MEDSURG Certification Exam V1

MEDSURG Certification Exam V1 (Latest Update 2025 / 2026) Questions and Answers | Grade A | 100% Correct (Verified Solutions)

Question:

The nurse is caring for a stroke patient who is experiencing difficulty with comprehending and communicating effectively. In addition, the patient is having difficulty swallowing. Which area of the brain does the nurse suspect damage to?

• Brain stem
• Vertebrobasilar artery
• Middle cerebral artery
• Posterior cerebral arteries

Answer: Middle cerebral artery

Rationale: A stroke is a disruption in cerebral circulation, causing permanent

neurological deficits. If the middle cerebral artery is affected (including the frontal, temporal, and parietal lobes), the patient may experience the

following: 1 / 4

-Altered level of consciousness (LOC) -Aphasia (difficulty reading, writing, speaking) -Contralateral hemiparesis (more severe in the face and arm than in the leg) -Contralateral sensory deficit -Dysgraphia (impairment of handwriting) -Dysphagia (difficulty with swallowing) -Dyslexia -Visual field deficits

Question:

The nurse is caring for a patient with benign prostatic hyperplasia (BPH).Which of the following physician orders should the nurse question, knowing that this medication should be administered with caution in the patient with this condition?

• Ipratropium inhaler (Atrovent)
• Omeprazole (Prilosec)
• Clonidine (Catapres)
• Paroxetine (Paxil)

Answer: Ipratropium inhaler (Atrovent)

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Rationale: BPH is prostate gland enlargement; about 50% of men older than

age 50 and 75% of men older than age 70 have symptoms of such enlargement. Signs and symptoms include urinary frequency, nocturia, smaller and less forceful urine stream; urinary hesitancy, dribbling after urination, bladder distention, cystitis, and acute urine retention.

Acute urinary retention is typically related to the presence of prostatic disease, and is considered a medical emergency requiring surgical intervention. However, some drugs have been known to be associated with urinary retention, including antipsychotics, tricylic antidepressants, calcium channel antagonists and anticholinergic drugs. Thus, Atrovent (an inhaled anticholinergic) could worsen BPH and should be either avoided or administered with great caution in this patient.

The other answer choices are considered safe to be administered in the patient with BPH.

Question:

The nurse is providing discharge teaching to a patient with newly diagnosed exercise-induced asthma. The nurse should instruct this patient that all the following interventions will help prevent an asthma attack during exercise,

except:

• Avoid exercising when experiencing a respiratory illness
• During cold weather, perform exercise indoors
• Administer a short acting beta agonist before exercise 3 / 4

• Avoid warming up before exercise

Answer: Avoid warming up before exercise

Rationale: The nurse should instruct the patient with exercise-induced

asthma to warm-up for at least 10 to 15 minutes before exercising, stay indoors to exercise if possible during colder months, take a short-acting bronchodilator (beta agonist) before exercise, and avoid exercise when ill (particularly with respiratory illness).

Question:

Which of the following statements about hepatitis B virus (HVB) is false?

• Carriers of the disease are often asymptomatic
• Symptoms usually manifest 1-6 months after acquiring the infection
• Some patients with hepatitis B may not exhibit any symptoms
• Asymptomatic patients cannot pass the infection

Answer: Asymptomatic patients cannot pass the infection

Rationale: HVB is spread via body fluids, primarily blood and semen; it is

also transmitted from mother to fetus. It can also be spread with IV drug use (contaminated needles), dialysis, and sexual contact. It has a slow onset. The incubation period is between 28 to 180 days. Carriers are asymptomatic but can still very much pass the disease onto another individual.

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