MEDICAL-SURGICAL NURSING
EXAM 1 EXAM WITH CORRECT
QUESTIONS AND ANSWERS 2025
The nurse is caring for a client who has as a son with a streptococcus
throat infection. Which nurse recommendation would be best to advise
the client to do in order to prevent acquiring the infection? - CORRECT-
ANSWERSFrequently wash her hands and surfaces of the home.
The nurse is caring for a client infected with Rocky Mountain spotted
fever. The nurse should ask if the client has experienced which of the
following? - CORRECT-ANSWERSWas bitten by a tick
The nurse is caring for a client with a protozoa infection. Which is the
most likely mode of transmission? - CORRECT-ANSWERSIngestion of
contaminated food or water
The nurse is caring for a client who is recovering from an allergic
reaction. Which leukocyte level would the nurse expect to be the most
elevated? - CORRECT-ANSWERSEosinophils
, The nurse is caring for a client who has an infected wound on the great
toe that is red with a purulent exudate. The nurse expects that this
client has which type of infection? - CORRECT-ANSWERSLocalized
The client experienced a fall. Nursing assessment reveals that the
client is experiencing tachycardia, hypotension, confusion, tachypnea,
and flat jugular veins. What should be the nurse's first response? -
CORRECT-ANSWERSAdminister oxygen.
The family wants to know why the nurse is putting a urinary catheter in
a client experiencing shock. What is the nurse's best response? -
CORRECT-ANSWERS"It will help monitor how much urine the kidneys
are able to produce."
A client experiencing shock has had a urinary output of 250 mL in the
last 10 hours. What is the nurse's most appropriate response? -
CORRECT-ANSWERSNotify the physician.
Which client is most likely to be experiencing hypovolemic shock? -
CORRECT-ANSWERSA client who had surgery 24 hours ago and who
also has a nasogastric tube
, The physician has ordered arterial blood gases for a client experiencing
shock. The nurse knows that which value indicates shock? - CORRECT-
ANSWERSpH 7.32
A 63-year-old Arab American male states his left leg is "hot." What is
the nurse's best first response? - CORRECT-ANSWERSAssess for pain
The client is complaining of excruciating pain in a foot that has been
amputated. The family tells the nurse that the client is just addicted to
pain medications. What is the nurse's best response? - CORRECT-
ANSWERS"He is experiencing phantom limb pain."
A client has had abdominal surgery and has orders to be ambulated
three times a day. Oral pain medication has been ordered for the
client. What should the nurse do to facilitate ambulation? - CORRECT-
ANSWERSMediate 1 hour prior to ambulating the client.
The client reports frequent use of acetaminophen. How should the
nurse best respond? - CORRECT-ANSWERS"Do you drink alcohol?"
A client with chronic pain has been admitted with a fever. The nursing
assessment reveals that the client has a decreased level of
, consciousness. What should the nurse ask the family about? -
CORRECT-ANSWERSWhat medications the client has taken
The practical nurse is reviewing the social history from a client
diagnosed with small cell carcinoma of the lung. Which information is
significant for this disease? - CORRECT-ANSWERSThe client has
smoked two (2) packs of cigarettes a day for 20 years
The practical nurse and an unlicensed assistive personnel (UAP) are
caring for a group of clients on a medical unit. Which information
provided by the UAP warrants immediate intervention by the practical
nurse? - CORRECT-ANSWERSThe client receiving
g Procrit (epoetin alfa) has a T 99.2˚F, P 68, R 24, and BP of 198/102
The client diagnosed with lung cancer has been told the cancer has
metastasized to the brain. Which intervention should the practical
nurse expect to implement? - CORRECT-ANSWERSDiscuss
implementing an advance directive
The client diagnosed with lung cancer is being discharged. Which
statement made by the client indicates a reiteration of information is
required? - CORRECT-ANSWERS"It doesn't matter if I smoke now. I
already have cancer."
EXAM 1 EXAM WITH CORRECT
QUESTIONS AND ANSWERS 2025
The nurse is caring for a client who has as a son with a streptococcus
throat infection. Which nurse recommendation would be best to advise
the client to do in order to prevent acquiring the infection? - CORRECT-
ANSWERSFrequently wash her hands and surfaces of the home.
The nurse is caring for a client infected with Rocky Mountain spotted
fever. The nurse should ask if the client has experienced which of the
following? - CORRECT-ANSWERSWas bitten by a tick
The nurse is caring for a client with a protozoa infection. Which is the
most likely mode of transmission? - CORRECT-ANSWERSIngestion of
contaminated food or water
The nurse is caring for a client who is recovering from an allergic
reaction. Which leukocyte level would the nurse expect to be the most
elevated? - CORRECT-ANSWERSEosinophils
, The nurse is caring for a client who has an infected wound on the great
toe that is red with a purulent exudate. The nurse expects that this
client has which type of infection? - CORRECT-ANSWERSLocalized
The client experienced a fall. Nursing assessment reveals that the
client is experiencing tachycardia, hypotension, confusion, tachypnea,
and flat jugular veins. What should be the nurse's first response? -
CORRECT-ANSWERSAdminister oxygen.
The family wants to know why the nurse is putting a urinary catheter in
a client experiencing shock. What is the nurse's best response? -
CORRECT-ANSWERS"It will help monitor how much urine the kidneys
are able to produce."
A client experiencing shock has had a urinary output of 250 mL in the
last 10 hours. What is the nurse's most appropriate response? -
CORRECT-ANSWERSNotify the physician.
Which client is most likely to be experiencing hypovolemic shock? -
CORRECT-ANSWERSA client who had surgery 24 hours ago and who
also has a nasogastric tube
, The physician has ordered arterial blood gases for a client experiencing
shock. The nurse knows that which value indicates shock? - CORRECT-
ANSWERSpH 7.32
A 63-year-old Arab American male states his left leg is "hot." What is
the nurse's best first response? - CORRECT-ANSWERSAssess for pain
The client is complaining of excruciating pain in a foot that has been
amputated. The family tells the nurse that the client is just addicted to
pain medications. What is the nurse's best response? - CORRECT-
ANSWERS"He is experiencing phantom limb pain."
A client has had abdominal surgery and has orders to be ambulated
three times a day. Oral pain medication has been ordered for the
client. What should the nurse do to facilitate ambulation? - CORRECT-
ANSWERSMediate 1 hour prior to ambulating the client.
The client reports frequent use of acetaminophen. How should the
nurse best respond? - CORRECT-ANSWERS"Do you drink alcohol?"
A client with chronic pain has been admitted with a fever. The nursing
assessment reveals that the client has a decreased level of
, consciousness. What should the nurse ask the family about? -
CORRECT-ANSWERSWhat medications the client has taken
The practical nurse is reviewing the social history from a client
diagnosed with small cell carcinoma of the lung. Which information is
significant for this disease? - CORRECT-ANSWERSThe client has
smoked two (2) packs of cigarettes a day for 20 years
The practical nurse and an unlicensed assistive personnel (UAP) are
caring for a group of clients on a medical unit. Which information
provided by the UAP warrants immediate intervention by the practical
nurse? - CORRECT-ANSWERSThe client receiving
g Procrit (epoetin alfa) has a T 99.2˚F, P 68, R 24, and BP of 198/102
The client diagnosed with lung cancer has been told the cancer has
metastasized to the brain. Which intervention should the practical
nurse expect to implement? - CORRECT-ANSWERSDiscuss
implementing an advance directive
The client diagnosed with lung cancer is being discharged. Which
statement made by the client indicates a reiteration of information is
required? - CORRECT-ANSWERS"It doesn't matter if I smoke now. I
already have cancer."