reflected
in the statement. the client's knowledge about reproduction, a
positive outlook with plans for the future, and her anticipated need
for assistance and support during recovery indicate she understands
the present status of her recovery.
◉ A client in the pre-operative holding area receives a prescription
for midazolam (Versed) IV. The nurse determines that the surgical
consent form needs to be signed by the client. Which action should
the nurse implement?
A. give the drug and allow the client to read and sign the consent
form
,B. withhold the drug until the client validates understanding of the
surgical procedure and signs the consent form
C. counter-sign the client's initials on the consent form after giving
the drug
D. call the healthcare provider to explain the surgical procedure
before the client signs the consent
Answer: B
Midazolam, a benzodiazepine sedative, is commonly used for
conscious-sedation intraoperatively and interferes with the client's
cognition and level of consciousness, so the consent form should be
signed before the drug is administered. The validity of legal
documents will be in question if a client signs them while under the
influence of any central nervous system depressant drug.
◉ A client with acute osteomyelitis has undergone surgical
debridement of the diseased boen and asks the nurse how long will
antibiotics have to be administered. Which information should the
nurse communicate?
A. parenteral antibiotics for 2 to 3 weeks, then oral antibiotics for 4
weeks
B. parenteral antibiotics for 4 to 6 weeks, then oral antibiotics for up
to 1 year
C. oral antibiotics for 2 to 4 months, then for dental procedure
prophylaxis
, D. parenteral antibiotics for 4 to 8 weeks, then oral antibiotics for 4
to 8 weeks
Answer: D
Treatment of acute osteomyelitis requires administration of high
doses of parenteral antibiotics for 4 to 8 weeks, followed by oral
antibiotics for another 4 to 8 weeks.
◉ A client with osteoarthritis request information from the nurse
about what type of exercise regimen would be most beneficial for
him. The nurse should communicate which information?
A. repetitive strength-building exercises with weights or resistance
bands
B. high-impact aerobic exercise
C. circuit training alternating with frequent rest periods
D. low impact exercise, walking, swimming and water aerobics
Answer: D
Low impact exercises such as walking or swimming, that do not
cause further harm to damaged joints, are most beneficial to clients
with osteoarthritis. Strength-building exercises, circuit training, and
high-impact aerobics may cause too much stress on the joint areas
and subsequently increase inflammation and damage
