MED-SURG PRACTICE QUESTIONS AND ANSWERS
GRADED A+ 2025/2026
The .nurse .is .caring .for .four .clients .on .a .medical-surgical .unit. .Which .client .should .the .
nurse .see .initially?
1. .A .client .admitted .with .hepatitis .A .who .has .had .severe .diarrhea .for .the .last .
24 .hours
2. .A .client .admitted .with .pneumonia .who .is .has .small .amounts .of .yellow .
productive .sputum
3. .A .client .admitted .with .fever .of .unknown .origin .(FUO) .who .has .been .
without .fever .for .the .last .48 .hours
4. .A .client .admitted .with .a .wound .infection .whose .WBC .is .8,500 .mm3 .- .CORRECT
.ANSWER-Answer: .1
Rationale: .The .nurse .must .decide .which .client .should .be .seen .on .the .initial .rounds .of .the
.
day. .The .nurse .must .remember .that .the .first .client .to .be .seen .should .be .the .client .
who .needs .the .attention .of .the .nurse .initially. .A .client .with .hepatitis .A .does .
experience .diarrhea, .but .diarrhea .for .the .last .24 .hours .could .cause .the .client .to .
have .a .problem .with .dehydration .and .experience .a .state .of .fluid .volume .deficit.
The .nurse .is .preparing .to .administer .influenza .vaccines .to .a .mass .drive-through .clinic. .
Which .statement .by .a .client .would .indicate .further .questioning .prior .to .giving .the .client .
,the .influenza .vaccine?
1. ."I .am .allergic .to .horse .hair."
2. ."I .try .to .get .my .vaccine .every .year."
3. ."I .am .not .allergic .to .anything .except .eggs."
4. ."My .husband .had .a .severe .allergic .reaction .after .he .received .his .influenza .
vaccine." .- .CORRECT .ANSWER-Answer: .3
Rationale: .Influenza .vaccines .are .recommended .for .person .at .high .risk .for .serious .
sequelae .of .influenza. .The .nurse .should .be .aware .that .client .with .a .sensitivity .to .
eggs .should .not .receive .the .vaccine. .Vaccines .prepared .from .chicken .or .duck .
embryos .are .contraindicated .in .clients .who .are .allergic .to .eggs.
Each .client's .response .to .pain .may .be .influenced .by .multiple .factors. .Select .all .that .
apply:
a. .Age
b. .Past .experience .with .pain
c. .Cultural .influences
d. .Knowledge .- .CORRECT .ANSWER-Correct .Answers: .a; .b; .c; .d
Rationale: .All .factors .listed .can .influence .a .client's .response .to .pain.
The .nurse .is .caring .for .four .clients .on .a .medical-surgical .unit. .The .secretary .gives .the .
nurse .the .morning .labs. .Which .of .the .following .labs .would .require .that .the .nurse .call .the
.
physician .and .inform .the .healthcare .provider .about .the .client's .abnormalities?
,1. .WBC .14,600 .mm3
2. .Serum .protein .6.9 .g/dL
3. .I .& .D .(incision .and .drainage) .showing .no .growth .for .the .last .24 .hours
4. .Albumin .4.2 .g/dL .- .CORRECT .ANSWER-Answer: .1
Rationale: .When .the .nurse .is .caring .for .several .clients, .all .of .the .labs .should .be .checked .
frequently .throughout .the .shift .to .assess .for .any .abnormalities. .The .WBC .in .option .1 .is .
abnormal. .(Normal .WBC .4,000-10,000 .mm3
.) .All .of .the .other .lab .results .are .within .
acceptable .range; .therefore, .the .results .should .not .be .called .in .to .the .physician.
The .nurse .is .orienting .a .new .graduate. .The .nurse .is .reinforcing .the .importance .of .
standard .precautions. .Which .of .the .following .observations .by .the .nurse .would .require .
further .education .regarding .standard .precautions?
1. .The .graduate .nurse .understands .to .wash .hands .when .entering .and .exiting .
the .client's .room.
2. .The .graduate .nurse .wears .gloves .when .serving .breakfast .trays .to .various .
clients.
3. .The .graduate .nurse .wears .a .gown, .gloves, .and .goggles .when .suctioning .a .
client.
4. .The .graduate .nurse .leaves .all .supplies .in .the .room .of .a .client .who .is .in .
contact .isolation. .- .CORRECT .ANSWER-Answer: .2
Rationale: .The .nurse .must .have .an .understanding .of .standard .precautions. .Prevention .is .
the .most .important .measure .to .prevent .nosocomial .infections. .Standard .
precautions .were .published .in .1996 .that .provide .guidelines .for .the .handling .of .
blood .and .other .body .fluids. .These .guidelines .are .used .with .all .clients, .regardless .
, of .whether .they .have .a .known .infectious .disease. .Standard .precautions .are .used .by .all
.healthcare .workers .who .have .direct .contact .with .clients .or .with .their .body .
fluids. .It .is .not .necessary .for .the .nurse .to .wear .gloves .while .delivering .food .trays .
to .the .client, .because .there .is .not .contact .with .the .client.
A .45-year-old .woman .presents .to .the .ambulatory .clinic .for .a .gynecological .
examination. .The .health .history .reveals .no .significant .personal .or .family .medical .history. .
What .information .concerning .health-promotion .behaviors .should .be .presented .to .the .
client? .
a. .It .is .time .to .begin .having .mammograms .every .other .year.
b. .If .the .client .is .in .a .monogamous .relationship, .Pap .smears .will .not .be .needed.
c. .Bone .density .examinations .are .indicated .every .year.
d. .Recommended .calcium .intake .is .at .least .1,200 .mg .per .day. .- .CORRECT .ANSWER-
Answer: .d
Rationale: .The .recommended .calcium .intake .is .at .least .1,200 .mg .per .day. .This .will .be .
beneficial .in .the .prevention .of .osteoporosis. .Women .should .begin .having .annual .
mammograms .by .age .40. .Pap .smears .are .continued .for .women .in .monogamous .
relationships. .For .women .with .no .significant .risk .for .the .development .of .osteoporosis, .
bone .density .examinations .should .be .done .every .other .year.
The .admitting .department .alerts .the .nurse .on .a .medical-surgical .unit .that .a .client .with .
active .tuberculosis .(TB) .is .being .admitted .to .the .unit. .Which .type .of .isolation .is .
appropriate .based .on .the .client's .diagnosis?
1. .Standard .precautions
2. .Airborne .precautions
3. .Droplet .precautions
GRADED A+ 2025/2026
The .nurse .is .caring .for .four .clients .on .a .medical-surgical .unit. .Which .client .should .the .
nurse .see .initially?
1. .A .client .admitted .with .hepatitis .A .who .has .had .severe .diarrhea .for .the .last .
24 .hours
2. .A .client .admitted .with .pneumonia .who .is .has .small .amounts .of .yellow .
productive .sputum
3. .A .client .admitted .with .fever .of .unknown .origin .(FUO) .who .has .been .
without .fever .for .the .last .48 .hours
4. .A .client .admitted .with .a .wound .infection .whose .WBC .is .8,500 .mm3 .- .CORRECT
.ANSWER-Answer: .1
Rationale: .The .nurse .must .decide .which .client .should .be .seen .on .the .initial .rounds .of .the
.
day. .The .nurse .must .remember .that .the .first .client .to .be .seen .should .be .the .client .
who .needs .the .attention .of .the .nurse .initially. .A .client .with .hepatitis .A .does .
experience .diarrhea, .but .diarrhea .for .the .last .24 .hours .could .cause .the .client .to .
have .a .problem .with .dehydration .and .experience .a .state .of .fluid .volume .deficit.
The .nurse .is .preparing .to .administer .influenza .vaccines .to .a .mass .drive-through .clinic. .
Which .statement .by .a .client .would .indicate .further .questioning .prior .to .giving .the .client .
,the .influenza .vaccine?
1. ."I .am .allergic .to .horse .hair."
2. ."I .try .to .get .my .vaccine .every .year."
3. ."I .am .not .allergic .to .anything .except .eggs."
4. ."My .husband .had .a .severe .allergic .reaction .after .he .received .his .influenza .
vaccine." .- .CORRECT .ANSWER-Answer: .3
Rationale: .Influenza .vaccines .are .recommended .for .person .at .high .risk .for .serious .
sequelae .of .influenza. .The .nurse .should .be .aware .that .client .with .a .sensitivity .to .
eggs .should .not .receive .the .vaccine. .Vaccines .prepared .from .chicken .or .duck .
embryos .are .contraindicated .in .clients .who .are .allergic .to .eggs.
Each .client's .response .to .pain .may .be .influenced .by .multiple .factors. .Select .all .that .
apply:
a. .Age
b. .Past .experience .with .pain
c. .Cultural .influences
d. .Knowledge .- .CORRECT .ANSWER-Correct .Answers: .a; .b; .c; .d
Rationale: .All .factors .listed .can .influence .a .client's .response .to .pain.
The .nurse .is .caring .for .four .clients .on .a .medical-surgical .unit. .The .secretary .gives .the .
nurse .the .morning .labs. .Which .of .the .following .labs .would .require .that .the .nurse .call .the
.
physician .and .inform .the .healthcare .provider .about .the .client's .abnormalities?
,1. .WBC .14,600 .mm3
2. .Serum .protein .6.9 .g/dL
3. .I .& .D .(incision .and .drainage) .showing .no .growth .for .the .last .24 .hours
4. .Albumin .4.2 .g/dL .- .CORRECT .ANSWER-Answer: .1
Rationale: .When .the .nurse .is .caring .for .several .clients, .all .of .the .labs .should .be .checked .
frequently .throughout .the .shift .to .assess .for .any .abnormalities. .The .WBC .in .option .1 .is .
abnormal. .(Normal .WBC .4,000-10,000 .mm3
.) .All .of .the .other .lab .results .are .within .
acceptable .range; .therefore, .the .results .should .not .be .called .in .to .the .physician.
The .nurse .is .orienting .a .new .graduate. .The .nurse .is .reinforcing .the .importance .of .
standard .precautions. .Which .of .the .following .observations .by .the .nurse .would .require .
further .education .regarding .standard .precautions?
1. .The .graduate .nurse .understands .to .wash .hands .when .entering .and .exiting .
the .client's .room.
2. .The .graduate .nurse .wears .gloves .when .serving .breakfast .trays .to .various .
clients.
3. .The .graduate .nurse .wears .a .gown, .gloves, .and .goggles .when .suctioning .a .
client.
4. .The .graduate .nurse .leaves .all .supplies .in .the .room .of .a .client .who .is .in .
contact .isolation. .- .CORRECT .ANSWER-Answer: .2
Rationale: .The .nurse .must .have .an .understanding .of .standard .precautions. .Prevention .is .
the .most .important .measure .to .prevent .nosocomial .infections. .Standard .
precautions .were .published .in .1996 .that .provide .guidelines .for .the .handling .of .
blood .and .other .body .fluids. .These .guidelines .are .used .with .all .clients, .regardless .
, of .whether .they .have .a .known .infectious .disease. .Standard .precautions .are .used .by .all
.healthcare .workers .who .have .direct .contact .with .clients .or .with .their .body .
fluids. .It .is .not .necessary .for .the .nurse .to .wear .gloves .while .delivering .food .trays .
to .the .client, .because .there .is .not .contact .with .the .client.
A .45-year-old .woman .presents .to .the .ambulatory .clinic .for .a .gynecological .
examination. .The .health .history .reveals .no .significant .personal .or .family .medical .history. .
What .information .concerning .health-promotion .behaviors .should .be .presented .to .the .
client? .
a. .It .is .time .to .begin .having .mammograms .every .other .year.
b. .If .the .client .is .in .a .monogamous .relationship, .Pap .smears .will .not .be .needed.
c. .Bone .density .examinations .are .indicated .every .year.
d. .Recommended .calcium .intake .is .at .least .1,200 .mg .per .day. .- .CORRECT .ANSWER-
Answer: .d
Rationale: .The .recommended .calcium .intake .is .at .least .1,200 .mg .per .day. .This .will .be .
beneficial .in .the .prevention .of .osteoporosis. .Women .should .begin .having .annual .
mammograms .by .age .40. .Pap .smears .are .continued .for .women .in .monogamous .
relationships. .For .women .with .no .significant .risk .for .the .development .of .osteoporosis, .
bone .density .examinations .should .be .done .every .other .year.
The .admitting .department .alerts .the .nurse .on .a .medical-surgical .unit .that .a .client .with .
active .tuberculosis .(TB) .is .being .admitted .to .the .unit. .Which .type .of .isolation .is .
appropriate .based .on .the .client's .diagnosis?
1. .Standard .precautions
2. .Airborne .precautions
3. .Droplet .precautions
