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MEDICAL-SURGICAL EXAM 2025 | QUESTIONS
WITH 100% VERIFIED ANSWERS
1. A postmenopausal client asks the nurse why she is experiencing discomfort
during intercourse. What response is best for the nurse to provide?
a. Estrogen deficiency causes the vaginal tissues to become dry and thinner.
b. Infrequent intercourse results in the vaginal tissues losing their elasticity.
c. Dehydration from inadequate fluid intake causes vulva tissue dryness.
d. Lack of adequate stimulation is the most common reason for dyspareunia. -
correct-answer-A
Rationale
Estrogen deprivation decreases the moisture-secreting capacity of vaginal cells, so
vaginal tissues tend to become thinner, drier, and the rugae become smoother
which reduces vaginal stretching that contributes to dyspareunia. The discomfort
during intercourse, primary cause can be contributed to the decrease in estrogen
hormone levels.
2. A male client receives a local anesthetic during surgery. During the post-
operative assessment, the nurse notices the client is slurring his speech. Which
action should the nurse take?
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a. Determine the client is anxious and allow him to sleep.
b. Evaluate his blood pressure, pulse, and respiratory status.
c. Review the client's pre-operative history for alcohol abuse.
d. Continue to monitor the client for reactivity to anesthesia. - correct-answer-B
Rationale
Slurred speech in the post-operative client who received a local anesthetic is an
atypical finding and may indicate neurological deficits that require further
assessment, so obtaining the client's vital signs will provide information about
possible cardiovascular complications, such as stroke.
3. A client is admitted to the hospital with a medical diagnosis of pneumococcal
pneumonia. The nurse knows that the prognosis for gram-negative pneumonias
(such as E. coli , Klebsiella, Pseudomonas, and Proteus) is very poor because
a. they occur in the lower lobe alveoli which are more sensitive to infection.
b. gram-negative organisms are more resistant to antibiotic therapy.
c. they occur in healthy young adults who have recently been debilitated by an
upper respiratory infection.
d. gram-negative pneumonias usually affect infants and small children. - correct-
answer-B
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Rationale
The gram-negative organisms are very resistant to drug therapy which makes
recovery very difficult and has become a world-wide concern in which the World
Health Organization is keeping a very close surveillance on these occurrences.
4. The nurse is teaching a female client about the best time to plan sexual
intercourse in order to conceive. Which information should the nurse provide?
a. Two weeks before menstruation.
b. Vaginal mucous discharge is thick.
c. Low basal temperature.
d. First thing in the morning. - correct-answer-A
Rationale
Ovulation typically occurs 14 days before menstruation begins during a typical 28
day cycle. Sexual intercourse should occur within 24 hours of ovulation for an
increase chance of conception to occur. High estrogen levels occur during
ovulation and increase the vaginal mucous membrane characteristics to become
more "slippery" and stretchy, along with a rise in basal temperature. The timing
during the day is not as significant in determining conception as the day before
and after ovulation.
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5. In preparing to administer intravenous albumin to a client following surgery,
what is the priority nursing intervention? (Select all that apply.)
a. Set the infusion pump to infuse the albumin within four hours.
b. Compare the client's blood type with the label on the albumin.
c. Assign a UAP to monitor blood pressure q15 minutes.
d. Administer through a large gauge catheter.
e. Monitor hemoglobin and hematocrit levels.
f. Assess for increased bleeding after administration. - correct-answer-A, C, D, E, F
Rationale
Albumin should be infused within four hours because it does not contain any
preservatives. Any fluid remaining after four hours should be discarded. Albumin
administration does not require blood typing. Vital signs should be monitored
periodically to assess for fluid volume overload. A large gauge catheter allows for
fast infusion rate, which may be necessary. Hemodilution may decrease
hemoglobin (HgB) and hematocrit (HCT) levels, so the HgB and HCT levels should
be monitored. While monitoring for bleeding because of the increased blood
volume and blood pressure.
6. The healthcare provider prescribes aluminum and magnesium hydroxide
(Maalox), 1 tablet PO PRN, for a client with chronic kidney disease (CKD) who is
complaining of indigestion. What intervention should the nurse implement?
a. Administer 30 minutes before eating.
MEDICAL-SURGICAL EXAM 2025 | QUESTIONS
WITH 100% VERIFIED ANSWERS
1. A postmenopausal client asks the nurse why she is experiencing discomfort
during intercourse. What response is best for the nurse to provide?
a. Estrogen deficiency causes the vaginal tissues to become dry and thinner.
b. Infrequent intercourse results in the vaginal tissues losing their elasticity.
c. Dehydration from inadequate fluid intake causes vulva tissue dryness.
d. Lack of adequate stimulation is the most common reason for dyspareunia. -
correct-answer-A
Rationale
Estrogen deprivation decreases the moisture-secreting capacity of vaginal cells, so
vaginal tissues tend to become thinner, drier, and the rugae become smoother
which reduces vaginal stretching that contributes to dyspareunia. The discomfort
during intercourse, primary cause can be contributed to the decrease in estrogen
hormone levels.
2. A male client receives a local anesthetic during surgery. During the post-
operative assessment, the nurse notices the client is slurring his speech. Which
action should the nurse take?
,2|Page
a. Determine the client is anxious and allow him to sleep.
b. Evaluate his blood pressure, pulse, and respiratory status.
c. Review the client's pre-operative history for alcohol abuse.
d. Continue to monitor the client for reactivity to anesthesia. - correct-answer-B
Rationale
Slurred speech in the post-operative client who received a local anesthetic is an
atypical finding and may indicate neurological deficits that require further
assessment, so obtaining the client's vital signs will provide information about
possible cardiovascular complications, such as stroke.
3. A client is admitted to the hospital with a medical diagnosis of pneumococcal
pneumonia. The nurse knows that the prognosis for gram-negative pneumonias
(such as E. coli , Klebsiella, Pseudomonas, and Proteus) is very poor because
a. they occur in the lower lobe alveoli which are more sensitive to infection.
b. gram-negative organisms are more resistant to antibiotic therapy.
c. they occur in healthy young adults who have recently been debilitated by an
upper respiratory infection.
d. gram-negative pneumonias usually affect infants and small children. - correct-
answer-B
,3|Page
Rationale
The gram-negative organisms are very resistant to drug therapy which makes
recovery very difficult and has become a world-wide concern in which the World
Health Organization is keeping a very close surveillance on these occurrences.
4. The nurse is teaching a female client about the best time to plan sexual
intercourse in order to conceive. Which information should the nurse provide?
a. Two weeks before menstruation.
b. Vaginal mucous discharge is thick.
c. Low basal temperature.
d. First thing in the morning. - correct-answer-A
Rationale
Ovulation typically occurs 14 days before menstruation begins during a typical 28
day cycle. Sexual intercourse should occur within 24 hours of ovulation for an
increase chance of conception to occur. High estrogen levels occur during
ovulation and increase the vaginal mucous membrane characteristics to become
more "slippery" and stretchy, along with a rise in basal temperature. The timing
during the day is not as significant in determining conception as the day before
and after ovulation.
, 4|Page
5. In preparing to administer intravenous albumin to a client following surgery,
what is the priority nursing intervention? (Select all that apply.)
a. Set the infusion pump to infuse the albumin within four hours.
b. Compare the client's blood type with the label on the albumin.
c. Assign a UAP to monitor blood pressure q15 minutes.
d. Administer through a large gauge catheter.
e. Monitor hemoglobin and hematocrit levels.
f. Assess for increased bleeding after administration. - correct-answer-A, C, D, E, F
Rationale
Albumin should be infused within four hours because it does not contain any
preservatives. Any fluid remaining after four hours should be discarded. Albumin
administration does not require blood typing. Vital signs should be monitored
periodically to assess for fluid volume overload. A large gauge catheter allows for
fast infusion rate, which may be necessary. Hemodilution may decrease
hemoglobin (HgB) and hematocrit (HCT) levels, so the HgB and HCT levels should
be monitored. While monitoring for bleeding because of the increased blood
volume and blood pressure.
6. The healthcare provider prescribes aluminum and magnesium hydroxide
(Maalox), 1 tablet PO PRN, for a client with chronic kidney disease (CKD) who is
complaining of indigestion. What intervention should the nurse implement?
a. Administer 30 minutes before eating.
