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“Medical-Surgical Nursing Exam 1 Complete Study Guide with 100% Verified Questions & Answers | Latest 2025–2026”

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Get exam-ready with this Medical-Surgical Nursing Exam 1 Study Guide (2025–2026 Updated) containing 100% verified questions and answers directly aligned with first-level Med Surg exams. This essential resource covers core topics such as patient assessment, infection control, wound healing, shock management, pain assessment, perioperative nursing care, fluid & electrolyte balance, blood transfusions, cancer nursing, shock stages, and priority nursing actions. Use this test bank to review real exam scenarios, NCLEX-style multiple-choice questions, and evidence-based nursing rationales — all organized to match the exam format for Med Surg Nursing I. This guide is an excellent companion to “Medical-Surgical Nursing: Assessment and Management of Clinical Problems” by Lewis et al., the gold standard Med Surg textbook used in nursing schools worldwide. :

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2025/2026




Medical-Surgical Nursing
Exam 1 questions and
100% verified answers
2025/2026




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STUVIA

,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? -
✔✔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? - ✔✔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?
- ✔✔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? - ✔✔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? - ✔✔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? -
✔✔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? - ✔✔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? - ✔✔answer Notify the physician.


Which client is most likely to be experiencing hypovolemic shock? - ✔✔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? - ✔✔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? -
✔✔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? -
✔✔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? -
✔✔answer Mediate 1 hour prior to ambulating the client.


The client reports frequent use of acetaminophen. How should the nurse best respond? -
✔✔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? - ✔✔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? - ✔✔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? - ✔✔answer The client receiving Procrit (epoetin alfa) has a T 99.2˚F, P 68, R 24, and BP of
198/102

Connected book
 image
Sharon L. Lewis, Linda Bucher, Margaret M. Heitkemper, Mariann M. Harding, Debra Hagler, Jeffrey Kwong, Dottie Roberts Clinical Companion to Medical-Surgical Nursing
Publisher: 2016 ISBN: 9780323371179 Edition: Unknown

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