MEDICAL-SURGICAL NURSING EXAM 1 WITH QUESTIONS AND ANSWERS GRADED A+ 2025/2026

MEDICAL-SURGICAL NURSING EXAM 1 WITH
QUESTIONS AND ANSWERS GRADED A+
2025/2026




The .nurse .is .caring .for .a .client .who .has .as .a .son .with .a .streptococcus .throat .infection.
.Which .nurse .recommendation .would .be .best .to .advise .the .client .to .do .in .order .to

.prevent .acquiring .the .infection? .- .CORRECT .ANSWER-Frequently .wash .her .hands .and

.surfaces .of .the .home.




The .nurse .is .caring .for .a .client .infected .with .Rocky .Mountain .spotted .fever. .The .nurse
.should .ask .if .the .client .has .experienced .which .of .the .following? .- .CORRECT .ANSWER-Was

.bitten .by .a .tick




The .nurse .is .caring .for .a .client .with .a .protozoa .infection. .Which .is .the .most .likely .mode
.of .transmission? .- .CORRECT .ANSWER-Ingestion .of .contaminated .food .or .water




The .nurse .is .caring .for .a .client .who .is .recovering .from .an .allergic .reaction. .Which
.leukocyte .level .would .the .nurse .expect .to .be .the .most .elevated? .- .CORRECT .ANSWER-

Eosinophils



The .nurse .is .caring .for .a .client .who .has .an .infected .wound .on .the .great .toe .that .is .red
.with .a .purulent .exudate. .The .nurse .expects .that .this .client .has .which .type .of .infection? .-

.CORRECT .ANSWER-Localized




The .client .experienced .a .fall. .Nursing .assessment .reveals .that .the .client .is .experiencing
.tachycardia, .hypotension, .confusion, .tachypnea, .and .flat .jugular .veins. .What .should .be

.the .nurse's .first .response? .- .CORRECT .ANSWER-Administer .oxygen.

,The .family .wants .to .know .why .the .nurse .is .putting .a .urinary .catheter .in .a .client
.experiencing .shock. .What .is .the .nurse's .best .response? .- .CORRECT .ANSWER-"It .will .help

.monitor .how .much .urine .the .kidneys .are .able .to .produce."




A .client .experiencing .shock .has .had .a .urinary .output .of .250 .mL .in .the .last .10 .hours.
.What .is .the .nurse's .most .appropriate .response? .- .CORRECT .ANSWER-Notify .the .physician.




Which .client .is .most .likely .to .be .experiencing .hypovolemic .shock? .- .CORRECT .ANSWER-A
.client .who .had .surgery .24 .hours .ago .and .who .also .has .a .nasogastric .tube




The .physician .has .ordered .arterial .blood .gases .for .a .client .experiencing .shock. .The .nurse
.knows .that .which .value .indicates .shock? .- .CORRECT .ANSWER-pH .7.32




A .63-year-old .Arab .American .male .states .his .left .leg .is ."hot." .What .is .the .nurse's .best
.first .response? .- .CORRECT .ANSWER-Assess .for .pain




The .client .is .complaining .of .excruciating .pain .in .a .foot .that .has .been .amputated. .The
.family .tells .the .nurse .that .the .client .is .just .addicted .to .pain .medications. .What .is .the

.nurse's .best .response? .- .CORRECT .ANSWER-"He .is .experiencing .phantom .limb .pain."




A .client .has .had .abdominal .surgery .and .has .orders .to .be .ambulated .three .times .a .day.
.Oral .pain .medication .has .been .ordered .for .the .client. .What .should .the .nurse .do .to

.facilitate .ambulation? .- .CORRECT .ANSWER-Mediate .1 .hour .prior .to .ambulating .the .client.




The .client .reports .frequent .use .of .acetaminophen. .How .should .the .nurse .best .respond? .-
.CORRECT .ANSWER-"Do .you .drink .alcohol?"




A .client .with .chronic .pain .has .been .admitted .with .a .fever. .The .nursing .assessment .reveals
.that .the .client .has .a .decreased .level .of .consciousness. .What .should .the .nurse .ask .the

.family .about? .- .CORRECT .ANSWER-What .medications .the .client .has .taken

, The .practical .nurse .is .reviewing .the .social .history .from .a .client .diagnosed .with .small .cell
.carcinoma .of .the .lung. .Which .information .is .significant .for .this .disease? .- .CORRECT

.ANSWER-The .client .has .smoked .two .(2) .packs .of .cigarettes .a .day .for .20 .years




The .practical .nurse .and .an .unlicensed .assistive .personnel .(UAP) .are .caring .for .a .group .of
.clients .on .a .medical .unit. .Which .information .provided .by .the .UAP .warrants .immediate

.intervention .by .the .practical .nurse? .- .CORRECT .ANSWER-The .client .receiving .Procrit

.(epoetin .alfa) .has .a .T .99.2F̊, .P .68, .R .24, .and .BP .of .198/102




The .client .diagnosed .with .lung .cancer .has .been .told .the .cancer .has .metastasized .to .the
.brain. .Which .intervention .should .the .practical .nurse .expect .to .implement? .- .CORRECT

.ANSWER-Discuss .implementing .an .advance .directive




The .client .diagnosed .with .lung .cancer .is .being .discharged. .Which .statement .made .by .the
.client .indicates .a .reiteration .of .information .is .required? .- .CORRECT .ANSWER-"It .doesn't

.matter .if .I .smoke .now. .I .already .have .cancer."




The .practical .nurse .is .interviewing .clients .at .the .clinic. .Which .information .provided .by .a
.client .warrants .further .investigation? .- .CORRECT .ANSWER-The .client .has .been .coughing

.up .blood .in .the .mornings




The .male .client .had .abdominal .surgery .and .the .practical .nurse .suspects .the .client .has
.peritonitis. .Which .information .support .the .diagnosis .of .peritonitis? .- .CORRECT .ANSWER-

Hard, .rigid .abdomen .and .white .blood .cell .count .22,000/mm3



The .client .who .had .abdominal .surgery .tells .the .practical .nurse, ."I .felt .something .give .way
.in .my .stomach." .Which .intervention .should .the .practical .nurse .implement .first? .-

.CORRECT .ANSWER-Inspect .the .abdominal .wound .incision




The .client .is .one .(1) .day .postoperative .major .abdominal .surgery. .Which .client .problem .is
.a .priority? .- .CORRECT .ANSWER-Fluid .and .electrolyte .imbalance