Free Medical-Surgical Nursing Questions and Answers

Question 1

A patient underwent a total colectomy and ileostomy. For this patient, the most crucial nursing intervention is to:

Accepted Answer

monitor the patient for fluid and electrolyte imbalances.

Answer

use warm tap water irrigations to prevent stool retention.

Answer

use mild antidiarrheal medications to prevent nutritional losses.

Answer

administer proteolytic enzymes to aid digestion of fats and proteins.

Question 2

Prerenal failure is the diagnosis for the patient. For this patient, the nursing intervention that should be given high priority is to:

Accepted Answer

administer I.V. fluid boluses, as prescribed.

Answer

reposition frequently.

Answer

provide frequent oral hygiene.

Answer

administer antibiotics, as prescribed.

Question 3

A person who has had a stroke gets admitted. The patient's arm has become contractured, the nurse observes. What among the following is NOT a suitable intervention?

Accepted Answer

Placement of a sling

Answer

Keeping the arm extended using pillow rolls

Answer

Daily massage

Answer

Dynamic splint

Question 4

A patient who underwent a procedure involving radiographic contrast material is being cared for by a nurse and displaying symptoms of dyspnea, flushing, and itching. The highest priority course of action is to:

Accepted Answer

ensure the airway is patent.

Answer

apply a cold pack to the I.V. site.

Answer

call the physician.

Answer

check vital signs.

Question 5

A patient receives a final lung cancer diagnosis. The patient accuses his parents of smoking in their house when he was a child after learning the diagnosis. Which of the five stages of mourning according to Kübler-Ross best fits this patient?

Accepted Answer

Anger

Answer

Denial

Answer

Bargaining

Answer

Depression

Question 6

An individual is being examined for possible meningitis. Which of the following is NOT a typical meningitis symptom or sign?

Accepted Answer

Nystagmus

Answer

Confusion

Answer

Fever

Answer

Brudzinski sign

Question 7

What complications can be anticipated in a renal patient undergoing hemodialysis after having a significant amount of fluid removed?

Accepted Answer

Leg and abdominal cramps

Answer

Chest pain

Answer

Redness at the needle insertion site

Answer

Shortness of breath