NUR 220 – Medical-Surgical
Nursing Exam 1 Study Pack
2025/2026 | Verified
Questions, Answers &
Rationales | Comprehensive
Med-Surg Review Guide
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
The client diagnosed with lung cancer has been told the cancer has metastasized to the brain. Which
intervention should the practical nurse expect to implement? - Answer✅Discuss implementing an
advance directive
The client diagnosed with lung cancer is being discharged. Which statement made by the client
indicates a reiteration of information is required? - Answer✅"It doesn't matter if I smoke now. I
already have cancer."
The practical nurse is interviewing clients at the clinic. Which information provided by a client
warrants further investigation? - Answer✅The client has been coughing up blood in the mornings
Nursing Exam 1 Study Pack
2025/2026 | Verified
Questions, Answers &
Rationales | Comprehensive
Med-Surg Review Guide
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
The client diagnosed with lung cancer has been told the cancer has metastasized to the brain. Which
intervention should the practical nurse expect to implement? - Answer✅Discuss implementing an
advance directive
The client diagnosed with lung cancer is being discharged. Which statement made by the client
indicates a reiteration of information is required? - Answer✅"It doesn't matter if I smoke now. I
already have cancer."
The practical nurse is interviewing clients at the clinic. Which information provided by a client
warrants further investigation? - Answer✅The client has been coughing up blood in the mornings
