Medical-Surgical Nursing Exam 1 2026:
Complete Prep Guide with 100+ Questions,
Answers & Explanations for Guaranteed Pass
The nurse is caring for a client who has as a son with a
streptococcus throat infection. Which nurse recommendation
would be best to advise the client to do in order to prevent
acquiring the infection? - ✔✔ANSWER ✔✔-Frequently wash
her hands and surfaces of the home.
The nurse is caring for a client infected with Rocky Mountain
spotted fever. The nurse should ask if the client has
experienced which of the following? - ✔✔ANSWER ✔✔-Was
bitten by a tick
,The nurse is caring for a client with a protozoa infection. Which
is the most likely mode of transmission? - ✔✔ANSWER ✔✔-
Ingestion of contaminated food or water
The nurse is caring for a client who is recovering from an
allergic reaction. Which leukocyte level would the nurse expect
to be the most elevated? - ✔✔ANSWER ✔✔-Eosinophils
The nurse is caring for a client who has an infected wound on
the great toe that is red with a purulent exudate. The nurse
expects that this client has which type of infection? -
✔✔ANSWER ✔✔-Localized
The client experienced a fall. Nursing assessment reveals that
the client is experiencing tachycardia, hypotension, confusion,
tachypnea, and flat jugular veins. What should be the nurse's
first response? - ✔✔ANSWER ✔✔-Administer oxygen.
The family wants to know why the nurse is putting a urinary
catheter in a client experiencing shock. What is the nurse's best
response? - ✔✔ANSWER ✔✔-"It will help monitor how much
urine the kidneys are able to produce."
,A client experiencing shock has had a urinary output of 250 mL
in the last 10 hours. What is the nurse's most appropriate
response? - ✔✔ANSWER ✔✔-Notify the physician.
Which client is most likely to be experiencing hypovolemic
shock? - ✔✔ANSWER ✔✔-A client who had surgery 24 hours
ago and who also has a nasogastric tube
The physician has ordered arterial blood gases for a client
experiencing shock. The nurse knows that which value indicates
shock? - ✔✔ANSWER ✔✔-pH 7.32
A 63-year-old Arab American male states his left leg is "hot."
What is the nurse's best first response? - ✔✔ANSWER ✔✔-
Assess for pain
The client is complaining of excruciating pain in a foot that has
been amputated. The family tells the nurse that the client is
just addicted to pain medications. What is the nurse's best
response? - ✔✔ANSWER ✔✔-"He is experiencing phantom
limb pain."
, A client has had abdominal surgery and has orders to be
ambulated three times a day. Oral pain medication has been
ordered for the client. What should the nurse do to facilitate
ambulation? - ✔✔ANSWER ✔✔-Mediate 1 hour prior to
ambulating the client.
The client reports frequent use of acetaminophen. How should
the nurse best respond? - ✔✔ANSWER ✔✔-"Do you drink
alcohol?"
A client with chronic pain has been admitted with a fever. The
nursing assessment reveals that the client has a decreased level
of consciousness. What should the nurse ask the family about?
- ✔✔ANSWER ✔✔-What medications the client has taken
The practical nurse is reviewing the social history from a client
diagnosed with small cell carcinoma of the lung. Which
information is significant for this disease? - ✔✔ANSWER ✔✔-
The client has smoked two (2) packs of cigarettes a day for 20
years
The practical nurse and an unlicensed assistive personnel (UAP)
are caring for a group of clients on a medical unit. Which
information provided by the UAP warrants immediate
Complete Prep Guide with 100+ Questions,
Answers & Explanations for Guaranteed Pass
The nurse is caring for a client who has as a son with a
streptococcus throat infection. Which nurse recommendation
would be best to advise the client to do in order to prevent
acquiring the infection? - ✔✔ANSWER ✔✔-Frequently wash
her hands and surfaces of the home.
The nurse is caring for a client infected with Rocky Mountain
spotted fever. The nurse should ask if the client has
experienced which of the following? - ✔✔ANSWER ✔✔-Was
bitten by a tick
,The nurse is caring for a client with a protozoa infection. Which
is the most likely mode of transmission? - ✔✔ANSWER ✔✔-
Ingestion of contaminated food or water
The nurse is caring for a client who is recovering from an
allergic reaction. Which leukocyte level would the nurse expect
to be the most elevated? - ✔✔ANSWER ✔✔-Eosinophils
The nurse is caring for a client who has an infected wound on
the great toe that is red with a purulent exudate. The nurse
expects that this client has which type of infection? -
✔✔ANSWER ✔✔-Localized
The client experienced a fall. Nursing assessment reveals that
the client is experiencing tachycardia, hypotension, confusion,
tachypnea, and flat jugular veins. What should be the nurse's
first response? - ✔✔ANSWER ✔✔-Administer oxygen.
The family wants to know why the nurse is putting a urinary
catheter in a client experiencing shock. What is the nurse's best
response? - ✔✔ANSWER ✔✔-"It will help monitor how much
urine the kidneys are able to produce."
,A client experiencing shock has had a urinary output of 250 mL
in the last 10 hours. What is the nurse's most appropriate
response? - ✔✔ANSWER ✔✔-Notify the physician.
Which client is most likely to be experiencing hypovolemic
shock? - ✔✔ANSWER ✔✔-A client who had surgery 24 hours
ago and who also has a nasogastric tube
The physician has ordered arterial blood gases for a client
experiencing shock. The nurse knows that which value indicates
shock? - ✔✔ANSWER ✔✔-pH 7.32
A 63-year-old Arab American male states his left leg is "hot."
What is the nurse's best first response? - ✔✔ANSWER ✔✔-
Assess for pain
The client is complaining of excruciating pain in a foot that has
been amputated. The family tells the nurse that the client is
just addicted to pain medications. What is the nurse's best
response? - ✔✔ANSWER ✔✔-"He is experiencing phantom
limb pain."
, A client has had abdominal surgery and has orders to be
ambulated three times a day. Oral pain medication has been
ordered for the client. What should the nurse do to facilitate
ambulation? - ✔✔ANSWER ✔✔-Mediate 1 hour prior to
ambulating the client.
The client reports frequent use of acetaminophen. How should
the nurse best respond? - ✔✔ANSWER ✔✔-"Do you drink
alcohol?"
A client with chronic pain has been admitted with a fever. The
nursing assessment reveals that the client has a decreased level
of consciousness. What should the nurse ask the family about?
- ✔✔ANSWER ✔✔-What medications the client has taken
The practical nurse is reviewing the social history from a client
diagnosed with small cell carcinoma of the lung. Which
information is significant for this disease? - ✔✔ANSWER ✔✔-
The client has smoked two (2) packs of cigarettes a day for 20
years
The practical nurse and an unlicensed assistive personnel (UAP)
are caring for a group of clients on a medical unit. Which
information provided by the UAP warrants immediate
