Med Surg II Exam 1 Practice Exam
MED SURG II EXAM 1 PRACTICE EXAM NEWEST 2025/2026
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |BRAND NEW VERSION!!
A patient presents at a clinic complaining of pain in his heel so bad that it inhibits
his ability to walk. The patient is subsequently diagnosed with plantar fasciitis.
This patient's plan of care should include what intervention?
A) Wrapping the affected area in lamb's wool or gauze to relieve pressure
B) Gently stretching the foot and the Achilles tendon
C) Wearing open-toed shoes at all times
D) Applying topical analgesic ointment to plantar surface each morning
Ans: B
Feedback:
Plantar fasciitis leads to pain that is localized to the anterior medial aspect of the
heel and diminishes with gentle stretching of the foot and Achilles tendon.
Dressings of any kind are not of therapeutic benefit and analgesic ointments do
not address the pathology of the problem. Open-toed shoes are of no particular
benefit.
A nurse is providing an educational class to a group of older adults at a community
senior center. In an effort to prevent osteoporosis, the nurse should encourage
participants to ensure that they consume the recommended adequate intake of
what nutrients? Select all that apply.
A) Vitamin B12
B) Potassium
C) Calcitonin
D) Calcium
E) Vitamin D
Ans: D, E
Feedback:
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, Med Surg II Exam 1 Practice Exam
A diet rich in calcium and vitamin D protects against skeletal demineralization.
Intake of vitamin B12and potassium does not directly influence the risk for
osteoporosis. Calcitonin is not considered to be a dietary nutrient.
A nurse is providing a class on osteoporosis at the local seniors' center. Which of
the following statements related to osteoporosis is most accurate?
A) Osteoporosis is categorized as a disease of the elderly.
B) A nonmodifiable risk factor for osteoporosis is a person's level of activity.
C) Secondary osteoporosis occurs in women after menopause.
D) Slow discontinuation of corticosteroid therapy can halt the progression of the
osteoporosis.
Ans: D
Feedback:
When corticosteroid therapy is discontinued, the progression of osteoporosis is
halted, but restoration of lost bone mass does not occur. Osteoporosis is not a
disease of the elderly because its onset occurs earlier in life, when bone mass
peaks and then begins to decline. A person's level of physical activity is a
modifiable factor that influences peak bone mass. Lack of activity increases the
risk for the development of osteoporosis. Primary osteoporosis occurs in women
after menopause.
A nurse is teaching a patient with osteomalacia about the role of diet. What would
be the best choice for breakfast for a patient with osteomalacia?
A) Cereal with milk, a scrambled egg, and grapefruit
B) Poached eggs with sausage and toast
C) Waffles with fresh strawberries and powdered sugar
D) A bagel topped with butter and jam with a side dish of grapes
Ans: A
Feedback:
The best meal option is the one that contains the highest dietary sources of
2|Page
, Med Surg II Exam 1 Practice Exam
calcium and vitamin D. The best selection among those listed is cereal with milk,
and eggs, as these foods contain calcium and vitamin D in a higher quantity over
the other menu options.
A nurse is caring for a patient with Paget's disease and is reviewing the patient's
most recent laboratory values. Which of the following values is most characteristic
of Paget's disease?
A) An elevated level of parathyroid hormone and low calcitonin levels
B) A low serum alkaline phosphatase level and a low serum calcium level
C) An elevated serum alkaline phosphatase level and a normal serum calcium level
D) An elevated calcitonin level and low levels of parathyroid hormone
Ans: C
Feedback:
Patients with Paget's disease have normal blood calcium levels. Elevated serum
alkaline phosphatase concentration and urinary hydroxyproline excretion reflect
the increased osteoblastic activity associated with this condition. Alterations in
PTH and calcitonin levels are atypical.
Which of the following patients should the nurse recognize as being at the highest
risk for the development of osteomyelitis?
A) A middle-age adult who takes ibuprofen daily for rheumatoid arthritis
B) An elderly patient with an infected pressure ulcer in the sacral area
C) A 17-year-old football player who had orthopedic surgery 6 weeks prior
D) An infant diagnosed with jaundice
Ans: B
Feedback:
Patients who are at high risk of osteomyelitis include those who are poorly
nourished, elderly, and obese. The elderly patient with an infected sacral pressure
ulcer is at the greatest risk for the development of osteomyelitis, as this patient
has two risk factors: age and the presence of a soft-tissue infection that has the
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, Med Surg II Exam 1 Practice Exam
potential to extend into the bone. The patient with rheumatoid arthritis has one
risk factor and the infant with jaundice has no identifiable risk factors. The patient
6 weeks postsurgery is beyond the usual window of time for the development of a
postoperative surgical wound infection.
A nurse is caring for a patient with a bone tumor. The nurse is providing education
to help the patient reduce the risk for pathologic fractures. What should the nurse
teach the patient?
A) Strive to achieve maximum weight-bearing capabilities.
B) Gradually strengthen the affected muscles through weight training.
C) Support the affected extremity with external supports such as splints.
D) Limit reliance on assistive devices in order to build strength.
Ans: C
Feedback:
During nursing care, the affected extremities must be supported and handled
gently. External supports (splints) may be used for additional protection.
Prescribed weight-bearing restrictions must be followed. Assistive devices should
be used to strengthen the unaffected extremities.
A patient presents at a clinic complaining of back pain that goes all the way down
the back of the leg to the foot. The nurse should document the presence of what
type of pain?
A) Bursitis
B) Radiculopathy
C) Sciatica
D) Tendonitis
Ans: C
Feedback:
Sciatica nerve pain travels down the back of the thigh to the foot of the affected
4|Page
MED SURG II EXAM 1 PRACTICE EXAM NEWEST 2025/2026
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |BRAND NEW VERSION!!
A patient presents at a clinic complaining of pain in his heel so bad that it inhibits
his ability to walk. The patient is subsequently diagnosed with plantar fasciitis.
This patient's plan of care should include what intervention?
A) Wrapping the affected area in lamb's wool or gauze to relieve pressure
B) Gently stretching the foot and the Achilles tendon
C) Wearing open-toed shoes at all times
D) Applying topical analgesic ointment to plantar surface each morning
Ans: B
Feedback:
Plantar fasciitis leads to pain that is localized to the anterior medial aspect of the
heel and diminishes with gentle stretching of the foot and Achilles tendon.
Dressings of any kind are not of therapeutic benefit and analgesic ointments do
not address the pathology of the problem. Open-toed shoes are of no particular
benefit.
A nurse is providing an educational class to a group of older adults at a community
senior center. In an effort to prevent osteoporosis, the nurse should encourage
participants to ensure that they consume the recommended adequate intake of
what nutrients? Select all that apply.
A) Vitamin B12
B) Potassium
C) Calcitonin
D) Calcium
E) Vitamin D
Ans: D, E
Feedback:
1|Page
, Med Surg II Exam 1 Practice Exam
A diet rich in calcium and vitamin D protects against skeletal demineralization.
Intake of vitamin B12and potassium does not directly influence the risk for
osteoporosis. Calcitonin is not considered to be a dietary nutrient.
A nurse is providing a class on osteoporosis at the local seniors' center. Which of
the following statements related to osteoporosis is most accurate?
A) Osteoporosis is categorized as a disease of the elderly.
B) A nonmodifiable risk factor for osteoporosis is a person's level of activity.
C) Secondary osteoporosis occurs in women after menopause.
D) Slow discontinuation of corticosteroid therapy can halt the progression of the
osteoporosis.
Ans: D
Feedback:
When corticosteroid therapy is discontinued, the progression of osteoporosis is
halted, but restoration of lost bone mass does not occur. Osteoporosis is not a
disease of the elderly because its onset occurs earlier in life, when bone mass
peaks and then begins to decline. A person's level of physical activity is a
modifiable factor that influences peak bone mass. Lack of activity increases the
risk for the development of osteoporosis. Primary osteoporosis occurs in women
after menopause.
A nurse is teaching a patient with osteomalacia about the role of diet. What would
be the best choice for breakfast for a patient with osteomalacia?
A) Cereal with milk, a scrambled egg, and grapefruit
B) Poached eggs with sausage and toast
C) Waffles with fresh strawberries and powdered sugar
D) A bagel topped with butter and jam with a side dish of grapes
Ans: A
Feedback:
The best meal option is the one that contains the highest dietary sources of
2|Page
, Med Surg II Exam 1 Practice Exam
calcium and vitamin D. The best selection among those listed is cereal with milk,
and eggs, as these foods contain calcium and vitamin D in a higher quantity over
the other menu options.
A nurse is caring for a patient with Paget's disease and is reviewing the patient's
most recent laboratory values. Which of the following values is most characteristic
of Paget's disease?
A) An elevated level of parathyroid hormone and low calcitonin levels
B) A low serum alkaline phosphatase level and a low serum calcium level
C) An elevated serum alkaline phosphatase level and a normal serum calcium level
D) An elevated calcitonin level and low levels of parathyroid hormone
Ans: C
Feedback:
Patients with Paget's disease have normal blood calcium levels. Elevated serum
alkaline phosphatase concentration and urinary hydroxyproline excretion reflect
the increased osteoblastic activity associated with this condition. Alterations in
PTH and calcitonin levels are atypical.
Which of the following patients should the nurse recognize as being at the highest
risk for the development of osteomyelitis?
A) A middle-age adult who takes ibuprofen daily for rheumatoid arthritis
B) An elderly patient with an infected pressure ulcer in the sacral area
C) A 17-year-old football player who had orthopedic surgery 6 weeks prior
D) An infant diagnosed with jaundice
Ans: B
Feedback:
Patients who are at high risk of osteomyelitis include those who are poorly
nourished, elderly, and obese. The elderly patient with an infected sacral pressure
ulcer is at the greatest risk for the development of osteomyelitis, as this patient
has two risk factors: age and the presence of a soft-tissue infection that has the
3|Page
, Med Surg II Exam 1 Practice Exam
potential to extend into the bone. The patient with rheumatoid arthritis has one
risk factor and the infant with jaundice has no identifiable risk factors. The patient
6 weeks postsurgery is beyond the usual window of time for the development of a
postoperative surgical wound infection.
A nurse is caring for a patient with a bone tumor. The nurse is providing education
to help the patient reduce the risk for pathologic fractures. What should the nurse
teach the patient?
A) Strive to achieve maximum weight-bearing capabilities.
B) Gradually strengthen the affected muscles through weight training.
C) Support the affected extremity with external supports such as splints.
D) Limit reliance on assistive devices in order to build strength.
Ans: C
Feedback:
During nursing care, the affected extremities must be supported and handled
gently. External supports (splints) may be used for additional protection.
Prescribed weight-bearing restrictions must be followed. Assistive devices should
be used to strengthen the unaffected extremities.
A patient presents at a clinic complaining of back pain that goes all the way down
the back of the leg to the foot. The nurse should document the presence of what
type of pain?
A) Bursitis
B) Radiculopathy
C) Sciatica
D) Tendonitis
Ans: C
Feedback:
Sciatica nerve pain travels down the back of the thigh to the foot of the affected
4|Page
