• Medical-Surgical 09/01/2026
Nursing
Medical-Surgical Nursing Complete Study
Guide 4 | Exam Prep | 1,500+
Comprehensive Q-bank Questions, Detailed
Rationales, Predictor Exams, Clinical Case
Studies, Practice Questions and Answers
with Rationales| (A+ Guarantee) | PDF
P 1
, • Medical-Surgical 09/01/2026
Nursing
A client is admitted to the hospital with severe lower left abdominal pain, nausea, vomiting, fever, and chills.
Which nursing action has the highest priority?
A.
Place the client on NPO status.
B.
Assess the client's temperature.
C.
Obtain a stool specimen.
D.
Administer IV fluids. –
Correct Answer :A
Rationale:A client is showing signs of acute severe diverticulitis and is at risk for peritonitis and intestinal
obstruction. The nurse should make the client NPO to reduce risk of intestinal rupture. Options B, C, and D are
important but are less of a priority than option A, which is implemented to prevent a severe complication.
A client on telemetry has a pattern of uncontrolled atrial fibrillation with a rapid ventricular response. Based on
this finding, the nurse anticipates assisting the physician with which treatment?
A.
Administer lidocaine, 75 mg intravenous push.
B.
Perform synchronized cardioversion.
C.
P 2
, • Medical-Surgical 09/01/2026
Nursing
Defibrillate the client as soon as possible.
D.
Administer atropine, 0.4 mg intravenous push. –
Correct Answer :B
Rationale:With uncontrolled atrial fibrillation, the treatment of choice is synchronized cardioversion to convert
the cardiac rhythm back to normal sinus rhythm. Option A is a medication used for ventricular dysrhythmias.
Option C is not for a client with atrial fibrillation; it is reserved for clients with life-threatening dysrhythmias, such
as ventricular fibrillation and unstable ventricular tachycardia. Option D is the drug of choice in symptomatic
sinus bradycardia, not atrial fibrillation.
The nurse is preparing a client for discharge after a right total knee replacement. Which client statements about
use of a walker indicate to the nurse the teaching was effective? (Select all that apply.)
A.
"I will walk in the middle of the walker."
B.
"I will make sure all four feet of the walker are on the floor before I use the hand pieces."
C.
"I will move my right foot forward into the walker, and then my left foot."
D.
"I will collapse the walker and put it in the chair opposite the bed at night."
E.
"I will use a silicone-based cleaning product to clean the hand pieces and rubber tips." –
Correct Answer :A, B, C
Rationale:The nurse is teaching about use of a walker. Having the walker collapsed at night does not help with
nighttime ambulation to the restroom. The client is at risk for falling. Silicone is a slippery material and placing
silicone on the rubber tips of the walker places the client at risk for falling. The remaining client statements about
use of a walker are correct.
P 3
, • Medical-Surgical 09/01/2026
Nursing
A resident in a long-term care facility is diagnosed with hepatitis B. Which action should the nurse take with the
staff caring for this client?
A.
Determine if all employees have had the hepatitis B vaccine series.
B.
Explain that this type of hepatitis can be transmitted when feeding the client.
C.
Assure the employees that they cannot contract hepatitis B when providing direct care.
D.
Tell the employees that wearing gloves and a gown are required when providing all care.
- Correct Answer :A
Rationale:Hepatitis B vaccine should be administered to all health care providers. Hepatitis A (not hepatitis B)
can be transmitted by fecal-oral contamination. There is a chance that staff could contract hepatitis B if exposed
to the client's blood and/or body fluids; therefore, option C is incorrect. There is no need to wear gloves and
gowns except with blood or body fluid contact.
The nurse is providing care to a client admitted to the emergency room with a blood glucose level of 40 mg/dL
and is semiconscious. What are the nurse's next actions? (Select all that apply.)
A.
Place 4 sugar cubes under the tongue.
B.
Place 1 tablespoon of honey in the client's cheek.
C.
Start an IV of Normal Saline.
D.
Obtain a 50% dextrose solution.
P 4
Nursing
Medical-Surgical Nursing Complete Study
Guide 4 | Exam Prep | 1,500+
Comprehensive Q-bank Questions, Detailed
Rationales, Predictor Exams, Clinical Case
Studies, Practice Questions and Answers
with Rationales| (A+ Guarantee) | PDF
P 1
, • Medical-Surgical 09/01/2026
Nursing
A client is admitted to the hospital with severe lower left abdominal pain, nausea, vomiting, fever, and chills.
Which nursing action has the highest priority?
A.
Place the client on NPO status.
B.
Assess the client's temperature.
C.
Obtain a stool specimen.
D.
Administer IV fluids. –
Correct Answer :A
Rationale:A client is showing signs of acute severe diverticulitis and is at risk for peritonitis and intestinal
obstruction. The nurse should make the client NPO to reduce risk of intestinal rupture. Options B, C, and D are
important but are less of a priority than option A, which is implemented to prevent a severe complication.
A client on telemetry has a pattern of uncontrolled atrial fibrillation with a rapid ventricular response. Based on
this finding, the nurse anticipates assisting the physician with which treatment?
A.
Administer lidocaine, 75 mg intravenous push.
B.
Perform synchronized cardioversion.
C.
P 2
, • Medical-Surgical 09/01/2026
Nursing
Defibrillate the client as soon as possible.
D.
Administer atropine, 0.4 mg intravenous push. –
Correct Answer :B
Rationale:With uncontrolled atrial fibrillation, the treatment of choice is synchronized cardioversion to convert
the cardiac rhythm back to normal sinus rhythm. Option A is a medication used for ventricular dysrhythmias.
Option C is not for a client with atrial fibrillation; it is reserved for clients with life-threatening dysrhythmias, such
as ventricular fibrillation and unstable ventricular tachycardia. Option D is the drug of choice in symptomatic
sinus bradycardia, not atrial fibrillation.
The nurse is preparing a client for discharge after a right total knee replacement. Which client statements about
use of a walker indicate to the nurse the teaching was effective? (Select all that apply.)
A.
"I will walk in the middle of the walker."
B.
"I will make sure all four feet of the walker are on the floor before I use the hand pieces."
C.
"I will move my right foot forward into the walker, and then my left foot."
D.
"I will collapse the walker and put it in the chair opposite the bed at night."
E.
"I will use a silicone-based cleaning product to clean the hand pieces and rubber tips." –
Correct Answer :A, B, C
Rationale:The nurse is teaching about use of a walker. Having the walker collapsed at night does not help with
nighttime ambulation to the restroom. The client is at risk for falling. Silicone is a slippery material and placing
silicone on the rubber tips of the walker places the client at risk for falling. The remaining client statements about
use of a walker are correct.
P 3
, • Medical-Surgical 09/01/2026
Nursing
A resident in a long-term care facility is diagnosed with hepatitis B. Which action should the nurse take with the
staff caring for this client?
A.
Determine if all employees have had the hepatitis B vaccine series.
B.
Explain that this type of hepatitis can be transmitted when feeding the client.
C.
Assure the employees that they cannot contract hepatitis B when providing direct care.
D.
Tell the employees that wearing gloves and a gown are required when providing all care.
- Correct Answer :A
Rationale:Hepatitis B vaccine should be administered to all health care providers. Hepatitis A (not hepatitis B)
can be transmitted by fecal-oral contamination. There is a chance that staff could contract hepatitis B if exposed
to the client's blood and/or body fluids; therefore, option C is incorrect. There is no need to wear gloves and
gowns except with blood or body fluid contact.
The nurse is providing care to a client admitted to the emergency room with a blood glucose level of 40 mg/dL
and is semiconscious. What are the nurse's next actions? (Select all that apply.)
A.
Place 4 sugar cubes under the tongue.
B.
Place 1 tablespoon of honey in the client's cheek.
C.
Start an IV of Normal Saline.
D.
Obtain a 50% dextrose solution.
P 4
