NURS 120 Midterm Exam (Latest 2026/
2027 Update) – Introduction to Medical
Surgical Nursing Review 100% Verified
Questions & Answers [Grade A] – WCU
The nurse provides an in-service to peers regarding situations that can affect the
comfort level of the clients on the unit. Which client statement indicates that the
client's sense of well-being is negatively impacted?
A) "I feel like I have no energy today."
B) "I don't feel any physical pain today."
C) "I was able to sleep uninterrupted last night."
D) "I am so glad that playing cards takes my mind off my worries." -correct answer : A
Explanation: A) Fatigue is a lack of energy and motivation. A fatigued client is unable
to focus on healing and lacks the ability to cope in stressful situations. Restful sleep,
physical well-being without pain, and appropriate diversion all promote a sense of
comfort for the client.
A client is experiencing sudden-onset severe pain in the left lower quadrant of the
abdomen that is rated as a 10 on a pain scale of 0-10. The client is also experiencing
, NURS 120 Midterm Exam (Latest 2026/
2027 Update) – Introduction to Medical
Surgical Nursing Review 100% Verified
Questions & Answers [Grade A] – WCU
nausea, vomiting, and restlessness. Based on this data, the nurse concludes that the
client is experiencing which phenomenon?
A) Acute pain
B) Chronic pain
C) End-of-life pain
D) Fibromyalgia pain -correct answer : A
Explanation: A) Duration establishes the difference between acute and chronic pain.
Acute pain is defined as pain that lasts only through the expected recovery period,
which is usually 30 days to 6 months. Acute pain typically has a sudden onset related
to injury, surgery, or illness. Chronic pain outlasts the illness and extends beyond the
recovery period. End-of-life and fibromyalgia would most likely involve chronic pain.
The nurse is preparing to assess a 1-year-old client for signs of discomfort. When
conducting the assessment, which action by the nurse is the most appropriate?
A) Asking the client to rate the pain on a scale of 0-10 during the assessment process
B) Asking the parent to hold the client in the lap during the assessment process
, NURS 120 Midterm Exam (Latest 2026/
2027 Update) – Introduction to Medical
Surgical Nursing Review 100% Verified
Questions & Answers [Grade A] – WCU
C) Reading a book to the client during the assessment process
D) Recommending that the parent leave the room during the assessment process -
correct answer : B
Explanation: A) Children may be fearful of physical assessment. To promote comfort,
allow the child to sit on the parent's or guardian's lap during the assessment process,
rather than asking the parent to leave the room. A numeric pain scale is not
appropriate until the client is older; a faces pain scale would be better. Reading a
book during the assessment process is not age appropriate.
The nurse is caring for a pediatric client with a surgical wound. The wound is red with
purulent drainage and is causing discomfort for the client. Which diagnostic test will
determine if the discomfort of the wound is caused by an infection?
A) White blood cell count
B) Hematocrit measurement
C) Urine analysis
, NURS 120 Midterm Exam (Latest 2026/
2027 Update) – Introduction to Medical
Surgical Nursing Review 100% Verified
Questions & Answers [Grade A] – WCU
D) X-rays of the site -correct answer Explanation: A) There are a few tests that can
help the medical team determine the source of the client's discomfort. In this case, a
white blood cell count will determine if the discomfort is being caused by an
infection. An x-ray is useful for determining the existence of physical injuries, not the
presence of infection. Urine analysis may indicate illness or malnutrition, whereas
hematocrit measurement may identify iron deficiency anemia.
An 18-month-old toddler scheduled for routine vaccinations begins to cry when
placed on the examination table. The parent attempts to comfort the toddler, but
nothing is effective. Which action by the nurse is the most appropriate?
A) Allow the toddler to sit on the parent's lap and begin the assessment.
B) Allow the toddler to stand on the floor until the crying stops.
C) Ask another nurse in the office to hold the toddler because the parent is not able
to control the toddler's behavior.
D) Instruct the parent to hold the toddler down tightly to complete the examination.
-correct answer : A
2027 Update) – Introduction to Medical
Surgical Nursing Review 100% Verified
Questions & Answers [Grade A] – WCU
The nurse provides an in-service to peers regarding situations that can affect the
comfort level of the clients on the unit. Which client statement indicates that the
client's sense of well-being is negatively impacted?
A) "I feel like I have no energy today."
B) "I don't feel any physical pain today."
C) "I was able to sleep uninterrupted last night."
D) "I am so glad that playing cards takes my mind off my worries." -correct answer : A
Explanation: A) Fatigue is a lack of energy and motivation. A fatigued client is unable
to focus on healing and lacks the ability to cope in stressful situations. Restful sleep,
physical well-being without pain, and appropriate diversion all promote a sense of
comfort for the client.
A client is experiencing sudden-onset severe pain in the left lower quadrant of the
abdomen that is rated as a 10 on a pain scale of 0-10. The client is also experiencing
, NURS 120 Midterm Exam (Latest 2026/
2027 Update) – Introduction to Medical
Surgical Nursing Review 100% Verified
Questions & Answers [Grade A] – WCU
nausea, vomiting, and restlessness. Based on this data, the nurse concludes that the
client is experiencing which phenomenon?
A) Acute pain
B) Chronic pain
C) End-of-life pain
D) Fibromyalgia pain -correct answer : A
Explanation: A) Duration establishes the difference between acute and chronic pain.
Acute pain is defined as pain that lasts only through the expected recovery period,
which is usually 30 days to 6 months. Acute pain typically has a sudden onset related
to injury, surgery, or illness. Chronic pain outlasts the illness and extends beyond the
recovery period. End-of-life and fibromyalgia would most likely involve chronic pain.
The nurse is preparing to assess a 1-year-old client for signs of discomfort. When
conducting the assessment, which action by the nurse is the most appropriate?
A) Asking the client to rate the pain on a scale of 0-10 during the assessment process
B) Asking the parent to hold the client in the lap during the assessment process
, NURS 120 Midterm Exam (Latest 2026/
2027 Update) – Introduction to Medical
Surgical Nursing Review 100% Verified
Questions & Answers [Grade A] – WCU
C) Reading a book to the client during the assessment process
D) Recommending that the parent leave the room during the assessment process -
correct answer : B
Explanation: A) Children may be fearful of physical assessment. To promote comfort,
allow the child to sit on the parent's or guardian's lap during the assessment process,
rather than asking the parent to leave the room. A numeric pain scale is not
appropriate until the client is older; a faces pain scale would be better. Reading a
book during the assessment process is not age appropriate.
The nurse is caring for a pediatric client with a surgical wound. The wound is red with
purulent drainage and is causing discomfort for the client. Which diagnostic test will
determine if the discomfort of the wound is caused by an infection?
A) White blood cell count
B) Hematocrit measurement
C) Urine analysis
, NURS 120 Midterm Exam (Latest 2026/
2027 Update) – Introduction to Medical
Surgical Nursing Review 100% Verified
Questions & Answers [Grade A] – WCU
D) X-rays of the site -correct answer Explanation: A) There are a few tests that can
help the medical team determine the source of the client's discomfort. In this case, a
white blood cell count will determine if the discomfort is being caused by an
infection. An x-ray is useful for determining the existence of physical injuries, not the
presence of infection. Urine analysis may indicate illness or malnutrition, whereas
hematocrit measurement may identify iron deficiency anemia.
An 18-month-old toddler scheduled for routine vaccinations begins to cry when
placed on the examination table. The parent attempts to comfort the toddler, but
nothing is effective. Which action by the nurse is the most appropriate?
A) Allow the toddler to sit on the parent's lap and begin the assessment.
B) Allow the toddler to stand on the floor until the crying stops.
C) Ask another nurse in the office to hold the toddler because the parent is not able
to control the toddler's behavior.
D) Instruct the parent to hold the toddler down tightly to complete the examination.
-correct answer : A
