Lewis Medical-Surgical Nursing Final Exam Test Bank Comprehensive Verified Questions and Detailed Answers with Rationales for Nursing Students Updated 2026–2027 Complete Exam Preparation Resource for High Yield Practice and Guaranteed Success Content.

LEWIS: MEDICAL-SURGICAL
NURSING EXAM
LEWIS MED-SURG NURSING FINAL
EXAM VERIFIED QUESTIONS AND
CORRECT DETAILED ANSWERS
(RATIONALES) |ALREADY GRADED A+




A ,55-year-old ,black ,male ,is ,found to have a blood pressure of 150/90 mm Hg during
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a work site health
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screening. What should the nurse do?
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A. Consider this to be a normal finding for his age and race.
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B. Recommend he have his blood pressure rechecked in 1 year.
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C. Recommend he have his blood pressure rechecked within 2 weeks.
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D. Recommend he go to the emergency department for further evaluation. –
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A+ TEST BANK 1

, LEWIS: MEDICAL-SURGICAL
NURSING EXAM
Correct Answer :C. Recommend he have his blood pressure rechecked within 2
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weeks.


Rationale: A BP of 150/90 mm Hg should be rechecked within 2 weeks according to
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current recommendations. If confirmed, assessment and treatment should be
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initiated by the practitioner. L L L




Option A is incorrect because although hypertension is more prevalent among
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blacks, a BP of 150/90 mm Hg isn't considered normal. Option B is incorrect because
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a person with a BP
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of 150/90 mm Hg shouldn't wait as long as 1 year to have it rechecked.
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Option D is incorrect because he doesn't need to be treated on an emergency basis,
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but he should have his BP monitored.
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The nurse is administering warfarin (Coumadin) to a patient with deep vein
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thrombophlebitis. Which laboratory L L




value indicates warfarin is at therapeutic levels?
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A. PTT 1½ to 2 times the control
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B. PT 1½ to 2 times the control
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C. INR of 3 to 4 L L L L




D. Hematocrit of 32% - L L L




Correct Answer :B. PT 1½ to 2 times the control
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Rationale: Warfarin is at therapeutic levels when the patient's PT is 1½ to 2 times the
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control.

A+ TEST BANK 2

, LEWIS: MEDICAL-SURGICAL
NURSING EXAM
Higher values indicate increased risk of bleeding and hemorrhage, and lower values
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indicate increased risk of blood clot formation.
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Option A is incorrect because heparin, not warfarin, prolongs PTT.
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Option C is incorrect because although the INR may also be used to determine if
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warfarin is at a therapeutic level, an INR should be 2-3.
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Option D is incorrect because hematocrit doesn't provide information on the
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effectiveness of warfarin; however, a falling hematocrit in a patient taking warfarin
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may be a sign of hemorrhage.
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A patient is receiving captopril for heart failure. The nurse should notify the
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practitioner that the L L




medication therapy is ineffective if an assessment reveals:
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A. a skin rash.
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B. peripheral edema. L




C. a dry cough.
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D. postural hypotension – L L




Correct Answer :B. peripheral edema.
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Rationale: Peripheral edema is a sign of fluid volume overload and worsening heart
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failure. ,The ,other ,options ,(a ,skin ,rash, ,dry ,cough, ,and ,postural ,hypotension) ,are
adverse ,reactions ,to ,captopril, ,but ,they ,don't ,indicate ,that ,therapy ,isn't ,effective.


A 60-year-old male patient is suspected of having coronary artery disease. Which
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noninvasive diagnostic L




A+ TEST BANK 3

, LEWIS: MEDICAL-SURGICAL
NURSING EXAM
method would the nurse expect to be ordered to evaluate cardiac changes?
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A. Cardiac biopsy L




B. Cardiac catheterization L




C. MRI
D. Pericardiocentesis – L




Correct Answer :C. MRI L L L




Rationale: MRI is a noninvasive procedure that aids in the diagnosis and detection of
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thoracic
aortic aneurysm and evaluation of coronary artery disease, pericardial disease, and
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cardiac masses. L




Cardiac biopsy (Option A), cardiac catheterization (Option B), and pericardiocentesis
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(Option D) are invasive L L L




techniques used to evaluate cardiac changes. L L L L L




When evaluating an ECG strip of a patient on a telemetry unit, the nurse notices the
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patient is having premature
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ventricular contractions (PVCs). What criterion on the ECG strip does the nurse use to
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evaluate the presence L L




of PVCs?
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A. An indiscernible PR interval
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B. P waves that appear erratic
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C. P waves that have a saw tooth configuration
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D. A QRS complex followed by a compensatory pause –
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A+ TEST BANK 4