Med-Surg Exam 3 Comprehensive Medical-Surgical
Nursing Practice EXAM 2026-2027 LATEST UPDATED
VERSION QUESTIONS AND ANSWERS JUST
RELEASED
Which of these patients admitted to the emergency department should the
nurse assess first?
62-year-old who has gangrenous ulcers on both feet
50-year-old who is complaining of "tearing" chest pain
45-year-old who is taking anticoagulants and has bloody stools
36-year-old who has right calf tenderness, redness, and swelling - answer>>50-year-old who is
complaining of "tearing" chest pain
The patient's presentation is consistent with dissecting thoracic
aneurysm, which will require rapid intervention. The other patients do
not need urgent interventions.
Immediately after repair of an abdominal aortic aneurysm, a patient has
absent popliteal, posterior tibial, and dorsalis pedis pulses. The legs
are cool and mottled. Which action should the nurse take first?
A.Wrap both the legs in warm blankets.
B.Notify the surgeon and anesthesiologist.
C.Document that the pulses are absent and recheck in 30 minutes.
D.Review the preoperative assessment form for data about the pulses. - answer>>D. Review the
preoperative assessment form for data about the pulses.
,Many patients with aortic aneurysms also have peripheral arterial
disease, so the nurse should check the preoperative assessment to
determine whether pulses were present before surgery before notifying
the health care providers about the absent pulses. Because the patient's
symptoms may indicate graft occlusion or multiple emboli and a possible
need to return to surgery, it is not appropriate to wait 30 minutes
before taking action. Warm blankets will not improve the circulation to
the patient's legs.
When the nurse is caring for a patient on the first postoperative day
after an abdominal aortic aneurysm repair, which assessment finding is
most important to communicate to the health care provider?
Absence of flatus
Loose, bloody stools
Hypotonic bowel sounds
Abdominal pain with palpation - answer>>Loose, bloody stools
Loose, bloody stools at this time may indicate intestinal ischemia or
infarction and should be reported immediately because the patient may
need an emergency bowel resection. The other findings are normal on the
first postoperative day after abdominal surgery.
A patient who has had a femoral-popliteal bypass graft to the right leg
is being cared for on the surgical unit. Which action by an LPN/LVN
caring for the patient requires the RN to intervene?
The LPN/LVN places the patient in a Fowler's position for meals.
,The LPN/LVN has the patient sit in a bedside chair for 90 minutes.
The LPN/LVN assists the patient to ambulate 40 feet in the hallway.
The LPN/LVN administers the ordered aspirin 160 mg after breakfast. - answer>>The LPN/LVN
has the patient sit in a bedside chair for 90 minutes.
The patient should avoid sitting for long periods because of the
increased stress on the suture line caused by leg edema and because of
the risk for venoaus thromboembolism (VTE). The other actions by the
LPN/LVN are appropriate.
A 46-year-old is diagnosed with thromboangiitis obliterans (Buerger's
disease). When the nurse is planning expected outcomes for the patient,
which outcome has the highest priority for this patient?'
Cessation of smoking
Control of serum lipid levels
Maintenance of appropriate weight
Demonstration of meticulous foot care - answer>>Cessation of smoking
Absolute cessation of nicotine use is needed to reduce the risk for
amputation in patients with Buerger's disease. Other therapies have
limited success in treatment of this disease.
Which information about a patient who has been admitted with a right
calf venous thromboembolism (VTE) requires immediate action by the nurse?
Complaint of left calf pain
New onset shortness of breath
Red skin color of left lower leg
, Temperature of 100.4° F (38° C) - answer>>New onset shortness of breath
New onset dyspnea suggests a pulmonary embolus, which will require rapid
actions such as oxygen administration and notification of the health
care provider. The other findings are typical of VTE.
When assessing a patient with possible peripheral artery disease (PAD),
the nurse obtains a brachial BP of 140/80 and an ankle pressure of
112/70. The nurse calculates the patient's ankle-brachial index (ABI) as ____________________.
- answer>>0.8
You have a patient diagnosed with IE. Which of the following is a risk factor for this condition?
The patient had diarrhea about a month ago
The patient had strep throat about 4 months ago
The patient was born with 2 birth marks on his back
Both of the patient's grandfathers have hypertension - answer>>The patient had strep throat
about 4 months ago
Mr. Kobe Bryant is a 35 y/o African-American male who was admitted with fever and
hypotension. A CBC was drawn and showed WBC = 13,000/mm3. His Echo showed "aortic valve
vegetation" and "low ejection fraction".
The admitting physician updates the admitting diagnosis as "Infective Endocarditis".
Once you know Mr. Bryant's diagnosis, you look to see if the Emergency Department RN did
which of the following?
A. Blood cultures
B. Sputum cultures
Nursing Practice EXAM 2026-2027 LATEST UPDATED
VERSION QUESTIONS AND ANSWERS JUST
RELEASED
Which of these patients admitted to the emergency department should the
nurse assess first?
62-year-old who has gangrenous ulcers on both feet
50-year-old who is complaining of "tearing" chest pain
45-year-old who is taking anticoagulants and has bloody stools
36-year-old who has right calf tenderness, redness, and swelling - answer>>50-year-old who is
complaining of "tearing" chest pain
The patient's presentation is consistent with dissecting thoracic
aneurysm, which will require rapid intervention. The other patients do
not need urgent interventions.
Immediately after repair of an abdominal aortic aneurysm, a patient has
absent popliteal, posterior tibial, and dorsalis pedis pulses. The legs
are cool and mottled. Which action should the nurse take first?
A.Wrap both the legs in warm blankets.
B.Notify the surgeon and anesthesiologist.
C.Document that the pulses are absent and recheck in 30 minutes.
D.Review the preoperative assessment form for data about the pulses. - answer>>D. Review the
preoperative assessment form for data about the pulses.
,Many patients with aortic aneurysms also have peripheral arterial
disease, so the nurse should check the preoperative assessment to
determine whether pulses were present before surgery before notifying
the health care providers about the absent pulses. Because the patient's
symptoms may indicate graft occlusion or multiple emboli and a possible
need to return to surgery, it is not appropriate to wait 30 minutes
before taking action. Warm blankets will not improve the circulation to
the patient's legs.
When the nurse is caring for a patient on the first postoperative day
after an abdominal aortic aneurysm repair, which assessment finding is
most important to communicate to the health care provider?
Absence of flatus
Loose, bloody stools
Hypotonic bowel sounds
Abdominal pain with palpation - answer>>Loose, bloody stools
Loose, bloody stools at this time may indicate intestinal ischemia or
infarction and should be reported immediately because the patient may
need an emergency bowel resection. The other findings are normal on the
first postoperative day after abdominal surgery.
A patient who has had a femoral-popliteal bypass graft to the right leg
is being cared for on the surgical unit. Which action by an LPN/LVN
caring for the patient requires the RN to intervene?
The LPN/LVN places the patient in a Fowler's position for meals.
,The LPN/LVN has the patient sit in a bedside chair for 90 minutes.
The LPN/LVN assists the patient to ambulate 40 feet in the hallway.
The LPN/LVN administers the ordered aspirin 160 mg after breakfast. - answer>>The LPN/LVN
has the patient sit in a bedside chair for 90 minutes.
The patient should avoid sitting for long periods because of the
increased stress on the suture line caused by leg edema and because of
the risk for venoaus thromboembolism (VTE). The other actions by the
LPN/LVN are appropriate.
A 46-year-old is diagnosed with thromboangiitis obliterans (Buerger's
disease). When the nurse is planning expected outcomes for the patient,
which outcome has the highest priority for this patient?'
Cessation of smoking
Control of serum lipid levels
Maintenance of appropriate weight
Demonstration of meticulous foot care - answer>>Cessation of smoking
Absolute cessation of nicotine use is needed to reduce the risk for
amputation in patients with Buerger's disease. Other therapies have
limited success in treatment of this disease.
Which information about a patient who has been admitted with a right
calf venous thromboembolism (VTE) requires immediate action by the nurse?
Complaint of left calf pain
New onset shortness of breath
Red skin color of left lower leg
, Temperature of 100.4° F (38° C) - answer>>New onset shortness of breath
New onset dyspnea suggests a pulmonary embolus, which will require rapid
actions such as oxygen administration and notification of the health
care provider. The other findings are typical of VTE.
When assessing a patient with possible peripheral artery disease (PAD),
the nurse obtains a brachial BP of 140/80 and an ankle pressure of
112/70. The nurse calculates the patient's ankle-brachial index (ABI) as ____________________.
- answer>>0.8
You have a patient diagnosed with IE. Which of the following is a risk factor for this condition?
The patient had diarrhea about a month ago
The patient had strep throat about 4 months ago
The patient was born with 2 birth marks on his back
Both of the patient's grandfathers have hypertension - answer>>The patient had strep throat
about 4 months ago
Mr. Kobe Bryant is a 35 y/o African-American male who was admitted with fever and
hypotension. A CBC was drawn and showed WBC = 13,000/mm3. His Echo showed "aortic valve
vegetation" and "low ejection fraction".
The admitting physician updates the admitting diagnosis as "Infective Endocarditis".
Once you know Mr. Bryant's diagnosis, you look to see if the Emergency Department RN did
which of the following?
A. Blood cultures
B. Sputum cultures
