Page 1 of 25
MED-SURG 1 IN-CLASS FINAL EXAM QUESTIONS AS AT 1-
MAY-2026 EXAM QUESTIONS WITH CORRECT ANSWERS
AND RATIONALES LATEST VERSION SOLVED QUESTIONS
& ANSWERS VERIFIED 100 %
Review
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?
, Page 2 of 25
A. Benign tumors grow through invasion of other tissue
B. Benign tumors have lost their cellular regulation from contact inhibition
C. Growing in the wrong place or time is typical of benign tumors
D. The loss of characteristics of the parent cell is called anaplasia
C. Growing in the wrong place or time is typical of benign tumors
The nurse assesses a client who has just been brought to the postanesthesia
care unit (PACU). In the operating room, the client's BP was 136/80 mmHg, it is
now 110/80 mmHg. Urine output was 40 mL/h and is now 10 mL/h. Which
action by the nurse is best?
A. Awaken the client and encourage oral fluids
B. Increase the IV of 0.9 NS as ordered to 100 mL/h
C. Put the client in Trendelenberg position
D. Assess the client's levels of consciousness and pain
B. Increase the IV of 0.9 NS as ordered to 100 mL/h
The nurse is caring for a client who was started on total parenteral nutrition
(TPN) 2 days previously. The client reports blurred vision, dry mouth, and
frequent urination. Which is the nurse's priority action?
A. Weight the client
B. Assess the client's vital signs
C. Slow down the TPN infusion
D. Assess the client's blood sugar
D. Assess the client's blood sugar
A client with pneumonia and dementia is admitted with an indwelling urinary
catheter in place. During interprofessional rounds the following day, which
question would the nurse ask the primary health care provider?
A. "Do you want daily weights on this client?"
B. "Will the client be able to return home?"
C. "May we discontinue the indwelling catheter?"
D. "Should we get another chest x-ray today?"
C. "May we discontinue the indwelling catheter?"
The nurse is planning care for an older client who has very thin skin on the
backs of the hands and arms. What is the client's priority problem?
, Page 3 of 25
A. Risk for injury
B. Infection
C. Poor self-image
D. Discomfort
A. Risk for injury
A client is admitted to the ED with a complete fracture of the left radius. The
nurse understands that with this type of fracture, the bone is?
A. Displaced with fragments out of normal position
B. Fractured only through one cortex of bones
C. Fractured through the entire bone
D. Fragmented with multiple pieces of bone
C. Fractured through the entire bone
A nurse is caring for a client who has just had a central venous access line
inserted. What action will the nurse take next?
A. Begin the prescribed infusion via the new access
B. Ensure that an x-ray is completed to confirm placement
C. Check medication calculations with a second RN
D. Make sure that the solution is appropriate for a central line
B. Ensure that an x-ray is completed to confirm placement
After teaching a client who has stress incontinence, the nurse assesses the
client's understanding. Which statement made by the client indicates a need
for further teaching?
A. "I will limit my total intake of fluids."
B. "I must avoid drinking alcoholic beverages."
C. "I must avoid drinking caffeinated beverages."
D. "I shall try to lose about 10% of my body weight."
A. "I will limit my total intake of fluids."
A new nurse has been assigned a client who is in the hospital to receive
iodine-131 treatment. Which action by the nurse is best?
A. Ensure the client is placed in protective isolation.
B. Have pregnant visitors stay 6 feet away from this client.
C. No special action is necessary to care for this client.
MED-SURG 1 IN-CLASS FINAL EXAM QUESTIONS AS AT 1-
MAY-2026 EXAM QUESTIONS WITH CORRECT ANSWERS
AND RATIONALES LATEST VERSION SOLVED QUESTIONS
& ANSWERS VERIFIED 100 %
Review
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?
, Page 2 of 25
A. Benign tumors grow through invasion of other tissue
B. Benign tumors have lost their cellular regulation from contact inhibition
C. Growing in the wrong place or time is typical of benign tumors
D. The loss of characteristics of the parent cell is called anaplasia
C. Growing in the wrong place or time is typical of benign tumors
The nurse assesses a client who has just been brought to the postanesthesia
care unit (PACU). In the operating room, the client's BP was 136/80 mmHg, it is
now 110/80 mmHg. Urine output was 40 mL/h and is now 10 mL/h. Which
action by the nurse is best?
A. Awaken the client and encourage oral fluids
B. Increase the IV of 0.9 NS as ordered to 100 mL/h
C. Put the client in Trendelenberg position
D. Assess the client's levels of consciousness and pain
B. Increase the IV of 0.9 NS as ordered to 100 mL/h
The nurse is caring for a client who was started on total parenteral nutrition
(TPN) 2 days previously. The client reports blurred vision, dry mouth, and
frequent urination. Which is the nurse's priority action?
A. Weight the client
B. Assess the client's vital signs
C. Slow down the TPN infusion
D. Assess the client's blood sugar
D. Assess the client's blood sugar
A client with pneumonia and dementia is admitted with an indwelling urinary
catheter in place. During interprofessional rounds the following day, which
question would the nurse ask the primary health care provider?
A. "Do you want daily weights on this client?"
B. "Will the client be able to return home?"
C. "May we discontinue the indwelling catheter?"
D. "Should we get another chest x-ray today?"
C. "May we discontinue the indwelling catheter?"
The nurse is planning care for an older client who has very thin skin on the
backs of the hands and arms. What is the client's priority problem?
, Page 3 of 25
A. Risk for injury
B. Infection
C. Poor self-image
D. Discomfort
A. Risk for injury
A client is admitted to the ED with a complete fracture of the left radius. The
nurse understands that with this type of fracture, the bone is?
A. Displaced with fragments out of normal position
B. Fractured only through one cortex of bones
C. Fractured through the entire bone
D. Fragmented with multiple pieces of bone
C. Fractured through the entire bone
A nurse is caring for a client who has just had a central venous access line
inserted. What action will the nurse take next?
A. Begin the prescribed infusion via the new access
B. Ensure that an x-ray is completed to confirm placement
C. Check medication calculations with a second RN
D. Make sure that the solution is appropriate for a central line
B. Ensure that an x-ray is completed to confirm placement
After teaching a client who has stress incontinence, the nurse assesses the
client's understanding. Which statement made by the client indicates a need
for further teaching?
A. "I will limit my total intake of fluids."
B. "I must avoid drinking alcoholic beverages."
C. "I must avoid drinking caffeinated beverages."
D. "I shall try to lose about 10% of my body weight."
A. "I will limit my total intake of fluids."
A new nurse has been assigned a client who is in the hospital to receive
iodine-131 treatment. Which action by the nurse is best?
A. Ensure the client is placed in protective isolation.
B. Have pregnant visitors stay 6 feet away from this client.
C. No special action is necessary to care for this client.
