CMS MED SURG EXAM ACTUAL EXAM 2025 | ALL
QUESTIONS AND CORRECT ANSWERS | ALREADY
GRADED A+ | PROFESSOR VERIFIED
Professor's Name:
Date:
INSTRUCTIONS: Information in BOLD should be added to every exam cover sheet.
1. The length of the examination: If your exam is a take home, please specify the
amount of time (in hours) needed to complete this exam during the stated range of
dates.
2. The number of pages of the examination: Please write how many pages are in the
exam and number each page. For example, "1 of 10, 2 of 10," etc. This is very important
to ensure that exams are duplicated correctly.
3. Indicate what materials may be brought into the examination room (textbook, notes,
casebooks, supplemental materials, etc.) Indicate if no materials are allowed. Usage of
computers should be stated clearly. If your exam will be completed using Exam4
(secure) or MyWCL (non-secure), indicate it here. You do not need to provide
instructions about using Exam4 or MyWCL. The students have already received this
information. You may allow the students the option of handwriting their exams in
bluebooks which will be provided in the exam room.
4. You will receive "0" credit for any unanswered question.
5. If scantron answer sheets are used, give detailed instructions. Only anonymous grading
numbers should be written in the space marked identification number and the
corresponding bubbles should be filled in. If using scantron answer sheets for True and
False questions, please indicate which letter should be used for True and which letter
should be used for False (for example, A=True, B=False). If your exam contains
multiple-choice questions and you do not want to use Scantron answer sheets, describe
how your students should mark their answers (Circle correct answer on the question
sheet, write in a blue book, type them in their document, etc.)
6. No corrections will be made once the exam is distributed. If there is a typo or
ambiguity in a question, state your assumption and answer accordingly.
7. Only your anonymous-grading number should appear on your blue book and
examination copy. DO NOT USE EITHER YOUR NAME OR SOCIAL SECURITY
NUMBER.
8. If you are graduating at the end of the semester, please write "GRADUATING" on
the outside of your exam envelope and on each Blue Book.
9. All materials, including the questions, handwritten answers (if applicable) and
scratch materials at the end of the exam, inserted into your self-sealing exam
envelope and handed to the proctor.
10. The use of electronic devices (iPods, cell phones, mp3 players, etc.) is prohibited
during the exam. This policy is at your discretion, however we recommend this
language to prevent cheating and honor code violations.
,A nurse is assisting with the plan of care for a client who has aspiration pneumonia and
hypoxia. Which of the following actions should the nurse plan to take?
A. Apply petroleum jelly to the client's nares.
B. Initiate fall precautions.
C. Implement contact precautions.
D. Maintain the client in a supine position. - B. Initiate fall precautions.
A nurse is caring for an older adult client immediately following a bronchoscopy with
biopsy. Which of the following is the priority action the nurse should take?
A. Document sputum color and consistency.
B. Check for a gag reflex.
C. Offer ice chips.
D. Instruct the client to gargle with warm saline. - B. Check for gag reflex.
A nurse is reinforcing health promotion education at a community health fair. Which of
the following statements by attendees indicates understanding of the teaching?
A. "I will examine my breasts a week after each menstrual period."
B. "I should get a hepatitis B vaccine on a yearly basis."
C. "I do my testicular self-exam every 6 months without fail."
D. "The flu shot I received last year will last me for 2 years." - A. "I will examine my
breasts a week after each menstrual period."
A nurse in a long-term care facility is collecting data from an older adult client. Which of
the following findings indicates that the client might be dehydrated?
A. Cool, clammy skin
B. Decrease in pulse rate
C. increase in blood pressure
D. Recent onset of confusion - D. Recent onset of confusion
A nurse is collecting data from a client who had a long arm cast applied 2 hr ago. Which
of the following findings of the affected extremity should the nurse report to the provider
immediately?
A. The client's fingers are cool to the touch.
B. The client's capillary refill is 3 seconds.
C. The client reports Increased pain at the area of the fracture.
D. The client reports severe itching under the cast. - A. The client's fingers are cool to
the touch.
A nurse in a long-term care unit is assisting in the care of a client who has Alzheimer's
disease. Which of the following actions should the nurse take?
,A. Alternate the client's daily routine
B. Keep the lights dimmed.
C. Raise the four side rails on the client's bed.
D. Participate in reminiscence therapy with the client. - D. Participate in reminiscence
therapy with the client.
A nurse is caring for a client who is postoperative following a right radical mastectomy.
Which of the following actions should the nurse take to prevent the development of
lymphedema?
A. Limit range of-motion exercises with the affected arm.
B. Use the client's left arm to obtain blood samples.
C. Keep both arms below the level of the client's heart.
D. Obtain blood pressure readings using the client's right arm. - B. Use the client's left
arm to obtain blood samples.
A nurse is assisting a provider with removing a client's lower-leg cast. Which of the
following statements by the nurse is appropriate?
A. "You can expect your leg muscles to look a little swollen."
B. "You should avoid elevating your leg while sitting"
C. "You should hold still to prevent injury to your skin."
D. "You can expect to feel pressure when we cut the cast." - D. "You can expect to feel
pressure when we cut the cast."
A nurse on a medical-surgical unit is caring for an older adult client who has developed
sepsis due to a urinary tract infection. A member of the client's family tells the nurse not
to perform any "heroic measures" to keep the client alive. Which of the following
responses by the nurse is appropriate?
A. "The client's condition is not critical enough to discuss these issues."
B. "Let me check the client's medical record for advance directives."
C. "You should contact the client's attorney to document your wishes legally."
D. "Why do you believe treatment would not benefit the client?" - B. "Let me check the
client's medical record for advance directives."
A nurse is monitoring a client who is receiving intravenous fluids. Which of the following
findings indicates a fluid volume excess? (Select all that apply)
A. Bradycardia
B. Flat neck veins
C. Weight gain
D. Hypertension
E. Dyspnea - C. Weight gain
D. Hypertension
E. Dyspnea
, A nurse is caring for a client who is postoperative following a total thyroidectomy for
hyperthyroidism. Which of the following findings should the nurse identify as the
priority?
A. Oral temperature 39° C (102.2° F)
B. Report of a sore throat
C. Serum calcium level 9.2 mg/dL
D. Moderate amount of sérosanguíneous drainage on dressings. - A. Oral temperature
39° C (102.2° F)
A nurse is reinforcing teaching about a heart-healthy diet with a client. Which of the
following statements by the client indicates that the teaching was effective?
A. "I will increase my intake of lean red meat."
B. "I will eat chicken as my source of fiber."
C. "I will use skim milk as my source of dairy."
D. "I will increase my servings of canned vegetables." - A. "I will increase my intake of
lean red meat."
A nurse is reinforcing discharge teaching with a client who had an abdominal
hysterectomy 2 days ago. Which of the following instructions should the nurse include in
the teaching?
A. "Douche with warm water to remove vaginal discharge."
B. "Take a shower rather than a tub bath."
C. "Avoid climbing stairs for 8 weeks."
D. "Expect bright red vaginal bleeding for 1 week following surgery." - B. "Take a
shower rather than a tub bath."
A nurse is reinforcing teaching about meal planning with a client who has hypertension.
Which of the following, statements by the client indicates an understanding of the
teaching?
A. "I can have a bologna sandwich."
B. "I can season food with vinegar."
C. "I can have canned soup."
D. "I can season food with ketchup." - B. "I can season food with vinegar."
A nurse is caring for a client who has diabetes mellitus. Which of the following
laboratory findings indicates the client has maintained control of his blood glucose levels
for the past 3 months?
A. Fasting blood glucose 100 mg/dL
B. HBA1C 6.5%
C. HbA1C 12.5%
QUESTIONS AND CORRECT ANSWERS | ALREADY
GRADED A+ | PROFESSOR VERIFIED
Professor's Name:
Date:
INSTRUCTIONS: Information in BOLD should be added to every exam cover sheet.
1. The length of the examination: If your exam is a take home, please specify the
amount of time (in hours) needed to complete this exam during the stated range of
dates.
2. The number of pages of the examination: Please write how many pages are in the
exam and number each page. For example, "1 of 10, 2 of 10," etc. This is very important
to ensure that exams are duplicated correctly.
3. Indicate what materials may be brought into the examination room (textbook, notes,
casebooks, supplemental materials, etc.) Indicate if no materials are allowed. Usage of
computers should be stated clearly. If your exam will be completed using Exam4
(secure) or MyWCL (non-secure), indicate it here. You do not need to provide
instructions about using Exam4 or MyWCL. The students have already received this
information. You may allow the students the option of handwriting their exams in
bluebooks which will be provided in the exam room.
4. You will receive "0" credit for any unanswered question.
5. If scantron answer sheets are used, give detailed instructions. Only anonymous grading
numbers should be written in the space marked identification number and the
corresponding bubbles should be filled in. If using scantron answer sheets for True and
False questions, please indicate which letter should be used for True and which letter
should be used for False (for example, A=True, B=False). If your exam contains
multiple-choice questions and you do not want to use Scantron answer sheets, describe
how your students should mark their answers (Circle correct answer on the question
sheet, write in a blue book, type them in their document, etc.)
6. No corrections will be made once the exam is distributed. If there is a typo or
ambiguity in a question, state your assumption and answer accordingly.
7. Only your anonymous-grading number should appear on your blue book and
examination copy. DO NOT USE EITHER YOUR NAME OR SOCIAL SECURITY
NUMBER.
8. If you are graduating at the end of the semester, please write "GRADUATING" on
the outside of your exam envelope and on each Blue Book.
9. All materials, including the questions, handwritten answers (if applicable) and
scratch materials at the end of the exam, inserted into your self-sealing exam
envelope and handed to the proctor.
10. The use of electronic devices (iPods, cell phones, mp3 players, etc.) is prohibited
during the exam. This policy is at your discretion, however we recommend this
language to prevent cheating and honor code violations.
,A nurse is assisting with the plan of care for a client who has aspiration pneumonia and
hypoxia. Which of the following actions should the nurse plan to take?
A. Apply petroleum jelly to the client's nares.
B. Initiate fall precautions.
C. Implement contact precautions.
D. Maintain the client in a supine position. - B. Initiate fall precautions.
A nurse is caring for an older adult client immediately following a bronchoscopy with
biopsy. Which of the following is the priority action the nurse should take?
A. Document sputum color and consistency.
B. Check for a gag reflex.
C. Offer ice chips.
D. Instruct the client to gargle with warm saline. - B. Check for gag reflex.
A nurse is reinforcing health promotion education at a community health fair. Which of
the following statements by attendees indicates understanding of the teaching?
A. "I will examine my breasts a week after each menstrual period."
B. "I should get a hepatitis B vaccine on a yearly basis."
C. "I do my testicular self-exam every 6 months without fail."
D. "The flu shot I received last year will last me for 2 years." - A. "I will examine my
breasts a week after each menstrual period."
A nurse in a long-term care facility is collecting data from an older adult client. Which of
the following findings indicates that the client might be dehydrated?
A. Cool, clammy skin
B. Decrease in pulse rate
C. increase in blood pressure
D. Recent onset of confusion - D. Recent onset of confusion
A nurse is collecting data from a client who had a long arm cast applied 2 hr ago. Which
of the following findings of the affected extremity should the nurse report to the provider
immediately?
A. The client's fingers are cool to the touch.
B. The client's capillary refill is 3 seconds.
C. The client reports Increased pain at the area of the fracture.
D. The client reports severe itching under the cast. - A. The client's fingers are cool to
the touch.
A nurse in a long-term care unit is assisting in the care of a client who has Alzheimer's
disease. Which of the following actions should the nurse take?
,A. Alternate the client's daily routine
B. Keep the lights dimmed.
C. Raise the four side rails on the client's bed.
D. Participate in reminiscence therapy with the client. - D. Participate in reminiscence
therapy with the client.
A nurse is caring for a client who is postoperative following a right radical mastectomy.
Which of the following actions should the nurse take to prevent the development of
lymphedema?
A. Limit range of-motion exercises with the affected arm.
B. Use the client's left arm to obtain blood samples.
C. Keep both arms below the level of the client's heart.
D. Obtain blood pressure readings using the client's right arm. - B. Use the client's left
arm to obtain blood samples.
A nurse is assisting a provider with removing a client's lower-leg cast. Which of the
following statements by the nurse is appropriate?
A. "You can expect your leg muscles to look a little swollen."
B. "You should avoid elevating your leg while sitting"
C. "You should hold still to prevent injury to your skin."
D. "You can expect to feel pressure when we cut the cast." - D. "You can expect to feel
pressure when we cut the cast."
A nurse on a medical-surgical unit is caring for an older adult client who has developed
sepsis due to a urinary tract infection. A member of the client's family tells the nurse not
to perform any "heroic measures" to keep the client alive. Which of the following
responses by the nurse is appropriate?
A. "The client's condition is not critical enough to discuss these issues."
B. "Let me check the client's medical record for advance directives."
C. "You should contact the client's attorney to document your wishes legally."
D. "Why do you believe treatment would not benefit the client?" - B. "Let me check the
client's medical record for advance directives."
A nurse is monitoring a client who is receiving intravenous fluids. Which of the following
findings indicates a fluid volume excess? (Select all that apply)
A. Bradycardia
B. Flat neck veins
C. Weight gain
D. Hypertension
E. Dyspnea - C. Weight gain
D. Hypertension
E. Dyspnea
, A nurse is caring for a client who is postoperative following a total thyroidectomy for
hyperthyroidism. Which of the following findings should the nurse identify as the
priority?
A. Oral temperature 39° C (102.2° F)
B. Report of a sore throat
C. Serum calcium level 9.2 mg/dL
D. Moderate amount of sérosanguíneous drainage on dressings. - A. Oral temperature
39° C (102.2° F)
A nurse is reinforcing teaching about a heart-healthy diet with a client. Which of the
following statements by the client indicates that the teaching was effective?
A. "I will increase my intake of lean red meat."
B. "I will eat chicken as my source of fiber."
C. "I will use skim milk as my source of dairy."
D. "I will increase my servings of canned vegetables." - A. "I will increase my intake of
lean red meat."
A nurse is reinforcing discharge teaching with a client who had an abdominal
hysterectomy 2 days ago. Which of the following instructions should the nurse include in
the teaching?
A. "Douche with warm water to remove vaginal discharge."
B. "Take a shower rather than a tub bath."
C. "Avoid climbing stairs for 8 weeks."
D. "Expect bright red vaginal bleeding for 1 week following surgery." - B. "Take a
shower rather than a tub bath."
A nurse is reinforcing teaching about meal planning with a client who has hypertension.
Which of the following, statements by the client indicates an understanding of the
teaching?
A. "I can have a bologna sandwich."
B. "I can season food with vinegar."
C. "I can have canned soup."
D. "I can season food with ketchup." - B. "I can season food with vinegar."
A nurse is caring for a client who has diabetes mellitus. Which of the following
laboratory findings indicates the client has maintained control of his blood glucose levels
for the past 3 months?
A. Fasting blood glucose 100 mg/dL
B. HBA1C 6.5%
C. HbA1C 12.5%
