MEDICAL-SURGICAL NURSING TEST B EXAM
SCRIPT 2026 QUESTIONS WITH SOLUTIONS
GRADED A+
◉ A client is being treated for dehydration. Which statement made
by the client indicates understanding of this condition?
a. I will use a salt substitute when making and eating my meals.
b. I must drink a quart of water or other liquid each day.
c. I will not drink liquids after 6 PM so I won't have to get up at night.
d. I will weigh myself each morning before I eat or drink.. Answer: D
Because 1 L of water weighs 1 kg, change in body weight is a good
measure of excess fluid loss or fluid retention. Weight loss greater
than 0.5 lb daily is indicative of excessive fluid loss. The other
statements are not indicative of practices that will prevent
dehydration.
◉ The nurse notes that the handgrip of the client with hypokalemia
has diminished since the previous assessment one hour ago. Which
intervention by the nurse is the priority?
a. assess the client's respiratory rate, rhythm, and depth
,b. document findings and monitor the client
c. measure the client's pulse and blood pressure
d. call the health care provider. Answer: A
In a client with hypokkalemia, progressive skeletal muscle weakness
is associated with increasing severity of hypokalemia. The most life-
threatening complication of hypokalemia is respiratory insufficiency.
It is imperative for the nurse to perform a respiratory assessment
first to make sure that the client is not in immediate jeopardy. Next,
the nurse would call the health care provider to obtain orders for
potassium replacement.
◉ The physician orders Lasix (furosemide) 60 mg po every day for
your patient. On hand you have Lasix 40 mg. How many tablets will
you give the patient?
a. 3
b. 1
c. 1 1/2
d. 2 1/5. Answer: C
60/40 (desired/have)
,◉ A client has been taught to restrict dietary sodium. Which food
selection by the client indicates to the nurse that teaching has been
effective?
a. a grilled cheese sandwich with tomato soup
b. Chinese take-out, including steamed rice
c. a chicken leg, one slice of bread with butter, and steamed carrots
d. slices of ham and cheese on whole grain crackers. Answer: C
Clients on restricted sodium diets generally should avoid processed,
smoked, and pickled foods and those with sauces and other
condiments. Foods lowest in sodium include fish, poultry, and fresh
produce. The chinese food likely would have soy sauce, the tomato
soup is processed, and the crackers are a snack food - a category of
foods often high in sodium.
◉ When a client is assessed, which behavior best indicates that he or
she is experiencing changes associated with acute pain?
a. inability to concentrate
b. expressed hopelessness
c. psychosocial withdrawal
d. anger and hostility. Answer: A
, The characteristics most common to chronic pain are psychosocial
withdrawal, anger and hostility, depression, and hopelessness. The
inability to concentrate is associated much more with acute pain,
before any physiologic or behavioral adaptation has occurred.
◉ A nurse is caring for several clients at risk for overhydration. The
nurse assesses the older client with which finding first?
A) Has had diabetes mellitus for 12 years
B) Had abdominal surgery and has a nasogastric tube
C) Just received 3 units of packed red blood cells
D) Uses sodium-containing antacids frequently. Answer: C
Blood replacement therapy involves intravenous fluid
administration, which inherently increases the risk for
overhydration. The fact that the fluid consists of packed red blood
cells greatly increases the risk, because this fluid increases the
colloidal oncotic pressure of the blood, causing fluid to move from
interstitial and intracellular spaces into the plasma volume. An older
adult may not have sufficient cardiac or renal reserve to manage this
extra fluid.
◉ The client with a stroke was admitted to a medical-surgical unit.
Which tasks does the nurse delegate to the unlicensed assistive
personnel?
SCRIPT 2026 QUESTIONS WITH SOLUTIONS
GRADED A+
◉ A client is being treated for dehydration. Which statement made
by the client indicates understanding of this condition?
a. I will use a salt substitute when making and eating my meals.
b. I must drink a quart of water or other liquid each day.
c. I will not drink liquids after 6 PM so I won't have to get up at night.
d. I will weigh myself each morning before I eat or drink.. Answer: D
Because 1 L of water weighs 1 kg, change in body weight is a good
measure of excess fluid loss or fluid retention. Weight loss greater
than 0.5 lb daily is indicative of excessive fluid loss. The other
statements are not indicative of practices that will prevent
dehydration.
◉ The nurse notes that the handgrip of the client with hypokalemia
has diminished since the previous assessment one hour ago. Which
intervention by the nurse is the priority?
a. assess the client's respiratory rate, rhythm, and depth
,b. document findings and monitor the client
c. measure the client's pulse and blood pressure
d. call the health care provider. Answer: A
In a client with hypokkalemia, progressive skeletal muscle weakness
is associated with increasing severity of hypokalemia. The most life-
threatening complication of hypokalemia is respiratory insufficiency.
It is imperative for the nurse to perform a respiratory assessment
first to make sure that the client is not in immediate jeopardy. Next,
the nurse would call the health care provider to obtain orders for
potassium replacement.
◉ The physician orders Lasix (furosemide) 60 mg po every day for
your patient. On hand you have Lasix 40 mg. How many tablets will
you give the patient?
a. 3
b. 1
c. 1 1/2
d. 2 1/5. Answer: C
60/40 (desired/have)
,◉ A client has been taught to restrict dietary sodium. Which food
selection by the client indicates to the nurse that teaching has been
effective?
a. a grilled cheese sandwich with tomato soup
b. Chinese take-out, including steamed rice
c. a chicken leg, one slice of bread with butter, and steamed carrots
d. slices of ham and cheese on whole grain crackers. Answer: C
Clients on restricted sodium diets generally should avoid processed,
smoked, and pickled foods and those with sauces and other
condiments. Foods lowest in sodium include fish, poultry, and fresh
produce. The chinese food likely would have soy sauce, the tomato
soup is processed, and the crackers are a snack food - a category of
foods often high in sodium.
◉ When a client is assessed, which behavior best indicates that he or
she is experiencing changes associated with acute pain?
a. inability to concentrate
b. expressed hopelessness
c. psychosocial withdrawal
d. anger and hostility. Answer: A
, The characteristics most common to chronic pain are psychosocial
withdrawal, anger and hostility, depression, and hopelessness. The
inability to concentrate is associated much more with acute pain,
before any physiologic or behavioral adaptation has occurred.
◉ A nurse is caring for several clients at risk for overhydration. The
nurse assesses the older client with which finding first?
A) Has had diabetes mellitus for 12 years
B) Had abdominal surgery and has a nasogastric tube
C) Just received 3 units of packed red blood cells
D) Uses sodium-containing antacids frequently. Answer: C
Blood replacement therapy involves intravenous fluid
administration, which inherently increases the risk for
overhydration. The fact that the fluid consists of packed red blood
cells greatly increases the risk, because this fluid increases the
colloidal oncotic pressure of the blood, causing fluid to move from
interstitial and intracellular spaces into the plasma volume. An older
adult may not have sufficient cardiac or renal reserve to manage this
extra fluid.
◉ The client with a stroke was admitted to a medical-surgical unit.
Which tasks does the nurse delegate to the unlicensed assistive
personnel?
