RNSG 1261 MEDICAL SURGICAL NURSING
ACTUAL EXAM PAPER 2026 QUESTIONS
SOLUTIONS GRADED A+
◉ How should a vocational nurse respond if asked to start an
intravenous infusion without training? Answer: Inform the charge
nurse of her lack of training in this procedure.
◉ Which patient statement indicates a need for further discharge
teaching? Answer: "I have no idea of how this drug will affect me."
◉ In a long-term care facility, under what supervision does a
vocational nurse act as charge nurse? Answer: Working under
general supervision by the RN available on site or by phone.
◉ What should a nurse include when educating a patient who is a
member of a health maintenance organization (HMO)? Answer:
Contact the insurance company for coverage details as services may
be limited.
◉ What is a deductible in health insurance? Answer: An annual
amount of money the patient must pay out-of-pocket for medical
care.
,◉ What does Medicare Part A cover? Answer: Inpatient hospital
costs.
◉ What does Medicare Part B cover? Answer: Physician services,
ambulance transport, and outpatient services.
◉ What is the main cost-containment component of diagnosis-
related groups (DRGs)? Answer: Hospitals treat and discharge
patients quickly.
◉ Who is most likely to qualify for Medicaid? Answer: A 35-year-old
unemployed single mother with diabetes.
◉ What is the major focus of Healthy People 2020? Answer: Healthy
lifestyle encouragement.
◉ What type of care addresses all dimensions of a patient's life?
Answer: Holistic care.
◉ What is the most empathetic response to a patient feeling
unheard by their doctor? Answer: "That sounds really frustrating."
◉ What is a key characteristic of therapeutic relationships? Answer:
They are goal directed.
, ◉ How should a nurse respond to a patient expressing frustration
about their antidepressants? Answer: "It must be frustrating to be
going through this difficult time."
◉ What is the appropriate response to a patient upset about their
hospital gown? Answer: Confer with the patient for methods to
acquire a larger gown.
◉ How should a nurse respond to a patient requesting an extra dose
of pain medication? Answer: Explain that dosage schedules are by
physician's orders.
◉ What is a therapeutic response to a patient questioning divine
punishment? Answer: "I don't know, tell me what you think."
◉ Which statement best demonstrates empathy when a patient
voices concern about a high-risk procedure? Answer: It must be
difficult preparing for the procedure; how are you feeling?
◉ What is the term for direct reimbursement by an insurance
company to a health care provider? Answer: Fee for service
◉ What does the term 'acuity' refer to in a medical context? Answer:
The severity of illness or condition of a patient
ACTUAL EXAM PAPER 2026 QUESTIONS
SOLUTIONS GRADED A+
◉ How should a vocational nurse respond if asked to start an
intravenous infusion without training? Answer: Inform the charge
nurse of her lack of training in this procedure.
◉ Which patient statement indicates a need for further discharge
teaching? Answer: "I have no idea of how this drug will affect me."
◉ In a long-term care facility, under what supervision does a
vocational nurse act as charge nurse? Answer: Working under
general supervision by the RN available on site or by phone.
◉ What should a nurse include when educating a patient who is a
member of a health maintenance organization (HMO)? Answer:
Contact the insurance company for coverage details as services may
be limited.
◉ What is a deductible in health insurance? Answer: An annual
amount of money the patient must pay out-of-pocket for medical
care.
,◉ What does Medicare Part A cover? Answer: Inpatient hospital
costs.
◉ What does Medicare Part B cover? Answer: Physician services,
ambulance transport, and outpatient services.
◉ What is the main cost-containment component of diagnosis-
related groups (DRGs)? Answer: Hospitals treat and discharge
patients quickly.
◉ Who is most likely to qualify for Medicaid? Answer: A 35-year-old
unemployed single mother with diabetes.
◉ What is the major focus of Healthy People 2020? Answer: Healthy
lifestyle encouragement.
◉ What type of care addresses all dimensions of a patient's life?
Answer: Holistic care.
◉ What is the most empathetic response to a patient feeling
unheard by their doctor? Answer: "That sounds really frustrating."
◉ What is a key characteristic of therapeutic relationships? Answer:
They are goal directed.
, ◉ How should a nurse respond to a patient expressing frustration
about their antidepressants? Answer: "It must be frustrating to be
going through this difficult time."
◉ What is the appropriate response to a patient upset about their
hospital gown? Answer: Confer with the patient for methods to
acquire a larger gown.
◉ How should a nurse respond to a patient requesting an extra dose
of pain medication? Answer: Explain that dosage schedules are by
physician's orders.
◉ What is a therapeutic response to a patient questioning divine
punishment? Answer: "I don't know, tell me what you think."
◉ Which statement best demonstrates empathy when a patient
voices concern about a high-risk procedure? Answer: It must be
difficult preparing for the procedure; how are you feeling?
◉ What is the term for direct reimbursement by an insurance
company to a health care provider? Answer: Fee for service
◉ What does the term 'acuity' refer to in a medical context? Answer:
The severity of illness or condition of a patient
