MEDICAL-SURGICAL NURSING EXAM 1
2025 WITH CORRECT ANSWERS
The nurse is caring for a client who has as a son with a streptococcus throat infection. Which nurse
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recommendation would be best to advise the client to do in order to prevent acquiring the infection? - correct
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answer Frequently wash her hands and surfaces of the home.
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The nurse is caring for a client infected with Rocky Mountain spotted fever. The nurse should ask if the client
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has experienced which of the following? - correct answer Was bitten by a tick
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The nurse is caring for a client with a protozoa infection. Which is the most likely mode of transmission? -
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correct answer Ingestion of contaminated food or water
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The nurse is caring for a client who is recovering from an allergic reaction. Which leukocyte level would the
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nurse expect to be the most elevated? - correct answer Eosinophils
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The nurse is caring for a client who has an infected wound on the great toe that is red with a purulent exudate.
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The nurse expects that this client has which type of infection? - correct answer Localized
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The client experienced a fall. Nursing assessment reveals that the client is experiencing tachycardia,
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hypotension, confusion, tachypnea, and flat jugular veins. What should be the nurse's first response? -
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correct answer Administer oxygen.
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,The family wants to know why the nurse is putting a urinary catheter in a client experiencing shock. What is the
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nurse's best response? - correct answer "It will help monitor how much urine the kidneys are able to
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produce."
A client experiencing shock has had a urinary output of 250 mL in the last 10 hours. What is the nurse's most
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appropriate response? - correct answer Notify the physician. e e e e e e e
Which client is most likely to be experiencing hypovolemic shock? - correct answer A client who had surgery
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24 hours ago and who also has a nasogastric tube
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The physician has ordered arterial blood gases for a client experiencing shock. The nurse knows that which
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value indicates shock? - correct answer pH 7.32
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A 63-year-old Arab American male states his left leg is "hot." What is the nurse's best first response? - correct
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answer Assess for pain e e e
The client is complaining of excruciating pain in a foot that has been amputated. The family tells the nurse that
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the client is just addicted to pain medications. What is the nurse's best response? - correct answer "He is
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experiencing phantom limb pain." e e e
A client has had abdominal surgery and has orders to be ambulated three times a day. Oral pain medication
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has been ordered for the client. What should the nurse do to facilitate ambulation? - correct answer Mediate
e e e e e e e e e e e e e e e e e e
1 hour prior to ambulating the client.
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The client reports frequent use of acetaminophen. How should the nurse best respond? - correct answer "Do
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you drink alcohol?"
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A client with chronic pain has been admitted with a fever. The nursing assessment reveals that the client has a
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decreased level of consciousness. What should the nurse ask the family about? - correct answer What
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medications the client has taken e e e e
The practical nurse is reviewing the social history from a client diagnosed with small cell carcinoma of the lung.
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Which information is significant for this disease? - correct answer The client has smoked two (2) packs of
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cigarettes a day for 20 years e e e e e
, The practical nurse and an unlicensed assistive personnel (UAP) are caring for a group of clients on a medical
e e e e e e e e e e e e e e e e e e e
unit. Which information provided by the UAP warrants immediate intervention by the practical nurse? -
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correct answer The client receiving Procrit (epoetin alfa) has a T 99.2˚F, P 68, R 24, and BP of 198/102
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The client diagnosed with lung cancer has been told the cancer has metastasized to the brain. Which
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intervention should the practical nurse expect to implement? - correct answer Discuss implementing an
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advance directive e
The client diagnosed with lung cancer is being discharged. Which statement made by the client indicates a
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reiteration of information is required? - correct answer "It doesn't matter if I smoke now. I already have
e e e e e e e e e e e e e e e e e e
cancer."
The practical nurse is interviewing clients at the clinic. Which information provided by a client warrants
e e e e e e e e e e e e e e e e
further investigation? - correct answer The client has been coughing up blood in the mornings
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The male client had abdominal surgery and the practical nurse suspects the client has peritonitis. Which
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information support the diagnosis of peritonitis? - correct answer Hard, rigid abdomen and white blood cell
e e e e e e e e e e e e e e e e
count 22,000/mm3
e
The client who had abdominal surgery tells the practical nurse, "I felt something give way in my stomach."
e e e e e e e e e e e e e e e e e e
Which intervention should the practical nurse implement first? - correct answer Inspect the abdominal
e e e e e e e e e e e e e e
wound incision e
The client is one (1) day postoperative major abdominal surgery. Which client problem is a priority? - correct
e e e e e e e e e e e e e e e e e e
answer Fluid and electrolyte imbalance
e e e e
The client has an eviscerated abdominal wound. Which intervention should the practical nurse implement? -
e e e e e e e e e e e e e e e
correct answer Apply sterile normal saline dressing
e e e e e e
The client is diagnosed with peritonitis. Which information indicates to the practical nurse the client's
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condition is improving? - correct answer The client has a decrease in temperature and a soft abdomen
e e e e e e e e e e e e e e e e
2025 WITH CORRECT ANSWERS
The nurse is caring for a client who has as a son with a streptococcus throat infection. Which nurse
e e e e e e e e e e e e e e e e e e e
recommendation would be best to advise the client to do in order to prevent acquiring the infection? - correct
e e e e e e e e e e e e e e e e e e e
answer Frequently wash her hands and surfaces of the home.
e e e e e e e e e
The nurse is caring for a client infected with Rocky Mountain spotted fever. The nurse should ask if the client
e e e e e e e e e e e e e e e e e e e e
has experienced which of the following? - correct answer Was bitten by a tick
e e e e e e e e e e e e e
The nurse is caring for a client with a protozoa infection. Which is the most likely mode of transmission? -
e e e e e e e e e e e e e e e e e e e e
correct answer Ingestion of contaminated food or water
e e e e e e e
The nurse is caring for a client who is recovering from an allergic reaction. Which leukocyte level would the
e e e e e e e e e e e e e e e e e e e
nurse expect to be the most elevated? - correct answer Eosinophils
e e e e e e e e e e
The nurse is caring for a client who has an infected wound on the great toe that is red with a purulent exudate.
e e e e e e e e e e e e e e e e e e e e e e e
The nurse expects that this client has which type of infection? - correct answer Localized
e e e e e e e e e e e e e e
The client experienced a fall. Nursing assessment reveals that the client is experiencing tachycardia,
e e e e e e e e e e e e e e
hypotension, confusion, tachypnea, and flat jugular veins. What should be the nurse's first response? -
e e e e e e e e e e e e e e e
correct answer Administer oxygen.
e e e
,The family wants to know why the nurse is putting a urinary catheter in a client experiencing shock. What is the
e e e e e e e e e e e e e e e e e e e e e
nurse's best response? - correct answer "It will help monitor how much urine the kidneys are able to
e e e e e e e e e e e e e e e e e e
produce."
A client experiencing shock has had a urinary output of 250 mL in the last 10 hours. What is the nurse's most
e e e e e e e e e e e e e e e e e e e e e e
appropriate response? - correct answer Notify the physician. e e e e e e e
Which client is most likely to be experiencing hypovolemic shock? - correct answer A client who had surgery
e e e e e e e e e e e e e e e e e e
24 hours ago and who also has a nasogastric tube
e e e e e e e e e
The physician has ordered arterial blood gases for a client experiencing shock. The nurse knows that which
e e e e e e e e e e e e e e e e e
value indicates shock? - correct answer pH 7.32
e e e e e e e
A 63-year-old Arab American male states his left leg is "hot." What is the nurse's best first response? - correct
e e e e e e e e e e e e e e e e e e e e
answer Assess for pain e e e
The client is complaining of excruciating pain in a foot that has been amputated. The family tells the nurse that
e e e e e e e e e e e e e e e e e e e e
the client is just addicted to pain medications. What is the nurse's best response? - correct answer "He is
e e e e e e e e e e e e e e e e e e e
experiencing phantom limb pain." e e e
A client has had abdominal surgery and has orders to be ambulated three times a day. Oral pain medication
e e e e e e e e e e e e e e e e e e e
has been ordered for the client. What should the nurse do to facilitate ambulation? - correct answer Mediate
e e e e e e e e e e e e e e e e e e
1 hour prior to ambulating the client.
e e e e e e
The client reports frequent use of acetaminophen. How should the nurse best respond? - correct answer "Do
e e e e e e e e e e e e e e e e e
you drink alcohol?"
e e
A client with chronic pain has been admitted with a fever. The nursing assessment reveals that the client has a
e e e e e e e e e e e e e e e e e e e e
decreased level of consciousness. What should the nurse ask the family about? - correct answer What
e e e e e e e e e e e e e e e e
medications the client has taken e e e e
The practical nurse is reviewing the social history from a client diagnosed with small cell carcinoma of the lung.
e e e e e e e e e e e e e e e e e e e
Which information is significant for this disease? - correct answer The client has smoked two (2) packs of
e e e e e e e e e e e e e e e e e e
cigarettes a day for 20 years e e e e e
, The practical nurse and an unlicensed assistive personnel (UAP) are caring for a group of clients on a medical
e e e e e e e e e e e e e e e e e e e
unit. Which information provided by the UAP warrants immediate intervention by the practical nurse? -
e e e e e e e e e e e e e e e
correct answer The client receiving Procrit (epoetin alfa) has a T 99.2˚F, P 68, R 24, and BP of 198/102
e e e e e e e e e e e e e e e e e e e
The client diagnosed with lung cancer has been told the cancer has metastasized to the brain. Which
e e e e e e e e e e e e e e e e e
intervention should the practical nurse expect to implement? - correct answer Discuss implementing an
e e e e e e e e e e e e e e
advance directive e
The client diagnosed with lung cancer is being discharged. Which statement made by the client indicates a
e e e e e e e e e e e e e e e e e
reiteration of information is required? - correct answer "It doesn't matter if I smoke now. I already have
e e e e e e e e e e e e e e e e e e
cancer."
The practical nurse is interviewing clients at the clinic. Which information provided by a client warrants
e e e e e e e e e e e e e e e e
further investigation? - correct answer The client has been coughing up blood in the mornings
e e e e e e e e e e e e e e
The male client had abdominal surgery and the practical nurse suspects the client has peritonitis. Which
e e e e e e e e e e e e e e e e
information support the diagnosis of peritonitis? - correct answer Hard, rigid abdomen and white blood cell
e e e e e e e e e e e e e e e e
count 22,000/mm3
e
The client who had abdominal surgery tells the practical nurse, "I felt something give way in my stomach."
e e e e e e e e e e e e e e e e e e
Which intervention should the practical nurse implement first? - correct answer Inspect the abdominal
e e e e e e e e e e e e e e
wound incision e
The client is one (1) day postoperative major abdominal surgery. Which client problem is a priority? - correct
e e e e e e e e e e e e e e e e e e
answer Fluid and electrolyte imbalance
e e e e
The client has an eviscerated abdominal wound. Which intervention should the practical nurse implement? -
e e e e e e e e e e e e e e e
correct answer Apply sterile normal saline dressing
e e e e e e
The client is diagnosed with peritonitis. Which information indicates to the practical nurse the client's
e e e e e e e e e e e e e e e
condition is improving? - correct answer The client has a decrease in temperature and a soft abdomen
e e e e e e e e e e e e e e e e
