MEDICAL SURGICAL NURSING IGNATAVICIUS
WORKMAN ACTUAL TEST 2026 QUESTIONS
WITH VERIFIED ANSWERS GRADED A+
◉ A nurse is caring for several clients at risk for overhydration. The
nurse assesses the older client with which finding first?
A) Has had diabetes mellitus for 12 years
B) Had abdominal surgery and has a nasogastric tube
C) Just received 3 units of packed red blood cells
D) Uses sodium-containing antacids frequently. Answer: C
Blood replacement therapy involves intravenous fluid
administration, which inherently increases the risk for
overhydration. The fact that the fluid consists of packed red blood
cells greatly increases the risk, because this fluid increases the
colloidal oncotic pressure of the blood, causing fluid to move from
interstitial and intracellular spaces into the plasma volume. An older
adult may not have sufficient cardiac or renal reserve to manage this
extra fluid.
,◉ The client with a stroke was admitted to a medical-surgical unit.
Which tasks does the nurse delegate to the unlicensed assistive
personnel?
A) Assess level of consciousness.
B) Evaluate the pulse oximetry reading.
C) Assist the client with meals.
D) Complete the nursing care plan.. Answer: C
The nurse needs to know the five rights of delegation: right task,
right circumstances, right person, right communication, and right
supervision. Unlicensed assistive personnel can help with feeding,
but only the nurse can care plan, assess the level of consciousness,
and evaluate the oxygenation of the client.
◉ Interrelated concepts to the professional nursing role a nurse
manager would consider when addressing concerns about the
quality of patient education include:
A) adherence.
B) developmental level.
C) motivation.
D) technology.. Answer: D
,The interrelated concepts to the professional role of a nurse include
health promotion, leadership, technology/informatics, quality,
collaboration, and communication. Adherence, culture,
developmental level, family dynamics, and motivation are
considered interrelated concepts to patient attributes and
preference.
◉ During orientation to an emergency department, the nurse
educator would be concerned if the new nurse listed which of the
following as a risk factor for impaired thermoregulation?
A) Temperature extremes
B) Occupational exposure
C) Impaired cognition
D) Physical agility. Answer: D
Physical agility is not a risk factor for impaired thermoregulation.
The nurse educator would use this information to plan additional
teaching to include medical conditions and gait disturbance as risk
factors for hypothermia, because their bodies have a reduced ability
to generate heat. Impaired cognition is a risk factor. Recreational or
occupational exposure is a risk factor. Temperature extremes are
risk factors for impaired thermoregulation.
◉ An older adult client is in physical restraints. Which intervention
by the nurse is the priority?
, A) Assess the client hourly while keeping the restraints in place.
B) Assess the client once each shift, releasing the restraints for
feeding.
C) Assess the client twice each shift while keeping the restraints in
place.
D) Assess the client every 30 to 60 minutes, releasing restraints
every 2 hours.. Answer: D
The application of restraints can have serious consequences. Thus,
the nurse should check the client every 30 to 60 minutes, releasing
the restraints every 2 hours for positioning and toileting. The other
answers would not be appropriate because the client would not be
assessed frequently enough, and circulation to the limbs could be
compromised. Assessing every hour and releasing the restraints
every 2 hours is in compliance with federal policy for monitoring
clients in restraints.
◉ The nurse is assessing a client with a long-term history of arthritic
pain. Assessment reveals a heart rate of 115 beats/min and blood
pressure of 170/80 mm Hg. Which intervention will the nurse carry
out first?
A) Administer blood pressure medication.
B) Administer a drug to lower the heart rate.
WORKMAN ACTUAL TEST 2026 QUESTIONS
WITH VERIFIED ANSWERS GRADED A+
◉ A nurse is caring for several clients at risk for overhydration. The
nurse assesses the older client with which finding first?
A) Has had diabetes mellitus for 12 years
B) Had abdominal surgery and has a nasogastric tube
C) Just received 3 units of packed red blood cells
D) Uses sodium-containing antacids frequently. Answer: C
Blood replacement therapy involves intravenous fluid
administration, which inherently increases the risk for
overhydration. The fact that the fluid consists of packed red blood
cells greatly increases the risk, because this fluid increases the
colloidal oncotic pressure of the blood, causing fluid to move from
interstitial and intracellular spaces into the plasma volume. An older
adult may not have sufficient cardiac or renal reserve to manage this
extra fluid.
,◉ The client with a stroke was admitted to a medical-surgical unit.
Which tasks does the nurse delegate to the unlicensed assistive
personnel?
A) Assess level of consciousness.
B) Evaluate the pulse oximetry reading.
C) Assist the client with meals.
D) Complete the nursing care plan.. Answer: C
The nurse needs to know the five rights of delegation: right task,
right circumstances, right person, right communication, and right
supervision. Unlicensed assistive personnel can help with feeding,
but only the nurse can care plan, assess the level of consciousness,
and evaluate the oxygenation of the client.
◉ Interrelated concepts to the professional nursing role a nurse
manager would consider when addressing concerns about the
quality of patient education include:
A) adherence.
B) developmental level.
C) motivation.
D) technology.. Answer: D
,The interrelated concepts to the professional role of a nurse include
health promotion, leadership, technology/informatics, quality,
collaboration, and communication. Adherence, culture,
developmental level, family dynamics, and motivation are
considered interrelated concepts to patient attributes and
preference.
◉ During orientation to an emergency department, the nurse
educator would be concerned if the new nurse listed which of the
following as a risk factor for impaired thermoregulation?
A) Temperature extremes
B) Occupational exposure
C) Impaired cognition
D) Physical agility. Answer: D
Physical agility is not a risk factor for impaired thermoregulation.
The nurse educator would use this information to plan additional
teaching to include medical conditions and gait disturbance as risk
factors for hypothermia, because their bodies have a reduced ability
to generate heat. Impaired cognition is a risk factor. Recreational or
occupational exposure is a risk factor. Temperature extremes are
risk factors for impaired thermoregulation.
◉ An older adult client is in physical restraints. Which intervention
by the nurse is the priority?
, A) Assess the client hourly while keeping the restraints in place.
B) Assess the client once each shift, releasing the restraints for
feeding.
C) Assess the client twice each shift while keeping the restraints in
place.
D) Assess the client every 30 to 60 minutes, releasing restraints
every 2 hours.. Answer: D
The application of restraints can have serious consequences. Thus,
the nurse should check the client every 30 to 60 minutes, releasing
the restraints every 2 hours for positioning and toileting. The other
answers would not be appropriate because the client would not be
assessed frequently enough, and circulation to the limbs could be
compromised. Assessing every hour and releasing the restraints
every 2 hours is in compliance with federal policy for monitoring
clients in restraints.
◉ The nurse is assessing a client with a long-term history of arthritic
pain. Assessment reveals a heart rate of 115 beats/min and blood
pressure of 170/80 mm Hg. Which intervention will the nurse carry
out first?
A) Administer blood pressure medication.
B) Administer a drug to lower the heart rate.
