Medical surgical nursing I introduction
Exam at least 20 question?

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Answered by GPT-4o mini
Sure! Here is a sample set of 20 multiple-choice questions for an introductory exam in Medical-Surgical Nursing I. These questions cover various foundational topics that are typically included in a medical-surgical nursing curriculum.

### Sample Exam Questions

1. **Which of the following is the primary role of a medical-surgical nurse?**
A) Performing surgical procedures
B) Offering rehabilitation services
C) Providing care to patients with medical and surgical conditions
D) Conducting research studies

2. **What is the standard assessment tool used to evaluate a patient's pain level?**
A) Glasgow Coma Scale
B) Visual Analog Scale
C) Apgar Score
D) Braden Scale

3. **You are caring for a patient who is post-operative day 1 after an abdominal surgery. Which of the following assessments should you prioritize?**
A) Wound assessment
B) Electrolyte levels
C) Chest X-ray
D) Cognitive status

4. **Which of the following signs might indicate hypovolemic shock?**
A) Bradycardia
B) Hypertension
C) Tachycardia
D) Hyperglycemia

5. **The nurse is monitoring a patient who has undergone a total knee replacement. What is the most important assessment the nurse should perform?**
A) Assessing for deep vein thrombosis (DVT)
B) Monitoring blood glucose levels
C) Evaluating for allergic reactions
D) Determining the patient’s nutrition status

6. **What is the most appropriate nursing intervention to prevent postoperative complications such as pneumonia?**
A) Administer IV fluids
B) Encourage coughing and deep breathing
C) Limit patient ambulation
D) Provide bed rest

7. **A patient presents with chest pain and shortness of breath. Which initial action should the nurse take?**
A) Administer oxygen
B) Obtain a 12-lead ECG
C) Call a code
D) Start an IV line

8. **Which vital sign change is most commonly associated with pain?**
A) Decreased heart rate
B) Increased blood pressure
C) Decreased respiration
D) Hypotension

9. **Which lab value is most indicative of impaired kidney function?**
A) Sodium
B) Potassium
C) Creatinine
D) Calcium

10. **What is the purpose of using a sequential compression device (SCD) in postoperative patients?**
A) To promote pulmonary function
B) To prevent skin breakdown
C) To prevent venous thromboembolism (VTE)
D) To manage pain

11. **Which approach is most effective in managing a patient's anxiety before surgery?**
A) Providing minimal information to avoid overwhelming the patient
B) Engaging the patient in conversation about their concerns
C) Immediately administering anxiolytics
D) Encouraging family members to stay away

12. **The nurse is teaching a patient about dietary modifications after a cholecystectomy. Which statement indicates a correct understanding?**
A) "I can go back to eating fatty foods right away."
B) "I should avoid heavy meals for a few weeks."
C) "I need to increase my carbohydrate intake significantly."
D) "I should eat more fried foods for better digestion."

13. **What is the primary purpose of following evidence-based practice in nursing?**
A) To ensure that all clinicians follow the same protocol
B) To enhance patient care and outcomes
C) To reduce nursing staff
D) To speed up hospital procedures

14. **Which patient condition requires the nurse to take immediate action regarding airway management?**
A) Pneumonia
B) Asthma exacerbation
C) Anaphylaxis
D) Chronic obstructive pulmonary disease (COPD)

15. **The nurse is caring for a patient with a newly placed nasogastric tube. Which action should the nurse take first?**
A) Check the tube placement
B) Administer the ordered feeding
C) Assess the patient’s bowel sounds
D) Document the procedure

16. **A patient who has just been diagnosed with diabetes mellitus asks about meal planning. What is the best initial response by the nurse?**
A) "You can eat whatever you want, just take insulin."
B) "Let me refer you to a dietitian."
C) "You need to follow a strict low-carb diet."
D) "You can have sweets in moderation."

17. **Which assessment finding would a nurse expect in a patient with heart failure?**
A) Weight gain
B) Increased energy
C) Clear lung sounds
D) Decreased peripheral edema

18. **If a nurse suspects a patient has a surgical site infection, which of the following signs would be most indicative?**
A) Redness and swelling at the incision site
B) Dry skin around the wound
C) Mild itching near the incision
D) Cool temperature at the site

19. **What should a nurse do if she finds a patient unresponsive and not breathing?**
A) Call for help and check the patient's pulse
B) Start CPR immediately
C) Assess the patient's vital signs
D) Place the patient in the recovery position

20. **In which situation should the nurse utilize sterile technique?**
A) Changing a dressing on a clean surgical wound
B) Inserting a peripheral IV catheter
C) Bathing a patient with diabetes
D) Providing oral care to a patient

### Answer Key
1. C
2. B
3. A
4. C
5. A
6. B
7. A
8. B
9. C
10. C
11. B
12. B
13. B
14. C
15. A
16. B
17. A
18. A
19. B
20. B

Feel free to modify any questions or add specific topics to fit your curriculum better!

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