Medical-Surgical Nursing Practice Exam 2026: Questions
with Correct Answers
1. A nurse is planning care for a client who has a full-thickness burns on the lower
extremities. Which of the following interventions should the nurse include?
• A. Limit visitation time for client's children to 40 minutes per day
• B. Clean the equipment in the client's room once per week
• C. Provide a diet of fresh fruits and vegetable for the client
• D. Apply new gloves when alternating between wound care sites
2. A nurse is caring for a client who has cancer. The client tells the nurse, "I would prefer
to try vitamins and minerals instead of chemotherapy" which of the following responses
should the nurse make?
• A. I have never heard of any holistic treatment that is effective
• B. You should ask your provider about your plan
• C. The best way to treat your cancer is chemotherapy
• D. Tell me what you know about chemotherapy
3. A nurse is planning to teach a client whose provider has prescribed a low purine diet.
The nurse should plan to instruct the client that he can include which of the following
Foods in his diet (select all that apply)
• A. Sardines
• B. Nuts
• C. Apricots
• D. Liver
• E. Scallops
,4. A nurse is caring for a client following a total knee arthroplasty. The client reports a
pain level of 6 on a pain scale of 0 to 10. Which of the following interventions should the
nurse take?
• A. Place pillows under the clients knee
• B. Gently massage the area around the clients incision
• C. Apply an ice pack to the clients knee
• D. Perform range of motion exercises to the clients knee
5. A nurse is caring for a client who has lower extremity fracture and a prescription for
crutches. Which of the following client statements indicates that the client is adapting to
their role change?
• A. I will need to have my partner take over shopping for groceries and cooking the
meals for us
• B. Its going to be difficult to tell my parents I can't take them to their appointments
anymore
• C. I feel bad that I have to ask my partner to keep the house clean
• D. These crutches will make it impossible to care for my child
6. A nurse is assessing a client who is preoperative and reports an allergy to bananas. The
nurse should recognize that the client is at risk for an allergic cross-reactivity to which of
the following substances?
• A. Adhesive tape
• B. Latex
• C. Anesthetics
• D. Povidone iodine
7. A nurse on a medical unit is planning care for a group of clients. Which of the following
clients should the nurse attend to First?
• A. A client who has chronic obstructive pulmonary disease in oxygen saturation of 89%
• B. A client who has left-sided paralysis and slurred speech from a prior stroke
• C. A client who has thrombocytopenia and reports a nosebleed
• D. A client who has multiple sclerosis and reports Ataxia and vertigo
,8. A nurse is monitoring a client who is receiving two units packed RBC's. Which of the
following manifestation indicates a hemolytic transfusion reaction?
• A. Back pain
• B. Hypertension
• C. Chills
• D. Bradycardia
9. A nurse is teaching a client who has diabetes mellitus about foot care. Which of the
following instruction should the nurse include?
• A. Use a heating pad to keep your feet warm at night
• B. Wear loose-fitting slippers around the house
• C. Wear cotton rather than nylon socks
• D. Wash your face twice per day with antibacterial soap and hot water
10. A nurse is providing teaching to a client who has a deep vein thrombosis (DVT). Which
of the following findings should the nurse identify as a risk factor for the development of
the DVTs?
• A. NSAID use
• B. Hypertension
• C. Oral contraceptive use
• D. Cirrhosis
11. A nurse is caring for a client who has a sealed radiation implant. Which of the
following actions should the nurse take?
• A. Remove soiled linens from the room after each change
• B. Give the dosimeter badge to the oncoming nurse at the end of the shift
• C. Apply a second pair of gloves before touching the client's implant if it dislodges
• D. Limit family member visits to 30 min per day
, 12. A nurse is providing teaching to a client and his partner about performing peritoneal
dialysis at home. When discussing peritonitis, which of the following manifestations
should the nurse identify as the earliest indication of this complication?
• A. Generalized abdominal pain
• B. Cloudy effluent
• C. Increased heart rate
• D. Fever
13. A nurse is caring for a client who is receiving a blood transfusion. The nurse observes
that the client has bounding peripheral pulses, hypertension, and distended jugular veins.
The nurse should anticipate administering which of the following prescribed medications?
• A. Pantoprazole
• B. Acetaminophen
• C. Furosemide
• D. Diphenhydramine
14. A nurse is planning care for a client who has upper gastrointestinal bleeding due to a
peptic ulcer. Which of the following actions should the nurse plan to take?
• A. Provide ketorolac for abdominal pain
• B. Administer nitroprusside IV based on the client's weight
• C. Insert a large bore nasogastric tube
• D. Ensure that the client has a 22- gauge iv line in place
15. A nurse is caring for a client who has bladder cancer and a WBC count of 900/mm3.
Which of the following actions should the nurse take?
• A. Instruct client to avoid eating raw fruit
• B. Move the client to a negative pressure room
• C. Use contact isolation while providing care
• D. Apply pressure to venipuncture sites for 10 min
with Correct Answers
1. A nurse is planning care for a client who has a full-thickness burns on the lower
extremities. Which of the following interventions should the nurse include?
• A. Limit visitation time for client's children to 40 minutes per day
• B. Clean the equipment in the client's room once per week
• C. Provide a diet of fresh fruits and vegetable for the client
• D. Apply new gloves when alternating between wound care sites
2. A nurse is caring for a client who has cancer. The client tells the nurse, "I would prefer
to try vitamins and minerals instead of chemotherapy" which of the following responses
should the nurse make?
• A. I have never heard of any holistic treatment that is effective
• B. You should ask your provider about your plan
• C. The best way to treat your cancer is chemotherapy
• D. Tell me what you know about chemotherapy
3. A nurse is planning to teach a client whose provider has prescribed a low purine diet.
The nurse should plan to instruct the client that he can include which of the following
Foods in his diet (select all that apply)
• A. Sardines
• B. Nuts
• C. Apricots
• D. Liver
• E. Scallops
,4. A nurse is caring for a client following a total knee arthroplasty. The client reports a
pain level of 6 on a pain scale of 0 to 10. Which of the following interventions should the
nurse take?
• A. Place pillows under the clients knee
• B. Gently massage the area around the clients incision
• C. Apply an ice pack to the clients knee
• D. Perform range of motion exercises to the clients knee
5. A nurse is caring for a client who has lower extremity fracture and a prescription for
crutches. Which of the following client statements indicates that the client is adapting to
their role change?
• A. I will need to have my partner take over shopping for groceries and cooking the
meals for us
• B. Its going to be difficult to tell my parents I can't take them to their appointments
anymore
• C. I feel bad that I have to ask my partner to keep the house clean
• D. These crutches will make it impossible to care for my child
6. A nurse is assessing a client who is preoperative and reports an allergy to bananas. The
nurse should recognize that the client is at risk for an allergic cross-reactivity to which of
the following substances?
• A. Adhesive tape
• B. Latex
• C. Anesthetics
• D. Povidone iodine
7. A nurse on a medical unit is planning care for a group of clients. Which of the following
clients should the nurse attend to First?
• A. A client who has chronic obstructive pulmonary disease in oxygen saturation of 89%
• B. A client who has left-sided paralysis and slurred speech from a prior stroke
• C. A client who has thrombocytopenia and reports a nosebleed
• D. A client who has multiple sclerosis and reports Ataxia and vertigo
,8. A nurse is monitoring a client who is receiving two units packed RBC's. Which of the
following manifestation indicates a hemolytic transfusion reaction?
• A. Back pain
• B. Hypertension
• C. Chills
• D. Bradycardia
9. A nurse is teaching a client who has diabetes mellitus about foot care. Which of the
following instruction should the nurse include?
• A. Use a heating pad to keep your feet warm at night
• B. Wear loose-fitting slippers around the house
• C. Wear cotton rather than nylon socks
• D. Wash your face twice per day with antibacterial soap and hot water
10. A nurse is providing teaching to a client who has a deep vein thrombosis (DVT). Which
of the following findings should the nurse identify as a risk factor for the development of
the DVTs?
• A. NSAID use
• B. Hypertension
• C. Oral contraceptive use
• D. Cirrhosis
11. A nurse is caring for a client who has a sealed radiation implant. Which of the
following actions should the nurse take?
• A. Remove soiled linens from the room after each change
• B. Give the dosimeter badge to the oncoming nurse at the end of the shift
• C. Apply a second pair of gloves before touching the client's implant if it dislodges
• D. Limit family member visits to 30 min per day
, 12. A nurse is providing teaching to a client and his partner about performing peritoneal
dialysis at home. When discussing peritonitis, which of the following manifestations
should the nurse identify as the earliest indication of this complication?
• A. Generalized abdominal pain
• B. Cloudy effluent
• C. Increased heart rate
• D. Fever
13. A nurse is caring for a client who is receiving a blood transfusion. The nurse observes
that the client has bounding peripheral pulses, hypertension, and distended jugular veins.
The nurse should anticipate administering which of the following prescribed medications?
• A. Pantoprazole
• B. Acetaminophen
• C. Furosemide
• D. Diphenhydramine
14. A nurse is planning care for a client who has upper gastrointestinal bleeding due to a
peptic ulcer. Which of the following actions should the nurse plan to take?
• A. Provide ketorolac for abdominal pain
• B. Administer nitroprusside IV based on the client's weight
• C. Insert a large bore nasogastric tube
• D. Ensure that the client has a 22- gauge iv line in place
15. A nurse is caring for a client who has bladder cancer and a WBC count of 900/mm3.
Which of the following actions should the nurse take?
• A. Instruct client to avoid eating raw fruit
• B. Move the client to a negative pressure room
• C. Use contact isolation while providing care
• D. Apply pressure to venipuncture sites for 10 min
