FREE Medical Surgical Nurse Questions and Answers

Question 1

The client's wound dehisces days after abdominal surgery. When this happens, the most secure nursing solution is to

Accepted Answer

Cover the wound with sterile, moist saline dressing

Answer

The edges of a surgical wound may partially or completely separate. The patient is then placed in the low Fowler's posture and told to lie quietly. The wound must be covered to prevent exposure, and the dressing must be sterile to guard against infection and moist to avoid sticking to the skin and impeding the healing process.

Question 2

In order to control the bleeding of esophageal varices in a patient with complicated liver cirrhosis, a Sengstaken-Blakemore tube is implanted. After the tube is placed, the customer complains of breathing problems. The nurse's initial step is to:

Accepted Answer

Encourage him to take deep breaths
Deflate the esophageal balloon

Answer

When a patient with a Sengstaken-Blakemore tube experiences breathing problems, it suggests the tube is misplaced and the inflated balloon is obstructing the airway in the oropharynx.

Question 3

A renal calculus is found in Don, age 35, according to an intravenous pyelogram. It is thought that he possesses a little stone that will pass on its own. The nurse would advise the client to push fluids and to move around to maximize the likelihood of the stone passing.

Accepted Answer

Ambulate

Answer

Increased fluid intake will help wash the stone out during urination and can help mobilize free, unattached stones in the urinary tract so they can be flushed out with the urine.

Question 4

The client correctly describes how to lower the risk of colon cancer when he says:

Accepted Answer

“I will include more fresh fruits and vegetables in my diet.”

Answer

The development of cancer may be influenced by a variety of dietary and nutritional factors. A low-fiber diet hinders the transit of substances through the gut, which has been associated to colorectal cancer, such as when fresh fruits and vegetables are scarce or absent from the diet.

Question 5

At nine in the morning, a patient leaves the recovery area aware, conscious, and IV-infused. His respirations are 20 and his blood pressure is 120/80, all of which are within the normal range. His vital signs are stable around 10 and 11 in the morning. However, by lunchtime, his heart rate is 94, his blood pressure is 116/74, and his breathing rate is 24. Which nursing intervention is most suitable?

Accepted Answer

Take his vital signs again in 15 minutes.

Answer

Following surgery, monitoring the patient's vital signs provides the nurse with reliable information about the patient's condition. During this time, complications from the operation, the anesthesia, or a combination of the two may happen. The nurse can start actions to stop complications from happening by closely monitoring changes in the VS and validating them.

CMSRN - Medical-Surgical Nursing Practice Test

CMSRN - Medical-Surgical Nursing Practice Test

FREE Medical Surgical Nurse Questions and Answers