MEDSURG FINAL EXAM WITH COMPLETE
QUESTIONS AND ANSWERS GRADED A+
2025/2026
A .client .who .has .septic .shock .is .admitted .to .the .hospital. .What .priority .intervention .does
.the .nurse .implement .first?
a. .Obtain .two .sets .of .blood .cultures.
b. .Administer .the .prescribed .IV .vancomycin .(Vancocin).
c. .Obtain .central .venous .pressure .(CVP) .measurements.
d. .Administer .the .prescribed .IV .norepinephrine .(Levophed) .- .CORRECT .ANSWER-a. .Obtain
.two .sets .of .blood .cultures.
Blood .cultures .should .be .obtained .before .IV .antibiotics .are .started. .If .hypotension .occurs,
.fluid .resuscitation .is .used .first. .CVP .monitoring .and .vasopressor .therapy .are .started .if
.hypotension .persists.
The .emergency .department .nurse .is .triaging .clients. .Which .client .does .the .nurse .assess
.most .carefully .for .hypovolemic .shock?
a. .15-year-old .adolescent .who .plays .high .school .basketball
b. .24-year-old .computer .specialist .who .has .bulimia
c. .48-year-old .truck .driver .who .has .a .40-pack-year .history .of .smoking
d. .62-year-old .business .executive .who .travels .frequently .- .CORRECT .ANSWER-b. .24-year-
old .computer .specialist .who .has .bulimia
,Hypovolemic .shock .can .be .caused .by .dehydration. .A .client .who .has .bulimia .is .at .highest
.risk .for .dehydration .owing .to .excessive .vomiting. .Basketball, .smoking, .and .traveling .do
.not .put .the .client .at .risk .for .hypovolemic .shock.
A .client .with .epilepsy .develops .stiffening .of .the .muscles .of .the .arms .and .legs, .followed
.by .an .immediate .loss .of .consciousness .and .jerking .of .all .extremities. .How .does .the .nurse
.document .this .seizure .activity?
a. .Atonic .seizure
b. .Absence .seizure
c. .Myoclonic .seizure
d. .Tonic-clonic .seizure .- .CORRECT .ANSWER-d. .Tonic-clonic .seizure
Seizure .activity .that .begins .with .stiffening .of .the .arms .and .legs, .followed .by .loss .of
.consciousness .and .jerking .of .all .extremities, .is .characteristic .of .a .tonic-clonic .seizure. .The
.other .seizures .do .not .manifest .in .this .manner.
The .nurse .is .assessing .a .client .with .a .history .of .absence .seizures. .Which .clinical
.manifestation .does .the .nurse .assess .for?
a. .Automatisms
b. .Intermittent .rigidity
c. .Sudden .loss .of .muscle .tone
d. .Brief .jerking .of .the .extremities .- .CORRECT .ANSWER-a. .Automatisms
Automatisms .are .characteristic .of .absence .seizures. .These .behaviors .consist .of .lip
.smacking, .patting, .and .picking .at .clothing. .The .other .manifestations .do .not .correlate .with
.absence .seizures.
, The .nurse .is .caring .for .a .client .with .a .history .of .epilepsy .who .suddenly .begins .to
.experience .a .tonic-clonic .seizure .and .loses .consciousness. .What .is .the .nurse's .priority
.action?
a. .Restrain .the .client's .extremities.
b. .Turn .the .client's .head .to .the .side.
c. .Take .the .client's .blood .pressure.
d. .Place .an .airway .into .the .client's .mouth. .- .CORRECT .ANSWER-b. .Turn .the .client's .head
.to .the .side.
A .client .is .actively .experiencing .status .epilepticus. .Which .prescribed .medication .does .the
.nurse .prepare .to .administer?
a. .Atropine
b. .Lorazepam .(Ativan)
c. .Phenytoin .(Dilantin)
d. .Morphine .sulfate .- .CORRECT .ANSWER-b. .Lorazepam .(Ativan)
The .nurse .is .teaching .a .client .who .is .newly .diagnosed .with .epilepsy. .Which .statement .by
.the .client .indicates .a .need .for .further .teaching .concerning .the .drug .regimen?
a. ."I .will .not .drink .any .alcoholic .beverages."
b. ."I .will .wear .a .medical .alert .bracelet."
c. ."I .will .let .my .doctor .know .about .all .of .my .prescriptions."
d. ."I .can .skip .a .couple .of .pills .if .they .make .me .ill." .- .CORRECT .ANSWER-d. ."I .can .skip .a
.couple .of .pills .if .they .make .me .ill."
A .client .with .new-onset .status .epilepticus .is .prescribed .phenytoin .(Dilantin). .After
.teaching .the .client .about .this .treatment .regimen, .the .nurse .assesses .the .client's
.understanding. .Which .statement .indicates .that .the .client .understands .the .teaching?
QUESTIONS AND ANSWERS GRADED A+
2025/2026
A .client .who .has .septic .shock .is .admitted .to .the .hospital. .What .priority .intervention .does
.the .nurse .implement .first?
a. .Obtain .two .sets .of .blood .cultures.
b. .Administer .the .prescribed .IV .vancomycin .(Vancocin).
c. .Obtain .central .venous .pressure .(CVP) .measurements.
d. .Administer .the .prescribed .IV .norepinephrine .(Levophed) .- .CORRECT .ANSWER-a. .Obtain
.two .sets .of .blood .cultures.
Blood .cultures .should .be .obtained .before .IV .antibiotics .are .started. .If .hypotension .occurs,
.fluid .resuscitation .is .used .first. .CVP .monitoring .and .vasopressor .therapy .are .started .if
.hypotension .persists.
The .emergency .department .nurse .is .triaging .clients. .Which .client .does .the .nurse .assess
.most .carefully .for .hypovolemic .shock?
a. .15-year-old .adolescent .who .plays .high .school .basketball
b. .24-year-old .computer .specialist .who .has .bulimia
c. .48-year-old .truck .driver .who .has .a .40-pack-year .history .of .smoking
d. .62-year-old .business .executive .who .travels .frequently .- .CORRECT .ANSWER-b. .24-year-
old .computer .specialist .who .has .bulimia
,Hypovolemic .shock .can .be .caused .by .dehydration. .A .client .who .has .bulimia .is .at .highest
.risk .for .dehydration .owing .to .excessive .vomiting. .Basketball, .smoking, .and .traveling .do
.not .put .the .client .at .risk .for .hypovolemic .shock.
A .client .with .epilepsy .develops .stiffening .of .the .muscles .of .the .arms .and .legs, .followed
.by .an .immediate .loss .of .consciousness .and .jerking .of .all .extremities. .How .does .the .nurse
.document .this .seizure .activity?
a. .Atonic .seizure
b. .Absence .seizure
c. .Myoclonic .seizure
d. .Tonic-clonic .seizure .- .CORRECT .ANSWER-d. .Tonic-clonic .seizure
Seizure .activity .that .begins .with .stiffening .of .the .arms .and .legs, .followed .by .loss .of
.consciousness .and .jerking .of .all .extremities, .is .characteristic .of .a .tonic-clonic .seizure. .The
.other .seizures .do .not .manifest .in .this .manner.
The .nurse .is .assessing .a .client .with .a .history .of .absence .seizures. .Which .clinical
.manifestation .does .the .nurse .assess .for?
a. .Automatisms
b. .Intermittent .rigidity
c. .Sudden .loss .of .muscle .tone
d. .Brief .jerking .of .the .extremities .- .CORRECT .ANSWER-a. .Automatisms
Automatisms .are .characteristic .of .absence .seizures. .These .behaviors .consist .of .lip
.smacking, .patting, .and .picking .at .clothing. .The .other .manifestations .do .not .correlate .with
.absence .seizures.
, The .nurse .is .caring .for .a .client .with .a .history .of .epilepsy .who .suddenly .begins .to
.experience .a .tonic-clonic .seizure .and .loses .consciousness. .What .is .the .nurse's .priority
.action?
a. .Restrain .the .client's .extremities.
b. .Turn .the .client's .head .to .the .side.
c. .Take .the .client's .blood .pressure.
d. .Place .an .airway .into .the .client's .mouth. .- .CORRECT .ANSWER-b. .Turn .the .client's .head
.to .the .side.
A .client .is .actively .experiencing .status .epilepticus. .Which .prescribed .medication .does .the
.nurse .prepare .to .administer?
a. .Atropine
b. .Lorazepam .(Ativan)
c. .Phenytoin .(Dilantin)
d. .Morphine .sulfate .- .CORRECT .ANSWER-b. .Lorazepam .(Ativan)
The .nurse .is .teaching .a .client .who .is .newly .diagnosed .with .epilepsy. .Which .statement .by
.the .client .indicates .a .need .for .further .teaching .concerning .the .drug .regimen?
a. ."I .will .not .drink .any .alcoholic .beverages."
b. ."I .will .wear .a .medical .alert .bracelet."
c. ."I .will .let .my .doctor .know .about .all .of .my .prescriptions."
d. ."I .can .skip .a .couple .of .pills .if .they .make .me .ill." .- .CORRECT .ANSWER-d. ."I .can .skip .a
.couple .of .pills .if .they .make .me .ill."
A .client .with .new-onset .status .epilepticus .is .prescribed .phenytoin .(Dilantin). .After
.teaching .the .client .about .this .treatment .regimen, .the .nurse .assesses .the .client's
.understanding. .Which .statement .indicates .that .the .client .understands .the .teaching?
