NR PN MED SURGE NURSING EXAM 3RD
EDITION QUESTIONS WITH ANSWERS
2022/2023 A+
65-year-old patient complains of leg pain that disappears at rest after having walked
a short distance. The nurse recognizes the patient's symptoms are consistent with
which problem?
A. Muscle spasm
B. Deep venous thrombosis
C. Claudication
D. Angiospasm - Answer:
C. Claudication
A 75-year-old patient asks the nurse if the Pneumovax immunization he took when
he was 65 is still protecting him. Which reply is most accurate?
A. "Pneumovax protects you for your lifetime."
B. "Immunity afforded you by Pneumovax lasts only 2 years."
C. "Pneumovax protection varies according to your risk factors and living situation."
D. "After 6 years, you need a repeat dose of Pneumovax for full immunity." - Answer:
D. "After 6 years, you need a repeat does of Pneumovax for full immunity."
A 75-year-old patient presents to the emergency department with shortness of
breath, fatigue, and a dry cough. What information leads the nurse to suspect this
patient should undergo a workup for histoplasmosis?
,NR PN MED SURGE NURSING EXAM 3RD
EDITION QUESTIONS WITH ANSWERS
2022/2023 A+
A. The patient reports drinking pond water.
B. The patient lives on a farm and raises chickens.
C. The patient recently went hunting in a wooded area.
D. The patient owns a landscaping company. - Answer:
B. The patient lives on a farm and raises chickens.
A 75-year-old patient questions the nurse about vaccination to prevent shingles.
What response is most appropriate?
A. "The incidence of shingles in people your age is not overly common, so
vaccination is unnecessary."
B. "The vaccination has not yet been approved for use in the older adult."
C. "Because of the incidence of shingles in your age group, you should consider
taking the vaccination."
D. "The vaccination is expensive but will provide lifelong immunity." - Answer:
C. "Because of the incidence of shingles in your age group, you should consider
taking the vaccination."
A 79-year-old patient with bacterial pneumonia becomes increasingly restless,
confused, and agitated. The patient's temperature is 100 F, and his pulse, blood
pressure, and respirations are elevated since the last assessment 6 hours ago. What
action should the nurse take first?
A. Auscultate the patient's lungs
B. Assess the patient's oxygen saturation
C. Administer the mild sedative as ordered
D. Administer an ordered analgesic for discomfort - Answer:
,NR PN MED SURGE NURSING EXAM 3RD
EDITION QUESTIONS WITH ANSWERS
2022/2023 A+
B. Assess the patient's oxygen saturation
A patient who presented to the emergency room with a myocardial infarction (MI)
becomes pale, diaphoretic, and hypotensive. What action should the nurse take
first?
A. Notify the physician immediately.
B. Ensure the patient has patent IV access.
C. Request assistance from respiratory therapy.
D. Inform the patient's family of the change in status. - Answer:
A. Notify the physician immediately
According to most state NPAs, the vocational nurse acting as charge nurse in a
long-term care facility acts in which capacity?
A. Working under direct supervision of an RN on the unit.
B. Working with the RN in the building.
C. Working under general supervision by the RN available on site or by phone.
D. Working as an independent vocational nurse. - Answer:
C. Working under general supervision by the RN available on site or by the phone.
An 85-year-old patient with a newly diagnosed heart murmur expresses concern
that he has never been notified of this finding before. What is the most likely
cause of this patient's heart murmur?
A. Hypertension
, NR PN MED SURGE NURSING EXAM 3RD
EDITION QUESTIONS WITH ANSWERS
2022/2023 A+
B. Atherosclerosis
EDITION QUESTIONS WITH ANSWERS
2022/2023 A+
65-year-old patient complains of leg pain that disappears at rest after having walked
a short distance. The nurse recognizes the patient's symptoms are consistent with
which problem?
A. Muscle spasm
B. Deep venous thrombosis
C. Claudication
D. Angiospasm - Answer:
C. Claudication
A 75-year-old patient asks the nurse if the Pneumovax immunization he took when
he was 65 is still protecting him. Which reply is most accurate?
A. "Pneumovax protects you for your lifetime."
B. "Immunity afforded you by Pneumovax lasts only 2 years."
C. "Pneumovax protection varies according to your risk factors and living situation."
D. "After 6 years, you need a repeat dose of Pneumovax for full immunity." - Answer:
D. "After 6 years, you need a repeat does of Pneumovax for full immunity."
A 75-year-old patient presents to the emergency department with shortness of
breath, fatigue, and a dry cough. What information leads the nurse to suspect this
patient should undergo a workup for histoplasmosis?
,NR PN MED SURGE NURSING EXAM 3RD
EDITION QUESTIONS WITH ANSWERS
2022/2023 A+
A. The patient reports drinking pond water.
B. The patient lives on a farm and raises chickens.
C. The patient recently went hunting in a wooded area.
D. The patient owns a landscaping company. - Answer:
B. The patient lives on a farm and raises chickens.
A 75-year-old patient questions the nurse about vaccination to prevent shingles.
What response is most appropriate?
A. "The incidence of shingles in people your age is not overly common, so
vaccination is unnecessary."
B. "The vaccination has not yet been approved for use in the older adult."
C. "Because of the incidence of shingles in your age group, you should consider
taking the vaccination."
D. "The vaccination is expensive but will provide lifelong immunity." - Answer:
C. "Because of the incidence of shingles in your age group, you should consider
taking the vaccination."
A 79-year-old patient with bacterial pneumonia becomes increasingly restless,
confused, and agitated. The patient's temperature is 100 F, and his pulse, blood
pressure, and respirations are elevated since the last assessment 6 hours ago. What
action should the nurse take first?
A. Auscultate the patient's lungs
B. Assess the patient's oxygen saturation
C. Administer the mild sedative as ordered
D. Administer an ordered analgesic for discomfort - Answer:
,NR PN MED SURGE NURSING EXAM 3RD
EDITION QUESTIONS WITH ANSWERS
2022/2023 A+
B. Assess the patient's oxygen saturation
A patient who presented to the emergency room with a myocardial infarction (MI)
becomes pale, diaphoretic, and hypotensive. What action should the nurse take
first?
A. Notify the physician immediately.
B. Ensure the patient has patent IV access.
C. Request assistance from respiratory therapy.
D. Inform the patient's family of the change in status. - Answer:
A. Notify the physician immediately
According to most state NPAs, the vocational nurse acting as charge nurse in a
long-term care facility acts in which capacity?
A. Working under direct supervision of an RN on the unit.
B. Working with the RN in the building.
C. Working under general supervision by the RN available on site or by phone.
D. Working as an independent vocational nurse. - Answer:
C. Working under general supervision by the RN available on site or by the phone.
An 85-year-old patient with a newly diagnosed heart murmur expresses concern
that he has never been notified of this finding before. What is the most likely
cause of this patient's heart murmur?
A. Hypertension
, NR PN MED SURGE NURSING EXAM 3RD
EDITION QUESTIONS WITH ANSWERS
2022/2023 A+
B. Atherosclerosis
