MED SURG 3 EXAM 3 2026 CERTIFICATION
EVALUATION EXAM QUESTIONS AND
ANSWERS MASTER FILE
◉ A man who smokes 2 packs of cigarettes/day wants to know if
smoking contributes to the difficulty that he and his wife are having
getting pregnant. What info can the nurse provide? Answer: B.
Smoking can decrease the quantity and quality of sperm.
C. The first semen analysis should be repeated to confirm sperm
counts.
D. Cessation of smoking improves general health and fertility.
◉ A couple is trying to cope with infertility. What can be done to
preserve emotional equilibrium. What is the best response? Answer:
Get involved with a support group. I will give you some names
◉ The nurse is providing post-op instructions for a post
mastectomy. What info should the nurse include in the teaching?
Answer: B. Report inflammation of the incision site or the affected
arm
D. Avoid lifting more than 4.5kg (10lb) or reaching above head
,◉ The nurse is assessing a middle-aged man for risk factors r/t
chronic illness. Which finding should the nurse further assess?
Answer: Increase in abdominal fat deposits.
◉ The nurse is caring for a male client who had an inguinal
herniorrhaphy three hrs. ago. The client's lower abd. is distended
and assesses dullness to percussion. What is the priority action?
Answer: Determine the time the client last voided
◉ The nurse is caring for a client with HIV who develops
Mycobacterium avium complex (MAC). What is the most significant
desired outcome? Answer: return to pre-illness wt.
◉ A 26-year-old with Hodgkin's disease is scheduled to undergo
radiation therapy. The pt. expresses concern about the effect of
radiation on his ability to have children. What info should the nurse
provide? Answer: Permanent sterility occurs in male clients who
receive radiation
◉ A pt. had abdominal surgery two days ago has prescriptions for
intravenous morphine sulfate 4 mg every two hours and a clear
liquid diet. The pt. c/o feeling distended and has sharp, cramping
gas pains. What nursing intervention should be implemented?
Answer: Asst. pt. to ambulate in the hall
, ◉ A pt. with Meniere's disease is incapacitated by vertigo and is
lying in bed grasping the side rail and staring at the television.
Which nursing intervention should the nurse implement? Answer:
Turn off the tv and the lights
◉ A pt. who has a chronic cough with blood-tinged sputum returns
to the unit after a bronchoscopy. What intervention should be
implemented in the immediate post-procedure period? Answer: Pt.
is to remain NPO until the gag reflex returns.
◉ The nurse is assessing a pt. with a cuffed tracheostomy tube in
place who is breathing spontaneously. To evaluate if the pt. can
tolerate cuff deflation to promote swallowing and speaking, what
action should the nurse implement? Answer: Observe for coughing
colored sputum after drinking a small amount of colored water
◉ A pt. is admitted to the ED with a tension pneumothorax. Which
assessment should the nurse expect to find? Answer: Deviation of
the trachea toward the opposite side of the pneumothorax
◉ Apt. with sickle cell anemia is admitted with severe abd. pain and
the diagnosis is sickle cell crisis. What is the most important nursing
action to implement? Answer: Evaluate the pts. pain and
effectiveness of narcotic analgesics
EVALUATION EXAM QUESTIONS AND
ANSWERS MASTER FILE
◉ A man who smokes 2 packs of cigarettes/day wants to know if
smoking contributes to the difficulty that he and his wife are having
getting pregnant. What info can the nurse provide? Answer: B.
Smoking can decrease the quantity and quality of sperm.
C. The first semen analysis should be repeated to confirm sperm
counts.
D. Cessation of smoking improves general health and fertility.
◉ A couple is trying to cope with infertility. What can be done to
preserve emotional equilibrium. What is the best response? Answer:
Get involved with a support group. I will give you some names
◉ The nurse is providing post-op instructions for a post
mastectomy. What info should the nurse include in the teaching?
Answer: B. Report inflammation of the incision site or the affected
arm
D. Avoid lifting more than 4.5kg (10lb) or reaching above head
,◉ The nurse is assessing a middle-aged man for risk factors r/t
chronic illness. Which finding should the nurse further assess?
Answer: Increase in abdominal fat deposits.
◉ The nurse is caring for a male client who had an inguinal
herniorrhaphy three hrs. ago. The client's lower abd. is distended
and assesses dullness to percussion. What is the priority action?
Answer: Determine the time the client last voided
◉ The nurse is caring for a client with HIV who develops
Mycobacterium avium complex (MAC). What is the most significant
desired outcome? Answer: return to pre-illness wt.
◉ A 26-year-old with Hodgkin's disease is scheduled to undergo
radiation therapy. The pt. expresses concern about the effect of
radiation on his ability to have children. What info should the nurse
provide? Answer: Permanent sterility occurs in male clients who
receive radiation
◉ A pt. had abdominal surgery two days ago has prescriptions for
intravenous morphine sulfate 4 mg every two hours and a clear
liquid diet. The pt. c/o feeling distended and has sharp, cramping
gas pains. What nursing intervention should be implemented?
Answer: Asst. pt. to ambulate in the hall
, ◉ A pt. with Meniere's disease is incapacitated by vertigo and is
lying in bed grasping the side rail and staring at the television.
Which nursing intervention should the nurse implement? Answer:
Turn off the tv and the lights
◉ A pt. who has a chronic cough with blood-tinged sputum returns
to the unit after a bronchoscopy. What intervention should be
implemented in the immediate post-procedure period? Answer: Pt.
is to remain NPO until the gag reflex returns.
◉ The nurse is assessing a pt. with a cuffed tracheostomy tube in
place who is breathing spontaneously. To evaluate if the pt. can
tolerate cuff deflation to promote swallowing and speaking, what
action should the nurse implement? Answer: Observe for coughing
colored sputum after drinking a small amount of colored water
◉ A pt. is admitted to the ED with a tension pneumothorax. Which
assessment should the nurse expect to find? Answer: Deviation of
the trachea toward the opposite side of the pneumothorax
◉ Apt. with sickle cell anemia is admitted with severe abd. pain and
the diagnosis is sickle cell crisis. What is the most important nursing
action to implement? Answer: Evaluate the pts. pain and
effectiveness of narcotic analgesics
