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NUR 242 Med-Surg Nsg Exam 1 Practice Questions
2025 Unit 1 Mastery & Challenge Questions
Chapter 1
The nurse recognizes that which of the following concepts are included in the Quality and Safety
Education for Nurses (QSEN) competencies?
A. Safety
B. Ethics
C. Clinical Judgment
D. Health Equity
2. The nurse is searching the literature for evidence related to infection control. Which of the
following is the best source of evidence?
A. Consensus guidelines
B. Descriptive study
C. Meta-analysis research
D. Expert opinion
3. During the COVID-19 pandemic, clients at an increased risk for mortality from the disease
were poorly educated, had low incomes, and lived in densely populated housing. What can the
nurse conclude from this outcome?
A. Clients did not seek medical care when they were ill.
B. Clients did not trust the health care system to care for them.
C. Client outcomes were not reported accurately or promptly.
D. Client outcomes were affected by multiple social determinants of health.
Chapter 4
1. Which of the following determinants would the nurse expect to negatively impact health
outcomes of older adults of color when compared to White older adults? Select all that apply.
A. Higher income level
B. Lower educational attainment
C. Multigenerational housing
D. Decreased access to health care
E. Lack of transportation
2. An older adult is diagnosed with hyperactive delirium. Which of the following assessment
findings would the nurse anticipate? Select all that apply.
pg. 1
, 2
A. Agitation
B. Disorganized thinking
C. Lethargy
D. Chronic confusion
E. Restlessness
3. The nurse is assessing an older adult for risk of falling as a basis for planning client care.
Which of the following evidence-based risk factors contribute to the client’s risk for falls? Select
all that apply.
A. 16-seconds to complete the Timed Up and Go test
B. Urinary incontinence
C. Acute confusion, especially at night
D. Taking lorazepam at night
E. History of recent falls
F. Use of walker when ambulating
Chapter 7
1. The rehabilitation nurse is caring for an older adult client who is experiencing constipation.
Which of the following actions will the nurse take to promote elimination? Select all that apply.
A. Encourage the client to drink three to four glasses of water a day.
B. Frequently place the client on the bedpan.
C. Administer bisacodyl tablet before bed.
D. Perform the Credé maneuver several times a day.
E. Provide fruits and vegetables with every meal.
2. The rehabilitation nurse is caring for a client who was recently injured and now has a lower
limb amputation. Which client statement indicates adaptation to self-care?
A. “I’m too tired today and just need to rest.”
B. “Maybe my partner can change my dressing because I can’t.”
C. “This wrapping technique isn’t working, so I need to try something else.” D. “As my nurse,
shouldn’t you perform the stump care?”
Chapter 20
1. Which of the following interventions would the nurse plan to delegate to assistive personnel
(AP) for a client who has poor personal hygiene? Select all that apply. A. Assist with bathing.
B. Obtain a social history.
C. Facilitate brushing of teeth.
D. Determine cognitive abilities to perform ADLs.
pg. 2
NUR 242 Med-Surg Nsg Exam 1 Practice Questions
2025 Unit 1 Mastery & Challenge Questions
Chapter 1
The nurse recognizes that which of the following concepts are included in the Quality and Safety
Education for Nurses (QSEN) competencies?
A. Safety
B. Ethics
C. Clinical Judgment
D. Health Equity
2. The nurse is searching the literature for evidence related to infection control. Which of the
following is the best source of evidence?
A. Consensus guidelines
B. Descriptive study
C. Meta-analysis research
D. Expert opinion
3. During the COVID-19 pandemic, clients at an increased risk for mortality from the disease
were poorly educated, had low incomes, and lived in densely populated housing. What can the
nurse conclude from this outcome?
A. Clients did not seek medical care when they were ill.
B. Clients did not trust the health care system to care for them.
C. Client outcomes were not reported accurately or promptly.
D. Client outcomes were affected by multiple social determinants of health.
Chapter 4
1. Which of the following determinants would the nurse expect to negatively impact health
outcomes of older adults of color when compared to White older adults? Select all that apply.
A. Higher income level
B. Lower educational attainment
C. Multigenerational housing
D. Decreased access to health care
E. Lack of transportation
2. An older adult is diagnosed with hyperactive delirium. Which of the following assessment
findings would the nurse anticipate? Select all that apply.
pg. 1
, 2
A. Agitation
B. Disorganized thinking
C. Lethargy
D. Chronic confusion
E. Restlessness
3. The nurse is assessing an older adult for risk of falling as a basis for planning client care.
Which of the following evidence-based risk factors contribute to the client’s risk for falls? Select
all that apply.
A. 16-seconds to complete the Timed Up and Go test
B. Urinary incontinence
C. Acute confusion, especially at night
D. Taking lorazepam at night
E. History of recent falls
F. Use of walker when ambulating
Chapter 7
1. The rehabilitation nurse is caring for an older adult client who is experiencing constipation.
Which of the following actions will the nurse take to promote elimination? Select all that apply.
A. Encourage the client to drink three to four glasses of water a day.
B. Frequently place the client on the bedpan.
C. Administer bisacodyl tablet before bed.
D. Perform the Credé maneuver several times a day.
E. Provide fruits and vegetables with every meal.
2. The rehabilitation nurse is caring for a client who was recently injured and now has a lower
limb amputation. Which client statement indicates adaptation to self-care?
A. “I’m too tired today and just need to rest.”
B. “Maybe my partner can change my dressing because I can’t.”
C. “This wrapping technique isn’t working, so I need to try something else.” D. “As my nurse,
shouldn’t you perform the stump care?”
Chapter 20
1. Which of the following interventions would the nurse plan to delegate to assistive personnel
(AP) for a client who has poor personal hygiene? Select all that apply. A. Assist with bathing.
B. Obtain a social history.
C. Facilitate brushing of teeth.
D. Determine cognitive abilities to perform ADLs.
pg. 2
