Medical-Surgical Nursing Exam 1 2026
Practice Exam Questions + Rationales,
A+ Ready
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? - Correct Answers ✅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? - Correct Answers
✅Was bitten by a tick
The nurse is caring for a client with a protozoa infection.
Which is the most likely mode of transmission? - Correct
Answers ✅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? - Correct Answers
✅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? - Correct
Answers ✅Localized
,Medical-Surgical Nursing Exam 1 2026
Practice Exam Questions + Rationales,
A+ Ready
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? - Correct Answers ✅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? - Correct Answers ✅"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? - Correct Answers ✅Notify the physician.
Which client is most likely to be experiencing hypovolemic
shock? - Correct Answers ✅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? - Correct Answers ✅pH 7.32
A 63-year-old Arab American male states his left leg is "hot."
What is the nurse's best first response? - Correct Answers
✅Assess for pain
,Medical-Surgical Nursing Exam 1 2026
Practice Exam Questions + Rationales,
A+ Ready
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? - Correct Answers ✅"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? - Correct Answers ✅Mediate 1 hour prior to
ambulating the client.
The client reports frequent use of acetaminophen. How
should the nurse best respond? - Correct Answers ✅"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? - Correct Answers ✅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? - Correct Answers
, Medical-Surgical Nursing Exam 1 2026
Practice Exam Questions + Rationales,
A+ Ready
✅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? - Correct Answers
✅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? - Correct
Answers ✅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? - Correct Answers ✅"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? - Correct Answers ✅The client has been
coughing up blood in the mornings
Practice Exam Questions + Rationales,
A+ Ready
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? - Correct Answers ✅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? - Correct Answers
✅Was bitten by a tick
The nurse is caring for a client with a protozoa infection.
Which is the most likely mode of transmission? - Correct
Answers ✅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? - Correct Answers
✅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? - Correct
Answers ✅Localized
,Medical-Surgical Nursing Exam 1 2026
Practice Exam Questions + Rationales,
A+ Ready
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? - Correct Answers ✅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? - Correct Answers ✅"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? - Correct Answers ✅Notify the physician.
Which client is most likely to be experiencing hypovolemic
shock? - Correct Answers ✅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? - Correct Answers ✅pH 7.32
A 63-year-old Arab American male states his left leg is "hot."
What is the nurse's best first response? - Correct Answers
✅Assess for pain
,Medical-Surgical Nursing Exam 1 2026
Practice Exam Questions + Rationales,
A+ Ready
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? - Correct Answers ✅"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? - Correct Answers ✅Mediate 1 hour prior to
ambulating the client.
The client reports frequent use of acetaminophen. How
should the nurse best respond? - Correct Answers ✅"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? - Correct Answers ✅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? - Correct Answers
, Medical-Surgical Nursing Exam 1 2026
Practice Exam Questions + Rationales,
A+ Ready
✅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? - Correct Answers
✅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? - Correct
Answers ✅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? - Correct Answers ✅"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? - Correct Answers ✅The client has been
coughing up blood in the mornings
