MED-SURG II CERTIFICATION
EVALUATION 2026 PRACTICE SOLUTION
TESTED.
⫸ *Statement terminally ill pt to caregiver. Ans- "Stop taking chemo-
therapy medications."
⫸ *Marked edema. Which medication? Ans-
⫸ A nurse has committed a serious medication error and reported the
error to the hospital's
adverse medication error hotline as well to the unit manager. The
manager is a firm believer in
developing critical thinking skills. From this stand point what action by
the manage would be the
best to nurture this ability in the nurse who made the error?
a. Let the nurse work with more experience nurses when giving
medications
b. Have the nurse present and in-service related to the cause of the error
c. Send the nurse to refresher course on medication administration
d. In struct nurse to write a paper on how to avoid this type of error. Ans-
b.
,⫸ The nurse is taking care of a patient just diagnosed with CHF. The
patient is an attorney and has brought his work with him to do at the
hospital. He is constantly on the phone discussing work and seems very
hurried. The nurse assesses this to be what type of stress?
a.Acute stress
b. Epidodic stress
c. Chronic stress
d. Normal stress. Ans- b.
⫸ Which of the following conditions puts a patient at risk for acute
respiratory distress syndrome?
(select all)
a. Drug reaction
b. Head injury
c. Pancreatitis
d. Sepsis
e. High altitudes. Ans- a.
b.
c.
d.
,⫸ The nurse is caring for a patient on a cardiac monitor and notes a
peaked T wave. What lab will the nurse expect to find?
a. hypercalcemia
b. hyperkalemia
c. hypokalemia
d.hypocalcemia. Ans- b.
⫸ The patient has just been diagnosed with an MI. The patient asks for
information about the disease and looks for any support groups. The
nurse assesses this to be what type of coping strategy?
a. problem focused
b. meaning focused
c. emotional focused
d. maladaptive focused. Ans- a.
⫸ The nurse is caring for a patient diagnosed with heart failure. The
nurse is preparing to administer digoxin to the patient. The patient
reports nausea, vomiting and a headache. The nurse notes a respiratory
rate of 19 breaths per min and HR of 58 BPM and blood pressure of
120/78. What will the nurse do?
, a. hold the dose of digoxin and notify the provider of possible toxicity
b. request an order for an anti-emetic and analgesic
c. reassure the patient that these are common sighs and self limiting
effects
d. administer the next dose as ordered since these are minor side effects.
Ans- a.
⫸ When planning the response to the potential use of smallpox as an
agent of terrorism, the emergency department (ED) nurse-manager will
plan to obtain sufficient quantities of
a. vaccine
b. antibiotics
c. blood
d. atropine. Ans- a.
⫸ What assessment finding would the nurse consider to be relative of
hypovolemia?
a. fluid moving into the intracellular space
b. elevated systolic blood pressure
c. elevated mean arterial pressure
d. fluid moving into the extravascular space. Ans- d.
EVALUATION 2026 PRACTICE SOLUTION
TESTED.
⫸ *Statement terminally ill pt to caregiver. Ans- "Stop taking chemo-
therapy medications."
⫸ *Marked edema. Which medication? Ans-
⫸ A nurse has committed a serious medication error and reported the
error to the hospital's
adverse medication error hotline as well to the unit manager. The
manager is a firm believer in
developing critical thinking skills. From this stand point what action by
the manage would be the
best to nurture this ability in the nurse who made the error?
a. Let the nurse work with more experience nurses when giving
medications
b. Have the nurse present and in-service related to the cause of the error
c. Send the nurse to refresher course on medication administration
d. In struct nurse to write a paper on how to avoid this type of error. Ans-
b.
,⫸ The nurse is taking care of a patient just diagnosed with CHF. The
patient is an attorney and has brought his work with him to do at the
hospital. He is constantly on the phone discussing work and seems very
hurried. The nurse assesses this to be what type of stress?
a.Acute stress
b. Epidodic stress
c. Chronic stress
d. Normal stress. Ans- b.
⫸ Which of the following conditions puts a patient at risk for acute
respiratory distress syndrome?
(select all)
a. Drug reaction
b. Head injury
c. Pancreatitis
d. Sepsis
e. High altitudes. Ans- a.
b.
c.
d.
,⫸ The nurse is caring for a patient on a cardiac monitor and notes a
peaked T wave. What lab will the nurse expect to find?
a. hypercalcemia
b. hyperkalemia
c. hypokalemia
d.hypocalcemia. Ans- b.
⫸ The patient has just been diagnosed with an MI. The patient asks for
information about the disease and looks for any support groups. The
nurse assesses this to be what type of coping strategy?
a. problem focused
b. meaning focused
c. emotional focused
d. maladaptive focused. Ans- a.
⫸ The nurse is caring for a patient diagnosed with heart failure. The
nurse is preparing to administer digoxin to the patient. The patient
reports nausea, vomiting and a headache. The nurse notes a respiratory
rate of 19 breaths per min and HR of 58 BPM and blood pressure of
120/78. What will the nurse do?
, a. hold the dose of digoxin and notify the provider of possible toxicity
b. request an order for an anti-emetic and analgesic
c. reassure the patient that these are common sighs and self limiting
effects
d. administer the next dose as ordered since these are minor side effects.
Ans- a.
⫸ When planning the response to the potential use of smallpox as an
agent of terrorism, the emergency department (ED) nurse-manager will
plan to obtain sufficient quantities of
a. vaccine
b. antibiotics
c. blood
d. atropine. Ans- a.
⫸ What assessment finding would the nurse consider to be relative of
hypovolemia?
a. fluid moving into the intracellular space
b. elevated systolic blood pressure
c. elevated mean arterial pressure
d. fluid moving into the extravascular space. Ans- d.
