©THESTAR 2024/2025 ALL RIGHTS RESERVED 1:27PM. A+
Nursing Med-Surg Exam Questions And
Answers |Latest 2025 | Guaranteed Pass.
When you are examining a patient and you are assaulting the abdomen, and you hear a
swooshing sound what do you do? - Answer✔You need to notify the health care immediately
and do not palpate.
this can be an abdomen aortic aneurism
what type of bowel sounds will you hear if you have a patient with gastroenteritis? -
Answer✔hyperactive bowel sounds
You are working in the ER and you have a patient complaning of Right Upper Quadrant pain
after eating KFC chicken what do you think is causing this pain? - Answer✔Gallbladder issues
what is the definitive test for diagnosing cholecystitis? - Answer✔Right upper quadrant
ultrasound
Cat scan can be done but not as good as the ultrasound
you have a patient that had a recent colonoscopy, they are tachycardic with heart rate of 122,
hypotension B/P 88/62, respirations 30, abdomen distended and board- like. What do you
suspect? - Answer✔Bowel perfusion- perforated bowel
surgical emergency
GERD- education for patients - Answer✔Modifiable risks- to quit smoking, avoid carbonated
beverages.
after they eat they need to sit up 30 minutes to 1 hour
what medications do you give for GERD - Answer✔PPI's
1|Page
, ©THESTAR 2024/2025 ALL RIGHTS RESERVED 1:27PM. A+
what is the syndrome called when a patient had abdominal surgery, this usually happens 2-3
days after, experience vertigo, sweating, tachycardia? - Answer✔dumping syndrome
what is the prority nursing intervention for a patient with an upper GI bleed - Answer✔ABC
AIRWAY, BREATHING, CIRCULATION
You have a patient that comes into the ER that has a history of esophageal varices, coughing up
blood what is priority - Answer✔ABC
AIRWAY, BREATHING, CIRCULATION
Which bacteria can cause gastric cancer? - Answer✔h. pylori
how do we test for h. pylori? - Answer✔blood sample
most common way to do it is EGD, take a biopsy
breathe test- less common
what are some symptoms of colon cancer? - Answer✔weight loss-unexplained
H&H drops for labs
unexplained anemia
bloody-tarry stools
different type of stools
what test do we do to test for colon cancer - Answer✔colonoscopy
what do we have to do for a patient to prep for a colonoscopy? - Answer✔Bowel prep
Physical examination signs of peritonitis are? - Answer✔Rigid, board like abdomen
also, for perforated bowel
when a patient has GERD and has painful swallowing it is called? - Answer✔odynophagia
when a patient has trouble swallowing that is called - Answer✔dyspahgia
esophageal varices
pateint with vomiting and bleeding from the mouth what is our nursing priority -
Answer✔ABC's
so, we need to position them in high fowlers (straight up) to prevent aspiration.
Anyone with impaired liver function is at risk for? - Answer✔bleeding
2|Page
, ©THESTAR 2024/2025 ALL RIGHTS RESERVED 1:27PM. A+
if they have a liver biopsy, how do they need positioned? - Answer✔put them on left side and
assess for bleeding
What lab values do you need to look at for impaired liver function patients? - Answer✔H&H,
liver enzymes, INR
they cannot metabolize medications so we need to watch for what? - Answer✔medication
overdosing
we need to watch out for opioids
Cholecystitis S/S - Answer✔Right upper Quadrant pain
Pain referred to shoulder
HR high (tachycardia)
Fever and chills
N/V
end stage liver disease comes in with confusion what lab value can you look at? -
Answer✔ammonia levels
What do we give to keep ammonia levels down? - Answer✔lactulose
what type of symptoms may lactulose give a patient? - Answer✔bloating and cramping
acute pancreatitis priority intervention? - Answer✔NPO, IV FLUIDS AND pain management
we keep them NPO because - Answer✔the bowel risk
know the differenct between acute and chronic pancreatitis - Answer✔acute pancreatitis- life
threatening inflammation of the pancreas
chronic pancreatitis- progressive pancreatitis with remissions and exacerbations
obstructive jaundice what s/s - Answer✔yellowing of the skin
sclera
itching (Pruritus)
what type of patient is at risk for developing gallstones? - Answer✔Female, fat, fertile
female over age of forty
overweight fat
3|Page
Nursing Med-Surg Exam Questions And
Answers |Latest 2025 | Guaranteed Pass.
When you are examining a patient and you are assaulting the abdomen, and you hear a
swooshing sound what do you do? - Answer✔You need to notify the health care immediately
and do not palpate.
this can be an abdomen aortic aneurism
what type of bowel sounds will you hear if you have a patient with gastroenteritis? -
Answer✔hyperactive bowel sounds
You are working in the ER and you have a patient complaning of Right Upper Quadrant pain
after eating KFC chicken what do you think is causing this pain? - Answer✔Gallbladder issues
what is the definitive test for diagnosing cholecystitis? - Answer✔Right upper quadrant
ultrasound
Cat scan can be done but not as good as the ultrasound
you have a patient that had a recent colonoscopy, they are tachycardic with heart rate of 122,
hypotension B/P 88/62, respirations 30, abdomen distended and board- like. What do you
suspect? - Answer✔Bowel perfusion- perforated bowel
surgical emergency
GERD- education for patients - Answer✔Modifiable risks- to quit smoking, avoid carbonated
beverages.
after they eat they need to sit up 30 minutes to 1 hour
what medications do you give for GERD - Answer✔PPI's
1|Page
, ©THESTAR 2024/2025 ALL RIGHTS RESERVED 1:27PM. A+
what is the syndrome called when a patient had abdominal surgery, this usually happens 2-3
days after, experience vertigo, sweating, tachycardia? - Answer✔dumping syndrome
what is the prority nursing intervention for a patient with an upper GI bleed - Answer✔ABC
AIRWAY, BREATHING, CIRCULATION
You have a patient that comes into the ER that has a history of esophageal varices, coughing up
blood what is priority - Answer✔ABC
AIRWAY, BREATHING, CIRCULATION
Which bacteria can cause gastric cancer? - Answer✔h. pylori
how do we test for h. pylori? - Answer✔blood sample
most common way to do it is EGD, take a biopsy
breathe test- less common
what are some symptoms of colon cancer? - Answer✔weight loss-unexplained
H&H drops for labs
unexplained anemia
bloody-tarry stools
different type of stools
what test do we do to test for colon cancer - Answer✔colonoscopy
what do we have to do for a patient to prep for a colonoscopy? - Answer✔Bowel prep
Physical examination signs of peritonitis are? - Answer✔Rigid, board like abdomen
also, for perforated bowel
when a patient has GERD and has painful swallowing it is called? - Answer✔odynophagia
when a patient has trouble swallowing that is called - Answer✔dyspahgia
esophageal varices
pateint with vomiting and bleeding from the mouth what is our nursing priority -
Answer✔ABC's
so, we need to position them in high fowlers (straight up) to prevent aspiration.
Anyone with impaired liver function is at risk for? - Answer✔bleeding
2|Page
, ©THESTAR 2024/2025 ALL RIGHTS RESERVED 1:27PM. A+
if they have a liver biopsy, how do they need positioned? - Answer✔put them on left side and
assess for bleeding
What lab values do you need to look at for impaired liver function patients? - Answer✔H&H,
liver enzymes, INR
they cannot metabolize medications so we need to watch for what? - Answer✔medication
overdosing
we need to watch out for opioids
Cholecystitis S/S - Answer✔Right upper Quadrant pain
Pain referred to shoulder
HR high (tachycardia)
Fever and chills
N/V
end stage liver disease comes in with confusion what lab value can you look at? -
Answer✔ammonia levels
What do we give to keep ammonia levels down? - Answer✔lactulose
what type of symptoms may lactulose give a patient? - Answer✔bloating and cramping
acute pancreatitis priority intervention? - Answer✔NPO, IV FLUIDS AND pain management
we keep them NPO because - Answer✔the bowel risk
know the differenct between acute and chronic pancreatitis - Answer✔acute pancreatitis- life
threatening inflammation of the pancreas
chronic pancreatitis- progressive pancreatitis with remissions and exacerbations
obstructive jaundice what s/s - Answer✔yellowing of the skin
sclera
itching (Pruritus)
what type of patient is at risk for developing gallstones? - Answer✔Female, fat, fertile
female over age of forty
overweight fat
3|Page
