PN Medical-Surgical Nursing Final Exam
2026-2027 Questions And Answers Graded
A+
The nurse is teaching a patient about the purpose of his telemetry. Which statement
indicates the nurse's teaching has been successful?
A. "I will need to stay in bed when the monitor is reading my heart waves."
B. "This test will help determine if I have a blockage in my arteries."
C. "If there is a problem with my heart valves, it will show up with telemetry."
D. "The nurses will be able to monitor my heart rate and rhythm."
Answer:
D. The nurses will be able to monitor my heart rate and rhythm.
The nurse is working in a trauma unit and is accidentally stuck with an IV needle
following venipuncture of the patient. What is the nurses first action?
A. Immediately begin taking the two- to three-drug regimen.
B. Report the stick to the charge nurse immediately so follow-up can be initiated.
C. Wash the punctured area with soap and water.
D. Complete an incident report so immediate testing of the patient and nurse can
begin.
Answer:
,C. Wash the punctured area with soap and water.
The nurse is caring for a post-myocardial infarction (MI) patient who has been
started on daily simvastatin (Zocor) and a low-fat diet. Which statement best
indicates the nurse's teaching has been successful?
A. "I will need to have blood work every month while taking Zocor."
B. "I should take Zocor with grapefruit juice to help absorption."
C. " I should call my doctor if I experience unexplained muscle pain."
D. "I should take Zocor an hour before my biggest meal of the day."
Answer:
C. "I should call my doctor if I experience unexplained muscle pain."
Which area is the major focus of Healthy People 2020 and the primary mechanism
through which to improve the health of Americans in the second decade of the
century?
A. Research funding
B. Health information distribution
C. Healthy lifestyle encouragement
D. Health improvement program designs
Answer:
C. Healthy lifestyle encouragement
,A 79-year-old patient with bacterial pneumonia becomes increasingly restless,
confused, and agitated. The patient's temperature is 100 F, and his pulse, blood
pressure, and respirations are elevated since the last assessment 6 hours ago. What
action should the nurse take first?
A. Auscultate the patient's lungs
B. Assess the patient's oxygen saturation
C. Administer the mild sedative as ordered
D. Administer an ordered analgesic for discomfort
Answer:
B. Assess the patient's oxygen saturation
When caring for a 10-hour post-abdominal surgery patient, which finding should
the nurse report to the charge nurse?
A. 20mL of clear-green emesis
B. Pain level of 5/10
C. No urine output since surgery
D. A weak cough ability
Answer:
C. No urine output since surgery
, The nurse is caring for a blind patient. Which action is most appropriate when
entering the patient's room?
A. Touch the patient before speaking to allow her to locate the nurse's position.
B. Speak to the patient by name when entering the room to avoid startling her.
C. Speak to the patient only when at the bedside to increase orientation.
D. Walk about the room, carrying on conversation.
Answer:
B. Speak to the patient by name when entering the room to avoid startling her.
An 86-year-old patient asks why her ankles have a brownish discoloration and the
skin looks thick. Which response best addresses the patient's concern?
A. "The valves in the vessels in your legs aren't working as well as they used to,
which causes the discoloration and thickening of your skin."
B. "You probably aren't getting enough iron in your diet. We should talk to your
doctor about adding an iron supplement."
C. "How many years have you smoked? Nicotine will cause these changes in your
skin."
D. "These are just normal changes seen in most older people."
Answer:
A. "The valves in the vessels in your legs aren't working as well as they used to,
which causes the discoloration and thickening of your skin."
2026-2027 Questions And Answers Graded
A+
The nurse is teaching a patient about the purpose of his telemetry. Which statement
indicates the nurse's teaching has been successful?
A. "I will need to stay in bed when the monitor is reading my heart waves."
B. "This test will help determine if I have a blockage in my arteries."
C. "If there is a problem with my heart valves, it will show up with telemetry."
D. "The nurses will be able to monitor my heart rate and rhythm."
Answer:
D. The nurses will be able to monitor my heart rate and rhythm.
The nurse is working in a trauma unit and is accidentally stuck with an IV needle
following venipuncture of the patient. What is the nurses first action?
A. Immediately begin taking the two- to three-drug regimen.
B. Report the stick to the charge nurse immediately so follow-up can be initiated.
C. Wash the punctured area with soap and water.
D. Complete an incident report so immediate testing of the patient and nurse can
begin.
Answer:
,C. Wash the punctured area with soap and water.
The nurse is caring for a post-myocardial infarction (MI) patient who has been
started on daily simvastatin (Zocor) and a low-fat diet. Which statement best
indicates the nurse's teaching has been successful?
A. "I will need to have blood work every month while taking Zocor."
B. "I should take Zocor with grapefruit juice to help absorption."
C. " I should call my doctor if I experience unexplained muscle pain."
D. "I should take Zocor an hour before my biggest meal of the day."
Answer:
C. "I should call my doctor if I experience unexplained muscle pain."
Which area is the major focus of Healthy People 2020 and the primary mechanism
through which to improve the health of Americans in the second decade of the
century?
A. Research funding
B. Health information distribution
C. Healthy lifestyle encouragement
D. Health improvement program designs
Answer:
C. Healthy lifestyle encouragement
,A 79-year-old patient with bacterial pneumonia becomes increasingly restless,
confused, and agitated. The patient's temperature is 100 F, and his pulse, blood
pressure, and respirations are elevated since the last assessment 6 hours ago. What
action should the nurse take first?
A. Auscultate the patient's lungs
B. Assess the patient's oxygen saturation
C. Administer the mild sedative as ordered
D. Administer an ordered analgesic for discomfort
Answer:
B. Assess the patient's oxygen saturation
When caring for a 10-hour post-abdominal surgery patient, which finding should
the nurse report to the charge nurse?
A. 20mL of clear-green emesis
B. Pain level of 5/10
C. No urine output since surgery
D. A weak cough ability
Answer:
C. No urine output since surgery
, The nurse is caring for a blind patient. Which action is most appropriate when
entering the patient's room?
A. Touch the patient before speaking to allow her to locate the nurse's position.
B. Speak to the patient by name when entering the room to avoid startling her.
C. Speak to the patient only when at the bedside to increase orientation.
D. Walk about the room, carrying on conversation.
Answer:
B. Speak to the patient by name when entering the room to avoid startling her.
An 86-year-old patient asks why her ankles have a brownish discoloration and the
skin looks thick. Which response best addresses the patient's concern?
A. "The valves in the vessels in your legs aren't working as well as they used to,
which causes the discoloration and thickening of your skin."
B. "You probably aren't getting enough iron in your diet. We should talk to your
doctor about adding an iron supplement."
C. "How many years have you smoked? Nicotine will cause these changes in your
skin."
D. "These are just normal changes seen in most older people."
Answer:
A. "The valves in the vessels in your legs aren't working as well as they used to,
which causes the discoloration and thickening of your skin."
