LEWIS MEDICAL SURGICAL NURSING
REVIEW SHEET 2026 QUESTIONS ANSWERS
GRADED A+
⩥What is a disorder characterized by structural organ damage that
interferes with function?
Answer: Organic disease.
⩥Which finding represents a modifiable risk factor for disease?
Answer: Smoking one pack per day.
⩥What findings are most consistent with infection and inflammation?
Answer: Erythema, edema, heat, and purulent drainage at a wound site.
⩥Which condition is classified as a metabolic disease?
Answer: Diabetes mellitus.
⩥Which technique must be performed first during abdominal
assessment?
Answer: Inspection.
⩥Why does the nurse auscultate bowel sounds before palpating?
,Answer: Palpation may alter bowel motility.
⩥What does a Glasgow Coma Scale score of 8 indicate?
Answer: Severe brain injury.
⩥What is the GCS score for a client who opens eyes to verbal stimuli
(3), is confused (4), and withdraws from pain (4)?
Answer: 11.
⩥A unilateral dilated, nonreactive pupil suggests dysfunction of which
cranial nerve?
Answer: CN III.
⩥What does capillary refill greater than 3 seconds indicate?
Answer: Sluggish peripheral perfusion.
⩥Which respiratory finding is an emergency?
Answer: Stridor.
⩥Fine crackles heard at the end of inspiration that do not clear with
coughing are most associated with?
Answer: Fluid in alveoli.
, ⩥The S1 heart sound corresponds with?
Answer: Closure of AV valves.
⩥An S3 heart sound in an adult most likely indicates?
Answer: Early heart failure.
⩥Jugular venous distention observed while sitting upright suggests?
Answer: Right-sided heart failure.
⩥What should the nurse do if bowel sounds are absent after listening for
4 minutes?
Answer: Notify the provider immediately.
⩥What does a pulsating abdominal mass upon palpation require?
Answer: Stop assessment and notify provider.
⩥Pitting edema that leaves a deep 6 mm indentation lasting over 1
minute is graded?
Answer: 4+.
⩥What is the normal adult respiratory rate?
Answer: 12-20.
REVIEW SHEET 2026 QUESTIONS ANSWERS
GRADED A+
⩥What is a disorder characterized by structural organ damage that
interferes with function?
Answer: Organic disease.
⩥Which finding represents a modifiable risk factor for disease?
Answer: Smoking one pack per day.
⩥What findings are most consistent with infection and inflammation?
Answer: Erythema, edema, heat, and purulent drainage at a wound site.
⩥Which condition is classified as a metabolic disease?
Answer: Diabetes mellitus.
⩥Which technique must be performed first during abdominal
assessment?
Answer: Inspection.
⩥Why does the nurse auscultate bowel sounds before palpating?
,Answer: Palpation may alter bowel motility.
⩥What does a Glasgow Coma Scale score of 8 indicate?
Answer: Severe brain injury.
⩥What is the GCS score for a client who opens eyes to verbal stimuli
(3), is confused (4), and withdraws from pain (4)?
Answer: 11.
⩥A unilateral dilated, nonreactive pupil suggests dysfunction of which
cranial nerve?
Answer: CN III.
⩥What does capillary refill greater than 3 seconds indicate?
Answer: Sluggish peripheral perfusion.
⩥Which respiratory finding is an emergency?
Answer: Stridor.
⩥Fine crackles heard at the end of inspiration that do not clear with
coughing are most associated with?
Answer: Fluid in alveoli.
, ⩥The S1 heart sound corresponds with?
Answer: Closure of AV valves.
⩥An S3 heart sound in an adult most likely indicates?
Answer: Early heart failure.
⩥Jugular venous distention observed while sitting upright suggests?
Answer: Right-sided heart failure.
⩥What should the nurse do if bowel sounds are absent after listening for
4 minutes?
Answer: Notify the provider immediately.
⩥What does a pulsating abdominal mass upon palpation require?
Answer: Stop assessment and notify provider.
⩥Pitting edema that leaves a deep 6 mm indentation lasting over 1
minute is graded?
Answer: 4+.
⩥What is the normal adult respiratory rate?
Answer: 12-20.
