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PREBOARD EXAM NP3 MEDICAL SURGICAL NURSING
2026-27 LATEST STUDY TIPS QUESTIONS AND
ANSWERS {ANSWERS KEY PROVIDED}
Situation 1 – Because of the serious consequences of severe burns
management requires a multidisciplinary approach. You have important
responsibilities as a nurse.
1. While Sergio was lighting a barbecue grill with a lighter fluid, his shirt
burst into flames. The most effective way to extinguish the flames with
as little further damage as possible is to:
a. log roll on the grass/ground
b. slap the flames with his hands
c. remove the burning clothes
d. pour cold liquid over the flames
2. Once the flames are extinguished, it is most important to:
a. cover Sergio with a warm blanket
b. give him sips of water
c. calculate the extent of his burns
d. assess the Sergio’s breathing
3. Sergio is brought to the Emergency Room after the barbecue grill
accident. Based on the assessment of the physician, Sergio sustained
superficial partial thickness bums on his trunk, right upper extremities
ad right lower extremities. His wife asks what that means. Your most
accurate response would be:
a. Structures beneath the skin are damaged
b. Dermis is partially damaged
c. Epidermis and dermis are both damaged
d. Epidermis is damaged
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4. During the first 24 hours after thermal injury, you should assess
Sergio for
a. hypokalemia and hypernatremia
b. hypokalemia and hyponatremia
c. hyperkalemia and hyponatremia
d. hyperkalemia and hypernatremia
5. Teddy, who sustained deep partial thickness and full thickness burns
of the face, whole anterior chest and both upper extremities two days
ago, begins to exhibit extreme restlessness. You recognize that this most
likely indicates that Teddy is developing:
a. Cerebral hypoxia
b. Hypervolemia
c. Metabolic acidosis
d. Renal failure .
Situation 2 – You are now working as a staff nurse in a general hospital.
You have to be prepared to handle situations with ethico -legal and
moral implications.
6. You are on night duty in the surgical ward. One of our patients Martin
is prisoner who sustained an abdominal gunshot wound. He is being
guarded by policemen from the local police unit. During your rounds you
heard a commotion. You saw the policeman trying to hit Martin. You
asked why he was trying to hurt Martin. He denied the matter. Which
among the following activities will you do first?
a. Write an incident report
b. Call security officer and report the incident
c. Call your nurse supervisor and report the incident :
d. Call the physician on duty
7. You are on morning duty in the medical ward. You have 10 patients
assigned to you. During your endorsement rounds, you found out that
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one of your patients was not in bed. The patient next to him informed
you that he went home without notifying the nurses. Which among the
following will you do first?
a. Make and incident report
b. Call security to report the incident
c. Wait for 2 hours before reporting
d. Report the incident to your supervisor
8. You are on duty in the medical ward. You were asked to check the
narcotics cabinet. You found out that what is on record does not tally
with the drugs used. Which among the following will you do first?
a. Write an incident report and refer the matter to the nursing director
b. Keep your findings to yourself
c. Report the matter to your supervisor
d. Find out from the endorsement any patient who might have been
given narcotics
9. You are on duty in the medical ward. The mother of your patient who
is also a nurse came running to the nurse station and informed you that
Fiolo went into cardiopulmonary arrest. Which among the following will
you do first?
a. Start basic life support measures
b. Call for the Code
c. Bring the crush cart to the room
d. Go to see Fiolo and assess for airway patency and breathing problems
10. You are admitting Jorge to the ward and you found out that he is
positive for HIV. Which among the following will you do first?
a. Take note of it and plan to endorse this to next shift
b. Keep this matter to your self
c. Write an incident report
d. Report the matter to your head nurse
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Situation 3 – Colorectal cancer can affect old and younger people.
Surgical procedures and other modes of treatment are done to ensure
quality of life. You are assigned in the Cancer institute to care of
patients with this type of cancer.
11. Larry, 55 years old, who is suspected of having colorectal cancer, is
admitted to the CI. After taking the history and vital signs the physician
does which test as a screening test for colorectal cancer.
a. Barium enema
b. Carcinoembryonig antigen
c. Annual digital rectal examination
d. Proctosigmoidoscopy
12. To confirm his impression of colorectal cancer, Larry will require
which diagnostic study?
a. carcinoembryonic antigen
b. proctosigmoidbscopy
c. stool hematologic test
d. abdominal computed tomography (CT) test
13. The following are risk factors for colorectal cancer, EXCEPT:
a. inflammatory bowels
b. high fat, high fiver diet
c. smoking
d. genetic factors-familial adenomatous polyposis
14. Symptoms associated with cancer of the colon include:
a. constipation, ascites and mucus in the stool
b. diarrhea, heartburn and eructation
c. blood in the stools, anemia, and pencil-shaped, stools
d. anorexia, hematemesis, and increased peristalsis
PREBOARD EXAM NP3 MEDICAL SURGICAL NURSING
2026-27 LATEST STUDY TIPS QUESTIONS AND
ANSWERS {ANSWERS KEY PROVIDED}
Situation 1 – Because of the serious consequences of severe burns
management requires a multidisciplinary approach. You have important
responsibilities as a nurse.
1. While Sergio was lighting a barbecue grill with a lighter fluid, his shirt
burst into flames. The most effective way to extinguish the flames with
as little further damage as possible is to:
a. log roll on the grass/ground
b. slap the flames with his hands
c. remove the burning clothes
d. pour cold liquid over the flames
2. Once the flames are extinguished, it is most important to:
a. cover Sergio with a warm blanket
b. give him sips of water
c. calculate the extent of his burns
d. assess the Sergio’s breathing
3. Sergio is brought to the Emergency Room after the barbecue grill
accident. Based on the assessment of the physician, Sergio sustained
superficial partial thickness bums on his trunk, right upper extremities
ad right lower extremities. His wife asks what that means. Your most
accurate response would be:
a. Structures beneath the skin are damaged
b. Dermis is partially damaged
c. Epidermis and dermis are both damaged
d. Epidermis is damaged
,2|Page
4. During the first 24 hours after thermal injury, you should assess
Sergio for
a. hypokalemia and hypernatremia
b. hypokalemia and hyponatremia
c. hyperkalemia and hyponatremia
d. hyperkalemia and hypernatremia
5. Teddy, who sustained deep partial thickness and full thickness burns
of the face, whole anterior chest and both upper extremities two days
ago, begins to exhibit extreme restlessness. You recognize that this most
likely indicates that Teddy is developing:
a. Cerebral hypoxia
b. Hypervolemia
c. Metabolic acidosis
d. Renal failure .
Situation 2 – You are now working as a staff nurse in a general hospital.
You have to be prepared to handle situations with ethico -legal and
moral implications.
6. You are on night duty in the surgical ward. One of our patients Martin
is prisoner who sustained an abdominal gunshot wound. He is being
guarded by policemen from the local police unit. During your rounds you
heard a commotion. You saw the policeman trying to hit Martin. You
asked why he was trying to hurt Martin. He denied the matter. Which
among the following activities will you do first?
a. Write an incident report
b. Call security officer and report the incident
c. Call your nurse supervisor and report the incident :
d. Call the physician on duty
7. You are on morning duty in the medical ward. You have 10 patients
assigned to you. During your endorsement rounds, you found out that
,3|Page
one of your patients was not in bed. The patient next to him informed
you that he went home without notifying the nurses. Which among the
following will you do first?
a. Make and incident report
b. Call security to report the incident
c. Wait for 2 hours before reporting
d. Report the incident to your supervisor
8. You are on duty in the medical ward. You were asked to check the
narcotics cabinet. You found out that what is on record does not tally
with the drugs used. Which among the following will you do first?
a. Write an incident report and refer the matter to the nursing director
b. Keep your findings to yourself
c. Report the matter to your supervisor
d. Find out from the endorsement any patient who might have been
given narcotics
9. You are on duty in the medical ward. The mother of your patient who
is also a nurse came running to the nurse station and informed you that
Fiolo went into cardiopulmonary arrest. Which among the following will
you do first?
a. Start basic life support measures
b. Call for the Code
c. Bring the crush cart to the room
d. Go to see Fiolo and assess for airway patency and breathing problems
10. You are admitting Jorge to the ward and you found out that he is
positive for HIV. Which among the following will you do first?
a. Take note of it and plan to endorse this to next shift
b. Keep this matter to your self
c. Write an incident report
d. Report the matter to your head nurse
, 4|Page
Situation 3 – Colorectal cancer can affect old and younger people.
Surgical procedures and other modes of treatment are done to ensure
quality of life. You are assigned in the Cancer institute to care of
patients with this type of cancer.
11. Larry, 55 years old, who is suspected of having colorectal cancer, is
admitted to the CI. After taking the history and vital signs the physician
does which test as a screening test for colorectal cancer.
a. Barium enema
b. Carcinoembryonig antigen
c. Annual digital rectal examination
d. Proctosigmoidoscopy
12. To confirm his impression of colorectal cancer, Larry will require
which diagnostic study?
a. carcinoembryonic antigen
b. proctosigmoidbscopy
c. stool hematologic test
d. abdominal computed tomography (CT) test
13. The following are risk factors for colorectal cancer, EXCEPT:
a. inflammatory bowels
b. high fat, high fiver diet
c. smoking
d. genetic factors-familial adenomatous polyposis
14. Symptoms associated with cancer of the colon include:
a. constipation, ascites and mucus in the stool
b. diarrhea, heartburn and eructation
c. blood in the stools, anemia, and pencil-shaped, stools
d. anorexia, hematemesis, and increased peristalsis
