MedSurg Practice Test Welcome to your MedSurg Practice Test 1. MedSurg: Assessment and Diagnosis A patient presents with symptoms of palpitations, sweating, and dizziness. The nurse notes a heart rate of 120 bpm. What is the most likely diagnosis? Hypoglycemia Panic attack Myocardial infarction Hyperthyroidism None 2. MedSurg: Assessment and Diagnosis A nurse assesses a patient who complains of sudden, severe abdominal pain, rebound tenderness, and fever. Which condition should the nurse suspect? Gastroenteritis Appendicitis Pancreatitis Hepatitis None 3. MedSurg: Assessment and Diagnosis When evaluating a patient with suspected heart failure, which diagnostic test would provide the most critical information regarding ventricular function? ECG X-ray Echocardiogram Blood tests None 4. MedSurg: Assessment and Diagnosis In a patient with suspected diabetic ketoacidosis, what would be the most indicative lab finding? High blood sugar Low potassium Elevated liver enzymes Decreased blood urea nitrogen None 5. MedSurg: Assessment and Diagnosis A nurse observes asymmetrical chest expansion in a patient after a motor vehicle accident. What should be the primary concern? Asthma Flail chest Bronchitis Pneumonia None 6. MedSurg: Assessment and Diagnosis A patient with chronic kidney disease presents with nausea, vomiting, and an irregular heartbeat. Which of the following should the nurse prioritize assessing? Blood glucose level Serum potassium level White blood cell count Hemoglobin level None 7. MedSurg: Assessment and Diagnosis A patient reports intense localized pain, redness, and warmth over the calf muscle. What is the most important diagnostic test to perform initially? MRI Ultrasound X-ray CT scan None 8. MedSurg: Assessment and Diagnosis In assessing a patient with suspected peptic ulcer disease, which symptom would the nurse expect to find? Intermittent claudication Epigastric pain relieved by eating Dysuria Jaundice None 9. MedSurg: Assessment and Diagnosis Which assessment finding is most indicative of early hypoxia in a patient with pneumonia? Cyanosis Confusion Bradycardia Hypertension None 10. MedSurg: Assessment and Diagnosis A nurse assessing a patient with an abdominal aortic aneurysm would be most concerned by which finding? Stable blood pressure Decreasing hemoglobin and hematocrit levels Absence of abdominal pain Presence of a bruit over the abdomen None 11. MedSurg: Assessment and Diagnosis A patient presents with jaundice, dark urine, and pruritus. What is the most likely diagnosis? Hepatitis Pancreatitis Cholecystitis Peptic ulcer disease None 12. MedSurg: Assessment and Diagnosis A patient with no history of cardiovascular disease comes in with sudden onset of severe chest pain radiating to the left arm. What diagnostic test should be prioritized? Complete blood count Chest X-ray Electrocardiogram (ECG) Urinalysis None 13. MedSurg: Assessment and Diagnosis In assessing a patient for potential infection, which lab result is most critical for confirming an acute infection? Elevated C-reactive protein (CRP) Increased red blood cell count Decreased platelet count Elevated blood glucose None 14. MedSurg: Assessment and Diagnosis A nurse notes that a patient's Trousseau's sign is positive. This is indicative of what condition? Hyperkalemia Hypocalcemia Hypermagnesemia Hypokalemia None 15. MedSurg: Assessment and Diagnosis A nurse suspects a patient of having an acute pulmonary embolism. Which symptom is least likely to be present? Sudden onset of dyspnea Sharp, localized chest pain Wheezing Hemoptysis None 16. MedSurg: Assessment and Diagnosis A patient reports severe, sharp pain in the lower right quadrant of the abdomen. What additional symptom would suggest acute appendicitis? Constipation McBurney's point tenderness Migratory pain to the left quadrant Painless hematuria None 17. MedSurg: Assessment and Diagnosis During the assessment of a patient with chronic obstructive pulmonary disease 'COPD', which finding would be most concerning? Barrel-shaped chest Use of accessory muscles to breathe Chronic cough Sudden weight gain None 18. MedSurg: Assessment and Diagnosis What finding on a neurological exam is most indicative of a possible brain tumor in a patient complaining of headaches and visual disturbances? Papilledema Anisocoria Positive Romberg's sign Nystagmus None 19. MedSurg: Assessment and Diagnosis A nurse is assessing a patient who has returned from surgery with a new surgical site on the abdomen. What finding would most suggest a surgical site infection? Localized heat and redness Serous drainage Sutures intact Mild post-operative pain None 20. MedSurg: Assessment and Diagnosis Which symptom would be least likely in a patient presenting with acute liver failure? Jaundice Ascites Hypertension Coagulopathy None 21. MedSurg: Assessment and Diagnosis A nurse assesses a patient with cirrhosis reporting worsening confusion. What specific condition should the nurse suspect? Hepatic encephalopathy Alzheimer's disease Cerebral aneurysm Migraine None 22. MedSurg: Assessment and Diagnosis During a cardiovascular assessment, a nurse finds a patient with diabetes mellitus has absent pedal pulses. What complication should the nurse consider first? Diabetic neuropathy Peripheral arterial disease Venous stasis Diabetic foot ulcer None 23. MedSurg: Assessment and Diagnosis A patient presents with acute chest pain and a pericardial friction rub is heard on auscultation. What is the most likely diagnosis? Pneumonia Acute pericarditis Gastroesophageal reflux disease Acute myocardial infarction None 24. MedSurg: Assessment and Diagnosis A nurse assessing a patient with acute renal failure notes anuria. What is the most likely cause? Chronic urinary tract infection Renal artery stenosis Acute tubular necrosis Kidney stones None 25. MedSurg: Assessment and Diagnosis A patient presents with acute onset of lower back pain and blood pressure of 200/120 mm Hg. Which condition should the nurse suspect? Pyelonephritis Renal colic Pheochromocytoma Herniated disc None 26. MedSurg: Assessment and Diagnosis A patient is suspected of having a pulmonary embolism. What clinical finding is most critical for the diagnosis? Pleuritic chest pain Wheezing Cough Tachypnea None 27. MedSurg: Assessment and Diagnosis What is the most indicative symptom of a patient experiencing a hypertensive crisis? Weight gain Severe headache Numbness in limbs Sore throat None 28. MedSurg: Assessment and Diagnosis A patient complains of sudden, severe headache and stiff neck. What condition should be urgently ruled out by the nurse? Tension headache Migraine Cervical spondylosis Subarachnoid hemorrhage None 29. MedSurg: Assessment and Diagnosis In assessing a patient with suspected meningitis, which finding would support this diagnosis? Positive Brudzinski's sign Negative Kernig's sign Absence of fever Hypotension None 30. MedSurg: Assessment and Diagnosis Which finding would most likely indicate a ruptured ovarian cyst in a female patient presenting with acute abdominal pain? Elevated white blood cell count Hypoactive bowel sounds Free fluid in the pelvis on ultrasound Increased serum albumin None 31. MedSurg: Assessment and Diagnosis A patient with asthma presents with new onset of chest tightness and wheezing. What diagnostic test should the nurse prioritize? Spirometry Complete blood count Chest X-ray Electrocardiogram None 32. MedSurg: Assessment and Diagnosis A patient reports feeling a "pop" in the knee followed by severe pain and swelling. What is the most likely diagnosis? Osteoarthritis Torn meniscus Bacterial arthritis Gout None 33. MedSurg: Assessment and Diagnosis In evaluating a patient with sudden, unexplained weight loss and night sweats, which condition should the nurse primarily suspect? Diabetes mellitus Tuberculosis Hypothyroidism Anorexia nervosa None 34. MedSurg: Assessment and Diagnosis A patient presents with a "curtain falling" sensation in the field of vision. What is the most urgent condition to rule out? Dry eyes Retinal detachment Glaucoma Cataracts None 35. MedSurg: Assessment and Diagnosis A patient presents with sudden palpitations, light-headedness, and a pulse of 160 bpm. What condition should be primarily considered? Atrial fibrillation Heart block Sinus tachycardia Ventricular tachycardia None 36. MedSurg: Assessment and Diagnosis A nurse finds a hard, irregular mass in the breast of a 50-year-old patient during a routine check-up. What is the most appropriate next step? Schedule an immediate mammogram Reassure the patient it's likely benign Prescribe antibiotics Recommend weight loss None 37. MedSurg: Assessment and Diagnosis A patient with severe abdominal pain tests positive for Murphy's sign. What condition is most likely? Acute pancreatitis Acute hepatitis Cholecystitis Peptic ulcer disease None 38. MedSurg: Assessment and Diagnosis Which symptom in a patient with a history of prostate cancer would be most indicative of metastatic disease? Frequent urination Lower back pain Increased PSA levels Erectile dysfunction None 39. MedSurg: Assessment and Diagnosis In a patient with suspected carbon monoxide poisoning, what is the most definitive diagnostic test? Pulse oximetry Carboxyhemoglobin level Chest X-ray Arterial blood gas None 40. MedSurg: Assessment and Diagnosis A patient presents with rapid onset of edema, especially in the legs. Which organ system should the nurse focus the assessment on primarily? Musculoskeletal Neurological Cardiovascular Respiratory None 41. MedSurg: Assessment and Diagnosis A nurse observes muffled heart sounds and distended neck veins in a patient after a chest injury. What condition should be urgently suspected? Cardiac tamponade Congestive heart failure Pulmonary embolism Chronic obstructive pulmonary disease (COPD) None 42. MedSurg: Assessment and Diagnosis A patient with a history of smoking presents with chronic cough and a new finding of hemoptysis. What is the most critical condition to rule out? Bronchitis Lung cancer Asthma Tuberculosis None 43. MedSurg: Assessment and Diagnosis A nurse notes bilateral ankle edema and proteinuria in a patient. Which condition is most likely? Nephrotic syndrome Cellulitis Gout Peripheral artery disease None 44. MedSurg: Assessment and Diagnosis In assessing a patient with severe upper abdominal pain radiating to the back and elevated serum amylase, what diagnosis should be considered? Acute pancreatitis Gastric ulcer Hepatic failure Acute cholecystitis None 45. MedSurg: Assessment and Diagnosis A patient presents with sudden, severe headache and a blown pupil (dilated and non-reactive to light). What is the most likely diagnosis? Migraine Cluster headache Subarachnoid hemorrhage Acute glaucoma None 46. MedSurg: Assessment and Diagnosis During assessment, a nurse discovers crepitus in the neck of a patient with a recent history of blunt trauma. What is the immediate implication? Airway obstruction Cervical spine injury Tracheal injury Esophageal perforation None 47. MedSurg: Assessment and Diagnosis A patient reports severe unilateral nasal congestion, facial pain, and purulent nasal discharge. What condition should the nurse suspect? Allergic rhinitis Acute sinusitis Nasal polyps Deviated septum None 48. MedSurg: Assessment and Diagnosis In a patient with suspected myocardial infarction, what ECG finding is most indicative of ongoing ischemia? Sinus tachycardia ST-segment elevation PR interval prolongation QRS widening None 49. MedSurg: Assessment and Diagnosis What finding would be most concerning in a patient with suspected acute liver failure? Jaundice Itching Encephalopathy Anorexia None 50. MedSurg: Assessment and Diagnosis A patient with acute shortness of breath and a history of deep vein thrombosis should be evaluated for what condition? Asthma Bronchitis Pulmonary embolism Pneumothorax None 51. MedSurg: Assessment and Diagnosis Which symptom is least likely to be found in a patient with acute hypoglycemia? Tremors Tachycardia Hot, dry skin Confusion None 52. MedSurg: Assessment and Diagnosis A patient complains of dyspnea and fatigue with high-output heart failure identified on assessment. What underlying condition should be primarily suspected? Severe anemia Hypertension Coronary artery disease Valvular heart disease None 53. MedSurg: Planning, Implementation, and Evaluation A patient with congestive heart failure is being discharged. Which of the following would be the most appropriate discharge instruction to reduce the risk of fluid overload? Limit fluid intake to 1 liter per day Weigh yourself daily at the same time Take diuretics at night only Increase protein intake None 54. MedSurg: Planning, Implementation, and Evaluation When evaluating the effectiveness of pain management in a post-operative patient, which method provides the most reliable information? Assessment of vital signs Patient self-reporting of pain Frequency of pain medication administration Observation of patient activity level None 55. MedSurg: Planning, Implementation, and Evaluation For a patient with severe arthritis, which evaluation criterion is most important after implementing a new pain management protocol? Ability to perform ADLs independently Compliance with medication regimen Absence of side effects from medications Patient satisfaction with care None 56. MedSurg: Planning, Implementation, and Evaluation A nurse evaluates a diabetic patient's understanding of self-administered insulin therapy. Which outcome indicates a need for further teaching? The patient identifies symptoms of hypoglycemia correctly The patient demonstrates insulin injection technique properly The patient expresses anxiety about self-injection The patient schedules insulin doses according to meal times None 57. MedSurg: Planning, Implementation, and Evaluation A nurse is planning care for a patient recovering from a stroke with left-sided weakness. Which goal should be the primary focus during the first week of recovery? Complete independence in mobility Recognition of person, place, and time Improvement in range of motion and strength on the affected side Prevention of deep vein thrombosis None 58. MedSurg: Planning, Implementation, and Evaluation When planning discharge for a patient with chronic obstructive pulmonary disease 'COPD', which of the following is essential to include in the education plan? Instructions on high-intensity exercise routines Techniques for effective coughing and deep breathing Strategies for high-calorie meal preparation Use of sedatives to improve sleep None 59. MedSurg: Planning, Implementation, and Evaluation A patient with severe peripheral neuropathy is scheduled for a series of diagnostic tests. What is the most important factor for the nurse to consider when planning the patient's care during the tests? Providing detailed explanations about each test Ensuring comfort with extra cushions and support Monitoring for allergic reactions to contrast dyes Availability of immediate pain relief options None 60. MedSurg: Planning, Implementation, and Evaluation A nurse is planning care for a patient who is recovering from a myocardial infarction. Which intervention should be prioritized to prevent complications? Teaching stress reduction techniques Monitoring for arrhythmias Scheduling daily exercise sessions Encouraging a high-fiber diet None 61. MedSurg: Planning, Implementation, and Evaluation In planning care for a patient with end-stage renal disease on hemodialysis, what is the most important factor for the nurse to include in the education plan? Timing of dialysis sessions Importance of fluid and dietary restrictions Signs of transplant rejection Techniques for self-administering erythropoietin None 62. MedSurg: Planning, Implementation, and Evaluation A nurse evaluates the effectiveness of a newly initiated pain management plan for a patient with chronic back pain. Which outcome would best indicate a successful intervention? The patient uses less analgesic medication. The patient reports a 50% reduction in pain. The patient participates more actively in physical therapy. The patient's mood improves. None 63. MedSurg: Planning, Implementation, and Evaluation When planning post-operative care for a patient who had abdominal surgery, which evaluation criterion is essential for early detection of potential complications? Pain level reported by the patient Integrity of surgical wound dressing Frequency of bowel sounds Patient's ability to ambulate None 64. MedSurg: Planning, Implementation, and Evaluation For a patient with bipolar disorder experiencing a manic phase, what is the most crucial aspect to evaluate after implementing a new medication regime? Sleep patterns Cognitive function Social interactions Nutritional intake None 65. MedSurg: Planning, Implementation, and Evaluation A nurse plans a teaching session for a patient newly diagnosed with type 2 diabetes. Which topic should be prioritized to prevent acute complications? Benefits of regular exercise Techniques for blood glucose monitoring Importance of foot care Dietary management None 66. MedSurg: Planning, Implementation, and Evaluation A patient with a severe peanut allergy is preparing to travel abroad. Which instruction is most critical for the nurse to emphasize? Carry an epinephrine auto-injector Wear a medical alert bracelet Learn the word for "peanut" in the language of the destination country Avoid street food None 67. MedSurg: Planning, Implementation, and Evaluation A nurse is evaluating a patient's recovery progress following a total knee replacement. Which indicator would most accurately reflect successful physical recovery? Patient reports no pain at the surgery site Patient achieves 90-degree flexion of the knee Patient can walk unaided for 10 meters Patient expresses satisfaction with the surgical outcome None 68. MedSurg: Planning, Implementation, and Evaluation In planning educational content for a patient with heart failure, which topic should the nurse emphasize to prevent readmission? Stress management techniques Symptoms of worsening heart failure Benefits of omega-3 fatty acids Techniques for deep breathing None 69. MedSurg: Planning, Implementation, and Evaluation A nurse is planning a discharge teaching for a patient with newly diagnosed epilepsy. Which instruction is most critical to include to prevent injury during a seizure? Maintain a ketogenic diet Avoid alcohol and stimulants Keep a seizure diary Educate on safe fall techniques None 70. MedSurg: Planning, Implementation, and Evaluation In planning postoperative care for a patient who underwent a lung resection, what is the most critical intervention to prevent complications? Pain management Incentive spirometry Early mobilization Wound care None 71. MedSurg: Planning, Implementation, and Evaluation A nurse is planning care for a patient with advanced Parkinson's disease. Which intervention should be prioritized to assist with communication difficulties? Use of a communication board Regular speech therapy High-calorie diet Cognitive exercises None 72. MedSurg: Planning, Implementation, and Evaluation When planning education for a patient starting chemotherapy, which topic is essential to cover to prevent severe complications? Nutritional counseling Management of nausea Recognition and management of neutropenia Exercise during treatment None 73. MedSurg: Planning, Implementation, and Evaluation A nurse evaluates the effectiveness of lifestyle modifications in a patient with hypertension. Which outcome would best indicate success of the interventions? Patient reports adhering to medication regimen Blood pressure readings are within target range Patient participates in a support group Patient loses 5% of body weight None 74. MedSurg: Planning, Implementation, and Evaluation In planning care for a patient with ulcerative colitis during a flare-up, which nursing intervention is critical to prevent complications? High-fiber diet Fluid and electrolyte monitoring Stress management techniques Regular colonoscopies None 75. MedSurg: Planning, Implementation, and Evaluation What is the most important educational topic for a patient with asthma to prevent acute exacerbations? Use of peak flow meter Benefits of aerobic exercise Asthma action plan adherence Stress reduction techniques None 76. MedSurg: Planning, Implementation, and Evaluation A patient with a leg amputation is preparing for discharge. What is the most critical aspect of discharge planning to ensure safety at home? Arranging for home health services Teaching about wound care Evaluating home accessibility modifications Psychological counseling referrals None 77. MedSurg: Planning, Implementation, and Evaluation A nurse is planning care for a patient with chronic kidney disease. Which intervention is most important to delay the progression of the disease? High-protein diet Blood pressure control Liberal fluid intake Calcium supplementation None 78. MedSurg: Planning, Implementation, and Evaluation When evaluating a diabetic patient's technique for administering insulin, which observation would require immediate correction? Choosing injection sites within the same general area Injecting insulin immediately after removing it from the refrigerator Cleaning the injection site with alcohol Rotating the injection site within one anatomical region None 79. MedSurg: Planning, Implementation, and Evaluation For a patient receiving palliative care, what is the most important evaluation criterion to focus on when assessing the quality of care? Patient's life expectancy Family satisfaction with care Patient comfort levels Frequency of hospital admissions None 80. MedSurg: Planning, Implementation, and Evaluation A nurse plans a post-operative teaching session for a patient who had a cardiac stent placement. What is the most crucial topic to include to prevent complications? Importance of regular exercise Signs of infection at the catheter site Medication adherence, especially antiplatelets Dietary changes None 81. MedSurg: Planning, Implementation, and Evaluation In planning care for a patient with bipolar disorder, which intervention should be prioritized to stabilize mood swings? Psychosocial education Sleep regulation Nutritional counseling Medication management None 82. MedSurg: Planning, Implementation, and Evaluation What is the most important aspect to evaluate in a patient undergoing treatment for alcohol withdrawal? Nutritional status Cognitive function Signs of withdrawal Social support systems None 83. MedSurg: Planning, Implementation, and Evaluation A nurse is planning educational sessions for a patient with heart failure. What should be prioritized to enhance self-care management? Activity restrictions Monitoring and interpreting symptoms Sodium restriction Stress management techniques None 84. MedSurg: Planning, Implementation, and Evaluation In planning care for a patient with osteoporosis, which nursing intervention is critical to prevent fractures? Calcium and vitamin D supplementation Regular weight-bearing exercises Frequent bone density testing Use of high-impact aerobic activities None 85. MedSurg: Planning, Implementation, and Evaluation A nurse is planning discharge instructions for a patient who had a thyroidectomy. What is the most important information to provide regarding potential complications? Signs of hypocalcemia Weight management strategies Importance of lifelong thyroid medication Symptoms of thyroid storm None 86. MedSurg: Planning, Implementation, and Evaluation For a patient undergoing radiation therapy for breast cancer, what is the most critical aspect of care to plan for to prevent skin complications? Use of non-adhesive dressings Application of topical corticosteroids Skin care with gentle, non-irritating products Regular mammograms None 87. MedSurg: Planning, Implementation, and Evaluation In evaluating a patient's recovery from an ankle fracture, what is the most important outcome to assess to ensure complete rehabilitation? Full range of motion of the ankle Pain-free ambulation Absence of swelling Ability to bear weight without discomfort None 88. MedSurg: Planning, Implementation, and Evaluation A nurse is planning care for a patient with chronic obstructive pulmonary disease 'COPD' who frequently experiences exacerbations. Which intervention should be prioritized to minimize these episodes? Annual influenza vaccination Regular use of a bronchodilator High-calorie diet Oxygen therapy at night None 89. MedSurg: Planning, Implementation, and Evaluation In planning educational content for a patient with rheumatoid arthritis, which topic is essential to cover to enhance disease management? Genetic factors of rheumatoid arthritis Benefits of regular joint assessments Techniques for joint protection and energy conservation Historical treatments of rheumatoid arthritis None 90. MedSurg: Planning, Implementation, and Evaluation A nurse is evaluating a patient's understanding of their new anticoagulant medication. Which patient statement indicates a need for further education? "I need to monitor for signs of bleeding." "I will take my medication at the same time each day." "I should avoid activities that could result in injury." "It's okay to skip doses if I don't feel well." None 91. MedSurg: Planning, Implementation, and Evaluation When planning care for a patient with advanced dementia, which intervention is most critical to ensure safety? Cognitive stimulation activities Consistent daily routines Use of memory aids Environmental modifications to prevent falls None 92. MedSurg: Planning, Implementation, and Evaluation A nurse is planning care for a patient with a history of severe anaphylactic reactions to peanuts. What is the most important intervention to include in the plan? Regular allergy testing Education on using an epinephrine auto-injector Dietary counseling to avoid peanuts Prescription of daily antihistamines None 93. MedSurg: Planning, Implementation, and Evaluation In evaluating the effectiveness of a new pain management regimen for a patient with fibromyalgia, which outcome would best indicate improvement? Decreased reliance on opioid medications Enhanced ability to perform daily activities Improved sleep patterns Increased social interactions None 94. MedSurg: Planning, Implementation, and Evaluation A nurse plans discharge education for a patient post-myocardial infarction. What is the most important topic to cover to prevent a second cardiac event? Smoking cessation Stress management techniques Importance of follow-up appointments Symptoms of heart failure None 95. MedSurg: Planning, Implementation, and Evaluation For a patient undergoing chemotherapy, which intervention is essential to plan for managing potential side effects? Scheduled hydration therapy Prophylactic antibiotics Nutritional support Pain management protocols None 96. MedSurg: Planning, Implementation, and Evaluation In planning care for a patient with acute renal failure, which nursing intervention is critical to prevent further kidney damage? Fluid restriction High protein diet Regular dialysis Continuous renal function monitoring None 97. MedSurg: Planning, Implementation, and Evaluation A nurse is planning a health education session for a patient with high cholesterol. Which topic should be emphasized to reduce cardiovascular risk? Genetic factors influencing cholesterol Impact of stress on cholesterol levels Dietary modifications and exercise History of cholesterol-reducing medications None 98. MedSurg: Planning, Implementation, and Evaluation A nurse is planning care for a patient with severe anxiety. Which intervention should be prioritized to effectively manage acute anxiety attacks? Long-term psychotherapy Medication adherence Techniques for deep breathing and relaxation Regular exercise regimen None 99. MedSurg: Planning, Implementation, and Evaluation In planning discharge instructions for a patient who underwent gastric bypass surgery, what is the most important dietary instruction to prevent complications? Eat small, frequent meals Increase fiber intake gradually Avoid sugary and fatty foods Drink fluids between meals, not during None 100. MedSurg: Planning, Implementation, and Evaluation When evaluating a patient's adaptation to a new colostomy, which outcome indicates successful coping? Patient describes the colostomy care routine accurately. Patient participates in a support group for ostomy patients. Patient manages the colostomy independently. Patient expresses acceptance of the colostomy. None 101. MedSurg: Planning, Implementation, and Evaluation A nurse is planning care for a patient with systemic lupus erythematosus (SLE). Which intervention is crucial to include to prevent flares? Regular kidney function tests Education on sun protection Genetic counseling High-dose vitamin supplementation None 102. MedSurg: Planning, Implementation, and Evaluation In planning care for a patient with schizophrenia, which intervention should be prioritized to enhance therapeutic outcomes? Social skills training Regular medication review Cognitive behavioral therapy Family therapy sessions None 103. MedSurg: Planning, Implementation, and Evaluation A nurse plans education for a patient with a new diagnosis of diabetes mellitus type 1. What should be emphasized to prevent diabetic ketoacidosis? The importance of regular A1C testing How to recognize and treat hypoglycemia Techniques for accurate insulin administration Dietary management principles None 104. MedSurg: Planning, Implementation, and Evaluation When planning care for a patient with a recent diagnosis of congestive heart failure, what is the most important self-management skill to teach? How to monitor blood pressure Importance of fluid and sodium restriction Recognition of early signs of fluid overload Stress reduction techniques None 105. MedSurg: Planning, Implementation, and Evaluation In planning care for a patient undergoing radiation therapy for head and neck cancer, which nursing intervention is most critical to prevent malnutrition? Scheduled pain management Nutritional counseling and support Frequent dental assessments Use of topical anesthetics None 106. MedSurg: Planning, Implementation, and Evaluation A nurse is planning a community health program focusing on prevention of type 2 diabetes. Which intervention should be included to effectively reach at-risk populations? Screening for early signs of diabetes Lifestyle modification workshops Advanced diabetic education courses Distribution of diabetic medication samples None 107. MedSurg: Planning, Implementation, and Evaluation A nurse is planning care for a patient who is recovering from a myocardial infarction. Which intervention should be prioritized to prevent complications? Teaching stress reduction techniques Monitoring for arrhythmias Scheduling daily exercise sessions Encouraging a high-fiber diet None 108. MedSurg: Planning, Implementation, and Evaluation A patient with a severe peanut allergy is preparing to travel abroad. Which instruction is most critical for the nurse to emphasize? Carry an epinephrine auto-injector Wear a medical alert bracelet Learn the word for "peanut" in the language of the destination country Avoid street food None 109. MedSurg: Planning, Implementation, and Evaluation What is the most important educational topic for a patient with asthma to prevent acute exacerbations? Use of peak flow meter Benefits of aerobic exercise Asthma action plan adherence Stress reduction techniques None 110. MedSurg: Planning, Implementation, and Evaluation In planning care for a patient with osteoporosis, which nursing intervention is critical to prevent fractures? Calcium and vitamin D supplementation Regular weight-bearing exercises Frequent bone density testing Use of high-impact aerobic activities None 111. MedSurg: Professional Role A medical-surgical nurse is participating in a research study. Which of the following actions is most critical to maintaining ethical standards in clinical research? Ensuring all participants have health insurance Distributing questionnaires anonymously Obtaining informed consent from participants Publishing results within a year of study completion None 112. MedSurg: Professional Role When delegating tasks to a nursing assistant, which factor must a medical-surgical nurse consider first? The complexity of the task The personal preferences of the nursing assistant The cost-effectiveness of the delegation The employment status of the nursing assistant None 113. MedSurg: Professional Role Which action best demonstrates a nurse's commitment to advocacy during end-of-life care? Administering prescribed medications accurately Ensuring the patient's comfort and honoring their treatment preferences Documenting care accurately in the medical record Consulting with a bioethicist on all end-of-life cases None 114. MedSurg: Professional Role What is the primary role of a medical-surgical nurse when serving on a hospital ethics committee? To determine the legal aspects of ethical cases To provide nursing perspectives on patient care issues To lead discussions and make final decisions on ethical cases To document the outcomes of ethical reviews None 115. MedSurg: Professional Role A nurse is educating a patient about their new diagnosis of diabetes. Which teaching method is most likely to ensure patient understanding and compliance? Providing detailed written instructions only Offering a one-time group education session Tailoring the education to the patient's learning style Recommending online resources exclusively None 116. MedSurg: Professional Role Which of the following best describes a nurse's role in informed consent? Diagnosing the patient's condition Explaining the risks and benefits of the treatment Witnessing the patient's signature on the consent form Deciding the appropriate treatment for the patient None 117. MedSurg: Professional Role What is the most appropriate action for a nurse when encountering an ethical dilemma involving patient care? Consult the hospital's legal department immediately Seek guidance from senior nursing staff or an ethics committee Make a decision based on personal ethical beliefs Ignore the dilemma if it does not violate hospital policy None 118. MedSurg: Professional Role When implementing evidence-based practice, what is the first step a medical-surgical nurse should take? Evaluate the outcomes of implemented changes Identify clinical questions in need of investigation Attend workshops and seminars on recent research Apply research findings directly to patient care None 119. MedSurg: Professional Role How should a nurse respond when a patient expresses a desire to leave the hospital against medical advice (AM A) Immediately discharge the patient to avoid liability Persuade the patient to stay by any means necessary Document the patient's decision and inform the physician Ignore the patient's request as it is not legally binding None 120. MedSurg: Professional Role Which competency is essential for a nurse leading a multidisciplinary team? Ability to perform advanced medical procedures Expertise in all areas of medicine Strong leadership and communication skills Proficiency in medical billing and coding None 121. MedSurg: Professional Role What should a nurse prioritize when discussing care plans with patients and their families? The family's knowledge about medical jargon Ensuring the discussion is brief and concise Communicating in a manner that is understandable to the patient and family Promoting the most advanced treatment options available None 122. MedSurg: Professional Role In which situation is a medical-surgical nurse demonstrating advocacy? Reporting a coworker's non-compliance with hand hygiene protocols Implementing hospital policies without question Following a physician's orders exactly as written Allowing a patient to decide whether to undergo a risky procedure None 123. MedSurg: Professional Role A nurse is preparing to present a case study at a conference. What is the most important aspect to consider for an effective presentation? The use of complex medical terms to demonstrate expertise The time allotted for the entire presentation The clarity and relevance of the information to the audience The number of slides in the presentation None 124. MedSurg: Professional Role What is a nurse's primary ethical obligation when managing patient care? Maximizing hospital revenue Ensuring patient confidentiality and privacy Following the directives of the healthcare provider Completing tasks in the shortest time possible None 125. MedSurg: Professional Role When a medical error occurs, what is the most appropriate action for the nurse to take? Cover up the error to protect the hospital's reputation Report the error to the appropriate authorities within the hospital Discuss the error only with the patient involved Wait for a supervisor to notice the error None 1 out of 125 Time is Up! Time's up
