MED SURG PROCTORED ACTUAL EXAM
2026 QUESTIONS AND CORRECT ANSWERS
GRADED A+
A nurse is caring for a client who came the emergency dept reporting chest pain.
The provider suspects a myocardial infarction. While waiting for the laboratory to
report the client's troponin levels, the client asks what this blood test will show.
The nurse should explain that troponin is
a. An enzyme that indicates damage to brain, heart, and skeletal muscle
tissues
b. A protein whose levels reflect the risk for coronary artery disease
c. A heart muscle protein that appears in the bloodstream when there is
damage to the heart
d. A protein that helps transport oxygen throughout the body
c. A heart muscle protein that appears in the bloodstream when there is
damage to the heart
A nurse is assessing a client who has disseminated intravascular coagulation
(DIC). Which of the following should the nurse expect in the findings?
a. Excessive thrombosis and bleeding
b. Progressive increase in platelet production
c. Immediate sodium and fluid retention
d. Increased clotting factors
d. Increased clotting factors
,A nurse is about to administer warfarin (Coumadin) to a client who has atrial
fibrillation. When the client asks what his medication will do, which of the
following is an appropriate nursing response?
a. It helps convert atrial fibrillation to sinus rhythm
b. Is dissolves clots in the bloodstream
c. It slows the response of the ventricles to the fast atrial impulses
d. It prevents strokes in clients who have atrial fibrillation
d. It prevents strokes in clients who have atrial fibrillation
A nurse in a cardiac care unit is caring for a client with acute heart failure. Which
of the following findings should the nurse expect?
a. Decreased brain natriuretic peptide (BNP)
b. Elevated central venous pressure (CVP)
c. Decreased pulmonary pressure
d. Increases urinary outpu
b. Elevated central venous pressure (CVP)
A client comes into the ED reporting nausea and vomiting that worsens when
lying down and without relief from antacids. The provider suspects acute
pancreatitis. Which of the following lab test results should the nurse expect to see
if
the client has acute pancreatitis?
a. Decreased WBC
, b. Increased serum amylase
c. Decreased serum lipase
d. Increased serum calcium
b. Increased serum amylase
1. A nurse in a burn treatment center is caring for a client who is admitted with
severe burns to both lower extremities and is pending an escharotomy. The client's
spouse asks the nurse what the procedure entails. Which of the following nursing
statements is appropriate?
a."large incisions will be made in the eschar to improve circulation"
b. " I can call the doctor back here if you want me to"
c. "a piece of skin will be removed and grafted over the burned area"
d. "dead tissue will be surgically removed"
a."large incisions will be made in the eschar to improve circulation"
A nurse is monitoring the fluid replacement of a client who has sustained burns.
Which of the following fluids is used in the first 24 hours following a burn injury?
a. 5% dextrose in water
b. 5% dextrose in normal saline
c. normal saline
d. lactated ringers
d. lactated ringers
2026 QUESTIONS AND CORRECT ANSWERS
GRADED A+
A nurse is caring for a client who came the emergency dept reporting chest pain.
The provider suspects a myocardial infarction. While waiting for the laboratory to
report the client's troponin levels, the client asks what this blood test will show.
The nurse should explain that troponin is
a. An enzyme that indicates damage to brain, heart, and skeletal muscle
tissues
b. A protein whose levels reflect the risk for coronary artery disease
c. A heart muscle protein that appears in the bloodstream when there is
damage to the heart
d. A protein that helps transport oxygen throughout the body
c. A heart muscle protein that appears in the bloodstream when there is
damage to the heart
A nurse is assessing a client who has disseminated intravascular coagulation
(DIC). Which of the following should the nurse expect in the findings?
a. Excessive thrombosis and bleeding
b. Progressive increase in platelet production
c. Immediate sodium and fluid retention
d. Increased clotting factors
d. Increased clotting factors
,A nurse is about to administer warfarin (Coumadin) to a client who has atrial
fibrillation. When the client asks what his medication will do, which of the
following is an appropriate nursing response?
a. It helps convert atrial fibrillation to sinus rhythm
b. Is dissolves clots in the bloodstream
c. It slows the response of the ventricles to the fast atrial impulses
d. It prevents strokes in clients who have atrial fibrillation
d. It prevents strokes in clients who have atrial fibrillation
A nurse in a cardiac care unit is caring for a client with acute heart failure. Which
of the following findings should the nurse expect?
a. Decreased brain natriuretic peptide (BNP)
b. Elevated central venous pressure (CVP)
c. Decreased pulmonary pressure
d. Increases urinary outpu
b. Elevated central venous pressure (CVP)
A client comes into the ED reporting nausea and vomiting that worsens when
lying down and without relief from antacids. The provider suspects acute
pancreatitis. Which of the following lab test results should the nurse expect to see
if
the client has acute pancreatitis?
a. Decreased WBC
, b. Increased serum amylase
c. Decreased serum lipase
d. Increased serum calcium
b. Increased serum amylase
1. A nurse in a burn treatment center is caring for a client who is admitted with
severe burns to both lower extremities and is pending an escharotomy. The client's
spouse asks the nurse what the procedure entails. Which of the following nursing
statements is appropriate?
a."large incisions will be made in the eschar to improve circulation"
b. " I can call the doctor back here if you want me to"
c. "a piece of skin will be removed and grafted over the burned area"
d. "dead tissue will be surgically removed"
a."large incisions will be made in the eschar to improve circulation"
A nurse is monitoring the fluid replacement of a client who has sustained burns.
Which of the following fluids is used in the first 24 hours following a burn injury?
a. 5% dextrose in water
b. 5% dextrose in normal saline
c. normal saline
d. lactated ringers
d. lactated ringers
