MEDICAL SURGE NURSING EXAM QUESTIONS WITH
VERIFIED AND CORRECT ANSWERS 2023 A+ GRADED
• A nurse is caring for a patient with hepatic encephalopathy. While making the initial shift
assessment, the nurse notes that the patient has a flapping tremor of the hands. The nurse
should document the presence of what sign of liver disease?
a. Asterixis
b. Constructional apraxia
c. Fetor hepaticus
d. Palmar erythema
Ans: A
• The nurse is caring for a client with liver failure and is performing assessment and the knowledge
of the clients increase risk of bleeding. The nurse recognizes that this risk is related to the client
inability to synthesize prothrombin in the liver. What factor most likely contributes to this loss of
function?
a. Alterations in glucose metabolism
b. Retention of bile salts
c. Inadequate production of albumin by hepatocytes
d. Inability of the liver to use vitamin K
Ans: D
• A nurse is assessing a client who has cirrhosis which of the following is an expected finding for
this client?
a. Moist skin
b. Spider angiomas
c. Blood in the urine
d. Black stool
,MEDICAL SURGE NURSING EXAM QUESTIONS WITH
VERIFIED AND CORRECT ANSWERS 2023 A+ GRADED
• A nurse is assessing a client who has chronic kidney disease
a. Intake and output
b. Skin turgor
c. Daily weight
d. Serum sodium level
Ans: C
• A nurse cares for a middle-aged female client with diabetes mellitus who is being treated for the
third episode of acute pyelonephritis in the past year. The client asks, What can I do to help
prevent these infections? How should the nurse respond?
a. Test your urine daily for the presence of ketone bodies and proteins.
b. Use tampons rather than sanitary napkins during your menstrual period.
c. Drink more water and empty your bladder more frequently during the day.
d. Keep your hemoglobin A1c under 9% by keeping your blood sugar controlled.
ANS: C
• A nurse is caring for a client with hepatitis A the client as the nurse how might I have contracted
the virus. Which of the following is a question the nurse might ask the client?
a. Did you receive a blood transfusion lately
b. Do you take any recreational drugs
c. Have you eaten any fresh fish lately
d. Have you been to a third world country lately
Ans: C
• A nurse is assessing a client who has obstruction of the common bile duct resulting from chronic
cholecystitis which of the following findings should the nurse expect?
a. Fatty stools
, MEDICAL SURGE NURSING EXAM QUESTIONS WITH
VERIFIED AND CORRECT ANSWERS 2023 A+ GRADED
b. Straw-colored urine
c. Tenderness in the left upper abdomen
d. Ecchymosis of the extremities
Ans: A
• A nurse evaluates a client with acute glomerulonephritis (GN). Which manifestation should the
nurse recognize as a positive response to the prescribed treatment?
a. The client has lost 11 pounds in the past 10 days.
b. The clients urine specific gravity is 1.048.
c. No blood is observed in the clients urine.
d. The clients blood pressure is 152/88 mm Hg.
ANS: A
• A client hospitalized with sickle cell crisis frequently asks for opioid pain medications, often
shortly after receiving a dose. The nurses on the unit believe the client is drug seeking. When the
client requests pain medication, what action by the nurse is best?
a. Give the client pain medication if it is time for another dose.
b. Instruct the client not to request pain medication too early.
c. Request the provider leave a prescription for a placebo.
d. Tell the client it is too early to have more pain medication.
ANS: A
• The nurse is assessing a client suspected of having developed acute glomerulonephritis. The
nurse should expect to address what clinical manifestation that is characteristic of this health
problem?
a. Precipitous
b. Decrease in creatinine level
VERIFIED AND CORRECT ANSWERS 2023 A+ GRADED
• A nurse is caring for a patient with hepatic encephalopathy. While making the initial shift
assessment, the nurse notes that the patient has a flapping tremor of the hands. The nurse
should document the presence of what sign of liver disease?
a. Asterixis
b. Constructional apraxia
c. Fetor hepaticus
d. Palmar erythema
Ans: A
• The nurse is caring for a client with liver failure and is performing assessment and the knowledge
of the clients increase risk of bleeding. The nurse recognizes that this risk is related to the client
inability to synthesize prothrombin in the liver. What factor most likely contributes to this loss of
function?
a. Alterations in glucose metabolism
b. Retention of bile salts
c. Inadequate production of albumin by hepatocytes
d. Inability of the liver to use vitamin K
Ans: D
• A nurse is assessing a client who has cirrhosis which of the following is an expected finding for
this client?
a. Moist skin
b. Spider angiomas
c. Blood in the urine
d. Black stool
,MEDICAL SURGE NURSING EXAM QUESTIONS WITH
VERIFIED AND CORRECT ANSWERS 2023 A+ GRADED
• A nurse is assessing a client who has chronic kidney disease
a. Intake and output
b. Skin turgor
c. Daily weight
d. Serum sodium level
Ans: C
• A nurse cares for a middle-aged female client with diabetes mellitus who is being treated for the
third episode of acute pyelonephritis in the past year. The client asks, What can I do to help
prevent these infections? How should the nurse respond?
a. Test your urine daily for the presence of ketone bodies and proteins.
b. Use tampons rather than sanitary napkins during your menstrual period.
c. Drink more water and empty your bladder more frequently during the day.
d. Keep your hemoglobin A1c under 9% by keeping your blood sugar controlled.
ANS: C
• A nurse is caring for a client with hepatitis A the client as the nurse how might I have contracted
the virus. Which of the following is a question the nurse might ask the client?
a. Did you receive a blood transfusion lately
b. Do you take any recreational drugs
c. Have you eaten any fresh fish lately
d. Have you been to a third world country lately
Ans: C
• A nurse is assessing a client who has obstruction of the common bile duct resulting from chronic
cholecystitis which of the following findings should the nurse expect?
a. Fatty stools
, MEDICAL SURGE NURSING EXAM QUESTIONS WITH
VERIFIED AND CORRECT ANSWERS 2023 A+ GRADED
b. Straw-colored urine
c. Tenderness in the left upper abdomen
d. Ecchymosis of the extremities
Ans: A
• A nurse evaluates a client with acute glomerulonephritis (GN). Which manifestation should the
nurse recognize as a positive response to the prescribed treatment?
a. The client has lost 11 pounds in the past 10 days.
b. The clients urine specific gravity is 1.048.
c. No blood is observed in the clients urine.
d. The clients blood pressure is 152/88 mm Hg.
ANS: A
• A client hospitalized with sickle cell crisis frequently asks for opioid pain medications, often
shortly after receiving a dose. The nurses on the unit believe the client is drug seeking. When the
client requests pain medication, what action by the nurse is best?
a. Give the client pain medication if it is time for another dose.
b. Instruct the client not to request pain medication too early.
c. Request the provider leave a prescription for a placebo.
d. Tell the client it is too early to have more pain medication.
ANS: A
• The nurse is assessing a client suspected of having developed acute glomerulonephritis. The
nurse should expect to address what clinical manifestation that is characteristic of this health
problem?
a. Precipitous
b. Decrease in creatinine level
