NSG 123
Medical Surgical Nursing I
READINESS EXAM GUIDE
Q&S
©2024/2025
,1. Multiple Choice: Which of the following is a primary
concern when caring for a patient with a tracheostomy?
A) Airway obstruction
B) Nutritional deficiency
C) Mobility issues
D) Skin integrity
Correct Answer: A) Airway obstruction
Rationale: Ensuring a patent airway is crucial for a patient
with a tracheostomy to maintain adequate ventilation and
oxygenation.
2. Fill-in-the-Blank: The most common cause of _________
in hospitalized patients is immobility, which can lead to
complications such as thrombosis and pneumonia.
Correct Answer: atelectasis
Rationale: Atelectasis refers to the collapse of lung tissue,
and immobility can prevent the normal expansion and
contraction of the lungs, leading to this condition.
3. True/False: Hyperkalemia can lead to cardiac arrest if not
treated promptly.
Correct Answer: True
Rationale: Elevated potassium levels can disrupt cardiac
conduction, leading to life-threatening arrhythmias and
cardiac arrest.
4. Multiple Response: Select all that apply. Which of the
following interventions are appropriate for a patient with
congestive heart failure?
A) Fluid restriction
B) High-sodium diet
©2024/2025
, C) Regular weight monitoring
D) Prescribed diuretics
Correct Answers: A) Fluid restriction, C) Regular weight
monitoring, D) Prescribed diuretics
Rationale: Managing fluid balance is essential in
congestive heart failure; therefore, fluid restriction, weight
monitoring, and diuretics are appropriate interventions.
5. Multiple Choice: A patient with a history of pulmonary
embolism is most at risk for which complication?
A) Asthma
B) Pneumothorax
C) Chronic obstructive pulmonary disease (COPD)
D) Recurrent thromboembolism
Correct Answer: D) Recurrent thromboembolism
Rationale: Patients with a history of pulmonary embolism
are at increased risk for recurrent events, especially if the
underlying cause is not addressed.
6. Fill-in-the-Blank: The administration of _________ is the
first-line treatment for a patient experiencing an acute
ischemic stroke.
Correct Answer: tissue plasminogen activator (tPA)
Rationale: tPA is a thrombolytic agent that can dissolve
the clot causing the stroke, restoring blood flow to the
affected area of the brain.
7. True/False: A patient with type 1 diabetes mellitus
requires lifelong insulin therapy.
Correct Answer: True
Rationale: Type 1 diabetes results from the autoimmune
destruction of pancreatic beta cells, necessitating lifelong
insulin replacement.
©2024/2025
Medical Surgical Nursing I
READINESS EXAM GUIDE
Q&S
©2024/2025
,1. Multiple Choice: Which of the following is a primary
concern when caring for a patient with a tracheostomy?
A) Airway obstruction
B) Nutritional deficiency
C) Mobility issues
D) Skin integrity
Correct Answer: A) Airway obstruction
Rationale: Ensuring a patent airway is crucial for a patient
with a tracheostomy to maintain adequate ventilation and
oxygenation.
2. Fill-in-the-Blank: The most common cause of _________
in hospitalized patients is immobility, which can lead to
complications such as thrombosis and pneumonia.
Correct Answer: atelectasis
Rationale: Atelectasis refers to the collapse of lung tissue,
and immobility can prevent the normal expansion and
contraction of the lungs, leading to this condition.
3. True/False: Hyperkalemia can lead to cardiac arrest if not
treated promptly.
Correct Answer: True
Rationale: Elevated potassium levels can disrupt cardiac
conduction, leading to life-threatening arrhythmias and
cardiac arrest.
4. Multiple Response: Select all that apply. Which of the
following interventions are appropriate for a patient with
congestive heart failure?
A) Fluid restriction
B) High-sodium diet
©2024/2025
, C) Regular weight monitoring
D) Prescribed diuretics
Correct Answers: A) Fluid restriction, C) Regular weight
monitoring, D) Prescribed diuretics
Rationale: Managing fluid balance is essential in
congestive heart failure; therefore, fluid restriction, weight
monitoring, and diuretics are appropriate interventions.
5. Multiple Choice: A patient with a history of pulmonary
embolism is most at risk for which complication?
A) Asthma
B) Pneumothorax
C) Chronic obstructive pulmonary disease (COPD)
D) Recurrent thromboembolism
Correct Answer: D) Recurrent thromboembolism
Rationale: Patients with a history of pulmonary embolism
are at increased risk for recurrent events, especially if the
underlying cause is not addressed.
6. Fill-in-the-Blank: The administration of _________ is the
first-line treatment for a patient experiencing an acute
ischemic stroke.
Correct Answer: tissue plasminogen activator (tPA)
Rationale: tPA is a thrombolytic agent that can dissolve
the clot causing the stroke, restoring blood flow to the
affected area of the brain.
7. True/False: A patient with type 1 diabetes mellitus
requires lifelong insulin therapy.
Correct Answer: True
Rationale: Type 1 diabetes results from the autoimmune
destruction of pancreatic beta cells, necessitating lifelong
insulin replacement.
©2024/2025
