MEDICAL SURGICAL NURSING CONCEPTS
FOR INTERPROFESSIONAL
COLLABORATIVE CARE 9E IGNATAVICIUS
ACTUAL EXAMINATION PAPER 2026
QUESTIONS WITH ANSWERS GRADED A+
⩥A client with a pressure ulcer has the following laboratory values:
white blood count 8000/mm3, prealbumin 15.2 mg/dL, albumin 4.2
mg/dL, and lymphocyte count 2000/mm3. Which action by the nurse is
most appropriate?
A) Request a dietary consult.
B) Assess the client's vital signs.
C) Document the findings.
D) Place the client in isolation. Answer: A
Albumin, prealbumin, and lymphocyte counts all give information
related to nutritional status. The albumin and lymphocyte counts given
are normal. The white blood cell count is not directly related to
nutritional status. The prealbumin count is low and is a more specific
indicator of nutritional status than is the albumin count. This puts the
client at risk for impaired wound healing, so the nurse should request a
dietary consult.
,⩥A nurse is explaining to a student nurse about perfusion. The nurse
knows the student understands the concept of perfusion when the student
states, "Perfusion
A) is a normal function of the body, and I don't have to be concerned
about it."
B) varies as a person ages, so I would expect changes in the body."
C) is monitored by the physician, and I just follow orders."
D) is monitored by vital signs and capillary refill.". Answer: D
The best method to monitor perfusion is to monitor vital signs and
capillary refill. This allows the nurse to know if perfusion is adequate to
maintain vital organs. The nurse does have to be concerned about
perfusion. Perfusion is not only monitored by the physician but the nurse
too. Perfusion does not always change as the person ages.
⩥The nurse is a assessing a client with hypertension. Which client
outcome is indicative of effective hypertension management?
A) No complaints of sexual dysfunction occur.
B) Pedal edema is not present in the lower legs.
C) No indication of renal impairment is present.
D) The blood pressure reading is 148/94 mm Hg.. Answer: C
,One expected outcome for a client with hypertension is for the client to
have no evidence of target organ damage, such as renal or heart disease,
that can occur with poorly managed hypertension. Development of pedal
edema is not directly related to the management of hypertension. Side
effects of some hypertensive agents may interfere with sexual function,
but this does not relate to the effectiveness of treatment for hypertension.
The blood pressure reading is too high to demonstrate effective
management.
⩥What statement indicates that the client understands teaching about
neutropenia?
A) "I will call my doctor if I have an increase in temperature."
B) "My grandchildren may get an infection from me."
C) "I need to use a soft toothbrush."
D) "I have to wear a mask at all times.". Answer: A
Bone marrow suppression leads to neutropenia and increases the client's
risk for infection. Decreased numbers of neutrophils and other white
blood cells can minimize the clinical manifestations of infection. For this
reason, the client may not develop a high temperature, even with severe
infection, and any elevation of temperature should be reported
immediately to the health care provider. The client does not need to wear
a mask or use a soft toothbrush (although if the client has low platelets,
he or she should use a soft toothbrush to avoid causing trauma). The
client is not contagious.
, ⩥A client has a small-bore nasoenteric feeding tube. The nurse assesses
the following vital signs: temperature, 100.2° F (37.8° C); pulse, 112
beats/min; respiratory rate, 22 breaths/min; and blood pressure, 106/62
mm Hg. Which action by the nurse takes priority?
A) Auscultate bowel sounds and slow the feeding down.
B) Remove the tube immediately and notify the heath care provider.
C) Auscultate lung sounds and obtain oxygen saturation.
D) Add blue dye to the feeding tube formula.. Answer: C
The client may have aspirated. The nurse should further assess the
client's respiratory and oxygenation status. The client may have another
reason for the abnormal vital signs, so the nurse should not pull out the
tube before performing other assessments. Adding blue dye to the tube
feeding formula is not recommended to check for aspiration. Slowing
the feeding down will not be helpful.
⩥A client is receiving a chemotherapeutic agent intravenously through a
peripheral line. What is the nurse's first action when the client reports
burning at the site?
A) Apply a cold compress.
B) Discontinue the infusion.
C) Slow the rate of infusion.
FOR INTERPROFESSIONAL
COLLABORATIVE CARE 9E IGNATAVICIUS
ACTUAL EXAMINATION PAPER 2026
QUESTIONS WITH ANSWERS GRADED A+
⩥A client with a pressure ulcer has the following laboratory values:
white blood count 8000/mm3, prealbumin 15.2 mg/dL, albumin 4.2
mg/dL, and lymphocyte count 2000/mm3. Which action by the nurse is
most appropriate?
A) Request a dietary consult.
B) Assess the client's vital signs.
C) Document the findings.
D) Place the client in isolation. Answer: A
Albumin, prealbumin, and lymphocyte counts all give information
related to nutritional status. The albumin and lymphocyte counts given
are normal. The white blood cell count is not directly related to
nutritional status. The prealbumin count is low and is a more specific
indicator of nutritional status than is the albumin count. This puts the
client at risk for impaired wound healing, so the nurse should request a
dietary consult.
,⩥A nurse is explaining to a student nurse about perfusion. The nurse
knows the student understands the concept of perfusion when the student
states, "Perfusion
A) is a normal function of the body, and I don't have to be concerned
about it."
B) varies as a person ages, so I would expect changes in the body."
C) is monitored by the physician, and I just follow orders."
D) is monitored by vital signs and capillary refill.". Answer: D
The best method to monitor perfusion is to monitor vital signs and
capillary refill. This allows the nurse to know if perfusion is adequate to
maintain vital organs. The nurse does have to be concerned about
perfusion. Perfusion is not only monitored by the physician but the nurse
too. Perfusion does not always change as the person ages.
⩥The nurse is a assessing a client with hypertension. Which client
outcome is indicative of effective hypertension management?
A) No complaints of sexual dysfunction occur.
B) Pedal edema is not present in the lower legs.
C) No indication of renal impairment is present.
D) The blood pressure reading is 148/94 mm Hg.. Answer: C
,One expected outcome for a client with hypertension is for the client to
have no evidence of target organ damage, such as renal or heart disease,
that can occur with poorly managed hypertension. Development of pedal
edema is not directly related to the management of hypertension. Side
effects of some hypertensive agents may interfere with sexual function,
but this does not relate to the effectiveness of treatment for hypertension.
The blood pressure reading is too high to demonstrate effective
management.
⩥What statement indicates that the client understands teaching about
neutropenia?
A) "I will call my doctor if I have an increase in temperature."
B) "My grandchildren may get an infection from me."
C) "I need to use a soft toothbrush."
D) "I have to wear a mask at all times.". Answer: A
Bone marrow suppression leads to neutropenia and increases the client's
risk for infection. Decreased numbers of neutrophils and other white
blood cells can minimize the clinical manifestations of infection. For this
reason, the client may not develop a high temperature, even with severe
infection, and any elevation of temperature should be reported
immediately to the health care provider. The client does not need to wear
a mask or use a soft toothbrush (although if the client has low platelets,
he or she should use a soft toothbrush to avoid causing trauma). The
client is not contagious.
, ⩥A client has a small-bore nasoenteric feeding tube. The nurse assesses
the following vital signs: temperature, 100.2° F (37.8° C); pulse, 112
beats/min; respiratory rate, 22 breaths/min; and blood pressure, 106/62
mm Hg. Which action by the nurse takes priority?
A) Auscultate bowel sounds and slow the feeding down.
B) Remove the tube immediately and notify the heath care provider.
C) Auscultate lung sounds and obtain oxygen saturation.
D) Add blue dye to the feeding tube formula.. Answer: C
The client may have aspirated. The nurse should further assess the
client's respiratory and oxygenation status. The client may have another
reason for the abnormal vital signs, so the nurse should not pull out the
tube before performing other assessments. Adding blue dye to the tube
feeding formula is not recommended to check for aspiration. Slowing
the feeding down will not be helpful.
⩥A client is receiving a chemotherapeutic agent intravenously through a
peripheral line. What is the nurse's first action when the client reports
burning at the site?
A) Apply a cold compress.
B) Discontinue the infusion.
C) Slow the rate of infusion.
