MEDICAL SURGICAL NURSING FINAL EXAM
QUESTION BANK NEWEST 2026 ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALL ANSWERED {1300 Q &
A} ALREADY GRADED A+ | BRAND NEW! | 100%
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A nurse teaches a client who is at risk for carpal tunnel
syndrome. Which health promotion activities should the nurse
include in this client's teaching? (Select all that apply.)
a. Frequently assess the ergonomics of the equipment being used.
b. Take breaks to stretch fingers and wrists during working hours.
c. Do not participate in activities that require repetitive actions.
d. Take ibuprofen (Motrin) to decrease pain and swelling in wrists.
e. Adjust chair height to allow for good posture.
ANS: A,B, E
Health promotion activities to prevent carpal tunnel
syndrome include assessing the ergonomics of the equipment
being used, taking breaks to stretch fingers and wrists during
working hours, and adjusting chair height to allow for good
posture. The client should be allowed to participate in
activities that require repetitive actions as long as
precautions are taken to promote health. Pain medications
are not part of health promotion activities.
A client is distressed at body changes related to kyphosis. What
response by the nurse is best?
a. Ask the client to explain more about these feelings.
b. Explain that these changes are irreversible.
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c. Offer to help select clothes to hide the deformity.
d. Tell the client safety is more important than looks.
ANS: A
Assessment is the first step of the nursing process, and the
nurse should begin by getting as much information about the
client's feelings as possible. Explaining that the changes are
irreversible discounts the client's feelings. Depending on the
extent of the deformity, clothing will not hide it. While safety is
more objectively important than looks, the client is worried
about looks and the nurse needs to address this issue.
A nurse teaches a client about prosthesis care after
amputation. Which statements should the nurse include in this
client's teaching? (Select all that apply.)
a. "The device has been custom made specifically for you."
b. "Your prosthetic is good for work but not for exercising."
c. "A prosthetist will clean your inserts for you each month."
d. "Make sure that you wear the correct liners with your
prosthetic."
e. "I have scheduled a follow-up appointment for you."
ANS: A,
D, E
A client with a new prosthetic should be taught that the
prosthetic device is custom made for the client, taking into
account the client's level of amputation, lifestyle (including
exercise preferences), and occupation. In collaboration with a
prosthetist, the client should be taught proper techniques for
cleansing the sockets and inserts, wearing the correct liners,
and assessing shoe wear. Follow-up care and appointments
are important for ongoing assessment.
A client has a bone density score of -2.8. What action by the nurse
is best?
a. Asking the client to complete a food diary
b. Planning to teach about bisphosphonates
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c. Scheduling another scan in 2 years
d. Scheduling another scan in 6 months
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ANS: B
A T-score from a bone density scan at or lower than -2.5
indicates osteoporosis. The nurse should plan to teach about
medications used to treat this disease. One class of such
medications is bisphosphonates. A food diary is helpful to
determine if the client gets adequate calcium and vitamin D, but
at this point, dietary changes will not prevent the disease.
Simply scheduling another scan will not help treat the disease
either.
A nurse is assessing an older client and discovers back pain with
tenderness along T2 and T3. What action by the nurse is best?
a. Consult with the provider about an x-ray.
b. Encourage the client to use ibuprofen (Motrin).
c. Have the client perform hip range of motion.
d. Place the client in a rigid cervical collar.
ANS: A
Back pain with tenderness is indicative of a spinal
compression fracture, which is the most common type of
osteoporotic fracture. The nurse should consult the provider
about an x-ray. Motrin may be indicated but not until there is a
diagnosis. Range of motion of the hips is not related, although
limited spinal range of motion may be found with a vertebral
compression fracture. Since the defect is in the thoracic
spine, a cervical collar is not needed.
A client has been advised to perform weight-bearing exercises
to help minimize osteoporosis. The client admits to not doing
the prescribed exercises. What action by the nurse is best?
a. Ask the client about fear of falling.
b. Instruct the client to increase calcium.
c. Suggest other exercises the client can do.
d. Tell the client to try weight lifting.
ANS: A