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Free Practice Quiz Question List

08 Adult Medical-Surgical Nursing Online Quiz Questions

Use this free practice quiz with 20 questions to review 08 Adult Medical-Surgical Nursing, test your knowledge, and prepare for your next test or exam.

20 questions
01
True or false
1 point

A patient with hypertension says they feel well and asks whether they can stop taking their prescribed antihypertensive medicine. Is it appropriate to advise them to stop without consulting a clinician?

  1. A

    True

  2. B

    False

02
Choose one
1 point

A patient with asthma asks how to use a prescribed inhaled corticosteroid. Which teaching is appropriate?

  1. A

    Use the inhaled corticosteroid as prescribed for control, and rinse and spit after use; it is not an immediate rescue medicine.

  2. B

    Use the inhaled corticosteroid only during a sudden asthma attack because it provides immediate relief.

  3. C

    Stop the inhaled corticosteroid once symptoms improve, without consulting the care team.

  4. D

    Swallow the mouth rinse after using the inhaler to improve the medicine’s effect.

03
Choose all
1 point

Before administering a medication, which actions support safe practice? Select all that apply.

  1. A

    Use two patient identifiers and complete the medication-administration checks required by policy.

  2. B

    Confirm allergies, indication, dose, route, timing, and relevant assessments.

  3. C

    Clarify an incomplete or unsafe medication order before proceeding.

  4. D

    Document that the medication was given before administering it so the record is ready.

04
True or false
1 point

A patient with diabetes is unconscious and may have low blood glucose. Give nothing by mouth, summon urgent help, and follow protocol for glucagon or IV dextrose.

  1. A

    True

  2. B

    False

05
Choose one
1 point

A patient develops new chest pressure, nausea, and sweating. What is the priority nursing response when acute coronary syndrome is suspected?

  1. A

    Activate the emergency response immediately and follow facility protocol.

  2. B

    Wait to see whether the discomfort resolves before notifying anyone.

  3. C

    Encourage the patient to walk briefly to see whether activity changes the symptoms.

  4. D

    Document the symptoms and report them at the end of the shift if they continue.

06
Choose all
1 point

An older adult with pneumonia has new confusion. Which nursing actions are appropriate? Select all that apply.

  1. A

    Monitor respiratory status, oxygenation, hydration, and response to prescribed treatment.

  2. B

    Avoid mobility and coughing so the lungs are not further irritated.

  3. C

    Encourage appropriate mobility, coughing and deep breathing, oral care, and hand hygiene.

  4. D

    Assume new confusion in an older adult is unrelated to the illness unless a fever is present.

07
Fill in the blank
1 point

In asthma care, inhaled corticosteroids are , not immediate rescue medicines.

08
Fill in the blank
1 point

To help manage GERD, reinforce that a patient should avoid lying down .

09
Written response
1 point

Which four-letter abbreviation names the structured handoff format whose components are Situation, Background, Assessment, and Recommendation?

10
Written response
1 point

A patient with diabetes has high glucose, vomiting, abdominal pain, fruity breath, and deep, difficult breathing. What hyperglycemic emergency may these signs indicate?

11
Choose one
1 point

A patient with heart failure reports new shortness of breath while resting and increased swelling. Which response is most appropriate?

  1. A

    Tell the patient to restrict fluids to the same amount as every other patient with heart failure.

  2. B

    Report sudden worsening, particularly new resting dyspnea or increased swelling.

  3. C

    Reassure the patient that increased swelling is expected and does not need follow-up.

  4. D

    Recommend stopping prescribed heart-failure medicines until symptoms improve.

12
Choose one
1 point

A patient with acute kidney injury has a sudden reduction in urine output and is taking an NSAID. What is the safest nursing response?

  1. A

    Report the sudden reduction in urine and review medication safety, including possible NSAID-related risk.

  2. B

    Encourage the patient to take an NSAID for discomfort because it cannot affect kidney function.

  3. C

    Wait until the next routine visit to report the change if the patient has no pain.

  4. D

    Independently change the patient’s fluid and medication plan without an order or approved protocol.

13
Choose one
1 point

A patient taking an anticoagulant has unusual bruising and notices blood in the urine. What should the nurse do?

  1. A

    Report the bruising and blood in the urine, and follow bleeding precautions and monitoring instructions.

  2. B

    Reassure the patient that these findings are expected and need no follow-up.

  3. C

    Advise the patient to stop the medicine immediately without contacting the prescriber.

  4. D

    Delay reporting unless the patient also develops a fever.

14
Open ended
1 point

A patient with COPD becomes increasingly drowsy and confused while their oxygenation is worsening. Describe the immediate nursing priorities, including how to address oxygen and when to escalate.

15
Written response
1 point

What four-letter acronym names the structured handoff method that organizes a report into Situation, Background, Assessment, and Recommendation?

16
Written response
1 point

Before administering a medication, how many patient identifiers should be used?

17
True or false
1 point

In asthma care, inhaled corticosteroids are controller medicines rather than immediate rescue medicines, and patients should rinse and spit after using them.

  1. A

    True

  2. B

    False

18
Choose one
1 point

A patient taking thyroid medicine reports heat intolerance and tremor, and has a markedly rapid heartbeat. Which response is most appropriate?

  1. A

    The symptoms are most consistent with hypothyroidism; document them and wait for the next routine visit.

  2. B

    The symptoms may be associated with hyperthyroidism; report the pronounced cardiovascular symptoms for prompt evaluation.

  3. C

    The symptoms indicate that thyroid medicine should be stopped immediately.

  4. D

    The symptoms are expected and do not require follow-up if the patient remains alert.

19
Choose one
1 point

A patient with GERD reports persistent symptoms despite following the prescribed plan and says swallowing has become difficult. What is the best response?

  1. A

    Stop the prescribed medicine because persistent symptoms show it is unsafe.

  2. B

    Lie down shortly after meals to reduce regurgitation.

  3. C

    Continue the prescribed plan and arrange clinical follow-up for the persistent symptoms and difficulty swallowing.

  4. D

    Avoid all food and fluids until the symptoms resolve.

20
Choose one
1 point

A patient with heart failure develops new shortness of breath at rest and increased ankle swelling. What should the nurse do?

  1. A

    Report the sudden worsening and assess relevant trends, including weight, edema, and respiratory status.

  2. B

    Wait until the next scheduled appointment because heart failure symptoms fluctuate.

  3. C

    Recommend a generic fluid restriction without checking the prescribed plan.

  4. D

    Encourage the patient to stop heart-failure medicines until the swelling improves.