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Med surg Exam-Montgomery College

RN Nursing Exam(s) 38 Questions 🔒 Premium Content

The RN General Medical-Surgical Exam is designed to evaluate a registered nurse’s knowledge and clinical decision-making skills in caring for adult patients with a variety of medical and surgical conditions.

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38 Questions
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Sample Questions with Detailed Explanations

Below are sample questions from this exam.

Q1: The nurse is assessing a patient who has received the first dose of chemotherapy for leukemia. Which patient's clinical findings indicate to the nurse that the patient has developed tumor lysis syndrome (TLS)?

A. Facial swelling and jugular vein distension (JVD).
B. Muscle weakness, confusion, polyuria, and polydipsia.
C. Flank pain, elevated uric acid, and cardiac monitor reveals an abnormal rhythm.
D. Elevated liver function tests, jaundice, and blistering skin rash.
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Q2: The nurse is caring for a patient with recurrent prostate cancer who is scheduled to begin treatment with immunotherapy medication. During patient teaching, which statement by the patient will indicate a need for further teaching by the nurse?

A. "You will monitor me for flu-like symptoms during my immunotherapy infusions.”
B. "I do not have to worry about losing my hair after this treatment.”
C. "Immunotherapy uses my own immune system to help fight the cancer.”
D. "This therapy will prevent me from getting hospital-acquired infections.”
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Q4: The nurse is evaluating a patient with hyperthyroidism who is taking propylthiouracil (PTU) 100 mg/day for maintenance therapy. Which statement from the patient indicates the medication therapy is effective?

A. "I have lost weight since taking this medication.”
B. "I perspire a lot throughout the entire day.”
C. "I have excess energy throughout the day.”
D. "I am able to sleep and rest at night.”
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Q5: The nurse is caring for a patient who was treated for Addisonian crisis. What clinical change indicates to the nurse that the prescribed therapy was effective?

A. Increase of 25 mmHg in the patient's systolic blood pressure.
B. An increase in the serum potassium level from 3.5 to 5.6 mEq/dL.
C. Patient complains of headache and is showing signs of restlessness.
D. The patient has normal temperature with pallor to the skin.
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Access All 38 Questions with Full Explanations

Exam Details
Total Questions: 38 practice questions
Category: RN Nursing Exam(s)
Subcategory: General Exams
Domain: Medical-surgical📚
Last Updated: Dec 09, 2025
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