MEDICAL SURGICAL NURSING CERTIFICATION
EXAM 2026 QUESTIONS WITH ANSWERS
COMPREHENSIVE GUIDE
▶A 12-year-old male is brought to the emergency department by his
mother with complaints of difficulty breathing, swollen eyes and lips, and
hives. The mother states that the child had just finished eating a peanut
butter cookie. Epinephrine was administered. What is the next class of
medications to be administered to the patient?
Inhaled beta 2 agonist
Corticosteroid
Antihistamine
Anticholinergic . Answer: Inhaled beta 2 agonist
▶Elevation of the head of the bed, but not the affected extremity,
ambulation as tolerated, and thrombolytic therapy are interventions for
which type of peripheral vascular disease?
Lymphedema
Peripheral artery disease
Deep vein thrombosis
Peripheral venous disease . Answer: Peripheral artery disease
▶Which of these is a violation of the emergency medical treatment and
active labor act (EMTALA)?
Transferring a patient and sending the medical records electronically
Transferring a patient to a facility where the charge nurse is the accepting
professional
Providing a medical screening examination three hours after arrival to the
emergency department
Transferring an unstable patient to a facility that will provide a higher level
of care . Answer: Transferring a patient to a facility where the charge nurse
is the accepting professional
▶A 15-year-old female presents to the emergency department with crampy
left lower quadrant abdominal pain that lasted for 4 hours prior to arrival.
She also is having frequent, severe, bloody diarrhea. What gastrointestinal
disorder is she most likely experiencing?
, Ulcerative colitis
Diverticulitis
Crohn's disease
Appendicitis . Answer: Ulcerative colitis
▶An adult presents to the emergency department complaining of a low-
grade fever, malaise, pain in the joints, and headache for the past week.
The patient reports hiking in wooded areas during a recent vacation in the
Northeast United States. Upon physical assessment, a circular, flat, red
rash with central clearing is noted to the left scapular area, and local
tenderness upon palpation to the left axillary lymph node. After
confirmatory diagnosis, the emergency nurse anticipates which course of
pharmacologic treatment?
Levofloxacin
Doxycycline
Ceftriaxone
Praziquantel . Answer: Doxycycline
▶An adolescent patient who siphoned gasoline presents with coughing,
vomiting, and decreased oxygen saturation. Which delayed sequela is most
likely?
Dysrhythmias
Seizure
Hepatotoxicity
Chemical pneumonitis . Answer: Chemical pneumonitis
▶Which eye condition requires bilateral patching of the eyes?
Hyphema
Ruptured globe
Corneal ulcer
Keratitis . Answer: Ruptured globe
▶An emergency nurse recently obtained specialty certification. Which
category of lifelong learning includes this type of achievement?
Professional development
Informal learning
Self-teaching
Problem-based learning . Answer: Professional development
▶Wolff-Parkinson-White is what type of dysrhythmia?
EXAM 2026 QUESTIONS WITH ANSWERS
COMPREHENSIVE GUIDE
▶A 12-year-old male is brought to the emergency department by his
mother with complaints of difficulty breathing, swollen eyes and lips, and
hives. The mother states that the child had just finished eating a peanut
butter cookie. Epinephrine was administered. What is the next class of
medications to be administered to the patient?
Inhaled beta 2 agonist
Corticosteroid
Antihistamine
Anticholinergic . Answer: Inhaled beta 2 agonist
▶Elevation of the head of the bed, but not the affected extremity,
ambulation as tolerated, and thrombolytic therapy are interventions for
which type of peripheral vascular disease?
Lymphedema
Peripheral artery disease
Deep vein thrombosis
Peripheral venous disease . Answer: Peripheral artery disease
▶Which of these is a violation of the emergency medical treatment and
active labor act (EMTALA)?
Transferring a patient and sending the medical records electronically
Transferring a patient to a facility where the charge nurse is the accepting
professional
Providing a medical screening examination three hours after arrival to the
emergency department
Transferring an unstable patient to a facility that will provide a higher level
of care . Answer: Transferring a patient to a facility where the charge nurse
is the accepting professional
▶A 15-year-old female presents to the emergency department with crampy
left lower quadrant abdominal pain that lasted for 4 hours prior to arrival.
She also is having frequent, severe, bloody diarrhea. What gastrointestinal
disorder is she most likely experiencing?
, Ulcerative colitis
Diverticulitis
Crohn's disease
Appendicitis . Answer: Ulcerative colitis
▶An adult presents to the emergency department complaining of a low-
grade fever, malaise, pain in the joints, and headache for the past week.
The patient reports hiking in wooded areas during a recent vacation in the
Northeast United States. Upon physical assessment, a circular, flat, red
rash with central clearing is noted to the left scapular area, and local
tenderness upon palpation to the left axillary lymph node. After
confirmatory diagnosis, the emergency nurse anticipates which course of
pharmacologic treatment?
Levofloxacin
Doxycycline
Ceftriaxone
Praziquantel . Answer: Doxycycline
▶An adolescent patient who siphoned gasoline presents with coughing,
vomiting, and decreased oxygen saturation. Which delayed sequela is most
likely?
Dysrhythmias
Seizure
Hepatotoxicity
Chemical pneumonitis . Answer: Chemical pneumonitis
▶Which eye condition requires bilateral patching of the eyes?
Hyphema
Ruptured globe
Corneal ulcer
Keratitis . Answer: Ruptured globe
▶An emergency nurse recently obtained specialty certification. Which
category of lifelong learning includes this type of achievement?
Professional development
Informal learning
Self-teaching
Problem-based learning . Answer: Professional development
▶Wolff-Parkinson-White is what type of dysrhythmia?
