MEDICAL-SURGICAL NURSING JERSEY COLLEGE TEST
EXAM 1 STUDY QUESTIONS 2026 WITH CORRECT
VERIFIED ANSWERS 100% GUARANTEED PASS | RATED A+
A patient has had a large ischemic stroke and is hospitalized in the neurologic intensive care unit.
What interventions will be provided for this patient to decrease intracranial pressure? Select all
that apply. - Answer>>> -Administering mannitol
-Maintaining the partial pressure of carbon dioxide (PaCO2) within a range of 30 to 35 mm Hg
-Elevating the head of the bed 30 degrees
-Provide supplemental oxygen is SpO2 is less than 92%
What patient education for post mastoid surgery would be incorrect?
-Avoid getting water in the ear.
-Constant throbbing pain may be a sign of infection.
-Call for assistance to ambulate to prevent injury.
-There are no activity restrictions after this procedure. - Answer>>> There are no activity
restrictions after this procedure
The parents of a client intubated due to the progression of Guillain-Barré syndrome ask whether
their child will die. What is the best response by the nurse? - Answer>>> "There are no
guarantees, but a large portion of people with Guillain-Barré syndrome survive."
A client arrives at the emergency department complaining of extreme muscle weakness after
minimal effort. The physician suspects myasthenia gravis. Which drug will be used to test for
this disease? - Answer>>> Edrophonium (Tensilon)
Which well-recognized sign of meningitis is exhibited when the client's neck is flexed and
flexion of the knees and hips is produced? - Answer>>> Positive Brudzinski sign
,A nursing instructor is teaching pre-nursing students in a pathophysiology class. What would the
instructor teach the students about Ménière's disease? - Answer>>> It is referred to as
endolymphatic hydrops.
An elderly client is scheduled for cataract surgery and asks the nurse, "Will I need to wear pop-
bottle lenses after surgery?" Which is the most appropriate response from the nurse? -
Answer>>> "An implanted lens has replaced the need for corrective glasses."
The nurse is demonstrating how to perform punctal occlusion. Which activities does the nurse
perform? - Answer>>> Applies gentle pressure bilaterally on the bridge of the nose to the inner
canthus of each eye
An aging client is brought to the eye clinic by the son. The son states he has seen his parent
holding reading materials at an increasing distance to focus properly. What age-related changes
does this indicate? - Answer>>> presbyopia
A client complains of vertigo. The nurse anticipates that the client may have a problem with
which portion of the ear? - Answer>>> Inner ear
A client is diagnosed as having serous otitis media. When describing this condition to the client,
which of the following would be most accurate? - Answer>>> "You have some fluid that has
collected in your middle ear but no infection."
A client is brought to the emergency department in a confused state, with slurred speech,
characteristics of a headache, and right facial droop. The vital signs reveal a blood pressure of
170/88 mm Hg, pulse of 92 beats/minute, and respirations at 24 breaths/minute. On which bodily
system does the nurse focus the nursing assessment? - Answer>>> Neurovascular system
A cochlear implant is an auditory prosthesis used for people with profound sensorineural hearing
loss bilaterally who do not benefit from conventional hearing aids. T/F ? - Answer>>> TRUE
What can you use to soften earwax/cerumen and irrigate the ear canal? (3) - Answer>>> -
Glycerin
-mineraloil
-½ strength H2O2, or peroxide in glycerol
,rare, progressive infection that effects the external auditory canal, surrounding tissue, and skull -
Answer>>> Malignant external otitis
The nurse is planning to provide education about prevention in the community YMCA due to the
increase in numbers of spinal cord injuries (SCIs). What predominant risk factors does the nurse
understand will have to be addressed? Select all that apply. - Answer>>> Young age
Male gender
Substance abuse
A client in the surgical intensive care unit has skeletal tongs in place to stabilize a cervical
fracture. Protocol dictates that pin care should be performed each shift. When providing pin care
for the client, which finding should the nurse report to the physician? - Answer>>> A small
amount of yellow drainage at the left pin insertion site
The nurse is evaluating the transmission of a report from a paramedic unit to the emergency
room. The medic reports that a client is unconscious with edema of the head and face and
Battle's sign. What clinical picture would the nurse anticipate? - Answer>>> Edema to the head
with bruising of the mastoid process
The nurse is caring for a client who is being assessed for brain death. Which are cardinal signs of
brain death? Select all that apply. - Answer>>> Coma
Apnea
Absence of brainstem reflexes
S/S of external otitis (7) - Answer>>> -pain and tenderness
-discharge
-edema
-erythema
-pruritus
-hearing loss
, -feelings of fullness in the ear
A _______ may be inserted in the canal to keep it open and facilitate medication administration.
- Answer>>> wick
This type of ear infection is most often seen in children ? - Answer>>> acute otitis media
S/S of acute otitis media (3) - Answer>>> -otalgia (ear pain)
-fever
-hearing loss
fluid in the middle ear without evidence of infection is called? Often due to eustacian tube
dysfunction or blockage. - Answer>>> Serous otitis media
Removal of diseased bone, mastoid air cells, and cholesteatoma to create a noninfected, healthy
ear. What is this procedure called? - Answer>>> mastoidectomy
benign tumor, an ingrowth of skin that causes persistently high pressure in the middle ear, which
causes hearing loss and neurologic disorders and destroys structures. What is it called? -
Answer>>> Cholesteatoma
incision into the eardrum for inserting tubes is known by 2 names; what are they? - Answer>>>
tympanotomy, myringotomy
Surgical repair of an ossicle (small bone) of the middle ear is called ? - Answer>>>
ossiculoplasty
An alternative procedure to stapedectomy. A small opening is created in the fixed stapes
footplate with a small drill or laser. This allows for transmission of sound waves or placement of
prosthesis ? - Answer>>> stapedotomy
What classification of medications can be used in vertigo? - Answer>>> antihistamines
After an ear procedure, what change in the senses will the patient experience? - Answer>>> taste
- food will taste different until the nerve is healed
After ear surgery, how long should the patient keep the ears dry? - Answer>>> 6 weeks
EXAM 1 STUDY QUESTIONS 2026 WITH CORRECT
VERIFIED ANSWERS 100% GUARANTEED PASS | RATED A+
A patient has had a large ischemic stroke and is hospitalized in the neurologic intensive care unit.
What interventions will be provided for this patient to decrease intracranial pressure? Select all
that apply. - Answer>>> -Administering mannitol
-Maintaining the partial pressure of carbon dioxide (PaCO2) within a range of 30 to 35 mm Hg
-Elevating the head of the bed 30 degrees
-Provide supplemental oxygen is SpO2 is less than 92%
What patient education for post mastoid surgery would be incorrect?
-Avoid getting water in the ear.
-Constant throbbing pain may be a sign of infection.
-Call for assistance to ambulate to prevent injury.
-There are no activity restrictions after this procedure. - Answer>>> There are no activity
restrictions after this procedure
The parents of a client intubated due to the progression of Guillain-Barré syndrome ask whether
their child will die. What is the best response by the nurse? - Answer>>> "There are no
guarantees, but a large portion of people with Guillain-Barré syndrome survive."
A client arrives at the emergency department complaining of extreme muscle weakness after
minimal effort. The physician suspects myasthenia gravis. Which drug will be used to test for
this disease? - Answer>>> Edrophonium (Tensilon)
Which well-recognized sign of meningitis is exhibited when the client's neck is flexed and
flexion of the knees and hips is produced? - Answer>>> Positive Brudzinski sign
,A nursing instructor is teaching pre-nursing students in a pathophysiology class. What would the
instructor teach the students about Ménière's disease? - Answer>>> It is referred to as
endolymphatic hydrops.
An elderly client is scheduled for cataract surgery and asks the nurse, "Will I need to wear pop-
bottle lenses after surgery?" Which is the most appropriate response from the nurse? -
Answer>>> "An implanted lens has replaced the need for corrective glasses."
The nurse is demonstrating how to perform punctal occlusion. Which activities does the nurse
perform? - Answer>>> Applies gentle pressure bilaterally on the bridge of the nose to the inner
canthus of each eye
An aging client is brought to the eye clinic by the son. The son states he has seen his parent
holding reading materials at an increasing distance to focus properly. What age-related changes
does this indicate? - Answer>>> presbyopia
A client complains of vertigo. The nurse anticipates that the client may have a problem with
which portion of the ear? - Answer>>> Inner ear
A client is diagnosed as having serous otitis media. When describing this condition to the client,
which of the following would be most accurate? - Answer>>> "You have some fluid that has
collected in your middle ear but no infection."
A client is brought to the emergency department in a confused state, with slurred speech,
characteristics of a headache, and right facial droop. The vital signs reveal a blood pressure of
170/88 mm Hg, pulse of 92 beats/minute, and respirations at 24 breaths/minute. On which bodily
system does the nurse focus the nursing assessment? - Answer>>> Neurovascular system
A cochlear implant is an auditory prosthesis used for people with profound sensorineural hearing
loss bilaterally who do not benefit from conventional hearing aids. T/F ? - Answer>>> TRUE
What can you use to soften earwax/cerumen and irrigate the ear canal? (3) - Answer>>> -
Glycerin
-mineraloil
-½ strength H2O2, or peroxide in glycerol
,rare, progressive infection that effects the external auditory canal, surrounding tissue, and skull -
Answer>>> Malignant external otitis
The nurse is planning to provide education about prevention in the community YMCA due to the
increase in numbers of spinal cord injuries (SCIs). What predominant risk factors does the nurse
understand will have to be addressed? Select all that apply. - Answer>>> Young age
Male gender
Substance abuse
A client in the surgical intensive care unit has skeletal tongs in place to stabilize a cervical
fracture. Protocol dictates that pin care should be performed each shift. When providing pin care
for the client, which finding should the nurse report to the physician? - Answer>>> A small
amount of yellow drainage at the left pin insertion site
The nurse is evaluating the transmission of a report from a paramedic unit to the emergency
room. The medic reports that a client is unconscious with edema of the head and face and
Battle's sign. What clinical picture would the nurse anticipate? - Answer>>> Edema to the head
with bruising of the mastoid process
The nurse is caring for a client who is being assessed for brain death. Which are cardinal signs of
brain death? Select all that apply. - Answer>>> Coma
Apnea
Absence of brainstem reflexes
S/S of external otitis (7) - Answer>>> -pain and tenderness
-discharge
-edema
-erythema
-pruritus
-hearing loss
, -feelings of fullness in the ear
A _______ may be inserted in the canal to keep it open and facilitate medication administration.
- Answer>>> wick
This type of ear infection is most often seen in children ? - Answer>>> acute otitis media
S/S of acute otitis media (3) - Answer>>> -otalgia (ear pain)
-fever
-hearing loss
fluid in the middle ear without evidence of infection is called? Often due to eustacian tube
dysfunction or blockage. - Answer>>> Serous otitis media
Removal of diseased bone, mastoid air cells, and cholesteatoma to create a noninfected, healthy
ear. What is this procedure called? - Answer>>> mastoidectomy
benign tumor, an ingrowth of skin that causes persistently high pressure in the middle ear, which
causes hearing loss and neurologic disorders and destroys structures. What is it called? -
Answer>>> Cholesteatoma
incision into the eardrum for inserting tubes is known by 2 names; what are they? - Answer>>>
tympanotomy, myringotomy
Surgical repair of an ossicle (small bone) of the middle ear is called ? - Answer>>>
ossiculoplasty
An alternative procedure to stapedectomy. A small opening is created in the fixed stapes
footplate with a small drill or laser. This allows for transmission of sound waves or placement of
prosthesis ? - Answer>>> stapedotomy
What classification of medications can be used in vertigo? - Answer>>> antihistamines
After an ear procedure, what change in the senses will the patient experience? - Answer>>> taste
- food will taste different until the nerve is healed
After ear surgery, how long should the patient keep the ears dry? - Answer>>> 6 weeks
