Nursier
Register
Log in Register Register

RN exams medical-surgical practice questions, set 8

RN exams · medical-surgical

RN exams medical-surgical practice questions set 8

You practice adult health stems across systems, then name the action that changes the outcome. Five of the 15 questions include the correct answer and rationale. The other ten keep answers in the study hub. Continue with the RN exams exam guide or more RN exams practice questions.

Five medical-surgical questions with answers

Cover the key. Write the first action. Then open the rationale and name why the other choices fail.

Question 1

Delegation is a critical component of leadership and governance. Which of the following empowering activities should the unit manager applies in delegation?

  1. A. In delegation facilitating professional growth and development of a staff is necessary.
  2. B. When delegating responsibility to a nursing staff, modification of standards of care is permitted.
  3. C. Delegation of responsibility in patient care has to start from top management to the staff-nurse level.
  4. D. Delegation requires responsibility with corresponding accountability of a staff-nurse.
Show answer and rationale

Correct answer: A — In delegation facilitating professional growth and development of a staff is necessary.

In delegation, facilitating the professional growth and development of a staff is necessary because it allows team members to gain new skills and experience, leading to overall improved productivity and job satisfaction. This empowers staff and helps them feel more engaged in their work, ultimately benefiting the entire unit. Effective delegation should aim to support individuals in their roles, encourage learning, and build competence, rather than modifying standards of care or only delegating tasks without considering individual growth. Starting delegation from top management to staff-nurse level may not always be practical or efficient, as delegation should be based on competencies and responsibilities. Accountability is indeed a crucial aspect of delegation, as individuals should be held responsible for the tasks they are delegated. However, without providing opportunities for professional growth and development, delegation may not be as effective in achieving organizational goals.

Question 2

Which of the following is not a type of integumentary sensory receptor?

  1. A. Pacinian corpuscle
  2. B. free nerve ending
  3. C. Ruffini corpuscle
  4. D. none of the above
Show answer and rationale

Correct answer: D — none of the above

The skin contains various sensory receptors that detect stimuli like pressure, touch, temperature, and pain. Pacinian corpuscles are deep in the dermis and hypodermis, sensing deep pressure and vibration. Free nerve endings, widespread in the epidermis and dermis, detect pain, temperature, and light touch. Ruffini corpuscles, also in the dermis, respond to skin stretch and sustained pressure. Krause corpuscles (listed elsewhere in the document) sense cold. All listed options Pacinian corpuscles, free nerve endings, and Ruffini corpuscles are indeed integumentary sensory receptors, each with specialized roles in mechanoreception or nociception. 'None of the above' implies that all are receptors, which is correct here, as no non-receptor is listed. The skin's sensory array supports its role as a sensory organ, and excluding any of these would misrepresent its capabilities. Thus, the option indicating all are receptors aligns with their documented presence and function in the integument.

Question 3

Which of the following is not a type of integumentary sensory receptor?

  1. A. Pacinian corpuscle
  2. B. free nerve ending
  3. C. Ruffini corpuscle
  4. D. none of the above
Show answer and rationale

Correct answer: D — none of the above

The skin contains various sensory receptors that detect stimuli like pressure, touch, temperature, and pain. Pacinian corpuscles are deep in the dermis and hypodermis, sensing deep pressure and vibration. Free nerve endings, widespread in the epidermis and dermis, detect pain, temperature, and light touch. Ruffini corpuscles, also in the dermis, respond to skin stretch and sustained pressure. Krause corpuscles (listed elsewhere in the document) sense cold. All listed options Pacinian corpuscles, free nerve endings, and Ruffini corpuscles are indeed integumentary sensory receptors, each with specialized roles in mechanoreception or nociception. 'None of the above' implies that all are receptors, which is correct here, as no non-receptor is listed. The skin's sensory array supports its role as a sensory organ, and excluding any of these would misrepresent its capabilities. Thus, the option indicating all are receptors aligns with their documented presence and function in the integument.

Question 4

Which of the following is not a type of integumentary sensory receptor?

  1. A. Pacinian corpuscle
  2. B. free nerve ending
  3. C. Ruffini corpuscle
  4. D. none of the above
Show answer and rationale

Correct answer: D — none of the above

The skin contains various sensory receptors that detect stimuli like pressure, touch, temperature, and pain. Pacinian corpuscles are deep in the dermis and hypodermis, sensing deep pressure and vibration. Free nerve endings, widespread in the epidermis and dermis, detect pain, temperature, and light touch. Ruffini corpuscles, also in the dermis, respond to skin stretch and sustained pressure. Krause corpuscles (listed elsewhere in the document) sense cold. All listed options Pacinian corpuscles, free nerve endings, and Ruffini corpuscles are indeed integumentary sensory receptors, each with specialized roles in mechanoreception or nociception. 'None of the above' implies that all are receptors, which is correct here, as no non-receptor is listed. The skin's sensory array supports its role as a sensory organ, and excluding any of these would misrepresent its capabilities. Thus, the option indicating all are receptors aligns with their documented presence and function in the integument.

Question 5

A nurse is assessing a client with a pressure ulcer on the sacrum. Which finding indicates a potential complication of the wound?

  1. A. Serous drainage from the wound
  2. B. Redness and warmth around the wound
  3. C. Foul-smelling greenish discharge from the wound
  4. D. Granulation tissue forming in the wound bed
Show answer and rationale

Correct answer: C — Foul-smelling greenish discharge from the wound

Foul-smelling greenish discharge is the correct answer, indicating a potential complication such as infection in the pressure ulcer. This type of discharge, often linked to bacteria like Pseudomonas, combined with a foul odor, suggests microbial overgrowth that can hinder healing and lead to serious outcomes like sepsis if untreated. Prompt reporting and a wound culture are critical to identify the pathogen and tailor treatment. Serous drainage is typically clear and watery, a normal part of healing unless it becomes excessive or purulent. Redness and warmth around the wound are expected signs of inflammation and increased blood flow during early healing stages, not necessarily problematic unless accompanied by worsening symptoms. Granulation tissue is a healthy sign, showing new tissue growth and vascularization, not a complication. The distinct foul-smelling, greenish discharge stands out as an abnormal finding requiring immediate attention, distinguishing it from the other options.

Keep going past these 15 questions

Missed-question review, longer banks, and the rest of 20,000+ nursing practice questions open when you start studying.

Start studying See pricing

Ten more RN exams medical-surgical questions

Stems and choices stay public so you can still reason. Correct answers and full rationales unlock with the rest of the bank.

Question 6

The client comes to the clinic complaining of sudden onset of high fever, chills, and a headache. The nurse assesses a patchy macular rash on the trunk and a circular type of rash that looks like an insect bite. Which question would be most appropriate for the nurse to ask during the interview?

  1. A. Do you own dogs that stay in the yard?'
  2. B. Have you been working in your garden lately?'
  3. C. Have you been deer hunting in the last week?'
  4. D. Do you use sunscreen when you are outside?'
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 7

Which of the following is a normal function of the skin?

  1. A. synthesis of vitamin K
  2. B. elimination of carbon dioxide
  3. C. regulation of glucose levels by the Langerhans cells
  4. D. thermal regulation by skin blood flow dilation or constriction
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 8

A nurse is caring for a client who has a pressure ulcer on the sacrum. Which intervention should the nurse perform first?

  1. A. Apply a hydrocolloid dressing to the wound
  2. B. Assess the wound for signs of infection
  3. C. Cleanse the wound with normal saline solution
  4. D. Reposition the client to relieve pressure on the wound
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 9

Which of the following is a safety mechanism of the complement system?

  1. A. Binding C5a to plasma inhibitors
  2. B. Activation of complement only in the absence of pathogens
  3. C. Covalent binding of C3b and C4b to pathogen surfaces
  4. D. Suppression of C1 activation by antibodies
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 10

A postpartum client who is breastfeeding expresses concerns about breast engorgement and discomfort. What nursing intervention should be prioritized to alleviate symptoms?

  1. A. Encouraging frequent breastfeeding or pumping sessions
  2. B. Applying cold packs to the breasts between feedings
  3. C. Recommending the use of a supportive bra or breast binder
  4. D. Administering oral analgesics for pain relief
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 11

A postpartum client who delivered a preterm infant expresses concerns about milk supply and worries about meeting the baby's nutritional needs. What nursing intervention should be prioritized to address the client's concerns?

  1. A. Providing education on techniques to enhance milk production and supply
  2. B. Recommending supplemental formula feedings to ensure adequate nutrition
  3. C. Encouraging the client to avoid breastfeeding until the infant reaches full term
  4. D. Referring the client to a dietitian for specialized nutritional support
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 12

The nurse is preparing to give trimethoprim-sulfamethoxazole (TMP-SMX) to a patient and notes a petechial rash on the patient's extremities. The nurse will perform which action?

  1. A. Hold the dose and notify the provider.
  2. B. Request an order for a blood glucose level.
  3. C. Request an order for a BUN and creatinine level.
  4. D. Request an order for diphenhydramine (Benadryl).
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 13

A rehabilitation nurse is working with a patient who has had a below-the-knee amputation. The nurse knows the importance of the patient's active participation in self-care. In order to determine the patient's ability to be an active participant in self-care, the nurse should prioritize assessment of what variable?

  1. A. The patient's attitude
  2. B. The patient's learning style
  3. C. The patient's nutritional status
  4. D. The patient's presurgical level of function
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 14

A postpartum client who delivered via cesarean section expresses discomfort when ambulating and performing activities of daily living. What nursing intervention should be prioritized to promote optimal recovery?

  1. A. Encouraging early ambulation and progressive activity as tolerated
  2. B. Administering oral analgesics on a fixed schedule around the clock
  3. C. Restricting movement to prevent disruption of the incision site
  4. D. Applying heat packs to the incision site for pain relief
Answer and rationale unlock in the Nursier study hub. Unlock answers

Question 15

Overstimulation may cause increased oxygen use in a preterm infant. Which nursing intervention helps to avoid this problem?

  1. A. Group all care activities together to provide long periods of rest.
  2. B. Keep charts on top of the incubator so the nurses can write on them ther
  3. C. While giving a report to the next nurse, stand in front of the incubator and talk softly about how the infant responds to stimulation.
  4. D. Teach the parents signs of overstimulation, such as turning the face away or stiffening and extending the extremities and fingers.
Answer and rationale unlock in the Nursier study hub. Unlock answers

About these RN exams medical-surgical questions

RN exams medical-surgical practice questions, set 8 for nursing students in the United States. Fifteen items. Five include answers and rationales in American English.

No. Nursier is independent practice. Register through the official path named on the RN exams exam guide.

The first five questions already include the rationale. Start full practice to unlock the remaining keys, missed-question review, and the rest of the bank.

Keep going past these 15 questions

Missed-question review, longer banks, and the rest of 20,000+ nursing practice questions open when you start studying.

Start studying See pricing