MEDICAL AND SURGICAL NURSING ACTUAL
EXAM WITH QUESTIONS AND VERIFIED
CORRECT ANSWERS
SCENARIO 1ITEMS 1-2
The charge nurse for a medical surgical ward was supervising three final year nursing students.
While doing so she heard a loud crash on the ward, on investigation she found a client
diagnosed with diabetic mellitus lying on his back
In assisting the client, the BEST action for the charge nurse to take is _____________.
I. Scold the client for falling out of bed
II. Assess the clients condition and seek medical attention
III. Direct two of the student nurses to assist the client back to bed
IV. Ask two of the student nurses to assist her to put back the client into bed
A. I and II
B. II and III
C. II and IV***
D. III and IV - ANSWER C. II and IV***
SCENARIO 1ITEMS 1-2
The charge nurse for a medical surgical ward was supervising three final year nursing students.
While doing so she heard a loud crash on the ward, on investigation she found a client
diagnosed with diabetic mellitus lying on his back.
,While the charge nurse was supervising the client's bed bathe, the following day a very angry
relative demanded to see him immediately. The BEST response by the nurse would be
_______________.
A. "it is not yet visiting time!"
B. "is there a message I can give him for you?"***
C. "the client is having his bathe please wait a while"
D. "we are very busy right now, would you like to come back later?" - ANSWER B. "is there a
message I can give him for you?"***
SCENARIO 2 ITEMS 3-5
A client, aged nine (9) months was brought to the Accident and Emergency Department by his
mother, who stated that he was crying throughout the night and his abdomen appears to be
swollen. He was examined by the doctor and a diagnosis of Intussusception was made. He was
admitted and prepared for surgery.
Essential pre-operative interventions for the client would include__________________.
I. Maintenance of hydration
II. Institution of gastric suction
III. Administration of antibiotics
IV. Administration of enema saponis
A. I, II, III***
B. I, II, IV
C. I, III, IV
D. II, III, IV - ANSWER A- I, II, III***
, SCENARIO 2 ITEMS 3-5
A client, aged nine (9) months was brought to the Accident and Emergency Department by his
mother, who stated that he was crying throughout the night and his abdomen appears to be
swollen. He was examined by the doctor and a diagnosis of Intussusception was made. He was
admitted and prepared for surgery.
Important post-operative nursing interventions to be used for the client are_______
I. monitoring of vital signs
II. assessment of bowel sounds and pattern
III. provision of psychological support
IV. aspiration of naso-gastric tube as prescribed
A. I, II, III
B. I, II, IV***
C. 1, III, IV
D. II, III, IV - ANSWER B. I, II, IV***
SCENARIO 2 ITEMS 3-5
A client, aged nine (9) months was brought to the Accident and Emergency Department by his
mother, who stated that he was crying throughout the night and his abdomen appears to be
swollen. He was examined by the doctor and a diagnosis of Intussusception was made. He was
admitted and prepared for surgery.
The nursing observations which would indicate successful surgical intervention of
intussusception are_____
I. decreases passage of barium
EXAM WITH QUESTIONS AND VERIFIED
CORRECT ANSWERS
SCENARIO 1ITEMS 1-2
The charge nurse for a medical surgical ward was supervising three final year nursing students.
While doing so she heard a loud crash on the ward, on investigation she found a client
diagnosed with diabetic mellitus lying on his back
In assisting the client, the BEST action for the charge nurse to take is _____________.
I. Scold the client for falling out of bed
II. Assess the clients condition and seek medical attention
III. Direct two of the student nurses to assist the client back to bed
IV. Ask two of the student nurses to assist her to put back the client into bed
A. I and II
B. II and III
C. II and IV***
D. III and IV - ANSWER C. II and IV***
SCENARIO 1ITEMS 1-2
The charge nurse for a medical surgical ward was supervising three final year nursing students.
While doing so she heard a loud crash on the ward, on investigation she found a client
diagnosed with diabetic mellitus lying on his back.
,While the charge nurse was supervising the client's bed bathe, the following day a very angry
relative demanded to see him immediately. The BEST response by the nurse would be
_______________.
A. "it is not yet visiting time!"
B. "is there a message I can give him for you?"***
C. "the client is having his bathe please wait a while"
D. "we are very busy right now, would you like to come back later?" - ANSWER B. "is there a
message I can give him for you?"***
SCENARIO 2 ITEMS 3-5
A client, aged nine (9) months was brought to the Accident and Emergency Department by his
mother, who stated that he was crying throughout the night and his abdomen appears to be
swollen. He was examined by the doctor and a diagnosis of Intussusception was made. He was
admitted and prepared for surgery.
Essential pre-operative interventions for the client would include__________________.
I. Maintenance of hydration
II. Institution of gastric suction
III. Administration of antibiotics
IV. Administration of enema saponis
A. I, II, III***
B. I, II, IV
C. I, III, IV
D. II, III, IV - ANSWER A- I, II, III***
, SCENARIO 2 ITEMS 3-5
A client, aged nine (9) months was brought to the Accident and Emergency Department by his
mother, who stated that he was crying throughout the night and his abdomen appears to be
swollen. He was examined by the doctor and a diagnosis of Intussusception was made. He was
admitted and prepared for surgery.
Important post-operative nursing interventions to be used for the client are_______
I. monitoring of vital signs
II. assessment of bowel sounds and pattern
III. provision of psychological support
IV. aspiration of naso-gastric tube as prescribed
A. I, II, III
B. I, II, IV***
C. 1, III, IV
D. II, III, IV - ANSWER B. I, II, IV***
SCENARIO 2 ITEMS 3-5
A client, aged nine (9) months was brought to the Accident and Emergency Department by his
mother, who stated that he was crying throughout the night and his abdomen appears to be
swollen. He was examined by the doctor and a diagnosis of Intussusception was made. He was
admitted and prepared for surgery.
The nursing observations which would indicate successful surgical intervention of
intussusception are_____
I. decreases passage of barium
