Advanced Med-Surg
Practice TEST BANK
LATTEST UPDATE
2025-2026 WITH
VERRIFIED QUESTIONS
AND ANSWERS
1. A client with COPD is receiving oxygen at 2 L/min via nasal
cannula. Which finding requires immediate intervention?
A. Respiratory rate 22/min
B. PaCO₂ 55 mmHg
C. Cyanosis of lips and nail beds
D. Oxygen saturation 90%
,Answer: C. Cyanosis of lips and nail beds
Rationale: Cyanosis indicates severe hypoxemia and impending
respiratory failure requiring immediate intervention.
2. Which lab value is most concerning in a patient with chronic
kidney disease?
A. Sodium 138 mEq/L
B. Potassium 6.5 mEq/L
C. Calcium 9.2 mg/dL
D. BUN 18 mg/dL
Answer: B. Potassium 6.5 mEq/L
Rationale: Severe hyperkalemia can lead to lethal dysrhythmias.
3. A post-op patient suddenly develops unilateral leg swelling
and pain. What is the priority action?
A. Encourage ambulation
B. Massage the affected leg
C. Notify provider immediately
D. Apply warm compress
Answer: C. Notify provider immediately
Rationale: Symptoms suggest DVT; massage or ambulation may
dislodge clot.
,4. Which sign indicates increased intracranial pressure (ICP)?
A. Bradycardia
B. Hypotension
C. Tachypnea
D. Pupillary dilation with brisk response
Answer: A. Bradycardia
Rationale: Cushing’s triad includes bradycardia, hypertension,
and irregular respirations.
5. A patient with heart failure is prescribed furosemide. Which
finding indicates therapeutic effect?
A. Increased edema
B. Weight gain
C. Decreased crackles
D. Elevated blood pressure
Answer: C. Decreased crackles
Rationale: Loop diuretics reduce fluid overload and pulmonary
congestion.
6. Which acid-base imbalance is expected in diabetic
ketoacidosis?
, A. Respiratory alkalosis
B. Metabolic alkalosis
C. Metabolic acidosis
D. Respiratory acidosis
Answer: C. Metabolic acidosis
Rationale: Ketone production lowers blood pH.
7. A patient receiving heparin has a sudden drop in platelets.
What complication is suspected?
A. DIC
B. HIT
C. Hemophilia
D. Leukemia
Answer: B. HIT
Rationale: Heparin-induced thrombocytopenia is a serious
immune reaction.
8. Which symptom is most indicative of stroke?
A. Sudden chest pain
B. Unilateral weakness
C. Abdominal rigidity
D. Fever and cough
Practice TEST BANK
LATTEST UPDATE
2025-2026 WITH
VERRIFIED QUESTIONS
AND ANSWERS
1. A client with COPD is receiving oxygen at 2 L/min via nasal
cannula. Which finding requires immediate intervention?
A. Respiratory rate 22/min
B. PaCO₂ 55 mmHg
C. Cyanosis of lips and nail beds
D. Oxygen saturation 90%
,Answer: C. Cyanosis of lips and nail beds
Rationale: Cyanosis indicates severe hypoxemia and impending
respiratory failure requiring immediate intervention.
2. Which lab value is most concerning in a patient with chronic
kidney disease?
A. Sodium 138 mEq/L
B. Potassium 6.5 mEq/L
C. Calcium 9.2 mg/dL
D. BUN 18 mg/dL
Answer: B. Potassium 6.5 mEq/L
Rationale: Severe hyperkalemia can lead to lethal dysrhythmias.
3. A post-op patient suddenly develops unilateral leg swelling
and pain. What is the priority action?
A. Encourage ambulation
B. Massage the affected leg
C. Notify provider immediately
D. Apply warm compress
Answer: C. Notify provider immediately
Rationale: Symptoms suggest DVT; massage or ambulation may
dislodge clot.
,4. Which sign indicates increased intracranial pressure (ICP)?
A. Bradycardia
B. Hypotension
C. Tachypnea
D. Pupillary dilation with brisk response
Answer: A. Bradycardia
Rationale: Cushing’s triad includes bradycardia, hypertension,
and irregular respirations.
5. A patient with heart failure is prescribed furosemide. Which
finding indicates therapeutic effect?
A. Increased edema
B. Weight gain
C. Decreased crackles
D. Elevated blood pressure
Answer: C. Decreased crackles
Rationale: Loop diuretics reduce fluid overload and pulmonary
congestion.
6. Which acid-base imbalance is expected in diabetic
ketoacidosis?
, A. Respiratory alkalosis
B. Metabolic alkalosis
C. Metabolic acidosis
D. Respiratory acidosis
Answer: C. Metabolic acidosis
Rationale: Ketone production lowers blood pH.
7. A patient receiving heparin has a sudden drop in platelets.
What complication is suspected?
A. DIC
B. HIT
C. Hemophilia
D. Leukemia
Answer: B. HIT
Rationale: Heparin-induced thrombocytopenia is a serious
immune reaction.
8. Which symptom is most indicative of stroke?
A. Sudden chest pain
B. Unilateral weakness
C. Abdominal rigidity
D. Fever and cough
