NSG 223 Med-Surg Exam 3 2026 | Practice Questions & Verified Answers | Medical-
Surgical Nursing Review
1. A patient with myasthenia gravis is experiencing increased muscle
weakness despite taking pyridostigmine. What should the nurse consider
as a potential reason for this change?
Development of a new autoimmune condition
Increased physical activity
Inadequate medication dosage
Improved muscle strength
2. The nurse is educating a client newly diagnosed with fibromyalgia about
prescribed medications. Which medication will the nurse include in the
teaching session that will assist in treating neuropathic pain and may
reduce pain associated with fibromyalgia?
Tramadol
Fluoxetine
Pregabalin
Milnacipran
3. Describe how the symptoms of gigantism differ from those of
acromegaly.
Acromegaly is characterized by a decrease in height, while
gigantism leads to increased height.
Gigantism occurs only in adults, while acromegaly occurs only in
children.
Gigantism results in excessive growth during childhood, while
acromegaly causes enlargement of bones and tissues in
adulthood.
,4. Which special considerations should be made for patients taking
ketoconazole?
Interactions with warfarin could increase bleeding risk.
Ketoconazole should be used only after topical antifungal
agents have been proven ineffective.
Medications that interfere with the normal production of stomach
acid such as histamine-2 blockers or histamine-2 antagonists will
reduce the absorption of ketoconazole.
All of the choices
5. For treating pain in the elderly, the RN knows the MD will *not*
prescribe:
Gabapentin
Venlafaxine
Morphine
Meperidine
6. Plasmapheresis is therapeutic apheresis is indicated in which of the
following diseases
Guillain-Barré syndrome, Myasthemia gravis, multiple sclerosis,
Goodpasture's syndrome
antibody-mediated rejection (kidney), desensitization before
transplant, thrombotic thrombocytopenic purpura
Cryoglobulinemia,
Hyperviscosity in monoclonal gammopathies
all of the above
,7. What is plasmapheresis?
An immunosuppressive drug therapy
Filters the blood to remove antibodies that block receptor sites
The surgical removal of the thymus
An AChE inhibitor
8. Describe the rationale behind stabilizing a fracture as the first action in
nursing care.
Stabilizing a fracture allows for immediate surgery.
Stabilizing a fracture is not important if the patient is conscious.
Stabilizing a fracture prevents further injury and reduces pain.
Stabilizing a fracture is only necessary if the patient is in shock.
9. A patient with fibromyalgia is experiencing increased pain and requests
stronger medication. What should the nurse consider before
administering opioids?
The nurse's personal preference for pain management.
Opioids are always the best choice for chronic pain.
The patient's previous history with opioids.
The potential for dependency and the effectiveness of
alternative treatments.
10. Describe how the symptoms of Cushing syndrome can affect a patient's
daily life.
Symptoms such as weight gain and mood changes can
significantly impact a patient's daily activities and mental
health.
, Cushing syndrome symptoms have no effect on daily life.
Patients with Cushing syndrome only experience physical
symptoms.
11. All of the following symptoms are common in diabetes insipidus
EXCEPT:
excessive thirst
excessive urine
dehydration
concentrated urine
12. Why might a nurse question the use of opioids for a patient diagnosed
with fibromyalgia?
Opioids are recommended for all chronic pain conditions.
Opioids are the first-line treatment for fibromyalgia.
Opioids have no side effects in fibromyalgia patients.
Opioids may not effectively manage fibromyalgia symptoms
and can lead to dependency.
13. S/S of a hip fracture include what?
Hurt leg is visibly shorter
Adduction with toe externally rotated
Ecchymosis (bruising)
Pain in hip area
Pain in groin area
All of the above
Surgical Nursing Review
1. A patient with myasthenia gravis is experiencing increased muscle
weakness despite taking pyridostigmine. What should the nurse consider
as a potential reason for this change?
Development of a new autoimmune condition
Increased physical activity
Inadequate medication dosage
Improved muscle strength
2. The nurse is educating a client newly diagnosed with fibromyalgia about
prescribed medications. Which medication will the nurse include in the
teaching session that will assist in treating neuropathic pain and may
reduce pain associated with fibromyalgia?
Tramadol
Fluoxetine
Pregabalin
Milnacipran
3. Describe how the symptoms of gigantism differ from those of
acromegaly.
Acromegaly is characterized by a decrease in height, while
gigantism leads to increased height.
Gigantism occurs only in adults, while acromegaly occurs only in
children.
Gigantism results in excessive growth during childhood, while
acromegaly causes enlargement of bones and tissues in
adulthood.
,4. Which special considerations should be made for patients taking
ketoconazole?
Interactions with warfarin could increase bleeding risk.
Ketoconazole should be used only after topical antifungal
agents have been proven ineffective.
Medications that interfere with the normal production of stomach
acid such as histamine-2 blockers or histamine-2 antagonists will
reduce the absorption of ketoconazole.
All of the choices
5. For treating pain in the elderly, the RN knows the MD will *not*
prescribe:
Gabapentin
Venlafaxine
Morphine
Meperidine
6. Plasmapheresis is therapeutic apheresis is indicated in which of the
following diseases
Guillain-Barré syndrome, Myasthemia gravis, multiple sclerosis,
Goodpasture's syndrome
antibody-mediated rejection (kidney), desensitization before
transplant, thrombotic thrombocytopenic purpura
Cryoglobulinemia,
Hyperviscosity in monoclonal gammopathies
all of the above
,7. What is plasmapheresis?
An immunosuppressive drug therapy
Filters the blood to remove antibodies that block receptor sites
The surgical removal of the thymus
An AChE inhibitor
8. Describe the rationale behind stabilizing a fracture as the first action in
nursing care.
Stabilizing a fracture allows for immediate surgery.
Stabilizing a fracture is not important if the patient is conscious.
Stabilizing a fracture prevents further injury and reduces pain.
Stabilizing a fracture is only necessary if the patient is in shock.
9. A patient with fibromyalgia is experiencing increased pain and requests
stronger medication. What should the nurse consider before
administering opioids?
The nurse's personal preference for pain management.
Opioids are always the best choice for chronic pain.
The patient's previous history with opioids.
The potential for dependency and the effectiveness of
alternative treatments.
10. Describe how the symptoms of Cushing syndrome can affect a patient's
daily life.
Symptoms such as weight gain and mood changes can
significantly impact a patient's daily activities and mental
health.
, Cushing syndrome symptoms have no effect on daily life.
Patients with Cushing syndrome only experience physical
symptoms.
11. All of the following symptoms are common in diabetes insipidus
EXCEPT:
excessive thirst
excessive urine
dehydration
concentrated urine
12. Why might a nurse question the use of opioids for a patient diagnosed
with fibromyalgia?
Opioids are recommended for all chronic pain conditions.
Opioids are the first-line treatment for fibromyalgia.
Opioids have no side effects in fibromyalgia patients.
Opioids may not effectively manage fibromyalgia symptoms
and can lead to dependency.
13. S/S of a hip fracture include what?
Hurt leg is visibly shorter
Adduction with toe externally rotated
Ecchymosis (bruising)
Pain in hip area
Pain in groin area
All of the above
