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 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
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 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
