Med-Surg Certification Practice
Questions With Verified Answers
A |newly |diabetic |patient |will |receive |instructions |from |his |nurse. |Which |of |the |following |actions |
should |the |nurse |take |first?
A. |Provide |the |patient |with |brochures |for |making |smart |choices |for |cooking/baking.
B. |Ask |the |patient |what |they |know |about |diabetes.
C. |Instruct |the |patient |on |exercise |or |activities |that |will |increase |their |metabolism.
D. |Teach |them |how |to |use |the |glucometer. |- |VERIFIED |ANSWERS |**✔B. |
First |ask |the |patient |what |they |know |about |diabetes.
*ACTION |questions |ask |for |intervention, |NOT |assessment
The |post |hysterectomy |patient |with |calls |the |clinic |stating |that |she |has |been |having |difficulty |with |
incontinence. |Which |of |the |following |statements |if |made |by |the |patient, |indicates |that |further |
teaching |is |needed?
A. |I |drink |8 |oz. |of |fluid |on |the |even |hours |while |awake.
B. |I |will |attempt |to |void |30 |minutes |after |drinking |200 |cc. |of |fluid
C. |I |will |only |drink |fluid |when |I |eat |my |meals
D. |I |will |set |the |timer |to |remind |me |when |to |void |- |VERIFIED |ANSWERS |**✔C. |
A |patient |saying |that |he |or |she |will |only |drink |fluids |when |eating |meals |indicates |that |they |don't |
know |what |to |do |in |case |of |incontinence.
FURTHER |TEACHING |indicates |that |the |patient |needs |more |information
,An |RN |assesses |a |patient |in |the |Cancer |Center |with |a |diagnosis |of |terminal |cancer. |The |patient |
states |to |the |RN |that |he |is |short |of |breath, |has |no |appetite |and |hurts |everywhere. |Which |of |the |
following |statements |by |the |nurse |is |best?
A. |Tell |me |how |your |family |is |coping
B. |Show |me |where |it |does |not |hurt
C. |I'll |teach |you |relaxation |techniques
D. |Your |physician |should |increase |your |pain |medication |- |VERIFIED |ANSWERS |**✔C
A |clinical |nurse |returns |to |the |desk |to |find |4 |phone |messages. |Which |of |the |following |messages |
should |the |nurse |respond |to |first?
A. |A |post |cervical |laminectomy |patient |complaining |of |sudden |difficulty |talking.
B. |A |patient |with |multiple |sclerosis |complaining |of |change |in |peripheral |vision.
C. |A |patient |with |a |herniated |disc |complaining |of |consistent |back |pain.
D. |A |patient |with |a |cast |due |to |a |fracture |of |the |right |tibial |bone |complaining |of |tingling |toes. |- |
VERIFIED |ANSWERS |**✔A
B |and |C |are |expected |symptoms |of |the |patient's |condition. |A |and |D |are |unexpected. |D |is |less |
critical |than |A. |Best |answer |is |A.
A |75 |year |old |patient |complains |to |the |clinical |nurse |that |he |is |having |difficulty |sleeping. |Which |of |
the |following |actions |by |the |nurse |is |most |appropriate?
A. |Determine |the |patient's |usual |sleeping |and |waking |patterns.
B. |Suggest |that |the |client |abstain |from |alcohol |and |caffeine |before |bed |time.
C. |Recommend |that |client |establish |a |bedtime |routine.
D. |Ask |how |much |sleep |the |client |required |before |retirement. |- |VERIFIED |ANSWERS |**✔A
B |and |C |are |recommendations |that |the |RN |can |share |after |he/she |determines |the |patient's |sleeping
|and |waking |patterns. |So |remove |B |and |C. |D |is |an |inquiry, |but |is |concerned |about |the |past |(when |
the |person |retired). |Remove |D. |A |is |the |best |answer.
,The |nurse |cares |for |a |patient |several |hours |after |a |thyroidectomy. |The |RN |observes |that |the |
patient |is |diaphoretic |and |confused. |The |vital |signs |are:
Temp |= |102° |(38.9 |° |C); |BP |is |160/90; |pulse |is |110, |respiration |is |22. |The |nurse |expects |the |
physician |to |order |which |of |the |following?
A. |NPO, |Dextran |10 |ml/kg. |IV, |02 |4 |L/min.
B. |Propranolol |(Inderal) |1 |mg. |IV, |D5W |125 |cc/hr |IV, |propylthiaouracil |(PTU) |200 |mg |po |qld.
C. |Levothyroxine |Sodium |(Synthroid) |100 |mcg |IV, |Lactated |Ringer's |125 |cc/hr |IV, |and |ciprofloxacin |
(cipro) |500 |mg. |po |bid.
D. |Morphine |sulfate |2.5 |mg. |IV |q. |4 |hrs. |prn, |0.9% |NACl. |- |VERIFIED |ANSWERS |**✔B
A |63 |year |old |female |patient |contacts |the |clinic |to |report |that |she |is |has |been |extremely |fatigued, |
is |sleeping |12 |hours |a |night, |is |always |cold |and |her |hair |is |falling |out. |Which |of |the |following |
responses |by |the |nurse |is |most |appropriate?
A. |You |will |have |more |energy |if |you |walk |30 |min |every |day.
B. |You |don't |need |to |worry. |Sleeping |a |lot |is |good |for |you.
C. |Come |in |and |see |your |health |care |provider |today.
D. |You |should |eat |more |green |leafy |vegetables. |- |VERIFIED |ANSWERS |**✔C
Need |more |info
The |RN |performs |blood |pressure |screening |at |the |local |community |center. |Which |of |the |following |
individuals |is |most |likely |to |suffer |from |a |cerebrovascular |accident?
A. |A |30 |year |old |man |who |is |an |account |executive
B. |A |40 |year |old |man |who |jogs |four |times |a |week.
C. |A |60 |year |old |man |whose |father |had |a |stroke.
D. |A |75 |year |old |man |who |takes |multi-vitamins. |- |VERIFIED |ANSWERS |**✔C
, For |the |patient |with |a |new |tracheostomy, |the |nurse |must |be |alert |to |which |early |complication?
a) |Decannulation
b) |Infection
c) |Bleeding
d) |Tracheomalacia |- |VERIFIED |ANSWERS |**✔C |
Common |acute |risks |of |tracheostomy |include |bleeding, |airway |loss, |damage |to |adjacent |structures, |
and |failure |of |the |chosen |technique |to |achieve |successful |airway
EVERYTHING |24 |HR |POST |SURGERY, |FIRST |COMPLICATION |IS |BLEEDING. |Infection |comes |2-3 |days |
later.
When |a |pulse |oximetry |monitor |indicates |that |a |patient |has |a |drop |in |SpO2 |from |96% |to |85% |over |
4 |hours, |the |nurse |will |first:
1. |Request |an |order |for |stat |ABGs
2. |Start |the |patient |on |oxygen |by |NC |at |2L/minute
3. |Notify |the |physician |of |the |change
4. |Check |the |position |of |the |probe |on |patient's |finger |or |earlobe |- |VERIFIED |ANSWERS |**✔4
Pulse |oximetry |is |inaccurate |if |the |probe |is |loose, |or |in |the |presence |of |poor |circulation, |nail |polish,
|or |dark |skin |pigmentation.
To |decrease |a |patient's |shortness |of |breath |and |a |sense |of |impending |doom |during |an |asthma |
attack, |the |nurse |will:
A. |Place |the |patient |on |a |cardiac |monitor |and |observe |from |the |nurses' |station.
B. |Let |the |patient |rest |alone |in |a |quiet, |calm |environment.
C. |Reassure |the |patient |that |the |doctor |will |arrive |soon
Questions With Verified Answers
A |newly |diabetic |patient |will |receive |instructions |from |his |nurse. |Which |of |the |following |actions |
should |the |nurse |take |first?
A. |Provide |the |patient |with |brochures |for |making |smart |choices |for |cooking/baking.
B. |Ask |the |patient |what |they |know |about |diabetes.
C. |Instruct |the |patient |on |exercise |or |activities |that |will |increase |their |metabolism.
D. |Teach |them |how |to |use |the |glucometer. |- |VERIFIED |ANSWERS |**✔B. |
First |ask |the |patient |what |they |know |about |diabetes.
*ACTION |questions |ask |for |intervention, |NOT |assessment
The |post |hysterectomy |patient |with |calls |the |clinic |stating |that |she |has |been |having |difficulty |with |
incontinence. |Which |of |the |following |statements |if |made |by |the |patient, |indicates |that |further |
teaching |is |needed?
A. |I |drink |8 |oz. |of |fluid |on |the |even |hours |while |awake.
B. |I |will |attempt |to |void |30 |minutes |after |drinking |200 |cc. |of |fluid
C. |I |will |only |drink |fluid |when |I |eat |my |meals
D. |I |will |set |the |timer |to |remind |me |when |to |void |- |VERIFIED |ANSWERS |**✔C. |
A |patient |saying |that |he |or |she |will |only |drink |fluids |when |eating |meals |indicates |that |they |don't |
know |what |to |do |in |case |of |incontinence.
FURTHER |TEACHING |indicates |that |the |patient |needs |more |information
,An |RN |assesses |a |patient |in |the |Cancer |Center |with |a |diagnosis |of |terminal |cancer. |The |patient |
states |to |the |RN |that |he |is |short |of |breath, |has |no |appetite |and |hurts |everywhere. |Which |of |the |
following |statements |by |the |nurse |is |best?
A. |Tell |me |how |your |family |is |coping
B. |Show |me |where |it |does |not |hurt
C. |I'll |teach |you |relaxation |techniques
D. |Your |physician |should |increase |your |pain |medication |- |VERIFIED |ANSWERS |**✔C
A |clinical |nurse |returns |to |the |desk |to |find |4 |phone |messages. |Which |of |the |following |messages |
should |the |nurse |respond |to |first?
A. |A |post |cervical |laminectomy |patient |complaining |of |sudden |difficulty |talking.
B. |A |patient |with |multiple |sclerosis |complaining |of |change |in |peripheral |vision.
C. |A |patient |with |a |herniated |disc |complaining |of |consistent |back |pain.
D. |A |patient |with |a |cast |due |to |a |fracture |of |the |right |tibial |bone |complaining |of |tingling |toes. |- |
VERIFIED |ANSWERS |**✔A
B |and |C |are |expected |symptoms |of |the |patient's |condition. |A |and |D |are |unexpected. |D |is |less |
critical |than |A. |Best |answer |is |A.
A |75 |year |old |patient |complains |to |the |clinical |nurse |that |he |is |having |difficulty |sleeping. |Which |of |
the |following |actions |by |the |nurse |is |most |appropriate?
A. |Determine |the |patient's |usual |sleeping |and |waking |patterns.
B. |Suggest |that |the |client |abstain |from |alcohol |and |caffeine |before |bed |time.
C. |Recommend |that |client |establish |a |bedtime |routine.
D. |Ask |how |much |sleep |the |client |required |before |retirement. |- |VERIFIED |ANSWERS |**✔A
B |and |C |are |recommendations |that |the |RN |can |share |after |he/she |determines |the |patient's |sleeping
|and |waking |patterns. |So |remove |B |and |C. |D |is |an |inquiry, |but |is |concerned |about |the |past |(when |
the |person |retired). |Remove |D. |A |is |the |best |answer.
,The |nurse |cares |for |a |patient |several |hours |after |a |thyroidectomy. |The |RN |observes |that |the |
patient |is |diaphoretic |and |confused. |The |vital |signs |are:
Temp |= |102° |(38.9 |° |C); |BP |is |160/90; |pulse |is |110, |respiration |is |22. |The |nurse |expects |the |
physician |to |order |which |of |the |following?
A. |NPO, |Dextran |10 |ml/kg. |IV, |02 |4 |L/min.
B. |Propranolol |(Inderal) |1 |mg. |IV, |D5W |125 |cc/hr |IV, |propylthiaouracil |(PTU) |200 |mg |po |qld.
C. |Levothyroxine |Sodium |(Synthroid) |100 |mcg |IV, |Lactated |Ringer's |125 |cc/hr |IV, |and |ciprofloxacin |
(cipro) |500 |mg. |po |bid.
D. |Morphine |sulfate |2.5 |mg. |IV |q. |4 |hrs. |prn, |0.9% |NACl. |- |VERIFIED |ANSWERS |**✔B
A |63 |year |old |female |patient |contacts |the |clinic |to |report |that |she |is |has |been |extremely |fatigued, |
is |sleeping |12 |hours |a |night, |is |always |cold |and |her |hair |is |falling |out. |Which |of |the |following |
responses |by |the |nurse |is |most |appropriate?
A. |You |will |have |more |energy |if |you |walk |30 |min |every |day.
B. |You |don't |need |to |worry. |Sleeping |a |lot |is |good |for |you.
C. |Come |in |and |see |your |health |care |provider |today.
D. |You |should |eat |more |green |leafy |vegetables. |- |VERIFIED |ANSWERS |**✔C
Need |more |info
The |RN |performs |blood |pressure |screening |at |the |local |community |center. |Which |of |the |following |
individuals |is |most |likely |to |suffer |from |a |cerebrovascular |accident?
A. |A |30 |year |old |man |who |is |an |account |executive
B. |A |40 |year |old |man |who |jogs |four |times |a |week.
C. |A |60 |year |old |man |whose |father |had |a |stroke.
D. |A |75 |year |old |man |who |takes |multi-vitamins. |- |VERIFIED |ANSWERS |**✔C
, For |the |patient |with |a |new |tracheostomy, |the |nurse |must |be |alert |to |which |early |complication?
a) |Decannulation
b) |Infection
c) |Bleeding
d) |Tracheomalacia |- |VERIFIED |ANSWERS |**✔C |
Common |acute |risks |of |tracheostomy |include |bleeding, |airway |loss, |damage |to |adjacent |structures, |
and |failure |of |the |chosen |technique |to |achieve |successful |airway
EVERYTHING |24 |HR |POST |SURGERY, |FIRST |COMPLICATION |IS |BLEEDING. |Infection |comes |2-3 |days |
later.
When |a |pulse |oximetry |monitor |indicates |that |a |patient |has |a |drop |in |SpO2 |from |96% |to |85% |over |
4 |hours, |the |nurse |will |first:
1. |Request |an |order |for |stat |ABGs
2. |Start |the |patient |on |oxygen |by |NC |at |2L/minute
3. |Notify |the |physician |of |the |change
4. |Check |the |position |of |the |probe |on |patient's |finger |or |earlobe |- |VERIFIED |ANSWERS |**✔4
Pulse |oximetry |is |inaccurate |if |the |probe |is |loose, |or |in |the |presence |of |poor |circulation, |nail |polish,
|or |dark |skin |pigmentation.
To |decrease |a |patient's |shortness |of |breath |and |a |sense |of |impending |doom |during |an |asthma |
attack, |the |nurse |will:
A. |Place |the |patient |on |a |cardiac |monitor |and |observe |from |the |nurses' |station.
B. |Let |the |patient |rest |alone |in |a |quiet, |calm |environment.
C. |Reassure |the |patient |that |the |doctor |will |arrive |soon
