1
MEDICAL-SURGICAL NURSING
CERTIFICATION EXAM QUESTIONS
WITH VERIFIED SOLUTIONS
A patient scheduled for heart catheterization learns the right radial artery will be
accessed rather than the femoral artery. The patient asks the nurse, "Could you
tell me about the two access options?" The nurse's response is based on
knowledge that:
a. femoral catheterization has less risk of internal bleeding.
b. external bleeding can be easily controlled with radial catheterization.
c. the patient is able to sit up immediately following femoral catheterization.
d. the patient can resume normal activity immediately after radial catheterization.
- correct-answer - b. external bleeding can be easily controlled with radial
catheterization.
A male patient tells the nurse he has stopped taking his beta blocker because it
interfered with his social life. Which comment by the nurse is most appropriate in
response to the patient's statement:
a. "Often these drugs can cause fatigue, but a dosage adjustment can correct this
side effect."
b. "What exactly do you mean by social life?"
c. "Many men stop taking their blood pressure medications due to changes in
sexual functioning . Have you had this problem?"
d. "Never stop taking blood pressure medication suddenly because this can be
dangerous." - correct-answer - c. "Many men stop taking their blood pressure
medications due to changes in sexual functioning . Have you had this problem?"
, 2
Which noninvasive diagnostic procedure would the nurse anticipate the physician
will order to assess possible blockage in a patient's coronary arteries?
a. Mitigated angiographic scan (MUGA)
b. Echocardiography
c. Chest radiography
d. Computed tomography angiogram (CTA) - correct-answer - d. Computed
tomography angiogram (CTA)
The nurse is caring for a patient with a history of three previous MIs and three
coronary artery bypass grafts. An echocardiogram reveals an ejection fraction of
15%. The nurse prepares to teach the patient about which medication that will be
ordered during the acute phase of heart failure?
a. Dobutamine (Dobutex)
b. Amlodipine (Norvasc)
c. Atenolol (Tenormin)
d. Captopril (Capoten) - correct-answer - a. Dobutamine (Dobutex)
The nurse is caring for multiple patients with a diagnosis of coronary artery
disease. The identifies which of the following as at the greatest risk for early onset
of the disease?
a. Hispanic male
b. Asian female
c. African-American female
d. Caucasian male - correct-answer - c. African-American female
A patient with rheumatic fever has been told the infection could reoccur. The
nurse teaches the patient to seek medical attention for which of the following
symptoms that suggest reinfection?
a. Shortness of breath at rest
b. Unexplained weight loss
MEDICAL-SURGICAL NURSING
CERTIFICATION EXAM QUESTIONS
WITH VERIFIED SOLUTIONS
A patient scheduled for heart catheterization learns the right radial artery will be
accessed rather than the femoral artery. The patient asks the nurse, "Could you
tell me about the two access options?" The nurse's response is based on
knowledge that:
a. femoral catheterization has less risk of internal bleeding.
b. external bleeding can be easily controlled with radial catheterization.
c. the patient is able to sit up immediately following femoral catheterization.
d. the patient can resume normal activity immediately after radial catheterization.
- correct-answer - b. external bleeding can be easily controlled with radial
catheterization.
A male patient tells the nurse he has stopped taking his beta blocker because it
interfered with his social life. Which comment by the nurse is most appropriate in
response to the patient's statement:
a. "Often these drugs can cause fatigue, but a dosage adjustment can correct this
side effect."
b. "What exactly do you mean by social life?"
c. "Many men stop taking their blood pressure medications due to changes in
sexual functioning . Have you had this problem?"
d. "Never stop taking blood pressure medication suddenly because this can be
dangerous." - correct-answer - c. "Many men stop taking their blood pressure
medications due to changes in sexual functioning . Have you had this problem?"
, 2
Which noninvasive diagnostic procedure would the nurse anticipate the physician
will order to assess possible blockage in a patient's coronary arteries?
a. Mitigated angiographic scan (MUGA)
b. Echocardiography
c. Chest radiography
d. Computed tomography angiogram (CTA) - correct-answer - d. Computed
tomography angiogram (CTA)
The nurse is caring for a patient with a history of three previous MIs and three
coronary artery bypass grafts. An echocardiogram reveals an ejection fraction of
15%. The nurse prepares to teach the patient about which medication that will be
ordered during the acute phase of heart failure?
a. Dobutamine (Dobutex)
b. Amlodipine (Norvasc)
c. Atenolol (Tenormin)
d. Captopril (Capoten) - correct-answer - a. Dobutamine (Dobutex)
The nurse is caring for multiple patients with a diagnosis of coronary artery
disease. The identifies which of the following as at the greatest risk for early onset
of the disease?
a. Hispanic male
b. Asian female
c. African-American female
d. Caucasian male - correct-answer - c. African-American female
A patient with rheumatic fever has been told the infection could reoccur. The
nurse teaches the patient to seek medical attention for which of the following
symptoms that suggest reinfection?
a. Shortness of breath at rest
b. Unexplained weight loss
