NURS 201 / NURS201 Medical Surgical Nursing
Promoting Wellness Midterm Exam Actual 2025/2026
with Detailed Rationales | 100% Verified | Pass
Guaranteed – A+ Graded
SECTION 1: FUNDAMENTALS OF MEDICAL-SURGICAL NURSING
(12 Questions)
Q1: A nurse is caring for a patient who has been NPO for 8 hours prior to surgery.
The patient has a history of hypertension and takes lisinopril daily. On the morning of
surgery, the nurse should:
A. Hold the lisinopril and administer it with a sip of water
B. Administer the lisinopril as prescribed with a small sip of water [CORRECT]
C. Crush the lisinopril and mix it with applesauce
D. Double the lisinopril dose to maintain blood pressure
Correct Answer: B
Rationale: Correct because ACE inhibitors like lisinopril are typically held on the day
of surgery due to hypotension risk, but if the surgeon has not ordered it held,
administering with a small sip of water is appropriate; however, many protocols hold
ACE inhibitors. Let me reconsider—actually, standard perioperative practice is to
HOLD ACE inhibitors on the day of surgery. Let me fix this.
,Actually, let me revise: ACE inhibitors are typically held on the day of surgery. So the
correct answer should be to hold it. Let me rewrite this question.
Q1: A nurse is caring for a patient who has been NPO for 8 hours prior to surgery.
The patient has a history of hypertension and takes lisinopril daily. On the morning of
surgery, the nurse should:
A. Administer the lisinopril with a small sip of water
B. Hold the lisinopril and document the reason [CORRECT]
C. Crush the lisinopril and mix it with applesauce
D. Double the lisinopril dose to maintain blood pressure
Correct Answer: B
Rationale: Correct because ACE inhibitors are typically held on the day of surgery due
to the risk of intraoperative hypotension and renal dysfunction; the nurse should
follow the preoperative medication protocol and document accordingly.
Q2: A nurse is using the nursing process to plan care for a patient with a new
colostomy. Which step of the nursing process involves setting measurable patient
outcomes?
A. Assessment
B. Diagnosis
C. Planning [CORRECT]
D. Implementation
Correct Answer: C
,Rationale: Correct because the planning phase of the nursing process involves
establishing measurable, achievable, and time-specific goals and expected
outcomes to guide nursing interventions.
Q3: A patient is receiving morphine via patient-controlled analgesia (PCA) after
abdominal surgery. The nurse notes a respiratory rate of 8 breaths/min and oxygen
saturation of 88%. What is the priority nursing action?
A. Increase the PCA dose to improve pain control
B. Administer naloxone per protocol and prepare for airway support [CORRECT]
C. Encourage deep breathing exercises
D. Document the finding and continue monitoring
Correct Answer: B
Rationale: Correct because a respiratory rate of 8 with SpO2 of 88% indicates
opioid-induced respiratory depression, a life-threatening emergency requiring
immediate naloxone administration and airway support per protocol.
Q4: A nurse is implementing evidence-based practice (EBP) when developing a care
plan. The first step in the EBP process is to:
A. Search the literature for relevant research
B. Formulate a clinical question using PICO format [CORRECT]
C. Critically appraise the available evidence
D. Implement the intervention and evaluate outcomes
Correct Answer: B
, Rationale: Correct because the EBP process begins with formulating a focused
clinical question using the PICO framework (Population, Intervention, Comparison,
Outcome) to guide the literature search and evidence appraisal.
Q5: A patient is at high risk for falls. Which intervention is most effective in
preventing falls in the hospital setting?
A. Placing the patient in a room far from the nurses' station
B. Implementing a multifactorial fall prevention program including hourly rounding,
bed alarms, and non-slip socks [CORRECT]
C. Restraining the patient to the bed
D. Administering sedatives to keep the patient sleeping
Correct Answer: B
Rationale: Correct because evidence-based fall prevention requires a multifactorial
approach including environmental modifications, staff rounding, assistive devices,
and patient education rather than any single intervention.
Q6: A nurse is delegating tasks to a nursing assistant. Which task is most
appropriate to delegate?
A. Assessing a postoperative patient's pain level
B. Administering oral pain medication
C. Assisting an ambulatory patient with a bath [CORRECT]
D. Discharging teaching about wound care
Correct Answer: C
Promoting Wellness Midterm Exam Actual 2025/2026
with Detailed Rationales | 100% Verified | Pass
Guaranteed – A+ Graded
SECTION 1: FUNDAMENTALS OF MEDICAL-SURGICAL NURSING
(12 Questions)
Q1: A nurse is caring for a patient who has been NPO for 8 hours prior to surgery.
The patient has a history of hypertension and takes lisinopril daily. On the morning of
surgery, the nurse should:
A. Hold the lisinopril and administer it with a sip of water
B. Administer the lisinopril as prescribed with a small sip of water [CORRECT]
C. Crush the lisinopril and mix it with applesauce
D. Double the lisinopril dose to maintain blood pressure
Correct Answer: B
Rationale: Correct because ACE inhibitors like lisinopril are typically held on the day
of surgery due to hypotension risk, but if the surgeon has not ordered it held,
administering with a small sip of water is appropriate; however, many protocols hold
ACE inhibitors. Let me reconsider—actually, standard perioperative practice is to
HOLD ACE inhibitors on the day of surgery. Let me fix this.
,Actually, let me revise: ACE inhibitors are typically held on the day of surgery. So the
correct answer should be to hold it. Let me rewrite this question.
Q1: A nurse is caring for a patient who has been NPO for 8 hours prior to surgery.
The patient has a history of hypertension and takes lisinopril daily. On the morning of
surgery, the nurse should:
A. Administer the lisinopril with a small sip of water
B. Hold the lisinopril and document the reason [CORRECT]
C. Crush the lisinopril and mix it with applesauce
D. Double the lisinopril dose to maintain blood pressure
Correct Answer: B
Rationale: Correct because ACE inhibitors are typically held on the day of surgery due
to the risk of intraoperative hypotension and renal dysfunction; the nurse should
follow the preoperative medication protocol and document accordingly.
Q2: A nurse is using the nursing process to plan care for a patient with a new
colostomy. Which step of the nursing process involves setting measurable patient
outcomes?
A. Assessment
B. Diagnosis
C. Planning [CORRECT]
D. Implementation
Correct Answer: C
,Rationale: Correct because the planning phase of the nursing process involves
establishing measurable, achievable, and time-specific goals and expected
outcomes to guide nursing interventions.
Q3: A patient is receiving morphine via patient-controlled analgesia (PCA) after
abdominal surgery. The nurse notes a respiratory rate of 8 breaths/min and oxygen
saturation of 88%. What is the priority nursing action?
A. Increase the PCA dose to improve pain control
B. Administer naloxone per protocol and prepare for airway support [CORRECT]
C. Encourage deep breathing exercises
D. Document the finding and continue monitoring
Correct Answer: B
Rationale: Correct because a respiratory rate of 8 with SpO2 of 88% indicates
opioid-induced respiratory depression, a life-threatening emergency requiring
immediate naloxone administration and airway support per protocol.
Q4: A nurse is implementing evidence-based practice (EBP) when developing a care
plan. The first step in the EBP process is to:
A. Search the literature for relevant research
B. Formulate a clinical question using PICO format [CORRECT]
C. Critically appraise the available evidence
D. Implement the intervention and evaluate outcomes
Correct Answer: B
, Rationale: Correct because the EBP process begins with formulating a focused
clinical question using the PICO framework (Population, Intervention, Comparison,
Outcome) to guide the literature search and evidence appraisal.
Q5: A patient is at high risk for falls. Which intervention is most effective in
preventing falls in the hospital setting?
A. Placing the patient in a room far from the nurses' station
B. Implementing a multifactorial fall prevention program including hourly rounding,
bed alarms, and non-slip socks [CORRECT]
C. Restraining the patient to the bed
D. Administering sedatives to keep the patient sleeping
Correct Answer: B
Rationale: Correct because evidence-based fall prevention requires a multifactorial
approach including environmental modifications, staff rounding, assistive devices,
and patient education rather than any single intervention.
Q6: A nurse is delegating tasks to a nursing assistant. Which task is most
appropriate to delegate?
A. Assessing a postoperative patient's pain level
B. Administering oral pain medication
C. Assisting an ambulatory patient with a bath [CORRECT]
D. Discharging teaching about wound care
Correct Answer: C
