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RN Medsurg Nur46 Exam

RN Nursing Exam(s) 28 Questions 🔒 Premium Content

This exam evaluates RN students' knowledge of Medical-Surgical nursing principles, including the management of acute and chronic conditions, clinical decision-making, and evidence-based interventions across various body systems.

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28 Questions
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Sample Questions with Detailed Explanations

Below are sample questions from this exam.

Q1: A nurse is teaching several newly licensed nurses about cardiac valve replacement. Which of the following should the nurse include in the teaching?

A. The aortic and mitral valves are the most commonly replaced valves.
B. Aortic stenosis increases right ventricular systolic pressure and decreases afterload.
C. Mitral valve insufficiency leads to increased pressure on the right ventricle.
D. Inadequate closure of the tricuspid valve causes overload in the left ventricle.
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Q2: A nurse is teaching a client who is postoperative following the insertion of a permanent pacemaker. Which of the following instructions should the nurse include? (Select all that apply.)

A. Resume activities that can cause jolting, such as horseback riding, after 4 weeks.
B. Request to be scanned with a handheld metal detector when in the airport
C. Do not have a microwave oven in the home
D. Report hiccups to the provider
E. Do not wear tight clothing over the insertion area
F. Count your pulse for 1 min each morning.
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Q3: Which action should the nurse include in a community health program to decrease the incidence of rheumatic fever?

A. Teach community members to seek medical treatment for streptococcal pharyngitis.
B. Teach about prophylactic antibiotics to those with family history of rheumatic fever.
C. Vaccinate high-risk groups in the community with streptococcal vaccine.
D. Teach about the importance of monitoring temperature when sore throats occur.
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Q4: After receiving shift change report, which of the following patients should the nurse see first?

A. Patient with history of mitral valve prolapse
B. Patient post op endovascular graft procedure for a 57cm abdominal aortic aneurysm with a urine output of 35mL/hr
C. Patient with infecting endocarditis having new onset flank pain and hematuria
D. Patient awaiting discharge after pacemaker surgery 2 days ago
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Q5: A nurse is planning care for a client who has suspected cardiac tamponade. Which of the following diagnostic tests should the nurse anticipate the provider to order first?

A. Electrocardiogram (ECG)
B. Echocardiogram
C. Computed tomography (CT) scan
D. Chest x-ray
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Access All 28 Questions with Full Explanations

Exam Details
Total Questions: 28 practice questions
Category: RN Nursing Exam(s)
Subcategory: ATI Exam(s)
Domain: RN ATI MedSurg
Last Updated: Nov 29, 2025
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