Medical-Surgical Nursing Certification
Exam Preparation – Comprehensive
Practice Q&A Material
Introduction:
This document contains a wide range of medical-surgical nursing
certification exam practice questions with detailed answers and
rationales. It covers key topics including cardiovascular disorders,
renal function, musculoskeletal conditions, pharmacology, and
clinical nursing interventions.
The material is structured to enhance critical thinking and aligns
with common exam formats and real clinical scenarios. It is
suitable for students preparing for nursing certification or
licensure exams and provides comprehensive review content.
Exam Questions and Answers and Rationales
Postoperative care should include measures to prevent dislocation
of a patient's new hip prosthesis. Which of the following
interventions would achieve this objective?
A. Keeping the affected leg in a position of adduction
B. Using pressure relief measures, other than turning, to prevent
pressure ulcers
,C. Placing the leg in abduction
D. Keeping the hip flexed by placing pillows under the patient's
knee -Answer:-C. Placing the leg in abduction
As a nurse develops a postoperative nursing care plan, she knows
that the patient status post total hip replacement surgery is at risk
for developing complications associated with immobility. Which of
the following is the most common postoperative complication for
this patient?
A. Pneumonia
B. Thromboembolism
C. Hemorrhage
D. Wound infection -Answer:-B. Thromboembolism
A patient sustains a fracture of her right hip in a fall at a nursing
home. Her surgery is delayed until she can be medically stabilized.
Buck's traction is applied to the patient's right leg. Which of the
following is true about Buck's traction?
A. The head of the bed should be elevated.
B. Her heel should be resting on the bed.
C. The use of an overhead trapeze should be discouraged.
,D. The leg in traction must not be elevated on a pillow. -Answer:-D.
The leg in traction must not be elevated on a pillow.
The client is diagnosed with osteoarthritis. Which sign and
symptom would the nurse expect the client to exhibit?
A. Severe bone deformity
B. Joint stiffness
C. Waddling gait
D. Swan neck fingers -Answer:-B. Joint stiffness
Which foods should the nurse recommend to a client when
discussing sources of dietary calcium?
A. Yogurt and dark-green, leafy vegetables
B. Oranges and citrus fruits
C. Bananas and dried apricots
D. Wheat bread and bran -Answer:-A. Yogurt and dark-green, leafy
vegetables
The client is taking calcium carbonate (Tums) to help prevent
further development of osteoporosis. Which teaching should the
nurse implement?
, A. Encourage the client to take Tums with at least 8 ounces of water
B. Teach the client to take Tums with the breakfast meal only
C. Instruct the client to take Tums 30 to 60 minutes before meal
D. Discuss the need to get a monthly serum level -Answer:-C.
Instruct the client to take Tums 30 to 60 minutes before meal
You are initiating a nursing care plan for a patient with
osteoporosis. All of these nursing interventions apply to the nursing
diagnosis Risk for Falls. Which intervention should you delegate to
the nursing assistant?
A. Identify environmental factors that increase risk for falls.
B. Monitor gait, balance, and fatigue level with ambulation.
C. Collaborate with physical therapy to provide patient with walker.
D. Assist the patient with ambulation to bathroom and in halls. -
Answer:-D. Assist the patient with ambulation to bathroom and in
halls.
To prevent or treat osteoporosis, adequate calcium intake:
A. is essential throughout the life span
B. is only necessary after menopause
Exam Preparation – Comprehensive
Practice Q&A Material
Introduction:
This document contains a wide range of medical-surgical nursing
certification exam practice questions with detailed answers and
rationales. It covers key topics including cardiovascular disorders,
renal function, musculoskeletal conditions, pharmacology, and
clinical nursing interventions.
The material is structured to enhance critical thinking and aligns
with common exam formats and real clinical scenarios. It is
suitable for students preparing for nursing certification or
licensure exams and provides comprehensive review content.
Exam Questions and Answers and Rationales
Postoperative care should include measures to prevent dislocation
of a patient's new hip prosthesis. Which of the following
interventions would achieve this objective?
A. Keeping the affected leg in a position of adduction
B. Using pressure relief measures, other than turning, to prevent
pressure ulcers
,C. Placing the leg in abduction
D. Keeping the hip flexed by placing pillows under the patient's
knee -Answer:-C. Placing the leg in abduction
As a nurse develops a postoperative nursing care plan, she knows
that the patient status post total hip replacement surgery is at risk
for developing complications associated with immobility. Which of
the following is the most common postoperative complication for
this patient?
A. Pneumonia
B. Thromboembolism
C. Hemorrhage
D. Wound infection -Answer:-B. Thromboembolism
A patient sustains a fracture of her right hip in a fall at a nursing
home. Her surgery is delayed until she can be medically stabilized.
Buck's traction is applied to the patient's right leg. Which of the
following is true about Buck's traction?
A. The head of the bed should be elevated.
B. Her heel should be resting on the bed.
C. The use of an overhead trapeze should be discouraged.
,D. The leg in traction must not be elevated on a pillow. -Answer:-D.
The leg in traction must not be elevated on a pillow.
The client is diagnosed with osteoarthritis. Which sign and
symptom would the nurse expect the client to exhibit?
A. Severe bone deformity
B. Joint stiffness
C. Waddling gait
D. Swan neck fingers -Answer:-B. Joint stiffness
Which foods should the nurse recommend to a client when
discussing sources of dietary calcium?
A. Yogurt and dark-green, leafy vegetables
B. Oranges and citrus fruits
C. Bananas and dried apricots
D. Wheat bread and bran -Answer:-A. Yogurt and dark-green, leafy
vegetables
The client is taking calcium carbonate (Tums) to help prevent
further development of osteoporosis. Which teaching should the
nurse implement?
, A. Encourage the client to take Tums with at least 8 ounces of water
B. Teach the client to take Tums with the breakfast meal only
C. Instruct the client to take Tums 30 to 60 minutes before meal
D. Discuss the need to get a monthly serum level -Answer:-C.
Instruct the client to take Tums 30 to 60 minutes before meal
You are initiating a nursing care plan for a patient with
osteoporosis. All of these nursing interventions apply to the nursing
diagnosis Risk for Falls. Which intervention should you delegate to
the nursing assistant?
A. Identify environmental factors that increase risk for falls.
B. Monitor gait, balance, and fatigue level with ambulation.
C. Collaborate with physical therapy to provide patient with walker.
D. Assist the patient with ambulation to bathroom and in halls. -
Answer:-D. Assist the patient with ambulation to bathroom and in
halls.
To prevent or treat osteoporosis, adequate calcium intake:
A. is essential throughout the life span
B. is only necessary after menopause
