MEDICAL SURGICAL NURSING IGNATAVICIUS
WORKMAN FINAL PAPER 2026 QUESTIONS
WITH COMPLETE SOLUTIONS GRADED A+
◉ The nurse is caring for four clients. Which client assessment is the
most indicative of having pain?
A) Client stating that he is "anxious"
B) Heart rate of 105 beats/min and restlessness
C) Blood pressure 150/70 mm Hg and sleeping
D) Postoperative client with a neck incision. Answer: B
At times clients are unable to verbalize that they are in pain but
there are indicators that the client may have acute pain such as
increased heart rate, increased blood pressure, increased
respirations, sweating, restlessness, and overall distress. All the
other distractors could indicate clients who have the potential for
being in pain, but restlessness with tachycardia is the most
indicative.
◉ When describing patient education approaches, the nurse
educator would explain that informal teaching is an approach that
,a. follows formalized plans
b. has standardized content
c. often occurs one-to-one
d. addresses group needs. Answer: C. Informal teaching is
individualized one on one teaching which represents the majority of
patient education done by nurses that occurs when an intervention
is explained or a question is answered. Group needs are often the
focus of formal patient education courses or classes. Informal
teaching does not necessarily follow a specific formalized plan. It
may be planned with specific content, but it is individualized
responses to patient needs. Formal teaching involves the use of a
curriculum/course plan with standardized content.
◉ A patient expresses a strong interest in returning to their work,
family, and hobbies after having a stroke. Which theory type would
the nurse use to develop a plan of care for the best results of this
patient's motivation style?
a. field
b. biological
c. cognitive
d. sociologic. Answer: C. Cognitive theorists believe that attention,
relevance, confidence, and satisfaction (ARCS) are the conditions
that, when integrated, motivate someone to learn. Field theorists
place significance on how achievement, power, the need for
,affiliation, and avoidance motives influence individual behavior.
Sociologic theories are not involved in motivation.
◉ Which statement made by a nurse represents the need for further
education regarding pain management in older adult clients?
a. older adults tend to report pain less often than younger adults
b. older clients usually have more experience with pain than
younger clients
c. older adults are at greatest risk for under treated pain
d. older clients have a different pain mechanism and do not feel it as
much. Answer: D
There is no evidence to support the idea that older adult clients
perceive pain any differently than younger clients. The other
statements are accurate regarding older clients and pain.
◉ The nurse is working at a first aid booth for a spring training
game on a hot day. A spectator comes in, reporting that he is not
feeling well. Vital signs are temp 104.1 F, pulse 132 BPM, respirs 26
breaths/min, and blood pressure 106/66 mm Hg. He trips over his
feet as the nurse leads him to a cot. What is the priory action of the
nurse?
a. admin tylenol 650 mg orally
, b. encourage rest, and reassess in 15 minutes
c. sponge the victim with cool water and remove his shirt
d. encourage drinking of cool water or sports drink. Answer: C
The spectator shows signs of heat stroke, which is a medical
emergency. The spectator should be transported to the ED ASAP. The
nurs should take actions to lower his body temp in teh meantime by
removing his shirt and sponging his body with cool water. Lowering
body temp by drinking cool fluids or taking acetaminophen is not as
effective in an emergency situation. The client needs to be cooled
quickly and is a priority for treatment
◉ The client is receiving an IV of 60 mEq of potassium chloride ina
1000 mL solution of dextrose 5% in 0.45% saline. The client states
that the area around the IV site burns. What intervention does the
nurse perform first?
a. assess for a blood return
b. notify the physician
c. document the finding
d. stop the IV infusion. Answer: D
Potassium is a severe tissue irritant. The safest action is to
discontinue the solution that contains the potassium and
discontinue the IV altogether, in which case the client would need
WORKMAN FINAL PAPER 2026 QUESTIONS
WITH COMPLETE SOLUTIONS GRADED A+
◉ The nurse is caring for four clients. Which client assessment is the
most indicative of having pain?
A) Client stating that he is "anxious"
B) Heart rate of 105 beats/min and restlessness
C) Blood pressure 150/70 mm Hg and sleeping
D) Postoperative client with a neck incision. Answer: B
At times clients are unable to verbalize that they are in pain but
there are indicators that the client may have acute pain such as
increased heart rate, increased blood pressure, increased
respirations, sweating, restlessness, and overall distress. All the
other distractors could indicate clients who have the potential for
being in pain, but restlessness with tachycardia is the most
indicative.
◉ When describing patient education approaches, the nurse
educator would explain that informal teaching is an approach that
,a. follows formalized plans
b. has standardized content
c. often occurs one-to-one
d. addresses group needs. Answer: C. Informal teaching is
individualized one on one teaching which represents the majority of
patient education done by nurses that occurs when an intervention
is explained or a question is answered. Group needs are often the
focus of formal patient education courses or classes. Informal
teaching does not necessarily follow a specific formalized plan. It
may be planned with specific content, but it is individualized
responses to patient needs. Formal teaching involves the use of a
curriculum/course plan with standardized content.
◉ A patient expresses a strong interest in returning to their work,
family, and hobbies after having a stroke. Which theory type would
the nurse use to develop a plan of care for the best results of this
patient's motivation style?
a. field
b. biological
c. cognitive
d. sociologic. Answer: C. Cognitive theorists believe that attention,
relevance, confidence, and satisfaction (ARCS) are the conditions
that, when integrated, motivate someone to learn. Field theorists
place significance on how achievement, power, the need for
,affiliation, and avoidance motives influence individual behavior.
Sociologic theories are not involved in motivation.
◉ Which statement made by a nurse represents the need for further
education regarding pain management in older adult clients?
a. older adults tend to report pain less often than younger adults
b. older clients usually have more experience with pain than
younger clients
c. older adults are at greatest risk for under treated pain
d. older clients have a different pain mechanism and do not feel it as
much. Answer: D
There is no evidence to support the idea that older adult clients
perceive pain any differently than younger clients. The other
statements are accurate regarding older clients and pain.
◉ The nurse is working at a first aid booth for a spring training
game on a hot day. A spectator comes in, reporting that he is not
feeling well. Vital signs are temp 104.1 F, pulse 132 BPM, respirs 26
breaths/min, and blood pressure 106/66 mm Hg. He trips over his
feet as the nurse leads him to a cot. What is the priory action of the
nurse?
a. admin tylenol 650 mg orally
, b. encourage rest, and reassess in 15 minutes
c. sponge the victim with cool water and remove his shirt
d. encourage drinking of cool water or sports drink. Answer: C
The spectator shows signs of heat stroke, which is a medical
emergency. The spectator should be transported to the ED ASAP. The
nurs should take actions to lower his body temp in teh meantime by
removing his shirt and sponging his body with cool water. Lowering
body temp by drinking cool fluids or taking acetaminophen is not as
effective in an emergency situation. The client needs to be cooled
quickly and is a priority for treatment
◉ The client is receiving an IV of 60 mEq of potassium chloride ina
1000 mL solution of dextrose 5% in 0.45% saline. The client states
that the area around the IV site burns. What intervention does the
nurse perform first?
a. assess for a blood return
b. notify the physician
c. document the finding
d. stop the IV infusion. Answer: D
Potassium is a severe tissue irritant. The safest action is to
discontinue the solution that contains the potassium and
discontinue the IV altogether, in which case the client would need
