Medical Surgical Assessment Exam
MEDICAL SURGICAL ASSESSMENT EXAM NEWEST / MEDICAL
SURGICAL ASSESSMENT PREPARATION / MEDICAL SURGICAL
ASSESSMENT PRACTICE EXAM WITH COMPLETE QUESTIONS AND
CORRECT ANSWERS WITH DETAILED RATIONALES |ALREADY GRADED
A+||BRAND NEW VERSIONS!!
A home health nurse is reinforcing teaching with a client about preventing
complications of peripheral vascular disease. Which of the following statements
indicates that the client is adhering to the nurse's instructions?
A) "I apply rubbing alcohol to my feet every day to prevent infection"
B) "I will wear clean, knee-high wool socks everyday to help improve my
circulation"
C) "I use hot water bottles to keep my feet warm at night"
D) "I don't cross my legs anymore"
D) "I don't cross my legs anymore"
Clients who have peripheral vascular disease should not cross their legs because
it can impede circulation.
A nurse is reinforcing teaching about glycosylated hemoglobin (HbA1c) testing
with a client who has diabetes mellitus. Which of the following statements
indicates that the client understands the teaching?
A) "The HbA1c test should be performed 2 hr after I eat a meal that is high in
carbohydrates"
B) "The HbA1c test can help detect the presence of ketones in my body"
C) "I will have my HbA1c checked twice per year"
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, Medical Surgical Assessment Exam
D) "I will plan to fast before I have my HbA1c tested"
C) "I will have my HbA1c checked twice per year"
An HbA1c test provides the client's average glucose level for the preceding 3
months. The nurse should instruct the client to have her HbA1c tested twice
yearly to manage her glucose.
A nurse is assisting the charge nurse with developing an in-service about caring for
clients who have internal sealed radiation implants. Which of the following
information should the nurse include?
A) Restrict the time pregnant women are allowed in the client's room to 15 min
B) Pick up a radiation implant with a double-gloved hand if it becomes dislodged
C) Limit time spent in the client's room to 2 hr during an 8 hr shift
D) Dispose of radiation implants in a lead container
D) Dispose of radiation implants in a lead container
Lead impairs the emission of radiation. Therefore, the nurse should dispose of
radiation implants in a lead container in accordance with facility protocol.
A nurse is caring for a client who had an acute ischemic stroke 1 day ago. Which of
the following actions should the nurse take to reduce the risk for aspiration?
A) Allow for 30 min of rest before meals
B) Provide a straw for drinking liquids
C) Serve foods at room temperature
D) Place 2 tsp of food in the client's mouth at a time
A) Allow for 30 min of rest before meals
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, Medical Surgical Assessment Exam
The nurse should allow the client to rest for 30 min before meals to prevent
aspiration.
A nurse is caring for a client who is 1 day postoperative following a hip
arthroplasty. The client is exhibiting hypotension, tachycardia, and tachypnea. The
nurse should recognize that these findings indicate which of the following
complications?
A) Wound infection
B) Pulmonary embolism
C) Thrombophlebitis
D) Paralytic ileus
B) Pulmonary embolism
Manifestations of a pulmonary embolism include hypotension, tachycardia, and
tachypnea.
A nurse is reinforcing teaching with a client who has gonorrhea. Which of the
following information should the nurse include?
A) "Your partner will not require treatment for this infection"
B) "You can resume sexual activity as soon as you begin treatment"
C) "You are at risk for infertility with this infection, regardless of treatment"
D) "You will not be at further risk for this infection following treatment"
C) "You are at risk for infertility with this infection, regardless of treatment"
The nurse should inform the client that there is a risk for infertility as a result of
this infection.
A nurse is contributing to the plan of care for a client who was admitted to the
neurological unit following a stroke 3 hr ago. Which of the following interventions
should the nurse identify as the priority?
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, Medical Surgical Assessment Exam
A) Encourage the client to participate in self-care
B) Assist the client with active range-of-motion exercises
C) Keep the client in a side-lying position
D) Maintain the client's body alignment
C) Keep the client in a side-lying position
The greatest risk to the client following a stroke is aspiration. The nurse should
position the client in a lateral, or side-lying position, which will allow any
secretions to drain out of the mouth, decreasing the risk for aspiration.
Additionally, the nurse should have suction available in the event that any
secretions are present in the oral cavity.
A nurse is assisting in the care of a client who has manifestations of sepsis. Which
of the following provider prescriptions should the nurse implement first?
A) Collect a sputum culture
B) Administer ceftriaxone by intermittent IV bolus
C) Initiate oxygen at 4 L/min via nasal cannula
D) Obtain blood cultures
C) Initiate oxygen at 4 L/min via nasal cannula
When using the airway, breathing, circulation approach to client care, the first
action the nurse should take is to initiate oxygen. Clients who have
manifestations of sepsis are often hypoxic, tachypneic, or have a PaCO2 level
less than 32 mm Hg. The nurse should provide supplemental oxygen to keep the
client's oxygen saturation levels at 95% or greater, which will maximize the
ability of the hemoglobin to support the oxygen needs of the body.
A nurse is reinforcing teaching with a client who is taking insulin glargine. Which
of the following information should the nurse include in the teaching?
4|Page
MEDICAL SURGICAL ASSESSMENT EXAM NEWEST / MEDICAL
SURGICAL ASSESSMENT PREPARATION / MEDICAL SURGICAL
ASSESSMENT PRACTICE EXAM WITH COMPLETE QUESTIONS AND
CORRECT ANSWERS WITH DETAILED RATIONALES |ALREADY GRADED
A+||BRAND NEW VERSIONS!!
A home health nurse is reinforcing teaching with a client about preventing
complications of peripheral vascular disease. Which of the following statements
indicates that the client is adhering to the nurse's instructions?
A) "I apply rubbing alcohol to my feet every day to prevent infection"
B) "I will wear clean, knee-high wool socks everyday to help improve my
circulation"
C) "I use hot water bottles to keep my feet warm at night"
D) "I don't cross my legs anymore"
D) "I don't cross my legs anymore"
Clients who have peripheral vascular disease should not cross their legs because
it can impede circulation.
A nurse is reinforcing teaching about glycosylated hemoglobin (HbA1c) testing
with a client who has diabetes mellitus. Which of the following statements
indicates that the client understands the teaching?
A) "The HbA1c test should be performed 2 hr after I eat a meal that is high in
carbohydrates"
B) "The HbA1c test can help detect the presence of ketones in my body"
C) "I will have my HbA1c checked twice per year"
1|Page
, Medical Surgical Assessment Exam
D) "I will plan to fast before I have my HbA1c tested"
C) "I will have my HbA1c checked twice per year"
An HbA1c test provides the client's average glucose level for the preceding 3
months. The nurse should instruct the client to have her HbA1c tested twice
yearly to manage her glucose.
A nurse is assisting the charge nurse with developing an in-service about caring for
clients who have internal sealed radiation implants. Which of the following
information should the nurse include?
A) Restrict the time pregnant women are allowed in the client's room to 15 min
B) Pick up a radiation implant with a double-gloved hand if it becomes dislodged
C) Limit time spent in the client's room to 2 hr during an 8 hr shift
D) Dispose of radiation implants in a lead container
D) Dispose of radiation implants in a lead container
Lead impairs the emission of radiation. Therefore, the nurse should dispose of
radiation implants in a lead container in accordance with facility protocol.
A nurse is caring for a client who had an acute ischemic stroke 1 day ago. Which of
the following actions should the nurse take to reduce the risk for aspiration?
A) Allow for 30 min of rest before meals
B) Provide a straw for drinking liquids
C) Serve foods at room temperature
D) Place 2 tsp of food in the client's mouth at a time
A) Allow for 30 min of rest before meals
2|Page
, Medical Surgical Assessment Exam
The nurse should allow the client to rest for 30 min before meals to prevent
aspiration.
A nurse is caring for a client who is 1 day postoperative following a hip
arthroplasty. The client is exhibiting hypotension, tachycardia, and tachypnea. The
nurse should recognize that these findings indicate which of the following
complications?
A) Wound infection
B) Pulmonary embolism
C) Thrombophlebitis
D) Paralytic ileus
B) Pulmonary embolism
Manifestations of a pulmonary embolism include hypotension, tachycardia, and
tachypnea.
A nurse is reinforcing teaching with a client who has gonorrhea. Which of the
following information should the nurse include?
A) "Your partner will not require treatment for this infection"
B) "You can resume sexual activity as soon as you begin treatment"
C) "You are at risk for infertility with this infection, regardless of treatment"
D) "You will not be at further risk for this infection following treatment"
C) "You are at risk for infertility with this infection, regardless of treatment"
The nurse should inform the client that there is a risk for infertility as a result of
this infection.
A nurse is contributing to the plan of care for a client who was admitted to the
neurological unit following a stroke 3 hr ago. Which of the following interventions
should the nurse identify as the priority?
3|Page
, Medical Surgical Assessment Exam
A) Encourage the client to participate in self-care
B) Assist the client with active range-of-motion exercises
C) Keep the client in a side-lying position
D) Maintain the client's body alignment
C) Keep the client in a side-lying position
The greatest risk to the client following a stroke is aspiration. The nurse should
position the client in a lateral, or side-lying position, which will allow any
secretions to drain out of the mouth, decreasing the risk for aspiration.
Additionally, the nurse should have suction available in the event that any
secretions are present in the oral cavity.
A nurse is assisting in the care of a client who has manifestations of sepsis. Which
of the following provider prescriptions should the nurse implement first?
A) Collect a sputum culture
B) Administer ceftriaxone by intermittent IV bolus
C) Initiate oxygen at 4 L/min via nasal cannula
D) Obtain blood cultures
C) Initiate oxygen at 4 L/min via nasal cannula
When using the airway, breathing, circulation approach to client care, the first
action the nurse should take is to initiate oxygen. Clients who have
manifestations of sepsis are often hypoxic, tachypneic, or have a PaCO2 level
less than 32 mm Hg. The nurse should provide supplemental oxygen to keep the
client's oxygen saturation levels at 95% or greater, which will maximize the
ability of the hemoglobin to support the oxygen needs of the body.
A nurse is reinforcing teaching with a client who is taking insulin glargine. Which
of the following information should the nurse include in the teaching?
4|Page
