Med-Surg Certification Practice Questions
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1. A newly diabetic patient will receive B.
instructions from his nurse. Which
of the following actions should the First ask the patient what they know about diabetes.
nurse take first?
*ACTION questions ask for intervention, NOT assess-
A. Provide the patient with ment
brochures for making smart choic-
es for cooking/baking.
B. Ask the patient what they know
about diabetes.
C. Instruct the patient on exercise
or activities that will increase their
metabolism.
D. Teach them how to use the glu-
cometer.
2. The post hysterectomy patient with C.
calls the clinic stating that she has
been having difficulty with inconti- A patient saying that he or she will only drink fluids
nence. Which of the following state- when eating meals indicates that they don't know what
ments if made by the patient, indi- to do in case of incontinence.
cates that further teaching is need-
FURTHER TEACHING indicates that the patient needs
ed?
more information
A. I drink 8 oz. of fluid on the even
hours while awake.
B. I will attempt to void 30 minutes
after drinking 200 cc. of fluid
C. I will only drink fluid when I eat
my meals
D. I will set the timer to remind me
when to void
, Med-Surg Certification Practice Questions
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3. An RN assesses a patient in the Can- C
cer Center with a diagnosis of termi-
nal cancer. The patient states to the
RN that he is short of breath, has
no appetite and hurts everywhere.
Which of the following statements
by the nurse is best?
A. Tell me how your family is coping
B. Show me where it does not hurt
C. I'll teach you relaxation tech-
niques
D. Your physician should increase
your pain medication
4. A clinical nurse returns to the desk A
to find 4 phone messages. Which of
the following messages should the B and C are expected symptoms of the patient's con-
nurse respond to first? dition. A and D are unexpected. D is less critical than
A. Best answer is A.
A. A post cervical laminectomy pa-
tient complaining of sudden diffi-
culty talking.
B. A patient with multiple sclerosis
complaining of change in peripher-
al vision.
C. A patient with a herniated
disc complaining of consistent back
pain.
D. A patient with a cast due to a frac-
, Med-Surg Certification Practice Questions
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ture of the right tibial bone com-
plaining of tingling toes.
5. A 75 year old patient complains to A
the clinical nurse that he is having
difficulty sleeping. Which of the fol- B and C are recommendations that the RN can share
lowing actions by the nurse is most after he/she determines the patient's sleeping and
appropriate? waking patterns. So remove B and C. D is an inquiry,
but is concerned about the past (when the person
A. Determine the patient's usual retired). Remove D. A is the best answer.
sleeping and waking patterns.
B. Suggest that the client abstain
from alcohol and caffeine before
bed time.
C. Recommend that client establish
a bedtime routine.
D. Ask how much sleep the client
required before retirement.
6. The nurse cares for a patient sever- B
al hours after a thyroidectomy. The
RN observes that the patient is di-
aphoretic and confused. The vital
signs are:
Temp = 102° (38.9 ° C); BP is 160/90;
pulse is 110, respiration is 22. The
nurse expects the physician to or-
der which of the following?
A. NPO, Dextran 10 ml/kg. IV, 02 4
L/min.
B. Propranolol (Inderal) 1 mg. IV,
, Med-Surg Certification Practice Questions
Study online at https://quizlet.com/_a9djh1
D5W 125 cc/hr IV, propylthiaouracil
(PTU) 200 mg po qld.
C. Levothyroxine Sodium (Syn-
throid) 100 mcg IV, Lactat-
ed Ringer's 125 cc/hr IV, and
ciprofloxacin (cipro) 500 mg. po
bid.
D. Morphine sulfate 2.5 mg. IV q. 4
hrs. prn, 0.9% NACl.
7. A 63 year old female patient con- C
tacts the clinic to report that she
is has been extremely fatigued, is Need more info
sleeping 12 hours a night, is al-
ways cold and her hair is falling out.
Which of the following responses by
the nurse is most appropriate?
A. You will have more energy if you
walk 30 min every day.
B. You don't need to worry. Sleeping
a lot is good for you.
C. Come in and see your health care
provider today.
D. You should eat more green leafy
vegetables.
8. The RN performs blood pressure C
screening at the local community
center. Which of the following indi-
viduals is most likely to suffer from
a cerebrovascular accident?
Study online at https://quizlet.com/_a9djh1
1. A newly diabetic patient will receive B.
instructions from his nurse. Which
of the following actions should the First ask the patient what they know about diabetes.
nurse take first?
*ACTION questions ask for intervention, NOT assess-
A. Provide the patient with ment
brochures for making smart choic-
es for cooking/baking.
B. Ask the patient what they know
about diabetes.
C. Instruct the patient on exercise
or activities that will increase their
metabolism.
D. Teach them how to use the glu-
cometer.
2. The post hysterectomy patient with C.
calls the clinic stating that she has
been having difficulty with inconti- A patient saying that he or she will only drink fluids
nence. Which of the following state- when eating meals indicates that they don't know what
ments if made by the patient, indi- to do in case of incontinence.
cates that further teaching is need-
FURTHER TEACHING indicates that the patient needs
ed?
more information
A. I drink 8 oz. of fluid on the even
hours while awake.
B. I will attempt to void 30 minutes
after drinking 200 cc. of fluid
C. I will only drink fluid when I eat
my meals
D. I will set the timer to remind me
when to void
, Med-Surg Certification Practice Questions
Study online at https://quizlet.com/_a9djh1
3. An RN assesses a patient in the Can- C
cer Center with a diagnosis of termi-
nal cancer. The patient states to the
RN that he is short of breath, has
no appetite and hurts everywhere.
Which of the following statements
by the nurse is best?
A. Tell me how your family is coping
B. Show me where it does not hurt
C. I'll teach you relaxation tech-
niques
D. Your physician should increase
your pain medication
4. A clinical nurse returns to the desk A
to find 4 phone messages. Which of
the following messages should the B and C are expected symptoms of the patient's con-
nurse respond to first? dition. A and D are unexpected. D is less critical than
A. Best answer is A.
A. A post cervical laminectomy pa-
tient complaining of sudden diffi-
culty talking.
B. A patient with multiple sclerosis
complaining of change in peripher-
al vision.
C. A patient with a herniated
disc complaining of consistent back
pain.
D. A patient with a cast due to a frac-
, Med-Surg Certification Practice Questions
Study online at https://quizlet.com/_a9djh1
ture of the right tibial bone com-
plaining of tingling toes.
5. A 75 year old patient complains to A
the clinical nurse that he is having
difficulty sleeping. Which of the fol- B and C are recommendations that the RN can share
lowing actions by the nurse is most after he/she determines the patient's sleeping and
appropriate? waking patterns. So remove B and C. D is an inquiry,
but is concerned about the past (when the person
A. Determine the patient's usual retired). Remove D. A is the best answer.
sleeping and waking patterns.
B. Suggest that the client abstain
from alcohol and caffeine before
bed time.
C. Recommend that client establish
a bedtime routine.
D. Ask how much sleep the client
required before retirement.
6. The nurse cares for a patient sever- B
al hours after a thyroidectomy. The
RN observes that the patient is di-
aphoretic and confused. The vital
signs are:
Temp = 102° (38.9 ° C); BP is 160/90;
pulse is 110, respiration is 22. The
nurse expects the physician to or-
der which of the following?
A. NPO, Dextran 10 ml/kg. IV, 02 4
L/min.
B. Propranolol (Inderal) 1 mg. IV,
, Med-Surg Certification Practice Questions
Study online at https://quizlet.com/_a9djh1
D5W 125 cc/hr IV, propylthiaouracil
(PTU) 200 mg po qld.
C. Levothyroxine Sodium (Syn-
throid) 100 mcg IV, Lactat-
ed Ringer's 125 cc/hr IV, and
ciprofloxacin (cipro) 500 mg. po
bid.
D. Morphine sulfate 2.5 mg. IV q. 4
hrs. prn, 0.9% NACl.
7. A 63 year old female patient con- C
tacts the clinic to report that she
is has been extremely fatigued, is Need more info
sleeping 12 hours a night, is al-
ways cold and her hair is falling out.
Which of the following responses by
the nurse is most appropriate?
A. You will have more energy if you
walk 30 min every day.
B. You don't need to worry. Sleeping
a lot is good for you.
C. Come in and see your health care
provider today.
D. You should eat more green leafy
vegetables.
8. The RN performs blood pressure C
screening at the local community
center. Which of the following indi-
viduals is most likely to suffer from
a cerebrovascular accident?
