PN Medical-Surgical Nursing Final Exam deWit 3rd
edi on With complete solu on RATED A+ 2025/2026
The home health nurse is caring for a pa ent with conges ve heart failure (CHF). Which
assessment finding should the nurse report immediately to the physician?
A. Moderate shortness of breath a$er walking down the hall.
B. A 3 pound weight gain over the course of a week.
C. Heart rate of 104 beats/min a$er ambula ng to the bathroom.
D. Increase urinary output to 50 mL in the last hour. - Correct Answers Answer:
A. Shortness of breath a$er walking down the hall.
The nurse is caring for a pa ent with C. difficile infec on. Which ac on is most important for
the nurse to take?
A. Only use alcohol-based hand cleanser for hand hygiene.
B. Always wear an impervious mask.
C. Don proper eye protec on before providing care.
D. Put the pa ent on contact plus isola on. - Correct Answers Answer:
D. Put the pa ent on contact plus isola on
The nurse is caring for a pa ent with general sepsis. Which finding should first alert the nurse
to a poten al complica on that warrants immediate a6en on?
A. Increased lethargy
,B. Sudden coughing
C. Elevated blood pressure
D. Cloudy urine - Correct Answers Answer:
A. Increased lethargy
The nurse is teaching a pa ent about the purpose of his telemetry. Which statement indicates
the nurse's teaching has been successful?
A. "I will need to stay in bed when the monitor is reading my heart waves."
B. "This test will help determine if I have a blockage in my arteries."
C. "If there is a problem with my heart valves, it will show up with telemetry."
D. "The nurses will be able to monitor my heart rate and rhythm." - Correct Answers Answer:
D. The nurses will be able to monitor my heart rate and rhythm.
The nurse is working in a trauma unit and is accidentally stuck with an IV needle following
venipuncture of the pa ent. What is the nurses first ac on?
A. Immediately begin taking the two- to three-drug regimen.
B. Report the s ck to the charge nurse immediately so follow-up can be ini ated.
C. Wash the punctured area with soap and water.
D. Complete an incident report so immediate tes ng of the pa ent and nurse can begin. -
Correct Answers Answer:
C. Wash the punctured area with soap and water.
, The nurse is caring for a post-myocardial infarc on (MI) pa ent who has been started on daily
simvasta n (Zocor) and a low-fat diet. Which statement best indicates the nurse's teaching has
been successful?
A. "I will need to have blood work every month while taking Zocor."
B. "I should take Zocor with grapefruit juice to help absorp on."
C. " I should call my doctor if I experience unexplained muscle pain."
D. "I should take Zocor an hour before my biggest meal of the day." - Correct Answers Answer:
C. "I should call my doctor if I experience unexplained muscle pain."
Which area is the major focus of Healthy People 2020 and the primary mechanism through
which to improve the health of Americans in the second decade of the century?
A. Research funding
B. Health informa on distribu on
C. Healthy lifestyle encouragement
D. Health improvement program designs - Correct Answers Answer:
C. Healthy lifestyle encouragement
A 79-year-old pa ent with bacterial pneumonia becomes increasingly restless, confused, and
agitated. The pa ent's temperature is 100 F, and his pulse, blood pressure, and respira ons are
elevated since the last assessment 6 hours ago. What ac on should the nurse take first?
A. Auscultate the pa ent's lungs
B. Assess the pa ent's oxygen satura on
edi on With complete solu on RATED A+ 2025/2026
The home health nurse is caring for a pa ent with conges ve heart failure (CHF). Which
assessment finding should the nurse report immediately to the physician?
A. Moderate shortness of breath a$er walking down the hall.
B. A 3 pound weight gain over the course of a week.
C. Heart rate of 104 beats/min a$er ambula ng to the bathroom.
D. Increase urinary output to 50 mL in the last hour. - Correct Answers Answer:
A. Shortness of breath a$er walking down the hall.
The nurse is caring for a pa ent with C. difficile infec on. Which ac on is most important for
the nurse to take?
A. Only use alcohol-based hand cleanser for hand hygiene.
B. Always wear an impervious mask.
C. Don proper eye protec on before providing care.
D. Put the pa ent on contact plus isola on. - Correct Answers Answer:
D. Put the pa ent on contact plus isola on
The nurse is caring for a pa ent with general sepsis. Which finding should first alert the nurse
to a poten al complica on that warrants immediate a6en on?
A. Increased lethargy
,B. Sudden coughing
C. Elevated blood pressure
D. Cloudy urine - Correct Answers Answer:
A. Increased lethargy
The nurse is teaching a pa ent about the purpose of his telemetry. Which statement indicates
the nurse's teaching has been successful?
A. "I will need to stay in bed when the monitor is reading my heart waves."
B. "This test will help determine if I have a blockage in my arteries."
C. "If there is a problem with my heart valves, it will show up with telemetry."
D. "The nurses will be able to monitor my heart rate and rhythm." - Correct Answers Answer:
D. The nurses will be able to monitor my heart rate and rhythm.
The nurse is working in a trauma unit and is accidentally stuck with an IV needle following
venipuncture of the pa ent. What is the nurses first ac on?
A. Immediately begin taking the two- to three-drug regimen.
B. Report the s ck to the charge nurse immediately so follow-up can be ini ated.
C. Wash the punctured area with soap and water.
D. Complete an incident report so immediate tes ng of the pa ent and nurse can begin. -
Correct Answers Answer:
C. Wash the punctured area with soap and water.
, The nurse is caring for a post-myocardial infarc on (MI) pa ent who has been started on daily
simvasta n (Zocor) and a low-fat diet. Which statement best indicates the nurse's teaching has
been successful?
A. "I will need to have blood work every month while taking Zocor."
B. "I should take Zocor with grapefruit juice to help absorp on."
C. " I should call my doctor if I experience unexplained muscle pain."
D. "I should take Zocor an hour before my biggest meal of the day." - Correct Answers Answer:
C. "I should call my doctor if I experience unexplained muscle pain."
Which area is the major focus of Healthy People 2020 and the primary mechanism through
which to improve the health of Americans in the second decade of the century?
A. Research funding
B. Health informa on distribu on
C. Healthy lifestyle encouragement
D. Health improvement program designs - Correct Answers Answer:
C. Healthy lifestyle encouragement
A 79-year-old pa ent with bacterial pneumonia becomes increasingly restless, confused, and
agitated. The pa ent's temperature is 100 F, and his pulse, blood pressure, and respira ons are
elevated since the last assessment 6 hours ago. What ac on should the nurse take first?
A. Auscultate the pa ent's lungs
B. Assess the pa ent's oxygen satura on
