Free MEDSURG-BC & CMSRN Practice Test Questions

A 62-year-old male patient with a confirmed diagnosis of prostate cancer is interested in incorporating complementary and alternative medicine (CAM) into his treatment plan. His oncologist has recommended traditional treatments including surgery and radiation. The patient expresses a strong interest in using acupuncture to help with the side effects of radiation therapy. What should the nurse consider when discussing the integration of CAM with the patient's traditional cancer treatments?

An 82-year-old patient is admitted to the hospital with a diagnosis of pneumonia. The patient has a history of heart failure and is currently taking digoxin, lisinopril, and furosemide. The medical team is considering adding clarithromycin to treat the pneumonia. What is the most appropriate nursing consideration related to medication interactions in this scenario?

A 58-year-old male patient with a history of alcoholic liver disease is scheduled for a liver transplant surgery. During the preoperative assessment, the nurse notes that the patient exhibits signs of confusion and disorientation. The nurse is aware that hepatic encephalopathy might be contributing to the patient's condition. Which preoperative intervention should the nurse prioritize to optimize the patient's condition before surgery?

A 48-year-old male patient with a history of leukemia has been admitted for a suspected infection. The nurse plans to use a screening tool to aid in the early detection of infection in this immunocompromised patient. Which screening tool is most appropriate for this purpose?

A 70-year-old male patient arrives at the emergency department with sudden onset of sharp abdominal pain located in the left lower quadrant, accompanied by fever and nausea. Laboratory results show an elevated white blood cell count. A CT scan of the abdomen confirms diverticulitis. Which nursing intervention should be prioritized to address the patient's condition?

A 7-year-old child is brought to the pediatric clinic by their mother with concerns about the child experiencing frequent night terrors. The mother reports that the child abruptly wakes up with intense fear, screaming, and is difficult to console. The episodes occur a few hours after falling asleep. Based on developmental theories, which intervention is most appropriate to address this child's night terrors?

A 17-year-old high school athlete has been hospitalized for two months due to a severe bone fracture complicated by an infection requiring intensive antibiotic therapy. Over time, the nurse observes that the patient has become withdrawn, uncommunicative, and shows little interest in school work or hobbies. Which nursing intervention should be prioritized to manage the psychological impact of the prolonged hospitalization?

A 36-year-old patient of Native American descent is admitted with unexplained weight loss and fatigue. The patient expresses a preference for traditional healing practices over conventional medical treatments. As a culturally competent medical-surgical nurse, which approach is most appropriate to respect the patient's cultural beliefs while ensuring effective healthcare?

A 34-year-old teacher was involved in a motor vehicle accident three months ago and sustained a traumatic brain injury. Since then, the patient has exhibited episodes of confusion and has difficulty with problem-solving tasks. Additionally, the patient seems unaware of these impairments. As part of the neurocognitive assessment, which cognitive domain is most likely impaired in this patient?

A 62-year-old male patient is admitted to the hospital with a diagnosis of venous thromboembolism (VTE) following prolonged bed rest due to a recent surgical procedure. The nurse is planning interventions to prevent further complications associated with immobility. Which nursing intervention is the most appropriate to prioritize in this scenario?

A 68-year-old patient who recently experienced a cerebrovascular accident (CVA) is being assessed for potential rehabilitation needs. The patient exhibits significant weakness and lack of coordination on the left side of the body, as well as difficulty in swallowing liquids. To optimize rehabilitation outcomes, which interdisciplinary team member should take the lead in addressing the patient's swallowing difficulties?

A 69-year-old female patient presents to the emergency department with sudden and severe right upper quadrant abdominal pain and nausea. An ultrasound reveals the presence of gallstones. Which nursing intervention is most appropriate to address this patient's immediate care needs?