MedSurg Final Exam Practice EXAM 2025-
2026 LATEST UPDATE QUESTIONS AND
CORRECT ANSWER
The nurse would be alerted to the occurrence of malignant hyperthermia when the
patient demonstrates
A. Hypocapnia.
B. Muscle rigidity.
C. Decreased body temperature.
D. Confusion upon arousal from anesthesia. - answer>>>B. Muscle rigidity.
The nurse is admitting a patient with the diagnosis of advanced renal carcinoma. Based
upon this diagnosis, the nurse will expect to find which of the following as the "classic
triad" of presenting symptoms occurring in patients with renal cancer?
A. Fever, chills, flank pain
B. Hematuria, flank pain, palpable mass
C. Hematuria, proteinuria, palpable mass
D. Flank pain, palpable abdominal mass, and proteinuria - answer>>>B. Hematuria, flank
pain, palpable mass
Bronchial obstruction by retained secretions has contributed to a postoperative
patient's recent pulse oximetry reading of 87%. Which of the following health problems
is the patient experiencing?
A. Atelectasis
B. Bronchospasm
C. Hypoventilation
D. Pulmonary embolism - answer>>>A. Atelectasis
,For which of the following dysrhythmias is defibrillation primarily indicated?
A. Ventricular fibrillation
B. Third-degree AV block
C. Uncontrolled atrial fibrillation
D. Ventricular tachycardia with a pulse - answer>>>A. Ventricular fibrillation
A patient in asystole is likely to receive which of the following drug treatments?
A. Atropine and epinephrine
B. Lidocaine and amiodarone
C. Digoxin and procainamide
D. β-Adrenergic blockers and dopamine - answer>>>A. Atropine and epinephrine
Which of the following ECG characteristics is consistent with a diagnosis of ventricular
tachycardia (VT)?
A. Unmeasurable rate and rhythm
B. Rate 150 beats/min; inverted P wave
C. Rate 200 beats/min; P wave not visible
D. Rate 125 beats/min; normal QRS complex - answer>>>C. Rate 200 beats/min; P wave
not visible
Five minutes after receiving a preoperative sedative medication by IV injection, a patient
asks to get up to go to the bathroom to urinate. Which of the following is the most
appropriate action for the nurse to take?
A. Offer the patient to use the urinal/bedpan after explaining the need to maintain
safety.
B. Assist the patient to the bathroom and stay next to the door to assist patient back to
bed when done.
C. Allow the patient to go to the bathroom since the onset of the medication will be
more than 5 minutes.
, D. Ask the patient to hold the - answer>>>A. Offer the patient to use the urinal/bedpan
after explaining the need to maintain safety.
Which of the following is the primary reason for accurately recording the patient's
current medications during a preoperative assessment?
A. Some medications may alter the patient's perceptions about surgery.
B. Many anesthetics alter renal and hepatic function, causing toxicity of other drugs.
C. Some medications may interact with anesthetics, altering the potency and effect of
the drugs.
D. Routine medications are withheld the day of surgery, requiring dosage and schedule
adjustments after surgery. - answer>>>C. Some medications may interact with
anesthetics, altering the potency and effect of the drugs.
As the nurse is preparing a patient for surgery, the patient refuses to remove a wedding
ring. Which of the following is the most appropriate action by the nurse?
A. Insist the patient remove the ring for safety purposes.
B. Explain that the hospital will not be responsible for the ring.
C. Tape the ring securely to the finger and document this on the preoperative checklist.
D. Note the presence of the ring in the nurse's notes of the chart and on the
preoperative checklist. - answer>>>C. Tape the ring securely to the finger and document
this on the preoperative checklist.
While performing preoperative teaching, the patient asks when she needs to stop
drinking water before the surgery. Based on the most recent practice guidelines
established by the American Society of Anesthesiologists, the nurse tells the patient that
A. She must be NPO after breakfast.
B. She needs to be NPO after midnight.
C. She can drink clear liquids up to 2 hours before surgery.
D. She can drink clear liquids up until she is moved to the OR. - answer>>>C. She can
drink clear liquids up to 2 hours before surgery.
2026 LATEST UPDATE QUESTIONS AND
CORRECT ANSWER
The nurse would be alerted to the occurrence of malignant hyperthermia when the
patient demonstrates
A. Hypocapnia.
B. Muscle rigidity.
C. Decreased body temperature.
D. Confusion upon arousal from anesthesia. - answer>>>B. Muscle rigidity.
The nurse is admitting a patient with the diagnosis of advanced renal carcinoma. Based
upon this diagnosis, the nurse will expect to find which of the following as the "classic
triad" of presenting symptoms occurring in patients with renal cancer?
A. Fever, chills, flank pain
B. Hematuria, flank pain, palpable mass
C. Hematuria, proteinuria, palpable mass
D. Flank pain, palpable abdominal mass, and proteinuria - answer>>>B. Hematuria, flank
pain, palpable mass
Bronchial obstruction by retained secretions has contributed to a postoperative
patient's recent pulse oximetry reading of 87%. Which of the following health problems
is the patient experiencing?
A. Atelectasis
B. Bronchospasm
C. Hypoventilation
D. Pulmonary embolism - answer>>>A. Atelectasis
,For which of the following dysrhythmias is defibrillation primarily indicated?
A. Ventricular fibrillation
B. Third-degree AV block
C. Uncontrolled atrial fibrillation
D. Ventricular tachycardia with a pulse - answer>>>A. Ventricular fibrillation
A patient in asystole is likely to receive which of the following drug treatments?
A. Atropine and epinephrine
B. Lidocaine and amiodarone
C. Digoxin and procainamide
D. β-Adrenergic blockers and dopamine - answer>>>A. Atropine and epinephrine
Which of the following ECG characteristics is consistent with a diagnosis of ventricular
tachycardia (VT)?
A. Unmeasurable rate and rhythm
B. Rate 150 beats/min; inverted P wave
C. Rate 200 beats/min; P wave not visible
D. Rate 125 beats/min; normal QRS complex - answer>>>C. Rate 200 beats/min; P wave
not visible
Five minutes after receiving a preoperative sedative medication by IV injection, a patient
asks to get up to go to the bathroom to urinate. Which of the following is the most
appropriate action for the nurse to take?
A. Offer the patient to use the urinal/bedpan after explaining the need to maintain
safety.
B. Assist the patient to the bathroom and stay next to the door to assist patient back to
bed when done.
C. Allow the patient to go to the bathroom since the onset of the medication will be
more than 5 minutes.
, D. Ask the patient to hold the - answer>>>A. Offer the patient to use the urinal/bedpan
after explaining the need to maintain safety.
Which of the following is the primary reason for accurately recording the patient's
current medications during a preoperative assessment?
A. Some medications may alter the patient's perceptions about surgery.
B. Many anesthetics alter renal and hepatic function, causing toxicity of other drugs.
C. Some medications may interact with anesthetics, altering the potency and effect of
the drugs.
D. Routine medications are withheld the day of surgery, requiring dosage and schedule
adjustments after surgery. - answer>>>C. Some medications may interact with
anesthetics, altering the potency and effect of the drugs.
As the nurse is preparing a patient for surgery, the patient refuses to remove a wedding
ring. Which of the following is the most appropriate action by the nurse?
A. Insist the patient remove the ring for safety purposes.
B. Explain that the hospital will not be responsible for the ring.
C. Tape the ring securely to the finger and document this on the preoperative checklist.
D. Note the presence of the ring in the nurse's notes of the chart and on the
preoperative checklist. - answer>>>C. Tape the ring securely to the finger and document
this on the preoperative checklist.
While performing preoperative teaching, the patient asks when she needs to stop
drinking water before the surgery. Based on the most recent practice guidelines
established by the American Society of Anesthesiologists, the nurse tells the patient that
A. She must be NPO after breakfast.
B. She needs to be NPO after midnight.
C. She can drink clear liquids up to 2 hours before surgery.
D. She can drink clear liquids up until she is moved to the OR. - answer>>>C. She can
drink clear liquids up to 2 hours before surgery.
