MEDICAL-SURGICAL NURSING TEST B TEST
PAPER 2026 QUESTIONS WITH SOLUTIONS
GRADED A+
◉ 2. A patient scheduled for magnetic resonance imaging (MRI) has
arrived at the radiology department. The
nurse who prepares the patient for the MRI should prioritize which
of the following actions?
A) Withholding stimulants 24 to 48 hours prior to exam
B) Removing all metal-containing objects
C) Instructing the patient to void prior to the MRI
D) Initiating an IV line for administration of contrast. Answer: B
Feedback:
Patient preparation for an MRI consists of removing all metal-
containing objects prior to the
examination. Withholding stimulants would not affect an MRI; this
relates to an electroencephalography
(EEG). Instructing the patient to void is patient preparation for a
lumbar puncture. Initiating an IV line
for administration of contrast would be done if the patient was
having a CT scan with contrast.
,◉ 3. A gerontologic nurse planning the neurologic assessment of an
older adult is considering normal, age related changes. Of what
phenomenon should the nurse be aware?
A) Hyperactive deep tendon reflexes
B) Reduction in cerebral blood flow
C) Increased cerebral metabolism
D) Hypersensitivity to painful stimuli. Answer: B
Feedback:
Reduction in cerebral blood flow (CBF) is a change that occurs in the
normal aging process. Deep
tendon reflexes can be decreased or, in some cases, absent. Cerebral
metabolism decreases as the patient
advances in age. Reaction to painful stimuli may be decreased with
age. Because pain is an important
warning signal, caution must be used when hot or cold packs are
used.
◉ 4. The nurse has admitted a new patient to the unit. One of the
patients admitting orders is for an
adrenergic medication. The nurse knows that this medication will
have what effect on the circulatory
system?
A) Thin, watery saliva
B) Increased heart rate
,C) Decreased BP
D) Constricted bronchioles. Answer: B
Feedback:
The term adrenergic refers to the sympathetic nervous system.
Sympathetic effects include an increased
rate and force of the heartbeat. Cholinergic effects, which
correspond to the parasympathetic division of
the autonomic nervous system, include thin, watery saliva,
decreased rate and force of heartbeat, and
decreased BP.
◉ 5. A nurse is assessing reflexes in a patient with hyperactive
reflexes. When the patients foot is abruptly
dorsiflexed, it continues to beat two to three times before settling
into a resting position. How would the
nurse document this finding?
A) Rigidity
B) Flaccidity
C) Clonus
D) Ataxia. Answer: C
Feedback:
When reflexes are very hyperactive, a phenomenon called clonus
may be elicited. If the foot is abruptly
, dorsiflexed, it may continue to beat two to three times before it
settles into a position of rest. Rigidity is
an increase in muscle tone at rest characterized by increased
resistance to passive stretch. Flaccidity is
lack of muscle tone. Ataxia is the inability to coordinate muscle
movements, resulting in difficulty
walking, talking, and performing self-care activities.
◉ 6. The nurse is doing an initial assessment on a patient newly
admitted to the unit with a diagnosis of
cerebrovascular accident (CVA). The patient has difficulty copying a
figure that the nurse has drawn and
is diagnosed with visual-receptive aphasia. What brain region is
primarily involved in this deficit?
A) Temporal lobe
B) Parietal-occipital area
C) Inferior posterior frontal areas
D) Posterior frontal area. Answer: B
Feedback:
Difficulty copying a figure that the nurse has drawn would be
considered visual-receptive aphasia, which involves the parietal-
occipital area. Expressive aphasia, the inability to express oneself, is
often
PAPER 2026 QUESTIONS WITH SOLUTIONS
GRADED A+
◉ 2. A patient scheduled for magnetic resonance imaging (MRI) has
arrived at the radiology department. The
nurse who prepares the patient for the MRI should prioritize which
of the following actions?
A) Withholding stimulants 24 to 48 hours prior to exam
B) Removing all metal-containing objects
C) Instructing the patient to void prior to the MRI
D) Initiating an IV line for administration of contrast. Answer: B
Feedback:
Patient preparation for an MRI consists of removing all metal-
containing objects prior to the
examination. Withholding stimulants would not affect an MRI; this
relates to an electroencephalography
(EEG). Instructing the patient to void is patient preparation for a
lumbar puncture. Initiating an IV line
for administration of contrast would be done if the patient was
having a CT scan with contrast.
,◉ 3. A gerontologic nurse planning the neurologic assessment of an
older adult is considering normal, age related changes. Of what
phenomenon should the nurse be aware?
A) Hyperactive deep tendon reflexes
B) Reduction in cerebral blood flow
C) Increased cerebral metabolism
D) Hypersensitivity to painful stimuli. Answer: B
Feedback:
Reduction in cerebral blood flow (CBF) is a change that occurs in the
normal aging process. Deep
tendon reflexes can be decreased or, in some cases, absent. Cerebral
metabolism decreases as the patient
advances in age. Reaction to painful stimuli may be decreased with
age. Because pain is an important
warning signal, caution must be used when hot or cold packs are
used.
◉ 4. The nurse has admitted a new patient to the unit. One of the
patients admitting orders is for an
adrenergic medication. The nurse knows that this medication will
have what effect on the circulatory
system?
A) Thin, watery saliva
B) Increased heart rate
,C) Decreased BP
D) Constricted bronchioles. Answer: B
Feedback:
The term adrenergic refers to the sympathetic nervous system.
Sympathetic effects include an increased
rate and force of the heartbeat. Cholinergic effects, which
correspond to the parasympathetic division of
the autonomic nervous system, include thin, watery saliva,
decreased rate and force of heartbeat, and
decreased BP.
◉ 5. A nurse is assessing reflexes in a patient with hyperactive
reflexes. When the patients foot is abruptly
dorsiflexed, it continues to beat two to three times before settling
into a resting position. How would the
nurse document this finding?
A) Rigidity
B) Flaccidity
C) Clonus
D) Ataxia. Answer: C
Feedback:
When reflexes are very hyperactive, a phenomenon called clonus
may be elicited. If the foot is abruptly
, dorsiflexed, it may continue to beat two to three times before it
settles into a position of rest. Rigidity is
an increase in muscle tone at rest characterized by increased
resistance to passive stretch. Flaccidity is
lack of muscle tone. Ataxia is the inability to coordinate muscle
movements, resulting in difficulty
walking, talking, and performing self-care activities.
◉ 6. The nurse is doing an initial assessment on a patient newly
admitted to the unit with a diagnosis of
cerebrovascular accident (CVA). The patient has difficulty copying a
figure that the nurse has drawn and
is diagnosed with visual-receptive aphasia. What brain region is
primarily involved in this deficit?
A) Temporal lobe
B) Parietal-occipital area
C) Inferior posterior frontal areas
D) Posterior frontal area. Answer: B
Feedback:
Difficulty copying a figure that the nurse has drawn would be
considered visual-receptive aphasia, which involves the parietal-
occipital area. Expressive aphasia, the inability to express oneself, is
often
