Test Bank For NUR 201 – Medical-Surgical
Nursing I Practice Questions (1–200)
1. A nurse is caring for a client with COPD. Which oxygen delivery device is
safest for chronic CO₂ retainers?
Answer: Venturi mask
Rationale: Provides precise FiO₂, preventing high oxygen concentrations
that could suppress respiratory drive.
2. A client with heart failure reports sudden weight gain of 2.5 kg in 24
hours. Priority action?
Answer: Assess for worsening fluid overload and notify provider
Rationale: >2 kg/day suggests acute fluid retention → possible HF
exacerbation.
3. Lab finding indicating DKA rather than HHS?
Answer: Serum ketones positive
Rationale: Ketone production is unique to DKA due to fat breakdown.
4. Client receiving IV potassium: essential action?
,Answer: Use an IV pump to control infusion rate
Rationale: Rapid potassium infusion can cause fatal dysrhythmias.
5. ECG shows peaked T waves. Suspected electrolyte imbalance?
Answer: Hyperkalemia
Rationale: Tall, peaked T waves are classic for elevated potassium.
6. Priority for a client with acute pancreatitis?
Answer: NPO to reduce pancreatic stimulation
Rationale: Food increases pancreatic enzyme secretion →
pain/inflammation.
7. Post-op client develops tachycardia and dyspnea. Suspected
complication?
Answer: Pulmonary embolism
Rationale: Acute dyspnea + tachycardia after surgery indicates PE.
8. Client with liver cirrhosis and ascites: expected medication?
Answer: Spironolactone
Rationale: Potassium-sparing diuretic preferred for ascites management.
9. Lab confirming anemia?
Answer: Low hemoglobin
Rationale: Hemoglobin reflects oxygen-carrying capacity.
, 10. Assessment indicating fluid volume deficit?
Answer: Increased urine specific gravity
Rationale: Concentrated urine indicates dehydration.
11. Holding digoxin due to which finding?
Answer: Apical pulse < 60 bpm
Rationale: Bradycardia increases risk of digoxin toxicity.
12. Condition leading to metabolic acidosis?
Answer: Severe diarrhea
Rationale: Loss of bicarbonate causes acidosis.
13. Crackles in pneumonia caused by?
Answer: Fluid in alveoli
Rationale: Crackles occur when small airways open through fluid.
14. Priority in sickle cell crisis?
Answer: Pain management
Rationale: Vaso-occlusion causes severe ischemic pain.
15. Best indicator of kidney function?
Nursing I Practice Questions (1–200)
1. A nurse is caring for a client with COPD. Which oxygen delivery device is
safest for chronic CO₂ retainers?
Answer: Venturi mask
Rationale: Provides precise FiO₂, preventing high oxygen concentrations
that could suppress respiratory drive.
2. A client with heart failure reports sudden weight gain of 2.5 kg in 24
hours. Priority action?
Answer: Assess for worsening fluid overload and notify provider
Rationale: >2 kg/day suggests acute fluid retention → possible HF
exacerbation.
3. Lab finding indicating DKA rather than HHS?
Answer: Serum ketones positive
Rationale: Ketone production is unique to DKA due to fat breakdown.
4. Client receiving IV potassium: essential action?
,Answer: Use an IV pump to control infusion rate
Rationale: Rapid potassium infusion can cause fatal dysrhythmias.
5. ECG shows peaked T waves. Suspected electrolyte imbalance?
Answer: Hyperkalemia
Rationale: Tall, peaked T waves are classic for elevated potassium.
6. Priority for a client with acute pancreatitis?
Answer: NPO to reduce pancreatic stimulation
Rationale: Food increases pancreatic enzyme secretion →
pain/inflammation.
7. Post-op client develops tachycardia and dyspnea. Suspected
complication?
Answer: Pulmonary embolism
Rationale: Acute dyspnea + tachycardia after surgery indicates PE.
8. Client with liver cirrhosis and ascites: expected medication?
Answer: Spironolactone
Rationale: Potassium-sparing diuretic preferred for ascites management.
9. Lab confirming anemia?
Answer: Low hemoglobin
Rationale: Hemoglobin reflects oxygen-carrying capacity.
, 10. Assessment indicating fluid volume deficit?
Answer: Increased urine specific gravity
Rationale: Concentrated urine indicates dehydration.
11. Holding digoxin due to which finding?
Answer: Apical pulse < 60 bpm
Rationale: Bradycardia increases risk of digoxin toxicity.
12. Condition leading to metabolic acidosis?
Answer: Severe diarrhea
Rationale: Loss of bicarbonate causes acidosis.
13. Crackles in pneumonia caused by?
Answer: Fluid in alveoli
Rationale: Crackles occur when small airways open through fluid.
14. Priority in sickle cell crisis?
Answer: Pain management
Rationale: Vaso-occlusion causes severe ischemic pain.
15. Best indicator of kidney function?
