MEDICAL-SURGICAL: FINAL PRACTICE (50 QUESTIONS
WITH CORRECT ANSWERS 2025/2026 RATED A+
A nurse is monitoring a client following a thyroidectomy. Which of the following findings should
the nurse identify as an indication of hypoparathyroidism? - CORRECT ANSWER -Involuntary
muscle spasms
(occurs if the parathyroid glands are damaged or removed during a thyroidectomy. Muscle
twitching and paresthesias can result due to decreased parathyroid hormone levels and calcium
deficiency.)
A nurse is reinforcing discharge teaching with a client who has a new permanent pacemaker.
Which of the following statements by the client indicates an understanding of the teaching? -
CORRECT ANSWER -"I should check my heart rate each day."•
A nurse is reinforcing discharge teaching about improving gas exchange with a client who has
emphysema. Which of the following information should the nurse include in the teaching? -
CORRECT ANSWER -Use pursed-lip breathing during periods of dyspnea.
A nurse is reinforcing teaching with a client who has a new diagnosis of multiple sclerosis (MS).
The client asks the nurse about the usual course of MS. Which of the following responses
should the nurse make? - CORRECT ANSWER -"Acute episodes are usually followed by
remissions, which can last varying lengths of time."
A nurse in an emergency department is caring for a client who reports developing severe right
eye pain with a gritty sensation while sawing wood. Whats priority? - CORRECT ANSWER -Ask
the client about first aid performed at the scene
A nurse is preparing to administer timolol eye drops for a client who has glaucoma. When
instilling the medication, which of the following actions should the nurse take? - CORRECT
ANSWER -Apply pressure to puncta after instillation of the medication.
, A nurse is caring for a client who has a stage III pressure ulcer on his heel. When preparing to
irrigate the wound, which of the following actions should the nurse take rst? - CORRECT
ANSWER -Check the client's pain level
A nurse is caring for a client who begins having a tonic-clonic seizure while sitting in a chair at
the bedside. Which of the following actions should the nurse take first? - CORRECT ANSWER -
Lower the client to the floor.
A nurse is caring for a client who has type 1 diabetes mellitus and a capillary blood glucose
reading of 48 mg/dl. Which of the following findings should the nurse expect? - CORRECT
ANSWER -Diaphoresis
A client who has a blood glucose level below 70 mg/dl to exhibit indications of hypoglycemia.
Including weakness, hunger, diaphoresis, nausea, shakiness, and confusion.
A nurse is reinforcing teaching with a client who is scheduled for a sigmoid colon resection with
colostomy. Which of the following statements by the client indicates a need for further
teaching? - CORRECT ANSWER -"My diet will have to change to a soft diet after surgery."•
( After surgery, the client's diet quickly returns to a regular diet and there are not any food
restrictions.)
A nurse is reviewing a client's laboratory report. The client's ABG levels are ph 7.5, paco 32 mm
HG, and HCO 24 meq/L. The nurse should determine that the client has which of the following
acid-base imbalances? - CORRECT ANSWER -Respiratory alkalosis
(The nurse should identify that the client's ph is elevated above the expected reference range of
7.35 to 7.45, indicating alkalosis. The nurse should then identify that the client's paco is low,
below the expected reference range of 35 to 45 mm Hg, which indicates a respiratory origin.
The nurse should conclude that the client's elevated ph and decreased paco indicate respiratory
alkalosis.)
A nurse in an urgent care clinic is collecting data from a client who sustained a fall. Which of the
following findings should the nurse identify as an indication of a skull fracture? - CORRECT
ANSWER -Clear fluid coming from the nares.
WITH CORRECT ANSWERS 2025/2026 RATED A+
A nurse is monitoring a client following a thyroidectomy. Which of the following findings should
the nurse identify as an indication of hypoparathyroidism? - CORRECT ANSWER -Involuntary
muscle spasms
(occurs if the parathyroid glands are damaged or removed during a thyroidectomy. Muscle
twitching and paresthesias can result due to decreased parathyroid hormone levels and calcium
deficiency.)
A nurse is reinforcing discharge teaching with a client who has a new permanent pacemaker.
Which of the following statements by the client indicates an understanding of the teaching? -
CORRECT ANSWER -"I should check my heart rate each day."•
A nurse is reinforcing discharge teaching about improving gas exchange with a client who has
emphysema. Which of the following information should the nurse include in the teaching? -
CORRECT ANSWER -Use pursed-lip breathing during periods of dyspnea.
A nurse is reinforcing teaching with a client who has a new diagnosis of multiple sclerosis (MS).
The client asks the nurse about the usual course of MS. Which of the following responses
should the nurse make? - CORRECT ANSWER -"Acute episodes are usually followed by
remissions, which can last varying lengths of time."
A nurse in an emergency department is caring for a client who reports developing severe right
eye pain with a gritty sensation while sawing wood. Whats priority? - CORRECT ANSWER -Ask
the client about first aid performed at the scene
A nurse is preparing to administer timolol eye drops for a client who has glaucoma. When
instilling the medication, which of the following actions should the nurse take? - CORRECT
ANSWER -Apply pressure to puncta after instillation of the medication.
, A nurse is caring for a client who has a stage III pressure ulcer on his heel. When preparing to
irrigate the wound, which of the following actions should the nurse take rst? - CORRECT
ANSWER -Check the client's pain level
A nurse is caring for a client who begins having a tonic-clonic seizure while sitting in a chair at
the bedside. Which of the following actions should the nurse take first? - CORRECT ANSWER -
Lower the client to the floor.
A nurse is caring for a client who has type 1 diabetes mellitus and a capillary blood glucose
reading of 48 mg/dl. Which of the following findings should the nurse expect? - CORRECT
ANSWER -Diaphoresis
A client who has a blood glucose level below 70 mg/dl to exhibit indications of hypoglycemia.
Including weakness, hunger, diaphoresis, nausea, shakiness, and confusion.
A nurse is reinforcing teaching with a client who is scheduled for a sigmoid colon resection with
colostomy. Which of the following statements by the client indicates a need for further
teaching? - CORRECT ANSWER -"My diet will have to change to a soft diet after surgery."•
( After surgery, the client's diet quickly returns to a regular diet and there are not any food
restrictions.)
A nurse is reviewing a client's laboratory report. The client's ABG levels are ph 7.5, paco 32 mm
HG, and HCO 24 meq/L. The nurse should determine that the client has which of the following
acid-base imbalances? - CORRECT ANSWER -Respiratory alkalosis
(The nurse should identify that the client's ph is elevated above the expected reference range of
7.35 to 7.45, indicating alkalosis. The nurse should then identify that the client's paco is low,
below the expected reference range of 35 to 45 mm Hg, which indicates a respiratory origin.
The nurse should conclude that the client's elevated ph and decreased paco indicate respiratory
alkalosis.)
A nurse in an urgent care clinic is collecting data from a client who sustained a fall. Which of the
following findings should the nurse identify as an indication of a skull fracture? - CORRECT
ANSWER -Clear fluid coming from the nares.
