MED-SURG CERTIFICATION PRACTICE
QUESTIONS WITH CORRECT ANSWERS
Aanewlyadiabeticapatientawillareceiveainstructionsafromahisanurse.aWhichaofatheafollowingaa
ctionsashouldatheanurseatakeafirst?
A.aProvideatheapatientawithabrochuresaforamakingasmartachoicesaforacooking/baking.
B.aAskatheapatientawhatatheyaknowaaboutadiabetes.
C.aInstructatheapatientaonaexerciseaoraactivitiesathatawillaincreaseatheirametabolism.
D.aTeachathemahowatoauseatheaglucometer.a-aans--B.a
Firstaaskatheapatientawhatatheyaknowaaboutadiabetes.
*ACTIONaquestionsaaskaforaintervention,aNOTaassessment
Theapostahysterectomyapatientawithacallsatheaclinicastatingathatasheahasabeenahavingadiffic
ultyawithaincontinence.aWhichaofatheafollowingastatementsaifamadeabyatheapatient,aindicate
sathatafurtherateachingaisaneeded?
A.aIadrinka8aoz.aofafluidaonatheaevenahoursawhileaawake.
B.aIawillaattemptatoavoida30aminutesaafteradrinkinga200acc.aofafluid
C.aIawillaonlyadrinkafluidawhenaIaeatamyameals
D.aIawillasetatheatimeratoaremindameawhenatoavoida-aans--C.a
Aapatientasayingathataheaorasheawillaonlyadrinkafluidsawhenaeatingamealsaindicatesathatathe
yadon'taknowawhatatoadoainacaseaofaincontinence.
FURTHERaTEACHINGaindicatesathatatheapatientaneedsamoreainformation
AnaRNaassessesaaapatientainatheaCanceraCenterawithaaadiagnosisaofaterminalacancer.aThe
apatientastatesatoatheaRNathataheaisashortaofabreath,ahasanoaappetiteaandahurtsaeverywher
e.aWhichaofatheafollowingastatementsabyatheanurseaisabest?
A.aTellameahowayourafamilyaisacoping
B.aShowameawhereaitadoesanotahurt
C.aI'llateachayouarelaxationatechniques
D.aYouraphysicianashouldaincreaseayourapainamedicationa-aans--C
Aaclinicalanurseareturnsatoatheadeskatoafinda4aphoneamessages.aWhichaofatheafollowingame
ssagesashouldatheanursearespondatoafirst?
A.aAapostacervicalalaminectomyapatientacomplainingaofasuddenadifficultyatalking.
B.aAapatientawithamultipleasclerosisacomplainingaofachangeainaperipheralavision.
,C.aAapatientawithaaaherniatedadiscacomplainingaofaconsistentabackapain.
D.aAapatientawithaaacastadueatoaaafractureaofathearightatibialaboneacomplainingaofatinglingato
es.a-aans--A
BaandaCaareaexpectedasymptomsaofatheapatient'sacondition.aAaandaDaareaunexpected.aDai
salessacriticalathanaA.aBestaansweraisaA.
Aa75ayearaoldapatientacomplainsatoatheaclinicalanurseathataheaisahavingadifficultyasleeping.a
Whichaofatheafollowingaactionsabyatheanurseaisamostaappropriate?
A.aDetermineatheapatient'sausualasleepingaandawakingapatterns.
B.aSuggestathatatheaclientaabstainafromaalcoholaandacaffeineabeforeabedatime.
C.aRecommendathataclientaestablishaaabedtimearoutine.
D.aAskahowamuchasleepatheaclientarequiredabeforearetirement.a-aans--A
BaandaCaarearecommendationsathatatheaRNacanashareaafterahe/sheadeterminesatheapatie
nt'sasleepingaandawakingapatterns.aSoaremoveaBaandaC.aDaisaanainquiry,abutaisaconcerned
aaboutatheapasta(whenatheapersonaretired).aRemoveaD.aAaisatheabestaanswer.
Theanurseacaresaforaaapatientaseveralahoursaafteraaathyroidectomy.aTheaRNaobservesathat
atheapatientaisadiaphoreticaandaconfused.aTheavitalasignsaare:
Tempa=a102°a(38.9a°aC);aBPaisa160/90;apulseaisa110,arespirationaisa22.aTheanurseaexpects
atheaphysicianatoaorderawhichaofatheafollowing?
A.aNPO,aDextrana10aml/kg.aIV,a02a4aL/min.
B.aPropranolola(Inderal)a1amg.aIV,aD5W a125acc/hraIV,apropylthiaouracila(PTU)a200amgapoa
qld.
C.aLevothyroxineaSodiuma(Synthroid)a100amcgaIV,aLactatedaRinger'sa125acc/hraIV,aandaci
profloxacina(cipro)a500amg.apoabid.
D.aMorphineasulfatea2.5amg.aIVaq.a4ahrs.aprn,a0.9%aNACl.a-aans--B
Aa63ayearaoldafemaleapatientacontactsatheaclinicatoareportathatasheaisahasabeenaextremelya
fatigued,aisasleepinga12ahoursaaanight,aisaalwaysacoldaandaherahairaisafallingaout.aWhichaofa
theafollowingaresponsesabyatheanurseaisamostaappropriate?
A.aYouawillahaveamoreaenergyaifayouawalka30aminaeveryaday.
B.aYouadon'taneedatoaworry.aSleepingaaalotaisagoodaforayou.
C.aComeainaandaseeayourahealthacareaprovideratoday.
D.aYouashouldaeatamoreagreenaleafyavegetables.a-aans--C
Needamoreainfo
TheaRNaperformsabloodapressureascreeningaatathealocalacommunityacenter.aWhichaofathea
followingaindividualsaisamostalikelyatoasufferafromaaacerebrovascularaaccident?
A.aAa30ayearaoldamanawhoaisaanaaccountaexecutive
,B.aAa40ayearaoldamanawhoajogsafouratimesaaaweek.
C.aAa60ayearaoldamanawhoseafatherahadaaastroke.
D.aAa75ayearaoldamanawhoatakesamulti-vitamins.a-aans--C
Foratheapatientawithaaanewatracheostomy,atheanurseamustabeaalertatoawhichaearlyacomplic
ation?
a)aDecannulation
b)aInfection
c)aBleeding
d)aTracheomalaciaa-aans--Ca
Commonaacutearisksaofatracheostomyaincludeableeding,aairwayaloss,adamageatoaadjacent
astructures,aandafailureaofatheachosenatechniqueatoaachieveasuccessfulaairway
EVERYTHINGa24aHRaPOSTaSURGERY,aFIRSTaCOMPLICATIONaISaBLEEDING.aInfecti
onacomesa2-3adaysalater.
WhenaaapulseaoximetryamonitoraindicatesathataaapatientahasaaadropainaSpO2afroma96%atoa
85%aovera4ahours,atheanurseawillafirst:
1.aRequestaanaorderaforastataABGs
2.aStartatheapatientaonaoxygenabyaNCaata2L/minute
3.aNotifyatheaphysicianaofatheachange
4.aCheckatheapositionaofatheaprobeaonapatient'safingeraoraearlobea-aans--4
Pulseaoximetryaisainaccurateaifatheaprobeaisaloose,aorainatheapresenceaofapooracirculation,a
nailapolish,aoradarkaskinapigmentation.
Toadecreaseaaapatient'sashortnessaofabreathaandaaasenseaofaimpendingadoomaduringaanaa
sthmaaattack,atheanurseawill:
A.aPlaceatheapatientaonaaacardiacamonitoraandaobserveafromatheanurses'astation.
B.aLetatheapatientarestaaloneainaaaquiet,acalmaenvironment.
C.aReassureatheapatientathatatheadoctorawillaarriveasoon
D.aStayawithatheapatientaandaencourageapursed-lipabreathing.a-aans--Da
Theapatientaexperiencingaanaacuteaasthmaaexacerbationawillabeafearfulaandaanxious.aItaisa
importantaforatheanurseatoastayawithatheapatientaforaongoingaassessmentaandatoaprovideaaa
calmaenvironment.aHelpingatheapatientabreatheawithapursedalipsawillafacilitateatheaexpiratio
naofatrappedaairaandahelpatheapatientaregainacontrolaofahisaoraherabreathing.
Aa68ayearaoldawomanaisaadmittedatoatheasurgicalaunitaafteraaagastricaresectionaforagastrica
cancer.aSheastatesathatasheadoesn'tawantaanyoneatoaseeaherainathisacondition,aevenaherah
usband.aThisanurse'sabestaresponseais:
, A."Patients'arightsaprotectayouraprivacy.aIawon'taallowaanyoneain."
B."I'veaseenagastricacancerapatientsawhoalookamuchaworse.aDon'taworry."
C."Wouldayoualikeatoatalkatoaaasocialaworker?"
D."Whataaboutayouraconditionaworriesayou?"a-aans--Da
Theanurseashouldaallowatheapatientatoashareaheraconcernsaandaexpressaherafeelingsainaaa
nonjudgmentalaenvironment.
Ifathereaisapsych/behavioralacomponent-aAFFIRMaANDaVALIDATE,aNOaPROBING
Aapatientawithaaatricuspidavalveadisorderawillahaveaimpairedabloodaflowabetweenathe:
A.aVenaacavaaandarightaatrium
B.aLeftaatriumaandaleftaventricle
C.aRightaatriumaandarightaventricle
D.aRightaventricleaandapulmonaryaarterya-aans--C
Tricuspidavalveaisalocatedabetweenarightaatriumaandarightaventricle
MITRALaVALVE-aleftaatriumaandaleftaventricle
IfatheaPurkinjeasystemaisadamaged,aconductionaofatheaelectricalaimpulseaisaimpairedathrou
ghathe:
A.aAtria
B.aAVanode
C.aVentricles
D.aBundleaofaHisa-aans--C
Purkinjeafibersaprovideaaahigh-
speedadistributionaofaexcitationathroughoutatheaventricularamyocardium;aifatheapatternaofac
ontractionaisadisrupted,atheaventriclesawillanotaefficientlyaejectablood
OrderaofaimpulseaisaSAanodeatoaAVanodeatoaBundleaofaHisatoabundleabranchatoapurkinjeafi
bers
TheaP-waveaonaanaEKGaisarepresentativeaof:
A.aVentricularadepolarization
B.aAtrialadepolarization
C.aAtrialarepolarization
D.aVentriculararepolarizationa-aans--B.aAtrialadepolarization
QUESTIONS WITH CORRECT ANSWERS
Aanewlyadiabeticapatientawillareceiveainstructionsafromahisanurse.aWhichaofatheafollowingaa
ctionsashouldatheanurseatakeafirst?
A.aProvideatheapatientawithabrochuresaforamakingasmartachoicesaforacooking/baking.
B.aAskatheapatientawhatatheyaknowaaboutadiabetes.
C.aInstructatheapatientaonaexerciseaoraactivitiesathatawillaincreaseatheirametabolism.
D.aTeachathemahowatoauseatheaglucometer.a-aans--B.a
Firstaaskatheapatientawhatatheyaknowaaboutadiabetes.
*ACTIONaquestionsaaskaforaintervention,aNOTaassessment
Theapostahysterectomyapatientawithacallsatheaclinicastatingathatasheahasabeenahavingadiffic
ultyawithaincontinence.aWhichaofatheafollowingastatementsaifamadeabyatheapatient,aindicate
sathatafurtherateachingaisaneeded?
A.aIadrinka8aoz.aofafluidaonatheaevenahoursawhileaawake.
B.aIawillaattemptatoavoida30aminutesaafteradrinkinga200acc.aofafluid
C.aIawillaonlyadrinkafluidawhenaIaeatamyameals
D.aIawillasetatheatimeratoaremindameawhenatoavoida-aans--C.a
Aapatientasayingathataheaorasheawillaonlyadrinkafluidsawhenaeatingamealsaindicatesathatathe
yadon'taknowawhatatoadoainacaseaofaincontinence.
FURTHERaTEACHINGaindicatesathatatheapatientaneedsamoreainformation
AnaRNaassessesaaapatientainatheaCanceraCenterawithaaadiagnosisaofaterminalacancer.aThe
apatientastatesatoatheaRNathataheaisashortaofabreath,ahasanoaappetiteaandahurtsaeverywher
e.aWhichaofatheafollowingastatementsabyatheanurseaisabest?
A.aTellameahowayourafamilyaisacoping
B.aShowameawhereaitadoesanotahurt
C.aI'llateachayouarelaxationatechniques
D.aYouraphysicianashouldaincreaseayourapainamedicationa-aans--C
Aaclinicalanurseareturnsatoatheadeskatoafinda4aphoneamessages.aWhichaofatheafollowingame
ssagesashouldatheanursearespondatoafirst?
A.aAapostacervicalalaminectomyapatientacomplainingaofasuddenadifficultyatalking.
B.aAapatientawithamultipleasclerosisacomplainingaofachangeainaperipheralavision.
,C.aAapatientawithaaaherniatedadiscacomplainingaofaconsistentabackapain.
D.aAapatientawithaaacastadueatoaaafractureaofathearightatibialaboneacomplainingaofatinglingato
es.a-aans--A
BaandaCaareaexpectedasymptomsaofatheapatient'sacondition.aAaandaDaareaunexpected.aDai
salessacriticalathanaA.aBestaansweraisaA.
Aa75ayearaoldapatientacomplainsatoatheaclinicalanurseathataheaisahavingadifficultyasleeping.a
Whichaofatheafollowingaactionsabyatheanurseaisamostaappropriate?
A.aDetermineatheapatient'sausualasleepingaandawakingapatterns.
B.aSuggestathatatheaclientaabstainafromaalcoholaandacaffeineabeforeabedatime.
C.aRecommendathataclientaestablishaaabedtimearoutine.
D.aAskahowamuchasleepatheaclientarequiredabeforearetirement.a-aans--A
BaandaCaarearecommendationsathatatheaRNacanashareaafterahe/sheadeterminesatheapatie
nt'sasleepingaandawakingapatterns.aSoaremoveaBaandaC.aDaisaanainquiry,abutaisaconcerned
aaboutatheapasta(whenatheapersonaretired).aRemoveaD.aAaisatheabestaanswer.
Theanurseacaresaforaaapatientaseveralahoursaafteraaathyroidectomy.aTheaRNaobservesathat
atheapatientaisadiaphoreticaandaconfused.aTheavitalasignsaare:
Tempa=a102°a(38.9a°aC);aBPaisa160/90;apulseaisa110,arespirationaisa22.aTheanurseaexpects
atheaphysicianatoaorderawhichaofatheafollowing?
A.aNPO,aDextrana10aml/kg.aIV,a02a4aL/min.
B.aPropranolola(Inderal)a1amg.aIV,aD5W a125acc/hraIV,apropylthiaouracila(PTU)a200amgapoa
qld.
C.aLevothyroxineaSodiuma(Synthroid)a100amcgaIV,aLactatedaRinger'sa125acc/hraIV,aandaci
profloxacina(cipro)a500amg.apoabid.
D.aMorphineasulfatea2.5amg.aIVaq.a4ahrs.aprn,a0.9%aNACl.a-aans--B
Aa63ayearaoldafemaleapatientacontactsatheaclinicatoareportathatasheaisahasabeenaextremelya
fatigued,aisasleepinga12ahoursaaanight,aisaalwaysacoldaandaherahairaisafallingaout.aWhichaofa
theafollowingaresponsesabyatheanurseaisamostaappropriate?
A.aYouawillahaveamoreaenergyaifayouawalka30aminaeveryaday.
B.aYouadon'taneedatoaworry.aSleepingaaalotaisagoodaforayou.
C.aComeainaandaseeayourahealthacareaprovideratoday.
D.aYouashouldaeatamoreagreenaleafyavegetables.a-aans--C
Needamoreainfo
TheaRNaperformsabloodapressureascreeningaatathealocalacommunityacenter.aWhichaofathea
followingaindividualsaisamostalikelyatoasufferafromaaacerebrovascularaaccident?
A.aAa30ayearaoldamanawhoaisaanaaccountaexecutive
,B.aAa40ayearaoldamanawhoajogsafouratimesaaaweek.
C.aAa60ayearaoldamanawhoseafatherahadaaastroke.
D.aAa75ayearaoldamanawhoatakesamulti-vitamins.a-aans--C
Foratheapatientawithaaanewatracheostomy,atheanurseamustabeaalertatoawhichaearlyacomplic
ation?
a)aDecannulation
b)aInfection
c)aBleeding
d)aTracheomalaciaa-aans--Ca
Commonaacutearisksaofatracheostomyaincludeableeding,aairwayaloss,adamageatoaadjacent
astructures,aandafailureaofatheachosenatechniqueatoaachieveasuccessfulaairway
EVERYTHINGa24aHRaPOSTaSURGERY,aFIRSTaCOMPLICATIONaISaBLEEDING.aInfecti
onacomesa2-3adaysalater.
WhenaaapulseaoximetryamonitoraindicatesathataaapatientahasaaadropainaSpO2afroma96%atoa
85%aovera4ahours,atheanurseawillafirst:
1.aRequestaanaorderaforastataABGs
2.aStartatheapatientaonaoxygenabyaNCaata2L/minute
3.aNotifyatheaphysicianaofatheachange
4.aCheckatheapositionaofatheaprobeaonapatient'safingeraoraearlobea-aans--4
Pulseaoximetryaisainaccurateaifatheaprobeaisaloose,aorainatheapresenceaofapooracirculation,a
nailapolish,aoradarkaskinapigmentation.
Toadecreaseaaapatient'sashortnessaofabreathaandaaasenseaofaimpendingadoomaduringaanaa
sthmaaattack,atheanurseawill:
A.aPlaceatheapatientaonaaacardiacamonitoraandaobserveafromatheanurses'astation.
B.aLetatheapatientarestaaloneainaaaquiet,acalmaenvironment.
C.aReassureatheapatientathatatheadoctorawillaarriveasoon
D.aStayawithatheapatientaandaencourageapursed-lipabreathing.a-aans--Da
Theapatientaexperiencingaanaacuteaasthmaaexacerbationawillabeafearfulaandaanxious.aItaisa
importantaforatheanurseatoastayawithatheapatientaforaongoingaassessmentaandatoaprovideaaa
calmaenvironment.aHelpingatheapatientabreatheawithapursedalipsawillafacilitateatheaexpiratio
naofatrappedaairaandahelpatheapatientaregainacontrolaofahisaoraherabreathing.
Aa68ayearaoldawomanaisaadmittedatoatheasurgicalaunitaafteraaagastricaresectionaforagastrica
cancer.aSheastatesathatasheadoesn'tawantaanyoneatoaseeaherainathisacondition,aevenaherah
usband.aThisanurse'sabestaresponseais:
, A."Patients'arightsaprotectayouraprivacy.aIawon'taallowaanyoneain."
B."I'veaseenagastricacancerapatientsawhoalookamuchaworse.aDon'taworry."
C."Wouldayoualikeatoatalkatoaaasocialaworker?"
D."Whataaboutayouraconditionaworriesayou?"a-aans--Da
Theanurseashouldaallowatheapatientatoashareaheraconcernsaandaexpressaherafeelingsainaaa
nonjudgmentalaenvironment.
Ifathereaisapsych/behavioralacomponent-aAFFIRMaANDaVALIDATE,aNOaPROBING
Aapatientawithaaatricuspidavalveadisorderawillahaveaimpairedabloodaflowabetweenathe:
A.aVenaacavaaandarightaatrium
B.aLeftaatriumaandaleftaventricle
C.aRightaatriumaandarightaventricle
D.aRightaventricleaandapulmonaryaarterya-aans--C
Tricuspidavalveaisalocatedabetweenarightaatriumaandarightaventricle
MITRALaVALVE-aleftaatriumaandaleftaventricle
IfatheaPurkinjeasystemaisadamaged,aconductionaofatheaelectricalaimpulseaisaimpairedathrou
ghathe:
A.aAtria
B.aAVanode
C.aVentricles
D.aBundleaofaHisa-aans--C
Purkinjeafibersaprovideaaahigh-
speedadistributionaofaexcitationathroughoutatheaventricularamyocardium;aifatheapatternaofac
ontractionaisadisrupted,atheaventriclesawillanotaefficientlyaejectablood
OrderaofaimpulseaisaSAanodeatoaAVanodeatoaBundleaofaHisatoabundleabranchatoapurkinjeafi
bers
TheaP-waveaonaanaEKGaisarepresentativeaof:
A.aVentricularadepolarization
B.aAtrialadepolarization
C.aAtrialarepolarization
D.aVentriculararepolarizationa-aans--B.aAtrialadepolarization
