Med Surg #1 Exam 1 questions and answers 2026\2027
A+ Grade
A patient has a nursing diagnosis of ineffective airway clearance related to retained secretions, excessive
mucus, and ineffective cough as evidenced by adventitious breath sounds. What should the nurse
include in the NCP as an appropriate NOC outcome and NIC intervention for this nursing diagnosis?
1. Aspiration Prevention (NOC) and Aspiration Procedures (NIC)
2. Respiratory Status: Gas Exchange (NOC) and Oxygen Therapy (NIC)
3. Respiratory Status: Ventilation (NOC) and Respiratory Monitoring (NIC)
4. Respiratory Status: Airway Patency (NOC) and Airway Management (NIC)
- correct answer 4. Respiratory Status: Airway Patency (NOC) and Airway Management (NIC)
A nurse teaches a student nurse about evidence-based nursing practice guidelines. Which statement, if
made by the student nurse, indicates understanding of the teaching?
1. "Patient care is based on research findings instead of the expertise of the nurse."
2. "Patient preferences should not be considered if guidelines are supported by evidence."
3. "Nursing care provided is based on the best evidence for quality care and desired outcomes."
4. "Practice guidelines are used so that professional decisions about patient care are unnecessary."
- correct answer 3. "Nursing care provided is based on the best evidence for quality care and desired
outcomes.
a nurse is caring for an older adult who has a new diagnosis of type 2 diabetes and reports to have
difficulty following the diet plan and and taking his medication which of the following actions can the
nurse take so the patient is more compliant?
1. as the dietitation to assist with meal planning
2. contact the clients support system
3. assess for age related cognitive awareness
,4. encourage to use a daily medication dispenser
5.provide educational materials for at home usage
- correct answer 1. as the dietitation to assist with meal planning
2. contact the clients support system
4. encourage to use a daily medication dispenser
5.provide educational materials for at home usage
a nurse in a health care clinic is evaluating the level of wellness for clients using the illness-wellness
continuum. The nurse should identify which of the following clients as at the center of the continuum.?
1. college student w influenza
2. older adult with new diagnosis of type 2 diabetes
3. New mother with a UTI
4. Young male with a long history of controlled arthritis
- correct answer 4. Young male with a long history of controlled arthritis
A nurse is evaluating clients at a health fair for modifiable variables affecting health and wellness. Which
variables can the nurse identify as modifiable?
a. smoking on occasion
2. BMI of 28
3. Alopecia
4. Trisomy 21
5. History of reflux
- correct answer a. smoking on occasion
2. BMI of 28
5. History of reflux
A nurse is caring for a patient who was just told she has breast cancer. The nurse evaluates the clients
response. Which of the following statements reflects a lack of understanding of an illness perspective?
a. " i have no family history of breast cancer"
b. " I need a second opinion, there is no lump"
c. " I am glad we live in a city where there is several large hospitals"
, d. "I will schedule my surgery next week over the holidays"
- correct answer b. " I need a second opinion, there is no lump"
an example of a nursing activity that best reflects the the ANA's definition of nursing is:
1. treating dysarythmias that occur in a patient in the coronary care unit
2. diagnosing a patient with a tube feed with risk of aspiration
3. establishing protocols for a patient in the emergency department
4. providing antianxiety drugs for a patient who has disturbed sleep disorder
- correct answer 2. diagnosing a patient with a tube feed with risk of aspiration
A nurse working on the med surg unit in an urban hospital would like to become certified in med surg
nursing. The nurse knows this process might require:
a. BSN
b. Formal training in advanced nursing process
c. experience for a certain amount of time in med surg nursing
d. membership in a med surg speciality organization
- correct answer c. experience for a certain amount of time in med surg nursing
Nurse is providing care for a patient after R hip surgery. W/I a pay for performance center a critical role
of the nurse is:
a. ensure care is using minimal supplies
b. discharge after # of approved days of care
c. implement measures to decrease risk of infection
d. assess how well patient is able to pay the health care costs
- correct answer c. implement measures to decrease risk of infection
Order Steps of Nursing Process:
---Evaluate is plan is effective
---identify any health problems
---collect patient info
---carry out plan
A+ Grade
A patient has a nursing diagnosis of ineffective airway clearance related to retained secretions, excessive
mucus, and ineffective cough as evidenced by adventitious breath sounds. What should the nurse
include in the NCP as an appropriate NOC outcome and NIC intervention for this nursing diagnosis?
1. Aspiration Prevention (NOC) and Aspiration Procedures (NIC)
2. Respiratory Status: Gas Exchange (NOC) and Oxygen Therapy (NIC)
3. Respiratory Status: Ventilation (NOC) and Respiratory Monitoring (NIC)
4. Respiratory Status: Airway Patency (NOC) and Airway Management (NIC)
- correct answer 4. Respiratory Status: Airway Patency (NOC) and Airway Management (NIC)
A nurse teaches a student nurse about evidence-based nursing practice guidelines. Which statement, if
made by the student nurse, indicates understanding of the teaching?
1. "Patient care is based on research findings instead of the expertise of the nurse."
2. "Patient preferences should not be considered if guidelines are supported by evidence."
3. "Nursing care provided is based on the best evidence for quality care and desired outcomes."
4. "Practice guidelines are used so that professional decisions about patient care are unnecessary."
- correct answer 3. "Nursing care provided is based on the best evidence for quality care and desired
outcomes.
a nurse is caring for an older adult who has a new diagnosis of type 2 diabetes and reports to have
difficulty following the diet plan and and taking his medication which of the following actions can the
nurse take so the patient is more compliant?
1. as the dietitation to assist with meal planning
2. contact the clients support system
3. assess for age related cognitive awareness
,4. encourage to use a daily medication dispenser
5.provide educational materials for at home usage
- correct answer 1. as the dietitation to assist with meal planning
2. contact the clients support system
4. encourage to use a daily medication dispenser
5.provide educational materials for at home usage
a nurse in a health care clinic is evaluating the level of wellness for clients using the illness-wellness
continuum. The nurse should identify which of the following clients as at the center of the continuum.?
1. college student w influenza
2. older adult with new diagnosis of type 2 diabetes
3. New mother with a UTI
4. Young male with a long history of controlled arthritis
- correct answer 4. Young male with a long history of controlled arthritis
A nurse is evaluating clients at a health fair for modifiable variables affecting health and wellness. Which
variables can the nurse identify as modifiable?
a. smoking on occasion
2. BMI of 28
3. Alopecia
4. Trisomy 21
5. History of reflux
- correct answer a. smoking on occasion
2. BMI of 28
5. History of reflux
A nurse is caring for a patient who was just told she has breast cancer. The nurse evaluates the clients
response. Which of the following statements reflects a lack of understanding of an illness perspective?
a. " i have no family history of breast cancer"
b. " I need a second opinion, there is no lump"
c. " I am glad we live in a city where there is several large hospitals"
, d. "I will schedule my surgery next week over the holidays"
- correct answer b. " I need a second opinion, there is no lump"
an example of a nursing activity that best reflects the the ANA's definition of nursing is:
1. treating dysarythmias that occur in a patient in the coronary care unit
2. diagnosing a patient with a tube feed with risk of aspiration
3. establishing protocols for a patient in the emergency department
4. providing antianxiety drugs for a patient who has disturbed sleep disorder
- correct answer 2. diagnosing a patient with a tube feed with risk of aspiration
A nurse working on the med surg unit in an urban hospital would like to become certified in med surg
nursing. The nurse knows this process might require:
a. BSN
b. Formal training in advanced nursing process
c. experience for a certain amount of time in med surg nursing
d. membership in a med surg speciality organization
- correct answer c. experience for a certain amount of time in med surg nursing
Nurse is providing care for a patient after R hip surgery. W/I a pay for performance center a critical role
of the nurse is:
a. ensure care is using minimal supplies
b. discharge after # of approved days of care
c. implement measures to decrease risk of infection
d. assess how well patient is able to pay the health care costs
- correct answer c. implement measures to decrease risk of infection
Order Steps of Nursing Process:
---Evaluate is plan is effective
---identify any health problems
---collect patient info
---carry out plan
