Med-Surg III TEST
BANK 2025-2026
UPDATE WITH VALID
QUESTIONS AND
ANSWERS 100%
CORRECT
1. A patient with chronic kidney disease (CKD) has a potassium
level of 6.8 mEq/L. What is the priority nursing intervention?
A. Administer sodium polystyrene sulfonate
B. Encourage high-potassium foods
C. Place the patient on a cardiac monitor
D. Restrict fluids
,Answer: C. Place the patient on a cardiac monitor
Rationale: Hyperkalemia can cause life-threatening
dysrhythmias. Cardiac monitoring is the priority to detect
changes immediately.
2. Which sign is most indicative of left-sided heart failure?
A. Peripheral edema
B. Jugular vein distention
C. Crackles in lungs
D. Hepatomegaly
Answer: C. Crackles in lungs
Rationale: Left-sided heart failure leads to pulmonary
congestion, causing crackles.
3. A patient is receiving heparin therapy. Which lab value
should the nurse monitor?
A. PT/INR
B. aPTT
C. Platelet count only
D. Hemoglobin A1C
Answer: B. aPTT
Rationale: aPTT monitors therapeutic effect of heparin.
,4. Which finding indicates increased intracranial pressure
(ICP)?
A. Bradycardia
B. Hypotension
C. Tachycardia
D. Fever only
Answer: A. Bradycardia
Rationale: Cushing’s triad includes bradycardia, hypertension,
and irregular respirations.
5. A patient with COPD should be taught to use oxygen how?
A. 10 L via non-rebreather mask
B. Low-flow oxygen as prescribed
C. No oxygen therapy allowed
D. High-flow humidified oxygen at all times
Answer: B. Low-flow oxygen as prescribed
Rationale: COPD patients require controlled oxygen to prevent
CO₂ retention.
6. Which symptom is a sign of hypoglycemia?
A. Fruity breath
B. Dry skin
, C. Diaphoresis
D. Polyuria
Answer: C. Diaphoresis
Rationale: Sweating, tremors, and confusion are signs of
hypoglycemia.
7. A patient with DKA will most likely present with:
A. Hypoglycemia and bradycardia
B. Metabolic alkalosis
C. Kussmaul respirations
D. Fluid overload
Answer: C. Kussmaul respirations
Rationale: Deep, rapid breathing compensates for metabolic
acidosis.
8. Which medication is used for acute asthma attacks?
A. Albuterol
B. Montelukast
C. Fluticasone
D. Theophylline
Answer: A. Albuterol
Rationale: Albuterol is a short-acting bronchodilator for
immediate relief.
BANK 2025-2026
UPDATE WITH VALID
QUESTIONS AND
ANSWERS 100%
CORRECT
1. A patient with chronic kidney disease (CKD) has a potassium
level of 6.8 mEq/L. What is the priority nursing intervention?
A. Administer sodium polystyrene sulfonate
B. Encourage high-potassium foods
C. Place the patient on a cardiac monitor
D. Restrict fluids
,Answer: C. Place the patient on a cardiac monitor
Rationale: Hyperkalemia can cause life-threatening
dysrhythmias. Cardiac monitoring is the priority to detect
changes immediately.
2. Which sign is most indicative of left-sided heart failure?
A. Peripheral edema
B. Jugular vein distention
C. Crackles in lungs
D. Hepatomegaly
Answer: C. Crackles in lungs
Rationale: Left-sided heart failure leads to pulmonary
congestion, causing crackles.
3. A patient is receiving heparin therapy. Which lab value
should the nurse monitor?
A. PT/INR
B. aPTT
C. Platelet count only
D. Hemoglobin A1C
Answer: B. aPTT
Rationale: aPTT monitors therapeutic effect of heparin.
,4. Which finding indicates increased intracranial pressure
(ICP)?
A. Bradycardia
B. Hypotension
C. Tachycardia
D. Fever only
Answer: A. Bradycardia
Rationale: Cushing’s triad includes bradycardia, hypertension,
and irregular respirations.
5. A patient with COPD should be taught to use oxygen how?
A. 10 L via non-rebreather mask
B. Low-flow oxygen as prescribed
C. No oxygen therapy allowed
D. High-flow humidified oxygen at all times
Answer: B. Low-flow oxygen as prescribed
Rationale: COPD patients require controlled oxygen to prevent
CO₂ retention.
6. Which symptom is a sign of hypoglycemia?
A. Fruity breath
B. Dry skin
, C. Diaphoresis
D. Polyuria
Answer: C. Diaphoresis
Rationale: Sweating, tremors, and confusion are signs of
hypoglycemia.
7. A patient with DKA will most likely present with:
A. Hypoglycemia and bradycardia
B. Metabolic alkalosis
C. Kussmaul respirations
D. Fluid overload
Answer: C. Kussmaul respirations
Rationale: Deep, rapid breathing compensates for metabolic
acidosis.
8. Which medication is used for acute asthma attacks?
A. Albuterol
B. Montelukast
C. Fluticasone
D. Theophylline
Answer: A. Albuterol
Rationale: Albuterol is a short-acting bronchodilator for
immediate relief.
