Page 1 of 25
MED-SURG 1 IN-CLASS FINAL EXAM REVIEW 2026
QUESTIONS NEWEST 2026 EXAM QUESTIONS LATEST
VERSION SOLVED QUESTIONS & ANSWERS VERIFIED 100
%
A client has a platelet count of 9800/mm3. What action by the nurse is most
appropriate?
A. Assess the client for calf pain, warmth, and redness
B. Instruct the client to call for help to get out of bed
C. Obtain cultures as per the facility's standing policy
D. Place the client on protective isolation precautions
B. Instruct the client to call for help to get out of bed
A client has returned to the nursing unit after esophagogastroduodenoscopy
(EGD). Which action by the nurse takes priority?
A. Keep the client on strict bedrest for 8 hours
B. Delegate taking vital signs to the nursing assistant
C. Increase the IV rate to flush the kidneys
D. Assess the client's gag reflex
D. Assess the client's gag reflex
The nurse is caring for an older adult client with multiple fractures. How does
the nurse manage pain in this client?
A. Meperidine (Demerol) injections every 4 hours rather than PRN
B. Patient-controlled analgesia (PCA) pump with morphine
C. Ibuprofen (Motrin) 600 mg every 4 hours
D. IV morphine PRN
B. Patient-controlled analgesia (PCA) pump with morphine
, Page 2 of 25
After teaching a client with hypertension secondary to renal disease, the nurse
assesses the client's understanding. Which statement made by the client
indicated a need for additional teaching?
A. "I can prevent more damage to my kidneys by managing my blood
pressure."
B. "If I have increased urination at night, I need to drink less fluid during the
day."
C. "I need to see the registered dietitian to discuss limiting my protein intake."
D. "It is important that I take my antihypertensive medications as directed."
B. "If I have increased urination at night, I need to drink less fluid during the day."
A nurse is caring for a client admitted for Non-Hodgkin's lymphoma and
chemotherapy. The client reports nausea, flank pain, and muscle cramps.
What action by the nurse is most important?
A. Request an order for serum electrolytes and uric acid
B. Increase the client's IV infusion rate
C. Instruct assistive personnel to strain all urine
D. Administer an IV antiemetic
A. Request an order for serum electrolytes and uric acid
The nurse is caring for an older client with Salmonella food poisoning. Which
is the priority action of the nurse?
A. Monitor vital signs
B. Maintain IV fluids
C. Provide perineal care
D. Initiate isolation precautions
B. Maintain IV fluids
A client is getting out of bed into the chair for the first time after an
uncemented hip replacement. What action by the nurse is appropriate?
A. Have adequate help to transfer the client.
B. Provide socks so the client can slide easier.
C. Tell the client full weight bearing is allowed.
D. Use a footstool to elevate the client's leg.
A. Have adequate help to transfer the client.
A nurse is caring for an older client who exhibits dehydration-induced
confusion. Which intervention by the nurse is best?
, Page 3 of 25
A. Measure I&O every 4 hours
B. Assess client further for fall risk
C. Increase the IV flow rate to 250 mL/h
D. Place the client in a high-Fowler position
B. Assess client further for fall risk
The nurse is caring for a client with peptic ulcer disease. The client vomits a
large amount of undigested food after breakfast. Which intervention does the
nurse prepare to provide for the client?
A. Administer a soap suds cleansing enema
B. Change the client's diet to clear liquids only
C. Insert an NG tube to low intermittent suction
D. Administer prochlorperazine (Compazine) 10 mg IM
C. Insert an NG tube to low intermittent suction
A nurse cares for a client wit a urine specific gravity of 1.040. What action
would the nurse take?
A. Obtain a urine culture and sensitivity
B. Place the client on restricted fluids
C. Assess the client's creatinine level
D. Increase the client's fluid intake
D. Increase the client's fluid intake
A client has a chronic, nonhealing ulcer on the lower leg. The nurse thinks the
client could benefit from negative-pressure wound therapy. The most
appropriate action by the nurse would be to?
A. Ask the charge nurse to discuss the matter with the physician
B. Call the physician and request and order for a negative pressure machine
C. Keep track of supplies used currently to estimate the cost of continuing the
present regimen
D. Request the physician write an order to consult the wound care nurse
D. Request the physician write an order to consult the wound care nurse
A nurse is learning the difference between normal cells and benign tumor
cells. What information does that include?
MED-SURG 1 IN-CLASS FINAL EXAM REVIEW 2026
QUESTIONS NEWEST 2026 EXAM QUESTIONS LATEST
VERSION SOLVED QUESTIONS & ANSWERS VERIFIED 100
%
A client has a platelet count of 9800/mm3. What action by the nurse is most
appropriate?
A. Assess the client for calf pain, warmth, and redness
B. Instruct the client to call for help to get out of bed
C. Obtain cultures as per the facility's standing policy
D. Place the client on protective isolation precautions
B. Instruct the client to call for help to get out of bed
A client has returned to the nursing unit after esophagogastroduodenoscopy
(EGD). Which action by the nurse takes priority?
A. Keep the client on strict bedrest for 8 hours
B. Delegate taking vital signs to the nursing assistant
C. Increase the IV rate to flush the kidneys
D. Assess the client's gag reflex
D. Assess the client's gag reflex
The nurse is caring for an older adult client with multiple fractures. How does
the nurse manage pain in this client?
A. Meperidine (Demerol) injections every 4 hours rather than PRN
B. Patient-controlled analgesia (PCA) pump with morphine
C. Ibuprofen (Motrin) 600 mg every 4 hours
D. IV morphine PRN
B. Patient-controlled analgesia (PCA) pump with morphine
, Page 2 of 25
After teaching a client with hypertension secondary to renal disease, the nurse
assesses the client's understanding. Which statement made by the client
indicated a need for additional teaching?
A. "I can prevent more damage to my kidneys by managing my blood
pressure."
B. "If I have increased urination at night, I need to drink less fluid during the
day."
C. "I need to see the registered dietitian to discuss limiting my protein intake."
D. "It is important that I take my antihypertensive medications as directed."
B. "If I have increased urination at night, I need to drink less fluid during the day."
A nurse is caring for a client admitted for Non-Hodgkin's lymphoma and
chemotherapy. The client reports nausea, flank pain, and muscle cramps.
What action by the nurse is most important?
A. Request an order for serum electrolytes and uric acid
B. Increase the client's IV infusion rate
C. Instruct assistive personnel to strain all urine
D. Administer an IV antiemetic
A. Request an order for serum electrolytes and uric acid
The nurse is caring for an older client with Salmonella food poisoning. Which
is the priority action of the nurse?
A. Monitor vital signs
B. Maintain IV fluids
C. Provide perineal care
D. Initiate isolation precautions
B. Maintain IV fluids
A client is getting out of bed into the chair for the first time after an
uncemented hip replacement. What action by the nurse is appropriate?
A. Have adequate help to transfer the client.
B. Provide socks so the client can slide easier.
C. Tell the client full weight bearing is allowed.
D. Use a footstool to elevate the client's leg.
A. Have adequate help to transfer the client.
A nurse is caring for an older client who exhibits dehydration-induced
confusion. Which intervention by the nurse is best?
, Page 3 of 25
A. Measure I&O every 4 hours
B. Assess client further for fall risk
C. Increase the IV flow rate to 250 mL/h
D. Place the client in a high-Fowler position
B. Assess client further for fall risk
The nurse is caring for a client with peptic ulcer disease. The client vomits a
large amount of undigested food after breakfast. Which intervention does the
nurse prepare to provide for the client?
A. Administer a soap suds cleansing enema
B. Change the client's diet to clear liquids only
C. Insert an NG tube to low intermittent suction
D. Administer prochlorperazine (Compazine) 10 mg IM
C. Insert an NG tube to low intermittent suction
A nurse cares for a client wit a urine specific gravity of 1.040. What action
would the nurse take?
A. Obtain a urine culture and sensitivity
B. Place the client on restricted fluids
C. Assess the client's creatinine level
D. Increase the client's fluid intake
D. Increase the client's fluid intake
A client has a chronic, nonhealing ulcer on the lower leg. The nurse thinks the
client could benefit from negative-pressure wound therapy. The most
appropriate action by the nurse would be to?
A. Ask the charge nurse to discuss the matter with the physician
B. Call the physician and request and order for a negative pressure machine
C. Keep track of supplies used currently to estimate the cost of continuing the
present regimen
D. Request the physician write an order to consult the wound care nurse
D. Request the physician write an order to consult the wound care nurse
A nurse is learning the difference between normal cells and benign tumor
cells. What information does that include?
