MEDSURGl Certificationl Examl VERSIONl
4l (NEWl 2025/l 2026l Update)l Questionsl &l
Answers|l Gradel A|l 100%l Correctl
(Verifiedl Solutions)
QUESTION
Whichl ofl thel postoperativel ordersl willl thel nursel clarifyl withl thel surgeonl beforel
dischargingl thel clientl whol justl hadl arthroscopicl surgeryl onl thel rightl knee?l
A.l Keepl rightl legl elevatedl onl al softl pillow
B.l Non-weight-bearingl byl rightl legl forl 48l hours
C.l Bathrooml privilegesl withl assistancel andl crutches
D.l Twol tabletsl ofl Hydrocodonel 10/325mgl everyl 2l hoursl forl pain
Answer:l
D.l
Maxl Tylenoll (3000mg)
QUESTION
Al homel carel nursel isl visitingl al diabeticl clientl withl al newl castl onl thel arm.l Onl
assessment,l thel nursel findsl thel client'sl fingersl tol bel pale,l cool,l andl slightlyl swollen.l
Whichl isl thel nurse'sl firstl intervention?l
a.l Elevatingl thel arml abovel thel levell ofl thel heart
b.l Encouragingl activel andl passivel rangel ofl motion
c.l Applyingl heatl tol thel affectedl hand
d.l Applyingl al bivalvel thel cast
Answer:l
a.l Elevatingl thel arml abovel thel levell ofl thel heart
Arml castsl canl impingel onl circulationl whenl thel arml isl inl thel dependentl position.l Thel
nursel shouldl elevatel thel arml abovel thel levell ofl thel heart,l ensuringl thatl thel handl isl
abovel thel elbow,l andl reassessl thel extremityl inl 15l minutes.l Ifl thel fingersl arel warmerl
andl lessl swollen,l thel castl isl notl tool tightl andl adjustmentsl dol notl needl tol bel made.l
Heatl wouldl causel morel edema.l Encouragingl rangel ofl motionl wouldl notl assistl thel
clientl asl muchl asl elevatingl thel arm.
,QUESTION
Whichl exercisel willl thel nursel recommendl tol al clientl atl riskl forl osteoporosis?l
a.l High-impactl aerobicsl 45l minutesl oncel weekly
b.l Walkingl 30l minutesl threel timesl weekly
c.l Joggingl 30l minutesl fourl timesl weekly
d.l Bowlingl forl 1l hourl twicel weekly
Answer:l
B.
Weight-bearing,l nonjaringl exercisesl havel beenl provenl tol reducel orl slowl bonel lossl
withoutl causingl vertebrall compression.l High-impactl aerobics,l jogging,l andl bowlingl arel
activitiesl thatl actuallyl couldl causel fracturesl inl al clientl withl osteoporosis.
QUESTION
Whichl statementl indicatesl thatl thel clientl understandsl teachingl aboutl alendronatel
(Fosamax)?l
a.l "Il shouldl takel thisl drugl withl al fulll glassl ofl water."
b.l "Il needl tol liel downl forl 30l minutesl afterl takingl it."
c.l "Thisl drugl shouldl bel takenl afterl al meal."
d.l "Thisl drugl needsl tol bel takenl atl thel samel timel withl calcium."
Answer:l
A.
Fosamaxl needsl tol bel takenl onl anl emptyl stomachl withl al fulll glassl ofl water.l Afterl
takingl thel drug,l thel clientl needsl tol stayl uprightl forl 30l minutes.l Fosamaxl shouldl bel
takenl onl anl emptyl stomachl forl bestl absorption.l Calciuml canl bel taken,l butl notl atl thel
samel timel asl thel Fosamax.
QUESTION
Whilel assessingl anl olderl adultl clientl admittedl 2l daysl agol withl al fracturedl hip,l thel
nursel notesl thatl thel clientl isl confused,l tachypneic,l andl restless.l Whichl isl thel nurse'sl
firstl action?l
a.l Administeringl oxygenl vial nasall cannula
b.l Applyingl restraints
c.l Slowingl thel IVl flowl rate
d.l Discontinuingl thel painl medication
Answer:l
A.
,Thel clientl isl atl highl riskl forl al fatl embolisml andl hasl somel ofl thel clinicall
manifestations.l Althoughl thisl isl al life-threateningl emergency,l thel nursel shouldl takel thel
timel tol administerl oxygenl firstl andl thenl notifyl thel healthl carel provider.l Oxygenl
administrationl canl reducel thel riskl forl cerebrall damagel froml hypoxia.l Thel nursel wouldl
notl restrainl al clientl whol isl confusedl withoutl furtherl assessmentl andl orders.l Painl
medicationl wouldl mostl likelyl notl causel thel clientl tol bel restless.
QUESTION
Thel nursel notesl thatl thel skinl aroundl thel client'sl skeletall tractionl pinl sitel isl swollen,l
red,l andl crusty,l withl driedl drainage.l Whichl isl thel nurse'sl priorityl intervention?l
a.l Decreasingl thel tractionl weight
b.l Applyingl al newl dressing
c.l Cleansingl thel area,l scrubbingl offl thel crustyl areas
d.l Culturingl thel drainage
Answer:l
D.
Thesel clinicall manifestationsl indicatel inflammationl andl possiblel infection.l Infectedl pinl
sitesl canl leadl tol osteomyelitisl andl shouldl bel treatedl immediately.l Thel nursel shouldl
obtainl al culturel andl assessl vitall signs.l Thel healthl carel providerl shouldl alsol bel notified.
QUESTION
Whichl gait-trainingl techniquel isl correctl whenl teachingl thel clientl whol hasl leftl legl
weaknessl tol walkl withl al cane?l
a.l Placingl thel canel inl thel client'sl leftl handl andl movingl thel canel forward,l followedl byl
movingl thel leftl legl onel stepl forward
b.l Placingl thel canel inl thel client'sl leftl handl andl movingl thel canel forward,l followedl byl
movingl thel rightl legl onel stepl forward
c.l Placingl thel canel inl thel client'sl rightl handl andl movingl thel canel forward,l followedl
byl movingl thel leftl legl onel stepl forward
d.l Placingl thel canel inl thel client'sl rightl handl andl movingl thel canel forward,l followedl
byl movingl thel rightl legl onel stepl forward
Answer:l
c.l Placingl thel canel inl thel client'sl rightl handl andl movingl thel canel forward,l followedl
byl movingl thel leftl legl onel stepl forward
Placingl thel canel inl thel client'sl leftl handl doesl notl providel sufficientl stability.l Afterl thel
canel inl thel rightl handl (strongerl side)l isl movedl ahead,l thel canel andl thel strongerl legl
providel al stablel basel forl movementl ofl thel weakerl leg.
, QUESTION
Thel patientl isl prescribedl al prickl epicutaneousl testl tol determinel thel causel ofl
hypersensitivityl reactions.l Whichl resultl indicatesl thel clientl isl hypersensitivel tol thel
allergen?l
A.l Thel patientl complainsl ofl shortnessl ofl breath
B.l Thel skinl isl dry,l intact,l andl withoutl redness
C.l Thel prickedl bloodl testsl positivel forl allergens
D.l Al pruriticl wheall andl erythemal occurs
Answer:l
D.
QUESTION
Thel nursel isl alertedl tol possiblel anaphylacticl shockl immediatelyl afterl al patientl hasl
receivedl intramuscularl penicillinl byl thel developmentl of:
A.l Edemal andl itchingl atl thel injectionl site
B.l Sneezingl andl itchingl ofl thel nosel andl eyes
C.l Al wheal-and-flarel reactionl atl thel injectionl site
D.l Chestl tightnessl andl productionl ofl thickl sputum
Answer:l
A.l Edemal andl itchingl atl thel injectionl site
Anaphylaxis:
Commonlyl startsl withl cutaneousl signsl -l urticaria,l flushing,l angioedema...l (somel childrenl
mayl developl respiratoryl manifestationsl beforel cutaneous)
Otherl commonl s/s:l rhinorrhea,l dyspnea,l wheezing,l N/V,l cardiovascularl shockl whenl
severe.
QUESTION
Whichl findingl distinguishesl rheumatoidl arthritisl froml osteoarthritisl andl goutyl arthritis?l
A.l Crepitusl withl rangel ofl motion
B.l Symmetryl ofl jointl involvement
C.l Elevatedl seruml uricl acidl levels
D.l Dominancel inl weight-bearingl joints
Answer:l
B.l Symmetryl ofl jointl involvement
RA:l mostlyl smalll jointsl ofl hands,l wrists,l andl feet.l Whilel painful,l notl alwaysl
red/swollen.l Tendsl tol bel symmetric
4l (NEWl 2025/l 2026l Update)l Questionsl &l
Answers|l Gradel A|l 100%l Correctl
(Verifiedl Solutions)
QUESTION
Whichl ofl thel postoperativel ordersl willl thel nursel clarifyl withl thel surgeonl beforel
dischargingl thel clientl whol justl hadl arthroscopicl surgeryl onl thel rightl knee?l
A.l Keepl rightl legl elevatedl onl al softl pillow
B.l Non-weight-bearingl byl rightl legl forl 48l hours
C.l Bathrooml privilegesl withl assistancel andl crutches
D.l Twol tabletsl ofl Hydrocodonel 10/325mgl everyl 2l hoursl forl pain
Answer:l
D.l
Maxl Tylenoll (3000mg)
QUESTION
Al homel carel nursel isl visitingl al diabeticl clientl withl al newl castl onl thel arm.l Onl
assessment,l thel nursel findsl thel client'sl fingersl tol bel pale,l cool,l andl slightlyl swollen.l
Whichl isl thel nurse'sl firstl intervention?l
a.l Elevatingl thel arml abovel thel levell ofl thel heart
b.l Encouragingl activel andl passivel rangel ofl motion
c.l Applyingl heatl tol thel affectedl hand
d.l Applyingl al bivalvel thel cast
Answer:l
a.l Elevatingl thel arml abovel thel levell ofl thel heart
Arml castsl canl impingel onl circulationl whenl thel arml isl inl thel dependentl position.l Thel
nursel shouldl elevatel thel arml abovel thel levell ofl thel heart,l ensuringl thatl thel handl isl
abovel thel elbow,l andl reassessl thel extremityl inl 15l minutes.l Ifl thel fingersl arel warmerl
andl lessl swollen,l thel castl isl notl tool tightl andl adjustmentsl dol notl needl tol bel made.l
Heatl wouldl causel morel edema.l Encouragingl rangel ofl motionl wouldl notl assistl thel
clientl asl muchl asl elevatingl thel arm.
,QUESTION
Whichl exercisel willl thel nursel recommendl tol al clientl atl riskl forl osteoporosis?l
a.l High-impactl aerobicsl 45l minutesl oncel weekly
b.l Walkingl 30l minutesl threel timesl weekly
c.l Joggingl 30l minutesl fourl timesl weekly
d.l Bowlingl forl 1l hourl twicel weekly
Answer:l
B.
Weight-bearing,l nonjaringl exercisesl havel beenl provenl tol reducel orl slowl bonel lossl
withoutl causingl vertebrall compression.l High-impactl aerobics,l jogging,l andl bowlingl arel
activitiesl thatl actuallyl couldl causel fracturesl inl al clientl withl osteoporosis.
QUESTION
Whichl statementl indicatesl thatl thel clientl understandsl teachingl aboutl alendronatel
(Fosamax)?l
a.l "Il shouldl takel thisl drugl withl al fulll glassl ofl water."
b.l "Il needl tol liel downl forl 30l minutesl afterl takingl it."
c.l "Thisl drugl shouldl bel takenl afterl al meal."
d.l "Thisl drugl needsl tol bel takenl atl thel samel timel withl calcium."
Answer:l
A.
Fosamaxl needsl tol bel takenl onl anl emptyl stomachl withl al fulll glassl ofl water.l Afterl
takingl thel drug,l thel clientl needsl tol stayl uprightl forl 30l minutes.l Fosamaxl shouldl bel
takenl onl anl emptyl stomachl forl bestl absorption.l Calciuml canl bel taken,l butl notl atl thel
samel timel asl thel Fosamax.
QUESTION
Whilel assessingl anl olderl adultl clientl admittedl 2l daysl agol withl al fracturedl hip,l thel
nursel notesl thatl thel clientl isl confused,l tachypneic,l andl restless.l Whichl isl thel nurse'sl
firstl action?l
a.l Administeringl oxygenl vial nasall cannula
b.l Applyingl restraints
c.l Slowingl thel IVl flowl rate
d.l Discontinuingl thel painl medication
Answer:l
A.
,Thel clientl isl atl highl riskl forl al fatl embolisml andl hasl somel ofl thel clinicall
manifestations.l Althoughl thisl isl al life-threateningl emergency,l thel nursel shouldl takel thel
timel tol administerl oxygenl firstl andl thenl notifyl thel healthl carel provider.l Oxygenl
administrationl canl reducel thel riskl forl cerebrall damagel froml hypoxia.l Thel nursel wouldl
notl restrainl al clientl whol isl confusedl withoutl furtherl assessmentl andl orders.l Painl
medicationl wouldl mostl likelyl notl causel thel clientl tol bel restless.
QUESTION
Thel nursel notesl thatl thel skinl aroundl thel client'sl skeletall tractionl pinl sitel isl swollen,l
red,l andl crusty,l withl driedl drainage.l Whichl isl thel nurse'sl priorityl intervention?l
a.l Decreasingl thel tractionl weight
b.l Applyingl al newl dressing
c.l Cleansingl thel area,l scrubbingl offl thel crustyl areas
d.l Culturingl thel drainage
Answer:l
D.
Thesel clinicall manifestationsl indicatel inflammationl andl possiblel infection.l Infectedl pinl
sitesl canl leadl tol osteomyelitisl andl shouldl bel treatedl immediately.l Thel nursel shouldl
obtainl al culturel andl assessl vitall signs.l Thel healthl carel providerl shouldl alsol bel notified.
QUESTION
Whichl gait-trainingl techniquel isl correctl whenl teachingl thel clientl whol hasl leftl legl
weaknessl tol walkl withl al cane?l
a.l Placingl thel canel inl thel client'sl leftl handl andl movingl thel canel forward,l followedl byl
movingl thel leftl legl onel stepl forward
b.l Placingl thel canel inl thel client'sl leftl handl andl movingl thel canel forward,l followedl byl
movingl thel rightl legl onel stepl forward
c.l Placingl thel canel inl thel client'sl rightl handl andl movingl thel canel forward,l followedl
byl movingl thel leftl legl onel stepl forward
d.l Placingl thel canel inl thel client'sl rightl handl andl movingl thel canel forward,l followedl
byl movingl thel rightl legl onel stepl forward
Answer:l
c.l Placingl thel canel inl thel client'sl rightl handl andl movingl thel canel forward,l followedl
byl movingl thel leftl legl onel stepl forward
Placingl thel canel inl thel client'sl leftl handl doesl notl providel sufficientl stability.l Afterl thel
canel inl thel rightl handl (strongerl side)l isl movedl ahead,l thel canel andl thel strongerl legl
providel al stablel basel forl movementl ofl thel weakerl leg.
, QUESTION
Thel patientl isl prescribedl al prickl epicutaneousl testl tol determinel thel causel ofl
hypersensitivityl reactions.l Whichl resultl indicatesl thel clientl isl hypersensitivel tol thel
allergen?l
A.l Thel patientl complainsl ofl shortnessl ofl breath
B.l Thel skinl isl dry,l intact,l andl withoutl redness
C.l Thel prickedl bloodl testsl positivel forl allergens
D.l Al pruriticl wheall andl erythemal occurs
Answer:l
D.
QUESTION
Thel nursel isl alertedl tol possiblel anaphylacticl shockl immediatelyl afterl al patientl hasl
receivedl intramuscularl penicillinl byl thel developmentl of:
A.l Edemal andl itchingl atl thel injectionl site
B.l Sneezingl andl itchingl ofl thel nosel andl eyes
C.l Al wheal-and-flarel reactionl atl thel injectionl site
D.l Chestl tightnessl andl productionl ofl thickl sputum
Answer:l
A.l Edemal andl itchingl atl thel injectionl site
Anaphylaxis:
Commonlyl startsl withl cutaneousl signsl -l urticaria,l flushing,l angioedema...l (somel childrenl
mayl developl respiratoryl manifestationsl beforel cutaneous)
Otherl commonl s/s:l rhinorrhea,l dyspnea,l wheezing,l N/V,l cardiovascularl shockl whenl
severe.
QUESTION
Whichl findingl distinguishesl rheumatoidl arthritisl froml osteoarthritisl andl goutyl arthritis?l
A.l Crepitusl withl rangel ofl motion
B.l Symmetryl ofl jointl involvement
C.l Elevatedl seruml uricl acidl levels
D.l Dominancel inl weight-bearingl joints
Answer:l
B.l Symmetryl ofl jointl involvement
RA:l mostlyl smalll jointsl ofl hands,l wrists,l andl feet.l Whilel painful,l notl alwaysl
red/swollen.l Tendsl tol bel symmetric
