Medical-Surgical Nursing Exam 1 Questions and Answers 2026 | Med-
Surg Exam Prep & Study Guide
Thexnursexisxcaringxforxaxclientxwhoxhasxasxaxsonxwithxaxstreptococcusxthroatxinfection.xWhichxnursexrec
ommendationxwouldxbexbestxtoxadvisexthexclientxtoxdoxinxorderxtoxpreventxacquiringxthexinfection?x-
xcorrectxanswerx ✅Frequentlyxwashxherxhandsxandxsurfacesxofxthexhome.
ThexnursexisxcaringxforxaxclientxinfectedxwithxRockyxMountainxspottedxfever.xThexnursexshouldxaskxifxthe
xclientxhasxexperiencedxwhichxofxthexfollowing?x-xcorrectxanswerx ✅Wasxbittenxbyxaxtick
Thexnursexisxcaringxforxaxclientxwithxaxprotozoaxinfection.xWhichxisxthexmostxlikelyxmodexofxtransmissio
n?x-xcorrectxanswerx ✅Ingestionxofxcontaminatedxfoodxorxwater
Thexnursexisxcaringxforxaxclientxwhoxisxrecoveringxfromxanxallergicxreaction.xWhichxleukocytexlevelxwoul
dxthexnursexexpectxtoxbexthexmostxelevated?x-xcorrectxanswerx ✅Eosinophils
Thexnursexisxcaringxforxaxclientxwhoxhasxanxinfectedxwoundxonxthexgreatxtoexthatxisxredxwithxaxpurulent
xexudate.xThexnursexexpectsxthatxthisxclientxhasxwhichxtypexofxinfection?x-
xcorrectxanswerx ✅Localized
Thexclientxexperiencedxaxfall.xNursingxassessmentxrevealsxthatxthexclientxisxexperiencingxtachycardia,xhy
potension,xconfusion,xtachypnea,xandxflatxjugularxveins.xWhatxshouldxbexthexnurse'sxfirstxresponse?x-
xcorrectxanswerx ✅Administerxoxygen.
Thexfamilyxwantsxtoxknowxwhyxthexnursexisxputtingxaxurinaryxcatheterxinxaxclientxexperiencingxshock.xW
hatxisxthexnurse'sxbestxresponse?x-
xcorrectxanswerx ✅"Itxwillxhelpxmonitorxhowxmuchxurinexthexkidneysxarexablextoxproduce."
Axclientxexperiencingxshockxhasxhadxaxurinaryxoutputxofx250xmLxinxthexlastx10xhours.xWhatxisxthexnurse'
sxmostxappropriatexresponse?x-xcorrectxanswerx ✅Notifyxthexphysician.
Whichxclientxisxmostxlikelyxtoxbexexperiencingxhypovolemicxshock?x-
xcorrectxanswerx ✅Axclientxwhoxhadxsurgeryx24xhoursxagoxandxwhoxalsoxhasxaxnasogastricxtube
,Thexphysicianxhasxorderedxarterialxbloodxgasesxforxaxclientxexperiencingxshock.xThexnursexknowsxthatxw
hichxvaluexindicatesxshock?x-xcorrectxanswerx ✅pHx7.32
Ax63-year-oldxArabxAmericanxmalexstatesxhisxleftxlegxisx"hot."xWhatxisxthexnurse'sxbestxfirstxresponse?x-
xcorrectxanswerx ✅Assessxforxpain
Thexclientxisxcomplainingxofxexcruciatingxpainxinxaxfootxthatxhasxbeenxamputated.xThexfamilyxtellsxthexn
ursexthatxthexclientxisxjustxaddictedxtoxpainxmedications.xWhatxisxthexnurse'sxbestxresponse?x-
xcorrectxanswerx ✅"Hexisxexperiencingxphantomxlimbxpain."
Axclientxhasxhadxabdominalxsurgeryxandxhasxordersxtoxbexambulatedxthreextimesxaxday.xOralxpainxmedic
ationxhasxbeenxorderedxforxthexclient.xWhatxshouldxthexnursexdoxtoxfacilitatexambulation?x-
xcorrectxanswerx ✅Mediatex1xhourxpriorxtoxambulatingxthexclient.
Thexclientxreportsxfrequentxusexofxacetaminophen.xHowxshouldxthexnursexbestxrespond?x-
xcorrectxanswerx ✅"Doxyouxdrinkxalcohol?"
Axclientxwithxchronicxpainxhasxbeenxadmittedxwithxaxfever.xThexnursingxassessmentxrevealsxthatxthexclie
ntxhasxaxdecreasedxlevelxofxconsciousness.xWhatxshouldxthexnursexaskxthexfamilyxabout?x-
xcorrectxanswerx ✅Whatxmedicationsxthexclientxhasxtaken
Thexpracticalxnursexisxreviewingxthexsocialxhistoryxfromxaxclientxdiagnosedxwithxsmallxcellxcarcinomaxofx
thexlung.xWhichxinformationxisxsignificantxforxthisxdisease?x-
xcorrectxanswerx ✅Thexclientxhasxsmokedxtwox(2)xpacksxofxcigarettesxaxdayxforx20xyears
Thexpracticalxnursexandxanxunlicensedxassistivexpersonnelx(UAP)xarexcaringxforxaxgroupxofxclientsxonxax
medicalxunit.xWhichxinformationxprovidedxbyxthexUAPxwarrantsximmediatexinterventionxbyxthexpractica
lxnurse?x-
xcorrectxanswerx ✅ThexclientxreceivingxProcritx(epoetinxalfa)xhasxaxTx99.2˚F,xPx68,xRx24,xandxBPxofx1
98/102
Thexclientxdiagnosedxwithxlungxcancerxhasxbeenxtoldxthexcancerxhasxmetastasizedxtoxthexbrain.xWhichxi
nterventionxshouldxthexpracticalxnursexexpectxtoximplement?x-
xcorrectxanswerx ✅Discussximplementingxanxadvancexdirective
, Thexclientxdiagnosedxwithxlungxcancerxisxbeingxdischarged.xWhichxstatementxmadexbyxthexclientxindicat
esxaxreiterationxofxinformationxisxrequired?x-
xcorrectxanswerx ✅"Itxdoesn'txmatterxifxIxsmokexnow.xIxalreadyxhavexcancer."
Thexpracticalxnursexisxinterviewingxclientsxatxthexclinic.xWhichxinformationxprovidedxbyxaxclientxwarrant
sxfurtherxinvestigation?x-xcorrectxanswerx ✅Thexclientxhasxbeenxcoughingxupxbloodxinxthexmornings
Thexmalexclientxhadxabdominalxsurgeryxandxthexpracticalxnursexsuspectsxthexclientxhasxperitonitis.xWhic
hxinformationxsupportxthexdiagnosisxofxperitonitis?x-
xcorrectxanswerx ✅Hard,xrigidxabdomenxandxwhitexbloodxcellxcountx22,000/mm3
Thexclientxwhoxhadxabdominalxsurgeryxtellsxthexpracticalxnurse,x"Ixfeltxsomethingxgivexwayxinxmyxstoma
ch."xWhichxinterventionxshouldxthexpracticalxnurseximplementxfirst?x-
xcorrectxanswerx ✅Inspectxthexabdominalxwoundxincision
Thexclientxisxonex(1)xdayxpostoperativexmajorxabdominalxsurgery.xWhichxclientxproblemxisxaxpriority?x-
xcorrectxanswerx ✅Fluidxandxelectrolyteximbalance
Thexclientxhasxanxevisceratedxabdominalxwound.xWhichxinterventionxshouldxthexpracticalxnurseximplem
ent?x-xcorrectxanswerx ✅Applyxsterilexnormalxsalinexdressing
Thexclientxisxdiagnosedxwithxperitonitis.xWhichxinformationxindicatesxtoxthexpracticalxnursexthexclient'sx
conditionxisximproving?x-
xcorrectxanswerx ✅Thexclientxhasxaxdecreasexinxtemperaturexandxaxsoftxabdomen
Axpatientxisxbeingxreleasedxfromxthexhospitalxwithxaxprescriptionxforxtetracycline.xWhatxshouldxthexnurs
exincludexinxpatientxteaching?x
Selectxallxthatxapply.x-xcorrectxanswerx ✅Advisexlimitingxexposurextoxthexsun.
Informxpatientxofxthexpossibilityxofxgastrointestinalxupset.
Surg Exam Prep & Study Guide
Thexnursexisxcaringxforxaxclientxwhoxhasxasxaxsonxwithxaxstreptococcusxthroatxinfection.xWhichxnursexrec
ommendationxwouldxbexbestxtoxadvisexthexclientxtoxdoxinxorderxtoxpreventxacquiringxthexinfection?x-
xcorrectxanswerx ✅Frequentlyxwashxherxhandsxandxsurfacesxofxthexhome.
ThexnursexisxcaringxforxaxclientxinfectedxwithxRockyxMountainxspottedxfever.xThexnursexshouldxaskxifxthe
xclientxhasxexperiencedxwhichxofxthexfollowing?x-xcorrectxanswerx ✅Wasxbittenxbyxaxtick
Thexnursexisxcaringxforxaxclientxwithxaxprotozoaxinfection.xWhichxisxthexmostxlikelyxmodexofxtransmissio
n?x-xcorrectxanswerx ✅Ingestionxofxcontaminatedxfoodxorxwater
Thexnursexisxcaringxforxaxclientxwhoxisxrecoveringxfromxanxallergicxreaction.xWhichxleukocytexlevelxwoul
dxthexnursexexpectxtoxbexthexmostxelevated?x-xcorrectxanswerx ✅Eosinophils
Thexnursexisxcaringxforxaxclientxwhoxhasxanxinfectedxwoundxonxthexgreatxtoexthatxisxredxwithxaxpurulent
xexudate.xThexnursexexpectsxthatxthisxclientxhasxwhichxtypexofxinfection?x-
xcorrectxanswerx ✅Localized
Thexclientxexperiencedxaxfall.xNursingxassessmentxrevealsxthatxthexclientxisxexperiencingxtachycardia,xhy
potension,xconfusion,xtachypnea,xandxflatxjugularxveins.xWhatxshouldxbexthexnurse'sxfirstxresponse?x-
xcorrectxanswerx ✅Administerxoxygen.
Thexfamilyxwantsxtoxknowxwhyxthexnursexisxputtingxaxurinaryxcatheterxinxaxclientxexperiencingxshock.xW
hatxisxthexnurse'sxbestxresponse?x-
xcorrectxanswerx ✅"Itxwillxhelpxmonitorxhowxmuchxurinexthexkidneysxarexablextoxproduce."
Axclientxexperiencingxshockxhasxhadxaxurinaryxoutputxofx250xmLxinxthexlastx10xhours.xWhatxisxthexnurse'
sxmostxappropriatexresponse?x-xcorrectxanswerx ✅Notifyxthexphysician.
Whichxclientxisxmostxlikelyxtoxbexexperiencingxhypovolemicxshock?x-
xcorrectxanswerx ✅Axclientxwhoxhadxsurgeryx24xhoursxagoxandxwhoxalsoxhasxaxnasogastricxtube
,Thexphysicianxhasxorderedxarterialxbloodxgasesxforxaxclientxexperiencingxshock.xThexnursexknowsxthatxw
hichxvaluexindicatesxshock?x-xcorrectxanswerx ✅pHx7.32
Ax63-year-oldxArabxAmericanxmalexstatesxhisxleftxlegxisx"hot."xWhatxisxthexnurse'sxbestxfirstxresponse?x-
xcorrectxanswerx ✅Assessxforxpain
Thexclientxisxcomplainingxofxexcruciatingxpainxinxaxfootxthatxhasxbeenxamputated.xThexfamilyxtellsxthexn
ursexthatxthexclientxisxjustxaddictedxtoxpainxmedications.xWhatxisxthexnurse'sxbestxresponse?x-
xcorrectxanswerx ✅"Hexisxexperiencingxphantomxlimbxpain."
Axclientxhasxhadxabdominalxsurgeryxandxhasxordersxtoxbexambulatedxthreextimesxaxday.xOralxpainxmedic
ationxhasxbeenxorderedxforxthexclient.xWhatxshouldxthexnursexdoxtoxfacilitatexambulation?x-
xcorrectxanswerx ✅Mediatex1xhourxpriorxtoxambulatingxthexclient.
Thexclientxreportsxfrequentxusexofxacetaminophen.xHowxshouldxthexnursexbestxrespond?x-
xcorrectxanswerx ✅"Doxyouxdrinkxalcohol?"
Axclientxwithxchronicxpainxhasxbeenxadmittedxwithxaxfever.xThexnursingxassessmentxrevealsxthatxthexclie
ntxhasxaxdecreasedxlevelxofxconsciousness.xWhatxshouldxthexnursexaskxthexfamilyxabout?x-
xcorrectxanswerx ✅Whatxmedicationsxthexclientxhasxtaken
Thexpracticalxnursexisxreviewingxthexsocialxhistoryxfromxaxclientxdiagnosedxwithxsmallxcellxcarcinomaxofx
thexlung.xWhichxinformationxisxsignificantxforxthisxdisease?x-
xcorrectxanswerx ✅Thexclientxhasxsmokedxtwox(2)xpacksxofxcigarettesxaxdayxforx20xyears
Thexpracticalxnursexandxanxunlicensedxassistivexpersonnelx(UAP)xarexcaringxforxaxgroupxofxclientsxonxax
medicalxunit.xWhichxinformationxprovidedxbyxthexUAPxwarrantsximmediatexinterventionxbyxthexpractica
lxnurse?x-
xcorrectxanswerx ✅ThexclientxreceivingxProcritx(epoetinxalfa)xhasxaxTx99.2˚F,xPx68,xRx24,xandxBPxofx1
98/102
Thexclientxdiagnosedxwithxlungxcancerxhasxbeenxtoldxthexcancerxhasxmetastasizedxtoxthexbrain.xWhichxi
nterventionxshouldxthexpracticalxnursexexpectxtoximplement?x-
xcorrectxanswerx ✅Discussximplementingxanxadvancexdirective
, Thexclientxdiagnosedxwithxlungxcancerxisxbeingxdischarged.xWhichxstatementxmadexbyxthexclientxindicat
esxaxreiterationxofxinformationxisxrequired?x-
xcorrectxanswerx ✅"Itxdoesn'txmatterxifxIxsmokexnow.xIxalreadyxhavexcancer."
Thexpracticalxnursexisxinterviewingxclientsxatxthexclinic.xWhichxinformationxprovidedxbyxaxclientxwarrant
sxfurtherxinvestigation?x-xcorrectxanswerx ✅Thexclientxhasxbeenxcoughingxupxbloodxinxthexmornings
Thexmalexclientxhadxabdominalxsurgeryxandxthexpracticalxnursexsuspectsxthexclientxhasxperitonitis.xWhic
hxinformationxsupportxthexdiagnosisxofxperitonitis?x-
xcorrectxanswerx ✅Hard,xrigidxabdomenxandxwhitexbloodxcellxcountx22,000/mm3
Thexclientxwhoxhadxabdominalxsurgeryxtellsxthexpracticalxnurse,x"Ixfeltxsomethingxgivexwayxinxmyxstoma
ch."xWhichxinterventionxshouldxthexpracticalxnurseximplementxfirst?x-
xcorrectxanswerx ✅Inspectxthexabdominalxwoundxincision
Thexclientxisxonex(1)xdayxpostoperativexmajorxabdominalxsurgery.xWhichxclientxproblemxisxaxpriority?x-
xcorrectxanswerx ✅Fluidxandxelectrolyteximbalance
Thexclientxhasxanxevisceratedxabdominalxwound.xWhichxinterventionxshouldxthexpracticalxnurseximplem
ent?x-xcorrectxanswerx ✅Applyxsterilexnormalxsalinexdressing
Thexclientxisxdiagnosedxwithxperitonitis.xWhichxinformationxindicatesxtoxthexpracticalxnursexthexclient'sx
conditionxisximproving?x-
xcorrectxanswerx ✅Thexclientxhasxaxdecreasexinxtemperaturexandxaxsoftxabdomen
Axpatientxisxbeingxreleasedxfromxthexhospitalxwithxaxprescriptionxforxtetracycline.xWhatxshouldxthexnurs
exincludexinxpatientxteaching?x
Selectxallxthatxapply.x-xcorrectxanswerx ✅Advisexlimitingxexposurextoxthexsun.
Informxpatientxofxthexpossibilityxofxgastrointestinalxupset.
