MEDICAL SURGICAL NURSING 7TH
EDITION 2026 COMPREHENSIVE TEST
PAPER QUESTIONS AND SOLUTIONS
GRADED A+
⩥ A diabetic client has numbness and reduced sensation. Which
intervention does the nurse teach this client to prevent injury?
A) "Use a bath thermometer to test the water temperature."
B) "Examine your feet daily using a mirror."
C) "Wear white socks instead of colored socks."
D) "Rotate your insulin injection sites.".
Answer: A
Clients with diminished sensory perception can easily experience a burn
injury when bath water is too hot. Instead of checking the temperature of
the water by feeling it, they should use a thermometer. Examining the
feet daily does not prevent injury, although daily foot examinations are
important to find problems so they can be addressed. Rotating insulin
and wearing white socks also will not prevent injury.
⩥ Which client does the nurse assess to be at greatest risk for pressure
ulcer development?
,A) Client who requires assistance with ambulation
B) Incontinent client with limited mobility
C) Client with hypertension on multiple medications
D) Client who has pneumonia.
Answer: B
Being immobile and being incontinent are two significant risk factors for
the development of pressure ulcers. Clients with pneumonia and
hypertension do not have specific risk factors. The client who needs
assistance with ambulation might be at moderate risk if he or she does
not move about much, but having two risk factors makes the last option
the person at highest risk.
⩥ The nurse is instructing the nursing assistant to prevent pressure ulcers
in a frail older patient; the nursing assistant understands the instruction
when she agrees to:
A) bathe and dry the skin vigorously to stimulate circulation.
B) limit intake of fluid and offer frequent snacks.
C) turn the patient at least every 2 hours.
D) keep the head of the bed elevated 30 degrees..
Answer: C
,The patient should be turned at least every 2 hours as permanent damage
can occur in 2 hours or less. If skin assessment reveals a stage I ulcer
while on a 2-hour turning schedule, the patient must be turned more
frequently. Limiting fluids will prevent healing; however, offering
snacks is indicated to increase healing particularly if they are protein
based, because protein plays a role in healing. Use of doughnuts,
elevated heads of beds, and overstimulation of skin may all stimulate, if
not actually encourage, dermal decline.
⩥ The client with type 2 diabetes has recently been changed from the
oral antidiabetic agents glyburide (Micronase) and metformin
(Glucophage) to glyburide-metformin (Glucovance). The nurse includes
which information in the teaching about this medication?
A) "Glucovance is more effective than glyburide and metformin."
B) "Your diabetes is improving and you now need only one drug."
C) "Glucovance contains a combination of glyburide and metformin."
D) "Glucovance is a new oral insulin and replaces all other oral
antidiabetic agents.".
Answer: C
Glucovance is composed of glyburide and metformin. It is given to
enhance the convenience of antidiabetic therapy with glyburide and
metformin. The other statements are not accurate.
, ⩥ The nurse administers 6 units of regular insulin and 10 units NPH
insulin at 7 AM. At what time does the nurse assess the client for
problems related to the NPH insulin?
A) 4 PM
B) 11 PM
C) 8 AM
D) 8 PM.
Answer: A
NPH is an intermediate-acting insulin with an onset of 1.5 hours, peak of
4 to 12 hours, and duration of action of 22 hours. Checking the client at
8:00 AM would be too soon; 8:00 PM and 11:00 PM would be too late.
⩥ The nurse is caring for a client who is immobile from a recent stroke.
Which intervention does the nurse implement to prevent complications
in this client?
A) Teach the client to touch and use both sides of the body.
B) Apply sequential compression stockings.
C) Instruct the client to turn the head from side to side.
D) Position the client with the unaffected side down..
Answer: B
EDITION 2026 COMPREHENSIVE TEST
PAPER QUESTIONS AND SOLUTIONS
GRADED A+
⩥ A diabetic client has numbness and reduced sensation. Which
intervention does the nurse teach this client to prevent injury?
A) "Use a bath thermometer to test the water temperature."
B) "Examine your feet daily using a mirror."
C) "Wear white socks instead of colored socks."
D) "Rotate your insulin injection sites.".
Answer: A
Clients with diminished sensory perception can easily experience a burn
injury when bath water is too hot. Instead of checking the temperature of
the water by feeling it, they should use a thermometer. Examining the
feet daily does not prevent injury, although daily foot examinations are
important to find problems so they can be addressed. Rotating insulin
and wearing white socks also will not prevent injury.
⩥ Which client does the nurse assess to be at greatest risk for pressure
ulcer development?
,A) Client who requires assistance with ambulation
B) Incontinent client with limited mobility
C) Client with hypertension on multiple medications
D) Client who has pneumonia.
Answer: B
Being immobile and being incontinent are two significant risk factors for
the development of pressure ulcers. Clients with pneumonia and
hypertension do not have specific risk factors. The client who needs
assistance with ambulation might be at moderate risk if he or she does
not move about much, but having two risk factors makes the last option
the person at highest risk.
⩥ The nurse is instructing the nursing assistant to prevent pressure ulcers
in a frail older patient; the nursing assistant understands the instruction
when she agrees to:
A) bathe and dry the skin vigorously to stimulate circulation.
B) limit intake of fluid and offer frequent snacks.
C) turn the patient at least every 2 hours.
D) keep the head of the bed elevated 30 degrees..
Answer: C
,The patient should be turned at least every 2 hours as permanent damage
can occur in 2 hours or less. If skin assessment reveals a stage I ulcer
while on a 2-hour turning schedule, the patient must be turned more
frequently. Limiting fluids will prevent healing; however, offering
snacks is indicated to increase healing particularly if they are protein
based, because protein plays a role in healing. Use of doughnuts,
elevated heads of beds, and overstimulation of skin may all stimulate, if
not actually encourage, dermal decline.
⩥ The client with type 2 diabetes has recently been changed from the
oral antidiabetic agents glyburide (Micronase) and metformin
(Glucophage) to glyburide-metformin (Glucovance). The nurse includes
which information in the teaching about this medication?
A) "Glucovance is more effective than glyburide and metformin."
B) "Your diabetes is improving and you now need only one drug."
C) "Glucovance contains a combination of glyburide and metformin."
D) "Glucovance is a new oral insulin and replaces all other oral
antidiabetic agents.".
Answer: C
Glucovance is composed of glyburide and metformin. It is given to
enhance the convenience of antidiabetic therapy with glyburide and
metformin. The other statements are not accurate.
, ⩥ The nurse administers 6 units of regular insulin and 10 units NPH
insulin at 7 AM. At what time does the nurse assess the client for
problems related to the NPH insulin?
A) 4 PM
B) 11 PM
C) 8 AM
D) 8 PM.
Answer: A
NPH is an intermediate-acting insulin with an onset of 1.5 hours, peak of
4 to 12 hours, and duration of action of 22 hours. Checking the client at
8:00 AM would be too soon; 8:00 PM and 11:00 PM would be too late.
⩥ The nurse is caring for a client who is immobile from a recent stroke.
Which intervention does the nurse implement to prevent complications
in this client?
A) Teach the client to touch and use both sides of the body.
B) Apply sequential compression stockings.
C) Instruct the client to turn the head from side to side.
D) Position the client with the unaffected side down..
Answer: B
