NUR 170 EXAM CONCEPTS OF MEDICAL-
SURGICAL NURSING QUESTIONS AND
ANSWERS
Question 1
A nurse is preparing to provide education to a group of newly licensed nurses about
methods to enhance communication with clients. Which of the following statements
should
the nurse include? (Select all that apply.)
A. "Interrupt the client occasionally during the conversation."
B. "Respect the client during the conversation."
C. "Use complex terms when explaining with the client."
D. "Allow time for reflection during the conversation with the client."
E. "Show empathy during the conversation with the client.'
Correct Answer
B. "Respect the client during the conversation."
D. "Allow time for reflection during the conversation with the client."
E. "Show empathy during the conversation with the client.'
Question 2
A nurse enters a client's room and stands near the client to ask them if they need
anything.
The client continues to watch the television, which is at a loud volume. Which of the
following actions should the nurse take?
A. Leave the client's room to go check on other clients.
B. Ask the client why they are ignoring the question.
C. Repeat the question in a loud voice.
D. Lower the volume on the television.
Correct Answer
D. Lower the volume on the television.
Page 1 of 126
,Question 3
A nurse explains evidence-based practice to a new grad by stating...
A. Nursing care based on tradition.
B. Scholarly inquiry of nursing and biomedical research literature.
C. It is a problem-solving approach that integrates the best current evidence.
D. Quality nursing is provided in an efficient and economically sound manner.
Correct Answer
C. It's a problem solving approach that integrates best current evidence.
Question 4
A nurse is caring for a client who has refused to have a biopsy. The client states, "I
don't
need the biopsy; I wouldn't do anything about it anyways if it's cancer." The nurse
replies,
"You don't want to have the biopsy because you would not seek treatment if it was
cancer.
Is that correct?" Which of the following therapeutic communication techniques is the
nurse
using?
A. Affirmation
B. Open-ended question
C. Reflection
D. Restating
Correct Answer
D. Restating
Page 2 of 126
,Question 5
The nurse is teaching a pt. about home safety. Which recommendations would
they include?
A. Remove wall to wall carpeting.
B. Use nightlights during nighttime.
C. Place handrails in bathtubs and showers.
D. Check staricase railings for secureness and sturdiness.
E. Place scatter rugs on hardwood floors and at the bottom of a staricase.
F. Use extension cords for additional lamps to provide adequate lighting.
Correct Answer
B. Use nightlights during nighttime.
C. Place handrails in bathtubs and showers.
D. Check staricase railings for secureness and sturdiness.
Question 6
A nurse is caring for a client who has a new prescription for dialysis three times a
week. The client avoids eye contact while talking to the nurse and explains that they
work two jobs to support their partner and two children. The client states, "I do not
know how I will have time for dialysis." Which of the following factors is influencing
the clients' communication? (select all that apply)
A. Psychosocial factors
B. Cognitive factors
C. Situational factors
D. Environmental Factors
E. Physiological Factors
Correct Answer
A. Psychosocial factors
C. Situational factors
Page 3 of 126
, Question 7
A nurse is preparing to flush and change the dressing on a clients central venous
catheter. Which of the following should the nurse identify as the primary purpose for
performing this intervention using surgical asepsis.
A. To promote the catheter's patency
B. To assess the skins integrity around the catheter site.
C. To provide a clean, dry environment for the catheter
D. To control the introduction of micro-organisms as the catheter site.
Correct Answer
D. To control the introduction of micro-organisms as the catheter site.
Question 8
A nurse is obtaining a health history from a newly admitted client. The nurse notices
that the client does not make eye contact and that their arms are folded across their
chest.
The nurse should recognize that the client is using which of the following forms of
communication?
A. Auditory
B. Nonverbal
C. Emotional
D. Energetic
Correct Answer
B. Nonverbal
Question 9
In order for a communication process to occur, three components are needed: a
source or sender, the message, and the _____________, the medium the sender selects
to send the message.
Correct Answer
channel
Page 4 of 126
SURGICAL NURSING QUESTIONS AND
ANSWERS
Question 1
A nurse is preparing to provide education to a group of newly licensed nurses about
methods to enhance communication with clients. Which of the following statements
should
the nurse include? (Select all that apply.)
A. "Interrupt the client occasionally during the conversation."
B. "Respect the client during the conversation."
C. "Use complex terms when explaining with the client."
D. "Allow time for reflection during the conversation with the client."
E. "Show empathy during the conversation with the client.'
Correct Answer
B. "Respect the client during the conversation."
D. "Allow time for reflection during the conversation with the client."
E. "Show empathy during the conversation with the client.'
Question 2
A nurse enters a client's room and stands near the client to ask them if they need
anything.
The client continues to watch the television, which is at a loud volume. Which of the
following actions should the nurse take?
A. Leave the client's room to go check on other clients.
B. Ask the client why they are ignoring the question.
C. Repeat the question in a loud voice.
D. Lower the volume on the television.
Correct Answer
D. Lower the volume on the television.
Page 1 of 126
,Question 3
A nurse explains evidence-based practice to a new grad by stating...
A. Nursing care based on tradition.
B. Scholarly inquiry of nursing and biomedical research literature.
C. It is a problem-solving approach that integrates the best current evidence.
D. Quality nursing is provided in an efficient and economically sound manner.
Correct Answer
C. It's a problem solving approach that integrates best current evidence.
Question 4
A nurse is caring for a client who has refused to have a biopsy. The client states, "I
don't
need the biopsy; I wouldn't do anything about it anyways if it's cancer." The nurse
replies,
"You don't want to have the biopsy because you would not seek treatment if it was
cancer.
Is that correct?" Which of the following therapeutic communication techniques is the
nurse
using?
A. Affirmation
B. Open-ended question
C. Reflection
D. Restating
Correct Answer
D. Restating
Page 2 of 126
,Question 5
The nurse is teaching a pt. about home safety. Which recommendations would
they include?
A. Remove wall to wall carpeting.
B. Use nightlights during nighttime.
C. Place handrails in bathtubs and showers.
D. Check staricase railings for secureness and sturdiness.
E. Place scatter rugs on hardwood floors and at the bottom of a staricase.
F. Use extension cords for additional lamps to provide adequate lighting.
Correct Answer
B. Use nightlights during nighttime.
C. Place handrails in bathtubs and showers.
D. Check staricase railings for secureness and sturdiness.
Question 6
A nurse is caring for a client who has a new prescription for dialysis three times a
week. The client avoids eye contact while talking to the nurse and explains that they
work two jobs to support their partner and two children. The client states, "I do not
know how I will have time for dialysis." Which of the following factors is influencing
the clients' communication? (select all that apply)
A. Psychosocial factors
B. Cognitive factors
C. Situational factors
D. Environmental Factors
E. Physiological Factors
Correct Answer
A. Psychosocial factors
C. Situational factors
Page 3 of 126
, Question 7
A nurse is preparing to flush and change the dressing on a clients central venous
catheter. Which of the following should the nurse identify as the primary purpose for
performing this intervention using surgical asepsis.
A. To promote the catheter's patency
B. To assess the skins integrity around the catheter site.
C. To provide a clean, dry environment for the catheter
D. To control the introduction of micro-organisms as the catheter site.
Correct Answer
D. To control the introduction of micro-organisms as the catheter site.
Question 8
A nurse is obtaining a health history from a newly admitted client. The nurse notices
that the client does not make eye contact and that their arms are folded across their
chest.
The nurse should recognize that the client is using which of the following forms of
communication?
A. Auditory
B. Nonverbal
C. Emotional
D. Energetic
Correct Answer
B. Nonverbal
Question 9
In order for a communication process to occur, three components are needed: a
source or sender, the message, and the _____________, the medium the sender selects
to send the message.
Correct Answer
channel
Page 4 of 126
