MEDICAL SURGICAL
PRACTICE BOARD EXAMS QUESTIONS
NURSING
1. Joe a newly diagnosed patient with DM has been stabilized
with insulin injections daily. A nurse prepares a discharge
teaching plan regarding the administration of insulin. Which
of the following teaching plan should reinforce?
A. Always keep vials in the freezer
B. Increase the amount of insulin before exercise
C. Systematically rotate injection sites
D. Shake the bottle of insulin before administering
2. The patient diagnosed with hypothyroidism is taking
Methimazole. As a nurse what should you monitor the patient
for life- threatening adverse effect of this medication.
A. Agranulocytosis
B. Hyperglycemia
C. Hemorrhagic stroke
D. Myxedema coma
3. A patient diagnosed having a hypoparathyroidism. As a
nurse you know that the chief sign of hypoparathyroidism is?
A. Fracture
B. Tetany
C. Hypercalcemia
D. Chest pain
4. Which of the following may be seen in a client with DI?
A. Oliguria
B. High serum specific gravity
C. Low serum specific gravity
D. High urine specific gravity
5. A client id bought to the emergency room, unresponsive
state with a diagnosis of HHNS. What would be the initial
nursing action should the nurse anticipate?
A. Endotracheal intubation
B. IV replacement of sodium bicarbonate
C. IV infusion of normal saline
D. Administering 100 units of NPH insulin
6. A patient with Addisonian Crisis. It would be very risky for
a nurse to administer:
A. PNSS
B. Hydrocortisone
C. Potassium chloride
D. Fludrocortisone
7. A nurse is performing an assessment on a client with
pheochromocytoma. The nurse assesses for the major
symptom associated with the disease when the nurse
A. Test the client’s urine glucose
B. Obtains the client’s weight
C. Palpates the skin for its temperature
D. Takes the client’s blood pressure
8. When the nurse assessing client with Grave’s disease, the
nurse shoud expect to find:
A. Constipation, dry skin and weight gain
B. Lethargy, weight gain and forgetfulness
C. Weight loss, exopthalmos and restlessness
D. Weight gain, constipation, protruding eyeball
9. In case of hypoglycemia, which among the following would
be best to correct this condition?
A. Cake
B. Tongkat ali
C. Regular softdrinks
D. Fruits and vegetables
10. Which of the following combinations of adverse effects
must be carefully monitored when administering IV insulin to
a client diagnosed with diabetic ketoacidosis?
A. Hypokalemia ad hypogycemia
B. Hypocalcemia and hyperkalemia
C. Hyperkalemia and hyperglycemia
D. Hypernatremia and hypercalcemia
Situation 1- Marga is a previous Telemetry nurse assigned to
the Rheumatology department of a facility. She handles
patient with different autoimmune diseases and different
needs.
11. A 40 year old female was diagnosed with ulcerative
colitis. What treatment will Marga anticipate the doctor to
order?
A. Antacids
B. Ace inhibitors
C. PPI
D. Steroids
12. A patient asked Marga what is an Idiopathic Pulmonary
Fibrosis? The best response of Marga would be:
A. It is a lung problem that caused by myobacterium
tuberculosis
B. It is the narrowing of the blood vessels in the lungs
C. It is the unknown scarring of the lungs
D. It is caused by Asbestos
13. Upon ausculation of the patient’s precodial landmarks,
you have note S1 and S2 sounds. You are aware that these
sounds are created by:
A. The myocardium as it exerts effort to produce adequate
cardiac output
B. The relaxation of the ventricles for adequate ventricular
filling.
C. The closing of the artrioventricular and semilunar valves
D. The contraction of the atrium and ventricles for
pulmonary and systemic circulation.
14. Upon auscultation of the precordium, the RN noticed an
extra heart sound (S3). The patient was diagnosed with CHF
and this is due to the complication of CHF which is?
A. Atrial fibrillation
B. Mitral valve stenosis
C. Myocardial infarction
D. Tricuspid valve regurgitation
15. Marga perform a ECG to the patient with chest pain. As a
competent Nurse she understand that ventricular
depolarization is represented by which of the following in the
ECG?
A. QRS complex
B. P wave
C. T wave
D. ST segment
