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Medical-Surgical Nursing Exam 1|
Comprehensive Q&A For Certification
Success 2025
The nurse is evaluating care provided to a patient with a fractured humerus.
Which observations indicate that nursing care has been effective?
Select all that apply. - correct-answer-Palpable pulses
Normal skin color
Capillary refill time 2 seconds
Pain level 2 on a scale of 1 to 10
A patient who received an epidural anesthetic for a surgical case is prescribed a
blood patch for a spinal headache. What should the nurse explain about the
purpose of this blood patch? - correct-answer-Stops cerebrospinal fluid leakage
A patient presents with sudden onset of high fever, chills, malaise, dyspnea,
cough, and hemoptysis. Laboratory studies show an elevated white blood cell
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count with a predominance of neutrophils and prolonged clotting values. For
which disease should the nurse plan this patient's care? - correct-answer-Plague
The nurse is explaining the infectious disease process to a patient awaiting test
results for a bacterial infection. What should the nurse explain as destroying the
walls of bacteria, resulting in their destruction? - correct-answer-Lysozymes
A patient with a systemic infection picks at the meal trays and ingests very litle
solid food. What should the nurse do to support this patient's nutritional status
for healing?
Select all that apply. - correct-answer-Remove the bedpan from the patient's bed
area.
Ask what types of foods the patient finds enjoyable.
Explain that a soft or pureed diet is the best for healing.
Remove the incentive spirometer from the over the bed table.
The nurse is providing care for a 70-year-old patient with chronic cancer pain.
Which medication should the nurse expect to be prescribed for this patient? -
correct-answer-Oxycodone (OxyContin) PO
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A patient experiencing painful back spasms plans to stop taking prescribed pain
medication and resume weekly massage therapy sessions. How should the nurse
respond to this patient's plan? - correct-answer-"Massage therapy should be used
in addition to the pain medication."
Fory-eight hours after surgery a patient continues to have no bowel sounds. What
should the nurse do to promote the return of bowel function in this patient?
Select all that apply. - correct-answer-Assist to ambulate.
Provide the patient with chewing gum.
A patient is diagnosed with conjunctivitis. The nurse should explain that the
patient was infected via which mechanism? - correct-answer-Vehicle-borne
The nurse is preparing materials to instruct an older patient recovering from
septic shock. What should the nurse keep in mind when teaching this patient?
Select all that apply. - correct-answer-Speak slowly and clearly.
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Speak in a low-pitched tone.
Provide materials in large print.
Involve family members in teaching.
During the primary survey, the nurse has determined that the airway is
unobstructed, but the patient is not breathing. What action should take priority? -
correct-answer-Ventilate the patient immediately
The nurse notes that a patient's laboratory values indicate abnormal clotting,
decreased production of proteins, and increased serum ammonia levels. Which
organ should the nurse suspect is damaged in this patient? - correct-answer-Liver
The nurse is preparing to administer an opioid analgesic. Which assessment
findings should be evaluated and documented prior to administering the
medication? - correct-answer-Pain level and respiratory rate
A patient is diagnosed with an illness caused by a prion. The nurse should plan
patient care for which diseases process? - correct-answer-Creutzfeldt-Jakob
syndrome
Medical-Surgical Nursing Exam 1|
Comprehensive Q&A For Certification
Success 2025
The nurse is evaluating care provided to a patient with a fractured humerus.
Which observations indicate that nursing care has been effective?
Select all that apply. - correct-answer-Palpable pulses
Normal skin color
Capillary refill time 2 seconds
Pain level 2 on a scale of 1 to 10
A patient who received an epidural anesthetic for a surgical case is prescribed a
blood patch for a spinal headache. What should the nurse explain about the
purpose of this blood patch? - correct-answer-Stops cerebrospinal fluid leakage
A patient presents with sudden onset of high fever, chills, malaise, dyspnea,
cough, and hemoptysis. Laboratory studies show an elevated white blood cell
,2|Page
count with a predominance of neutrophils and prolonged clotting values. For
which disease should the nurse plan this patient's care? - correct-answer-Plague
The nurse is explaining the infectious disease process to a patient awaiting test
results for a bacterial infection. What should the nurse explain as destroying the
walls of bacteria, resulting in their destruction? - correct-answer-Lysozymes
A patient with a systemic infection picks at the meal trays and ingests very litle
solid food. What should the nurse do to support this patient's nutritional status
for healing?
Select all that apply. - correct-answer-Remove the bedpan from the patient's bed
area.
Ask what types of foods the patient finds enjoyable.
Explain that a soft or pureed diet is the best for healing.
Remove the incentive spirometer from the over the bed table.
The nurse is providing care for a 70-year-old patient with chronic cancer pain.
Which medication should the nurse expect to be prescribed for this patient? -
correct-answer-Oxycodone (OxyContin) PO
,3|Page
A patient experiencing painful back spasms plans to stop taking prescribed pain
medication and resume weekly massage therapy sessions. How should the nurse
respond to this patient's plan? - correct-answer-"Massage therapy should be used
in addition to the pain medication."
Fory-eight hours after surgery a patient continues to have no bowel sounds. What
should the nurse do to promote the return of bowel function in this patient?
Select all that apply. - correct-answer-Assist to ambulate.
Provide the patient with chewing gum.
A patient is diagnosed with conjunctivitis. The nurse should explain that the
patient was infected via which mechanism? - correct-answer-Vehicle-borne
The nurse is preparing materials to instruct an older patient recovering from
septic shock. What should the nurse keep in mind when teaching this patient?
Select all that apply. - correct-answer-Speak slowly and clearly.
, 4|Page
Speak in a low-pitched tone.
Provide materials in large print.
Involve family members in teaching.
During the primary survey, the nurse has determined that the airway is
unobstructed, but the patient is not breathing. What action should take priority? -
correct-answer-Ventilate the patient immediately
The nurse notes that a patient's laboratory values indicate abnormal clotting,
decreased production of proteins, and increased serum ammonia levels. Which
organ should the nurse suspect is damaged in this patient? - correct-answer-Liver
The nurse is preparing to administer an opioid analgesic. Which assessment
findings should be evaluated and documented prior to administering the
medication? - correct-answer-Pain level and respiratory rate
A patient is diagnosed with an illness caused by a prion. The nurse should plan
patient care for which diseases process? - correct-answer-Creutzfeldt-Jakob
syndrome
