INTRODUCTORY MEDICAL
SURGICAL NURSING 12TH
EDITION
Question 1: Fluid and Electrolyte Balance
Which of the following is a common sign of dehydration in a patient? A) Weight gain
B) Moist mucous membranes
C) Dark, concentrated urine
D) Decreased heart rate
Answer: C) Dark, concentrated urine
,Question 2: Cardiovascular System
Which of the following is the primary risk factor for the development of coronary
artery disease (CAD)? A) Age
B) Hyperlipidemia
C) Physical inactivity
D) Family history
Answer: B) Hyperlipidemia
Question 3: Respiratory System
A patient presents with shortness of breath, crackles in the lungs, and jugular vein
distension. The nurse suspects which condition? A) Asthma
B) Pulmonary embolism
C) Congestive heart failure
D) Chronic obstructive pulmonary disease
Answer: C) Congestive heart failure
Question 4: Neurological System
Which of the following symptoms is most indicative of a stroke? A) Sudden severe
headache with nausea
B) Sudden weakness or numbness on one side of the body
C) Severe dizziness after standing up
D) Pain in the lower back and legs
Answer: B) Sudden weakness or numbness on one side of the body
Question 5: Infection Control
Which of the following is the best practice for preventing hospital-acquired
infections (HAIs)? A) Administering antibiotics to all patients
B) Proper hand hygiene before and after patient contact
C) Using gloves for all patient interactions
,D) Ensuring that all patients are isolated
Answer: B) Proper hand hygiene before and after patient contact
Question 6: Gastrointestinal System
A nurse is caring for a patient who has been vomiting for 24 hours. The nurse should
be most concerned about which of the following? A) Dehydration
B) Weight loss
C) Increased appetite
D) Fecal impaction
Answer: A) Dehydration
Question 7: Renal System
A patient with chronic kidney disease (CKD) is scheduled for hemodialysis. Which of
the following is the most important intervention for the nurse to implement prior to
dialysis? A) Administer a potassium-sparing diuretic
B) Assess for signs of infection at the dialysis site
C) Check the patient's blood pressure and weight
D) Ensure the patient has eaten a full meal
Answer: C) Check the patient's blood pressure and weight
Question 8: Pain Management
Which of the following medications is most commonly used for managing moderate
to severe pain in post-surgical patients? A) Ibuprofen
B) Acetaminophen
C) Morphine
D) Codeine
Answer: C) Morphine
, Question 9: Endocrine System
A patient is diagnosed with hyperthyroidism. Which of the following symptoms is
most characteristic of this condition? A) Weight gain and fatigue
B) Cold intolerance and bradycardia
C) Increased appetite and heat intolerance
D) Dry skin and brittle hair
Answer: C) Increased appetite and heat intolerance
Question 10: Musculoskeletal System
A 65-year-old patient is diagnosed with osteoarthritis. Which of the following
interventions is most appropriate for managing the pain associated with this
condition? A) Use of nonsteroidal anti-inflammatory drugs (NSAIDs)
B) Bed rest and immobilization of the affected joints
C) Prolonged use of heat therapy
D) Administration of corticosteroids orally
Answer: A) Use of nonsteroidal anti-inflammatory drugs (NSAIDs)
Question 11: Gastrointestinal System
A patient with a history of cirrhosis develops ascites. Which of the following
interventions would be a priority for the nurse? A) Administering a high-sodium diet
B) Monitoring for signs of hypovolemia
C) Encouraging fluid intake to prevent dehydration
D) Preparing for paracentesis if needed
Answer: D) Preparing for paracentesis if needed
Question 12: Integumentary System
Which of the following is a key nursing intervention when caring for a patient with a
pressure ulcer? A) Applying a dry dressing to the ulcer
B) Keeping the patient in one position to promote healing
SURGICAL NURSING 12TH
EDITION
Question 1: Fluid and Electrolyte Balance
Which of the following is a common sign of dehydration in a patient? A) Weight gain
B) Moist mucous membranes
C) Dark, concentrated urine
D) Decreased heart rate
Answer: C) Dark, concentrated urine
,Question 2: Cardiovascular System
Which of the following is the primary risk factor for the development of coronary
artery disease (CAD)? A) Age
B) Hyperlipidemia
C) Physical inactivity
D) Family history
Answer: B) Hyperlipidemia
Question 3: Respiratory System
A patient presents with shortness of breath, crackles in the lungs, and jugular vein
distension. The nurse suspects which condition? A) Asthma
B) Pulmonary embolism
C) Congestive heart failure
D) Chronic obstructive pulmonary disease
Answer: C) Congestive heart failure
Question 4: Neurological System
Which of the following symptoms is most indicative of a stroke? A) Sudden severe
headache with nausea
B) Sudden weakness or numbness on one side of the body
C) Severe dizziness after standing up
D) Pain in the lower back and legs
Answer: B) Sudden weakness or numbness on one side of the body
Question 5: Infection Control
Which of the following is the best practice for preventing hospital-acquired
infections (HAIs)? A) Administering antibiotics to all patients
B) Proper hand hygiene before and after patient contact
C) Using gloves for all patient interactions
,D) Ensuring that all patients are isolated
Answer: B) Proper hand hygiene before and after patient contact
Question 6: Gastrointestinal System
A nurse is caring for a patient who has been vomiting for 24 hours. The nurse should
be most concerned about which of the following? A) Dehydration
B) Weight loss
C) Increased appetite
D) Fecal impaction
Answer: A) Dehydration
Question 7: Renal System
A patient with chronic kidney disease (CKD) is scheduled for hemodialysis. Which of
the following is the most important intervention for the nurse to implement prior to
dialysis? A) Administer a potassium-sparing diuretic
B) Assess for signs of infection at the dialysis site
C) Check the patient's blood pressure and weight
D) Ensure the patient has eaten a full meal
Answer: C) Check the patient's blood pressure and weight
Question 8: Pain Management
Which of the following medications is most commonly used for managing moderate
to severe pain in post-surgical patients? A) Ibuprofen
B) Acetaminophen
C) Morphine
D) Codeine
Answer: C) Morphine
, Question 9: Endocrine System
A patient is diagnosed with hyperthyroidism. Which of the following symptoms is
most characteristic of this condition? A) Weight gain and fatigue
B) Cold intolerance and bradycardia
C) Increased appetite and heat intolerance
D) Dry skin and brittle hair
Answer: C) Increased appetite and heat intolerance
Question 10: Musculoskeletal System
A 65-year-old patient is diagnosed with osteoarthritis. Which of the following
interventions is most appropriate for managing the pain associated with this
condition? A) Use of nonsteroidal anti-inflammatory drugs (NSAIDs)
B) Bed rest and immobilization of the affected joints
C) Prolonged use of heat therapy
D) Administration of corticosteroids orally
Answer: A) Use of nonsteroidal anti-inflammatory drugs (NSAIDs)
Question 11: Gastrointestinal System
A patient with a history of cirrhosis develops ascites. Which of the following
interventions would be a priority for the nurse? A) Administering a high-sodium diet
B) Monitoring for signs of hypovolemia
C) Encouraging fluid intake to prevent dehydration
D) Preparing for paracentesis if needed
Answer: D) Preparing for paracentesis if needed
Question 12: Integumentary System
Which of the following is a key nursing intervention when caring for a patient with a
pressure ulcer? A) Applying a dry dressing to the ulcer
B) Keeping the patient in one position to promote healing
