Test Bank for Medical-Surgical Nursing Critical
Thinking in Client Care
Table of Contents
,Nursing Prioritization and Vaccination Considerations................................................................................3
Immunization and Health Promotion........................................................................................................11
Nursing Exam.............................................................................................................................................17
Preoperative Nursing Exam.......................................................................................................................22
End-of-Life Care Exam................................................................................................................................26
Substance Abuse and Addiction Nursing Exam..........................................................................................30
Disaster and Emergency Nursing Exam......................................................................................................35
Genetics and Chromosomal Disorders Exam.............................................................................................40
Pain Management Exam............................................................................................................................42
Exam on Fluid and Electrolyte Balance......................................................................................................46
Trauma and Critical Care Nursing Exam.....................................................................................................50
Nursing Examination..................................................................................................................................55
Nursing Examination..................................................................................................................................60
Cancer Nursing Examination......................................................................................................................65
Nursing Integumentary System Exam........................................................................................................72
Exam: Dermatological Disorders and Nursing Care...................................................................................78
Burn Injury Nursing Exam..........................................................................................................................82
Endocrine System Assessment Examination..............................................................................................88
Diabetes Mellitus Nursing Exam................................................................................................................94
Nutrition and Health Assessment Exam...................................................................................................101
Exam: Nutrition and Weight Management in Nursing.............................................................................108
Nursing Exam: Gastrointestinal and Oral Health Conditions...................................................................115
Chapter....................................................................................................................................................125
Exam: Gastrointestinal Procedures and Conditions.................................................................................131
Nursing Exam: Gastrointestinal Disorders...............................................................................................135
Urinary System and Renal Function Exam...............................................................................................137
Urinary System and Infection Nursing Exam............................................................................................140
Renal Disorders Nursing Exam.................................................................................................................142
Nursing Assessment and Cardiovascular System Exam...........................................................................146
Cardiovascular Health and Risk Factors – Exam.......................................................................................150
Heart Failure Exam..................................................................................................................................153
Nursing Examination................................................................................................................................157
Exam on Nursing Interventions and Physiological Adaptation.................................................................161
,Hypertension and Cardiovascular Health Exam.......................................................................................164
Pulmonary and Respiratory Nursing Exam..............................................................................................167
Medical Assessment and Nursing Exam...................................................................................................170
Respiratory Care Examination.................................................................................................................173
Respiratory Disorders Nursing Exam.......................................................................................................176
Musculoskeletal System Exam.................................................................................................................180
Orthopedic Nursing Exam........................................................................................................................183
Nursing Exam: Musculoskeletal Disorders...............................................................................................187
Neurological Nursing Exam......................................................................................................................190
Neurological Disorders Exam...................................................................................................................198
Nursing Examination................................................................................................................................203
Neurological and Sensory Assessment Exam...........................................................................................208
Nursing Exam: Patient Care and Safety....................................................................................................213
Nursing Examination................................................................................................................................217
Menstrual and Reproductive Health Exam..............................................................................................220
Exam: Sexually Transmitted Infections (STIs) and Related Health Management.....................................225
Nursing Prioritization and Vaccination Considerations
Question 1: A nurse is assigned to care for four patients in a medical-surgical unit. Which
patient should be assessed first?
1. A patient admitted with hepatitis A who has been experiencing severe diarrhea for the
past 24 hours.
2. A patient diagnosed with pneumonia who has a small amount of yellow-tinged
productive sputum.
3. A patient admitted for fever of unknown origin (FUO) who has remained afebrile for the
last 48 hours.
4. A patient with a wound infection whose white blood cell (WBC) count is 8,500/mm³.
Correct Answer: 1
Rationale: The nurse should prioritize care based on the urgency of the patient’s condition. The
, patient with hepatitis A experiencing persistent diarrhea is at risk for dehydration and fluid
volume deficit, making them the highest priority for immediate assessment.
Cognitive Level: Application
Client Needs: Safe, Effective Care Environment
Nursing Process: Planning
Question 2: A nurse is administering influenza vaccines at a drive-through clinic. Which patient
statement would require additional assessment before receiving the influenza vaccine?
1. "I am allergic to horse hair."
2. "I make sure to get my flu shot every year."
3. "I have no allergies except to eggs."
4. "My spouse had a severe allergic reaction to the flu shot."
Correct Answer: 3
Rationale: Patients with an egg allergy should not receive the influenza vaccine, as the vaccine
is often produced using chicken or duck embryos. It is essential to screen for this allergy before
administering the vaccine.
Cognitive Level: Application
Client Needs: Safe, Effective Care Environment
Nursing Process: Implementation
Question 3: A nurse is caring for four patients in a medical-surgical unit when the unit secretary
hands over the morning lab results. Which of the following lab values would require the nurse to
notify the healthcare provider due to an abnormal finding?
1. WBC 14,600 mm³
2. Serum protein 6.9 g/dL
3. Incision and drainage (I&D) results showing no bacterial growth for the past 24 hours
Thinking in Client Care
Table of Contents
,Nursing Prioritization and Vaccination Considerations................................................................................3
Immunization and Health Promotion........................................................................................................11
Nursing Exam.............................................................................................................................................17
Preoperative Nursing Exam.......................................................................................................................22
End-of-Life Care Exam................................................................................................................................26
Substance Abuse and Addiction Nursing Exam..........................................................................................30
Disaster and Emergency Nursing Exam......................................................................................................35
Genetics and Chromosomal Disorders Exam.............................................................................................40
Pain Management Exam............................................................................................................................42
Exam on Fluid and Electrolyte Balance......................................................................................................46
Trauma and Critical Care Nursing Exam.....................................................................................................50
Nursing Examination..................................................................................................................................55
Nursing Examination..................................................................................................................................60
Cancer Nursing Examination......................................................................................................................65
Nursing Integumentary System Exam........................................................................................................72
Exam: Dermatological Disorders and Nursing Care...................................................................................78
Burn Injury Nursing Exam..........................................................................................................................82
Endocrine System Assessment Examination..............................................................................................88
Diabetes Mellitus Nursing Exam................................................................................................................94
Nutrition and Health Assessment Exam...................................................................................................101
Exam: Nutrition and Weight Management in Nursing.............................................................................108
Nursing Exam: Gastrointestinal and Oral Health Conditions...................................................................115
Chapter....................................................................................................................................................125
Exam: Gastrointestinal Procedures and Conditions.................................................................................131
Nursing Exam: Gastrointestinal Disorders...............................................................................................135
Urinary System and Renal Function Exam...............................................................................................137
Urinary System and Infection Nursing Exam............................................................................................140
Renal Disorders Nursing Exam.................................................................................................................142
Nursing Assessment and Cardiovascular System Exam...........................................................................146
Cardiovascular Health and Risk Factors – Exam.......................................................................................150
Heart Failure Exam..................................................................................................................................153
Nursing Examination................................................................................................................................157
Exam on Nursing Interventions and Physiological Adaptation.................................................................161
,Hypertension and Cardiovascular Health Exam.......................................................................................164
Pulmonary and Respiratory Nursing Exam..............................................................................................167
Medical Assessment and Nursing Exam...................................................................................................170
Respiratory Care Examination.................................................................................................................173
Respiratory Disorders Nursing Exam.......................................................................................................176
Musculoskeletal System Exam.................................................................................................................180
Orthopedic Nursing Exam........................................................................................................................183
Nursing Exam: Musculoskeletal Disorders...............................................................................................187
Neurological Nursing Exam......................................................................................................................190
Neurological Disorders Exam...................................................................................................................198
Nursing Examination................................................................................................................................203
Neurological and Sensory Assessment Exam...........................................................................................208
Nursing Exam: Patient Care and Safety....................................................................................................213
Nursing Examination................................................................................................................................217
Menstrual and Reproductive Health Exam..............................................................................................220
Exam: Sexually Transmitted Infections (STIs) and Related Health Management.....................................225
Nursing Prioritization and Vaccination Considerations
Question 1: A nurse is assigned to care for four patients in a medical-surgical unit. Which
patient should be assessed first?
1. A patient admitted with hepatitis A who has been experiencing severe diarrhea for the
past 24 hours.
2. A patient diagnosed with pneumonia who has a small amount of yellow-tinged
productive sputum.
3. A patient admitted for fever of unknown origin (FUO) who has remained afebrile for the
last 48 hours.
4. A patient with a wound infection whose white blood cell (WBC) count is 8,500/mm³.
Correct Answer: 1
Rationale: The nurse should prioritize care based on the urgency of the patient’s condition. The
, patient with hepatitis A experiencing persistent diarrhea is at risk for dehydration and fluid
volume deficit, making them the highest priority for immediate assessment.
Cognitive Level: Application
Client Needs: Safe, Effective Care Environment
Nursing Process: Planning
Question 2: A nurse is administering influenza vaccines at a drive-through clinic. Which patient
statement would require additional assessment before receiving the influenza vaccine?
1. "I am allergic to horse hair."
2. "I make sure to get my flu shot every year."
3. "I have no allergies except to eggs."
4. "My spouse had a severe allergic reaction to the flu shot."
Correct Answer: 3
Rationale: Patients with an egg allergy should not receive the influenza vaccine, as the vaccine
is often produced using chicken or duck embryos. It is essential to screen for this allergy before
administering the vaccine.
Cognitive Level: Application
Client Needs: Safe, Effective Care Environment
Nursing Process: Implementation
Question 3: A nurse is caring for four patients in a medical-surgical unit when the unit secretary
hands over the morning lab results. Which of the following lab values would require the nurse to
notify the healthcare provider due to an abnormal finding?
1. WBC 14,600 mm³
2. Serum protein 6.9 g/dL
3. Incision and drainage (I&D) results showing no bacterial growth for the past 24 hours
