MED SURGE PERFECT EXAM
QUESTIONS AND ANSWERS A+
2026/2027 UPDATE
Chapter 17:
• Which hollow tube transports air from the laryngeal pharynx to the
bronchi?
a. Trachea (Pg 464)
• A nurse is discussing squamous epithelial cells lining each alveolus, which
consist of different types of cells. Which type of alveolar cells produce
surfactant?
a. Type II Cells (Pg 465)
• A physician has ordered that a client with suspected lung cancer undergo
magnetic resonance imaging (MRI). The nurse explains the benefits of this
study to the client. What is the reason the client with suspected lung
cancer would undergo magnetic resonanc e imaging (MRI)?
a. MRI can view soft tissues and help stage cancers. (Pg 489)
• A nurse is instructing the client on the normal sensations that can occur
when contrast medium is infused during pulmonary angiography. Which
client statement demonstrates an understanding of the teaching?
a. “I will feel warm and may have chest pain.” (Pg 489)
,MED SURGE PERFECT EXAM QUESTIONS AND
ANSWERS A+ 2023/2024 UPDATE
• The nurse is performing chest auscultation for a patient with asthma. How
does the nurse describe the high - pitched, sibilant, musical sounds that are
heard?
a. Wheezes (Pg 483)
• The nurse is assessing the lungs of a patient diagnosed with pulmonary
edema. Which of the following would be expected upon auscultation?
a. Crackles at lung bases (Pg 484)
• The amount of air inspired and expired with each breath is called:
a. Tidal Volume (Pg 485)
• A patient diagnosed with diabetic ketoacidosis would be expected to have
which type of respiratory pattern?
a. Kussmaul Respirations (Pg 479)
• A nurse is preparing a client for bronchoscopy. Which instruction should
the nurse give to the client?
a. Do not eat or drink for 6 hours before the procedure (Pg 490)
• The nurse is admitting a client who just had a bronchoscopy. Which
assessment should be the nurse's priority?
a. Swallow Reflex (Pg 490)
• The nurse is caring for a client whose respiratory status has declined
since shift report. The client has tachypnea, is restless, and displays
cyanosis. Which diagnostic test should the nurse perform first?
a. Pulse Ox (Pg 487)
,MED SURGE PERFECT EXAM QUESTIONS AND
ANSWERS A+ 2023/2024 UPDATE
• Which assessment finding would be most consistent with advanced
emphysema?
a. Barrel - Shaped Chest (Pg 477)
• The nurse is caring for a client with suspected lung cancer. Which imaging
study is more accurate than computed tomography in detecting
malignancies?
a. PET (Pg 490)
• Which term will the nurse use to document the inability of a client to
breathe easily unless positioned upright?
a. Orthopnea (Pg 471)
• A nurse practitioner diagnosed a patient with an infection in the maxillary
sinuses.
Select the area that the nurse palpated to make that diagnosis.
a. On the cheeks below the eyes (Pg 476)
• A patient comes to the emergency department complaining of a knifelike
pain when taking a deep breath. What does this type of pain likely indicate
to the nurse? a. Pleurisy (Pg 473)
• The nurse is caring for a client with recurrent hemoptysis who has
undergone a bronchoscopy. Immediately following the procedure, the
nurse should complete which action?
a. Assess the client cough reflex (Pg 491)
, MED SURGE PERFECT EXAM QUESTIONS AND
ANSWERS A+ 2023/2024 UPDATE
• A nurse caring for a patient with a pulmonary embolism understands that
a
high ventilation –perfusion ratio may exist. What does this mean for the
patient?
a. Ventilation exceeds perfusion (Pg 468)
• The nurse is in the radiology unit of the hospital. The nurse is caring for a
client who is scheduled for a lung scan. The nurse knows that lung scans
need the use of radioisotopes and a scanning machine. Before the
perfusion scan, what must the client be assessed for?
a. Iodine Allergy (Pg 489)
• The nursing instructor is teaching students about the respiratory system.
The instructor knows the teaching has been effective when a student
makes which statement?
a. “Ventilation is the movement of air in and out of the respiratory tract”
(Pg 466)
• The nurse is caring for a client diagnosed with pneumonia. The nurse
assesses the client for tactile fremitus by completing which action?
a. “ Asking the client to repeat “ninety - nine” as the nurse’s hands move
down the clients thorax (Pg 482)
QUESTIONS AND ANSWERS A+
2026/2027 UPDATE
Chapter 17:
• Which hollow tube transports air from the laryngeal pharynx to the
bronchi?
a. Trachea (Pg 464)
• A nurse is discussing squamous epithelial cells lining each alveolus, which
consist of different types of cells. Which type of alveolar cells produce
surfactant?
a. Type II Cells (Pg 465)
• A physician has ordered that a client with suspected lung cancer undergo
magnetic resonance imaging (MRI). The nurse explains the benefits of this
study to the client. What is the reason the client with suspected lung
cancer would undergo magnetic resonanc e imaging (MRI)?
a. MRI can view soft tissues and help stage cancers. (Pg 489)
• A nurse is instructing the client on the normal sensations that can occur
when contrast medium is infused during pulmonary angiography. Which
client statement demonstrates an understanding of the teaching?
a. “I will feel warm and may have chest pain.” (Pg 489)
,MED SURGE PERFECT EXAM QUESTIONS AND
ANSWERS A+ 2023/2024 UPDATE
• The nurse is performing chest auscultation for a patient with asthma. How
does the nurse describe the high - pitched, sibilant, musical sounds that are
heard?
a. Wheezes (Pg 483)
• The nurse is assessing the lungs of a patient diagnosed with pulmonary
edema. Which of the following would be expected upon auscultation?
a. Crackles at lung bases (Pg 484)
• The amount of air inspired and expired with each breath is called:
a. Tidal Volume (Pg 485)
• A patient diagnosed with diabetic ketoacidosis would be expected to have
which type of respiratory pattern?
a. Kussmaul Respirations (Pg 479)
• A nurse is preparing a client for bronchoscopy. Which instruction should
the nurse give to the client?
a. Do not eat or drink for 6 hours before the procedure (Pg 490)
• The nurse is admitting a client who just had a bronchoscopy. Which
assessment should be the nurse's priority?
a. Swallow Reflex (Pg 490)
• The nurse is caring for a client whose respiratory status has declined
since shift report. The client has tachypnea, is restless, and displays
cyanosis. Which diagnostic test should the nurse perform first?
a. Pulse Ox (Pg 487)
,MED SURGE PERFECT EXAM QUESTIONS AND
ANSWERS A+ 2023/2024 UPDATE
• Which assessment finding would be most consistent with advanced
emphysema?
a. Barrel - Shaped Chest (Pg 477)
• The nurse is caring for a client with suspected lung cancer. Which imaging
study is more accurate than computed tomography in detecting
malignancies?
a. PET (Pg 490)
• Which term will the nurse use to document the inability of a client to
breathe easily unless positioned upright?
a. Orthopnea (Pg 471)
• A nurse practitioner diagnosed a patient with an infection in the maxillary
sinuses.
Select the area that the nurse palpated to make that diagnosis.
a. On the cheeks below the eyes (Pg 476)
• A patient comes to the emergency department complaining of a knifelike
pain when taking a deep breath. What does this type of pain likely indicate
to the nurse? a. Pleurisy (Pg 473)
• The nurse is caring for a client with recurrent hemoptysis who has
undergone a bronchoscopy. Immediately following the procedure, the
nurse should complete which action?
a. Assess the client cough reflex (Pg 491)
, MED SURGE PERFECT EXAM QUESTIONS AND
ANSWERS A+ 2023/2024 UPDATE
• A nurse caring for a patient with a pulmonary embolism understands that
a
high ventilation –perfusion ratio may exist. What does this mean for the
patient?
a. Ventilation exceeds perfusion (Pg 468)
• The nurse is in the radiology unit of the hospital. The nurse is caring for a
client who is scheduled for a lung scan. The nurse knows that lung scans
need the use of radioisotopes and a scanning machine. Before the
perfusion scan, what must the client be assessed for?
a. Iodine Allergy (Pg 489)
• The nursing instructor is teaching students about the respiratory system.
The instructor knows the teaching has been effective when a student
makes which statement?
a. “Ventilation is the movement of air in and out of the respiratory tract”
(Pg 466)
• The nurse is caring for a client diagnosed with pneumonia. The nurse
assesses the client for tactile fremitus by completing which action?
a. “ Asking the client to repeat “ninety - nine” as the nurse’s hands move
down the clients thorax (Pg 482)
