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Med/Surg I – Knowledge & Clinical Judgment Beginning Test 2026 | Most Tested Questions & Verified Answers | Latest Update | Graded A+

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Build a strong foundation in Medical-Surgical Nursing I and Clinical Judgment with this comprehensive 2026 Study Guide, designed to help nursing students review essential concepts, improve critical thinking skills, and prepare for nursing coursework and NCLEX®-style assessments. This independently developed resource includes organized topic summaries, clinical reasoning strategies, and original practice questions with detailed rationales. It focuses on applying nursing knowledge to patient care situations, prioritization, assessment, and safe clinical decision-making.

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Med/Surg I – Knowledge & Clinical Judgment
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Med/Surg I – Knowledge & Clinical Judgment

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Med/Surg I – Knowledge & Clinical Judgment Beginning
Test 2026 | Most Tested Questions & Verified Answers |
Latest Update | Graded A+
1. The nurse is caring for a patient who was prescribed a morphine patient
controlled analgesic pump. The patient is now complaining of lower pelvic
pressure. Upon assessment, the nurse finds the patient's bladder is distended
the nurse knows this is caused by which adverse effect of opioid use?

respiratory depression

urinary track infection

urinary retention

constipation

2. A nurse is preparing to insert an indwelling catheter for a male client who is
unable to lie supine due to respiratory distress. What alternative position
could be considered for this procedure?

Trendelenburg

Lateral

Prone

Sitting

3. What color of the tongue is indicative of a healthy nutritional status in older
adult clients?

Pale yellowish tongue

Dark brown tongue

White-coated tongue

Deep reddish-colored tongue

,4. If a nurse encounters the abbreviation 'q.d.' in a patient's medication chart,
what should the nurse do to ensure patient safety?

Clarify the medication order with the prescribing physician.

Administer the medication as scheduled.

Document the abbreviation in the patient's chart.

Ignore the abbreviation since it is common.

5. The nurse is providing discharge instructions for a client who has been
diagnosed with stable angina and has a prescription for nitroglycerine
sublingual tablets. Which statement by the client indicates that further
teaching is needed?

"I should go to the hospital if the pain is not relieved after taking a
nitroglycerine."

"I need to replace my pills every month."

"I should keep my pills in the original container."

"I should stop all activity and rest when having chest pain

6. The nurse monitors labs to assess for this adverse reaction in the client on
prednisone:

Hyperkalemia

Hyperglycemia

Hyperlipidemia

Hypercalcemia

7. While inserting an IV in a patient, some blood is spilled on the floor. Which
product should the nurse clean the floor with?

, Isopropyl alcohol

Chlorine (bleach)

Chlorhexidine gluconate (Hibiciens)

Iodophor

8. Why is the abbreviation 'q.d.' considered inappropriate in nursing
documentation?

It can be misinterpreted, leading to medication errors.

It is too vague for clear communication.

It is only used in specific medical specialties.

It is not commonly used in nursing practice.

9. Why is discussing a client's plan of care with a nurse from another unit
considered a breach of confidentiality?

It is a common practice in nursing to share information among
colleagues.

It helps in ensuring continuity of care for the patient.

It is necessary for effective communication between healthcare
providers.

It violates the patient's right to privacy by sharing sensitive
information with unauthorized individuals.

10. In a scenario where a nurse must transfer a patient with limited mobility,
which technique should the nurse employ to ensure safety and prevent
injury?

Using proper body mechanics by keeping the back straight and
bending at the knees.

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Med/Surg I – Knowledge & Clinical Judgment

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