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Exam 1 - MedSurg Series

RN - Nursing Exam(s) 50 Questions 🔒 Premium Content

Gastrointestinal Nursing, Endocrine Nursing, Renal Nursing, Nutrition and Diet Education, Perioperative Nursing, Hepatology, Critical Care Nursing, Patient Education and Communication.

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Sample Questions with Detailed Explanations

Below are sample questions from this exam to help you understand the content and format.

Q1: A nurse is teaching a patient who is recovering from a colon resection. Which statement should the nurse include in this patient's plan of care?

Answer Choices:

A. "You may return to your normal workout schedule, including weight lifting."
B. "You may experience nausea and vomiting for the first few weeks."
C. "Carbonated beverages can help decrease acid reflux from anastomosis site."
D. "Take a stool softener to promote softer stools for ease of defecation."
Correct Answer: "Take a stool softener to promote softer stools for ease of defecation."
Rationale:
After a colon resection, patients are at risk of straining during defecation, which can stress the surgical site. Stool softeners help prevent this.

Q2: A patient with an esophageal tumor has difficulty swallowing and has been working with a speech-language pathologist. What assessment finding by the nurse indicates that the priority goal for this problem is being met?

Answer Choices:

A. Properly performing swallowing exercises.
B. Choosing foods that are easy to swallow.
C. Weight unchanged after two weeks.
D. Lungs clear after meals and snacks
Correct Answer: Lungs clear after meals and snacks
Rationale:
Clear lungs indicate that the patient is effectively swallowing and avoiding aspiration, which is the primary goal for a patient with dysphagia.

Q3: The nurse is assessing the patient who is 1-hour post esophagogastroduodenoscopy (EGD). Which finding should the nurse identify as the highest priority to report to the provider?

Answer Choices:

A. Temperature of 101.5 F (38.6C)
B. Patient reports a sore throat.
C. Patient's indwelling catheter has 300mL of clear yellow urine.
D. Patient is currently eating ice chips without difficulty.
Correct Answer: Temperature of 101.5 F (38.6C)
Rationale:
A fever after an EGD suggests a potential complication, such as infection or perforation, and warrants immediate provider notification.

Q4: A nurse is caring for a patient who had a colostomy placed in the ascending colon two weeks ago. The patient states, "The stool in my pouch is still liquid." How should the nurse respond?

Answer Choices:

A. "This is abnormal. I will contact your healthcare provider."
B. "Eating additional fiber will bulk up your stool and decrease diarrhea."
C. "The stool will always be liquid with this type of colostomy."
D. "Your stool will become firmer over the next couple of weeks."
Correct Answer: "The stool will always be liquid with this type of colostomy."
Rationale:
An ascending colostomy produces liquid stool because most water absorption occurs in the colon, and this portion has been bypassed.

Q5: A nurse is teaching a patient who has a prescription for a nasogastric tube (NG) to treat a pyloric obstruction. Which of the following rationales for the use of the NG tube should the nurse include in the teaching?

Answer Choices:

A. To supply nutrients via tube feedings.
B. To administer medications.
C. To determine the pH of the gastric secretions.
D. To decompress the stomach.
Correct Answer: To decompress the stomach.
Rationale:
An NG tube is used to relieve pressure and remove gastric contents in cases of pyloric obstruction, not for feeding or medication administration.

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Exam Details
Total Questions: 50 practice questions
Category: RN - Nursing Exam(s)
Subcategory: ATI Exams
Domain: Comprehensive Exams - M/S
Last Updated: Nov 29, 2025
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