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Medical-Surgical Exam 3

RN Nursing Exam(s) 46 Questions 🔒 Premium Content

It focuses on basic pathophysiology, nursing care, medications, and patient safety. The questions are based on real hospital situations to help you practice critical thinking and clinical decision-making.

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Sample Questions with Detailed Explanations

Below are sample questions from this exam.

Q1: The nurse is assessing a client with a hypertensive emergency. Which finding is most important to report to the health care provider?

A. The client reports a headache with pain at level 5 of 10
B. The client has epistaxis after blowing his nose several times
C. The client has a urine output of 120 mL over a 4 hours
D. The client has a new-onset blurry vision and facial asymmetry
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Q2: The nurse is assessing a client with a presumptive diagnosis of peripheral arterial disease. The nurse obtains an Ankle-Brachial index of 0.89. Which intervention should the nurse take next?

A. Document the information as a normal finding
B. Prepare the client for an arterial bypass
C. Educate the client about the use of compression stocking
D. Anticipate a prescription for clopidogrel and simvastatin
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Q3: A nurse is assessing a client with a history of high blood pressure. The client's blood pressure is 210/106 mm Hg during the assessment. What follow-up question should the nurse ask?

A. "Have you recently taken any antihistamines?"
B. "Have there been recent stressful events in your life?"
C. "Did you take any acetaminophen today?"
D. "Have you consistently taken your medications?"
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Q4: The nurse is caring for a client immediately after repair of an abdominal aortic aneurysm. On assessment, the client has absent popliteal, posterior tibial, and dorsalis pedis pulses. The leg cool and mottled. Which action should the nurse take first?

A. Wrap both legs in a warming blanket
B. Compare findings to the preoperative assessment of the pulses
C. Document the findings and recheck in 15 minutes.
D. Notify the surgeon and anesthesiologist
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Q5: The nurse on the intermediate care unit received change-of-shift report on four clients with hypertension. Which patient should the nurse assess first?

A. A client with a blood pressure of 190/92 mm Hg who reports chest pain
B. A client with a blood pressure of 190/104 mm Hg who has sinus tachycardia
C. A client with a blood pressure of 178/90 mm Hg who has intermittent claudication
D. A client with a blood pressure of 172/98 mm Hg scheduled for a stress test
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Exam Details
Total Questions: 46 practice questions
Category: RN Nursing Exam(s)
Subcategory: General Exams
Domain: Medical-surgical📚
Last Updated: Dec 09, 2025
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