Medical-Surgical Nursing Exam 1 Questions & Answers 2026 – Med-Surg Exam Prep & Study Guide

Medical-Surgical Nursing Exam 1 Questions and Answers 2026 | Med-
Surg Exam Prep & Study Guide
Thexnursexisxcaringxforxaxclientxwhoxhasxasxaxsonxwithxaxstreptococcusxthroatxinfection.xWhichxnursexrec
ommendationxwouldxbexbestxtoxadvisexthexclientxtoxdoxinxorderxtoxpreventxacquiringxthexinfection?x-
xcorrectxanswerx ✅Frequentlyxwashxherxhandsxandxsurfacesxofxthexhome.



ThexnursexisxcaringxforxaxclientxinfectedxwithxRockyxMountainxspottedxfever.xThexnursexshouldxaskxifxthe
xclientxhasxexperiencedxwhichxofxthexfollowing?x-xcorrectxanswerx ✅Wasxbittenxbyxaxtick



Thexnursexisxcaringxforxaxclientxwithxaxprotozoaxinfection.xWhichxisxthexmostxlikelyxmodexofxtransmissio
n?x-xcorrectxanswerx ✅Ingestionxofxcontaminatedxfoodxorxwater



Thexnursexisxcaringxforxaxclientxwhoxisxrecoveringxfromxanxallergicxreaction.xWhichxleukocytexlevelxwoul
dxthexnursexexpectxtoxbexthexmostxelevated?x-xcorrectxanswerx ✅Eosinophils



Thexnursexisxcaringxforxaxclientxwhoxhasxanxinfectedxwoundxonxthexgreatxtoexthatxisxredxwithxaxpurulent
xexudate.xThexnursexexpectsxthatxthisxclientxhasxwhichxtypexofxinfection?x-

xcorrectxanswerx ✅Localized



Thexclientxexperiencedxaxfall.xNursingxassessmentxrevealsxthatxthexclientxisxexperiencingxtachycardia,xhy
potension,xconfusion,xtachypnea,xandxflatxjugularxveins.xWhatxshouldxbexthexnurse'sxfirstxresponse?x-
xcorrectxanswerx ✅Administerxoxygen.



Thexfamilyxwantsxtoxknowxwhyxthexnursexisxputtingxaxurinaryxcatheterxinxaxclientxexperiencingxshock.xW
hatxisxthexnurse'sxbestxresponse?x-
xcorrectxanswerx ✅"Itxwillxhelpxmonitorxhowxmuchxurinexthexkidneysxarexablextoxproduce."



Axclientxexperiencingxshockxhasxhadxaxurinaryxoutputxofx250xmLxinxthexlastx10xhours.xWhatxisxthexnurse'
sxmostxappropriatexresponse?x-xcorrectxanswerx ✅Notifyxthexphysician.



Whichxclientxisxmostxlikelyxtoxbexexperiencingxhypovolemicxshock?x-
xcorrectxanswerx ✅Axclientxwhoxhadxsurgeryx24xhoursxagoxandxwhoxalsoxhasxaxnasogastricxtube

,Thexphysicianxhasxorderedxarterialxbloodxgasesxforxaxclientxexperiencingxshock.xThexnursexknowsxthatxw
hichxvaluexindicatesxshock?x-xcorrectxanswerx ✅pHx7.32



Ax63-year-oldxArabxAmericanxmalexstatesxhisxleftxlegxisx"hot."xWhatxisxthexnurse'sxbestxfirstxresponse?x-
xcorrectxanswerx ✅Assessxforxpain



Thexclientxisxcomplainingxofxexcruciatingxpainxinxaxfootxthatxhasxbeenxamputated.xThexfamilyxtellsxthexn
ursexthatxthexclientxisxjustxaddictedxtoxpainxmedications.xWhatxisxthexnurse'sxbestxresponse?x-
xcorrectxanswerx ✅"Hexisxexperiencingxphantomxlimbxpain."



Axclientxhasxhadxabdominalxsurgeryxandxhasxordersxtoxbexambulatedxthreextimesxaxday.xOralxpainxmedic
ationxhasxbeenxorderedxforxthexclient.xWhatxshouldxthexnursexdoxtoxfacilitatexambulation?x-
xcorrectxanswerx ✅Mediatex1xhourxpriorxtoxambulatingxthexclient.



Thexclientxreportsxfrequentxusexofxacetaminophen.xHowxshouldxthexnursexbestxrespond?x-
xcorrectxanswerx ✅"Doxyouxdrinkxalcohol?"



Axclientxwithxchronicxpainxhasxbeenxadmittedxwithxaxfever.xThexnursingxassessmentxrevealsxthatxthexclie
ntxhasxaxdecreasedxlevelxofxconsciousness.xWhatxshouldxthexnursexaskxthexfamilyxabout?x-
xcorrectxanswerx ✅Whatxmedicationsxthexclientxhasxtaken



Thexpracticalxnursexisxreviewingxthexsocialxhistoryxfromxaxclientxdiagnosedxwithxsmallxcellxcarcinomaxofx
thexlung.xWhichxinformationxisxsignificantxforxthisxdisease?x-
xcorrectxanswerx ✅Thexclientxhasxsmokedxtwox(2)xpacksxofxcigarettesxaxdayxforx20xyears



Thexpracticalxnursexandxanxunlicensedxassistivexpersonnelx(UAP)xarexcaringxforxaxgroupxofxclientsxonxax
medicalxunit.xWhichxinformationxprovidedxbyxthexUAPxwarrantsximmediatexinterventionxbyxthexpractica
lxnurse?x-
xcorrectxanswerx ✅ThexclientxreceivingxProcritx(epoetinxalfa)xhasxaxTx99.2˚F,xPx68,xRx24,xandxBPxofx1
98/102



Thexclientxdiagnosedxwithxlungxcancerxhasxbeenxtoldxthexcancerxhasxmetastasizedxtoxthexbrain.xWhichxi
nterventionxshouldxthexpracticalxnursexexpectxtoximplement?x-
xcorrectxanswerx ✅Discussximplementingxanxadvancexdirective

, Thexclientxdiagnosedxwithxlungxcancerxisxbeingxdischarged.xWhichxstatementxmadexbyxthexclientxindicat
esxaxreiterationxofxinformationxisxrequired?x-
xcorrectxanswerx ✅"Itxdoesn'txmatterxifxIxsmokexnow.xIxalreadyxhavexcancer."



Thexpracticalxnursexisxinterviewingxclientsxatxthexclinic.xWhichxinformationxprovidedxbyxaxclientxwarrant
sxfurtherxinvestigation?x-xcorrectxanswerx ✅Thexclientxhasxbeenxcoughingxupxbloodxinxthexmornings



Thexmalexclientxhadxabdominalxsurgeryxandxthexpracticalxnursexsuspectsxthexclientxhasxperitonitis.xWhic
hxinformationxsupportxthexdiagnosisxofxperitonitis?x-
xcorrectxanswerx ✅Hard,xrigidxabdomenxandxwhitexbloodxcellxcountx22,000/mm3



Thexclientxwhoxhadxabdominalxsurgeryxtellsxthexpracticalxnurse,x"Ixfeltxsomethingxgivexwayxinxmyxstoma
ch."xWhichxinterventionxshouldxthexpracticalxnurseximplementxfirst?x-
xcorrectxanswerx ✅Inspectxthexabdominalxwoundxincision



Thexclientxisxonex(1)xdayxpostoperativexmajorxabdominalxsurgery.xWhichxclientxproblemxisxaxpriority?x-
xcorrectxanswerx ✅Fluidxandxelectrolyteximbalance



Thexclientxhasxanxevisceratedxabdominalxwound.xWhichxinterventionxshouldxthexpracticalxnurseximplem
ent?x-xcorrectxanswerx ✅Applyxsterilexnormalxsalinexdressing



Thexclientxisxdiagnosedxwithxperitonitis.xWhichxinformationxindicatesxtoxthexpracticalxnursexthexclient'sx
conditionxisximproving?x-
xcorrectxanswerx ✅Thexclientxhasxaxdecreasexinxtemperaturexandxaxsoftxabdomen



Axpatientxisxbeingxreleasedxfromxthexhospitalxwithxaxprescriptionxforxtetracycline.xWhatxshouldxthexnurs
exincludexinxpatientxteaching?x



Selectxallxthatxapply.x-xcorrectxanswerx ✅Advisexlimitingxexposurextoxthexsun.



Informxpatientxofxthexpossibilityxofxgastrointestinalxupset.