Medsurg Final Exam Practice Questions and Detailed
Answers 2026
A client is showing signs of resp depression r/t pain medication. Which task can you delegate to
the LPN?
a. Call the MD and report situation
b. Give Narcan and evaluate response
c. Apply oxygen per nasal cannula as ordered
d. Educate patient's family to effects of Narcan - Correct Answers c. Apply oxygen per nasal
cannula as ordered
What clinical finding indicate an allergic reaction from a blood transfusion?
a. Lower back pain
b. Chills
c. Pruritus
d. Hematuria - Correct Answers c. Pruritus
lower back pain is hemolytic reaction
A heart failure patient taking Captopril and Spironolactone for heart failure, what lab value is
most important to monitor?
, a. Potassium level
b. Sodium level
c. Chloride level
d. Glucose - Correct Answers A. potassium
Which assessment finding concerns you most with a COPD pt that is on 5 liters NC?
a. Respiratory rate of 8
b. A large barrel chest
c. Fine bibasailar crackles
d. Decreased heart rate - Correct Answers a. Respiratory rate of 8
A client with IDA is being taught about dietary modifications. Which meal is not a good choice?
a. Oatmeal and fish
b. Spinach and oranges
c. Yogurt and bananas
d. Chickpeas and dried raisins - Correct Answers c. Yogurt and bananas
ida is iron deficient anemia, yogurt and bananas does not have iron
Oranges help with absorption of iron
A pt is being treated with Methotrexate for RA. What is the most important thing for the RN to
assess?
a. If pt is experiencing loss of appetite
Answers 2026
A client is showing signs of resp depression r/t pain medication. Which task can you delegate to
the LPN?
a. Call the MD and report situation
b. Give Narcan and evaluate response
c. Apply oxygen per nasal cannula as ordered
d. Educate patient's family to effects of Narcan - Correct Answers c. Apply oxygen per nasal
cannula as ordered
What clinical finding indicate an allergic reaction from a blood transfusion?
a. Lower back pain
b. Chills
c. Pruritus
d. Hematuria - Correct Answers c. Pruritus
lower back pain is hemolytic reaction
A heart failure patient taking Captopril and Spironolactone for heart failure, what lab value is
most important to monitor?
, a. Potassium level
b. Sodium level
c. Chloride level
d. Glucose - Correct Answers A. potassium
Which assessment finding concerns you most with a COPD pt that is on 5 liters NC?
a. Respiratory rate of 8
b. A large barrel chest
c. Fine bibasailar crackles
d. Decreased heart rate - Correct Answers a. Respiratory rate of 8
A client with IDA is being taught about dietary modifications. Which meal is not a good choice?
a. Oatmeal and fish
b. Spinach and oranges
c. Yogurt and bananas
d. Chickpeas and dried raisins - Correct Answers c. Yogurt and bananas
ida is iron deficient anemia, yogurt and bananas does not have iron
Oranges help with absorption of iron
A pt is being treated with Methotrexate for RA. What is the most important thing for the RN to
assess?
a. If pt is experiencing loss of appetite
