MEDSURG Certification Exam V2

MEDSURG Certification Exam V2 (Latest Update 2025 / 2026) Questions and Answers | Grade A | 100% Correct (Verified Solutions)

Question:

The nurse is caring for a patient who was admitted with a complication of Parkinson's disease. The nurse understands that which of the following is least likely to be a complication of Parkinson's disease?

• Pressure ulcers
• Diarrhea
• Impaired swallowing
• Urosepsis

Answer: Diarrhea

Rationale: Parkinson's disease can cause autonomic disturbances that lead to

constipation, not diarrhea. Urospesis is a common complication in patients with Parkinson's disease due to incontinence and decreased ability to perform their own hygiene. Pressure ulcers are a common complication due to 1 / 4

decreased mobility. Impaired swallowing occurs due to the hypokinesia that Parkinson's disease causes.

Question:

You are caring for a patient who was admitted to the medical-surgical unit with a diagnosis of cholecystitis caused by cholelithiasis. This condition

typically manifests in individuals with consistently high:

• Blood glucose
• Liver enzymes
• Blood pressure
• Blood cholesterol levels

Answer: Blood cholesterol levels

Rationale: Cholecystitis is inflammation of the gallbladder, usually caused

by the presence of gallstones ( cholelithiasis). Stone development usually occurs in people with consistently high blood cholesterol levels. Stasis of bile in the gallbladder results in aggregation of particles, leading to stones; this condition can be acute or chronic.

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Question:

Which of the following is least likely to increase the risk of cardiomyopathy?

• Alcohol abuse
• Sedentary lifestyle
• Viral infection
• Pregnancy

Answer: Pregnancy

Rationale: There are multiple factors that can increase the risk of

cardiomyopathy, including alcohol abuse, smoking, substance abuse, infections, hypertension, and obesity. A sedentary lifestyle promotes obesity and hypertension. Pregnancy itself is not a significant risk factor for cardiomyopathy, although some complications of pregnancy may increase the risk of cardiomyopathy.

Question:

A patient who has recently undergone a Bilroth II procedure now experiences bloating, dizziness, and vomiting 15 minutes after each meal. Which of the following interventions is best for this patient?

• Administering a proton pump inhibitor before each meal
• Teaching the patient to lie down for 30 minutes after each meal 3 / 4

• Revision of the surgical procedure
• Increasing the patient's fluid intake with each meal

Answer: Teaching the patient to lie down for 30 minutes after each meal

Rationale: A Bilroth II is a partial gastrectomy and may cause dumping

syndrome, in which the contents of the stomach are rapidly emptied, causing distress to the patient and inhibiting absorption. Symptoms of dumping syndrome may be improved by having the patient lie down for 30 minutes after each meal. Administering a proton pump inhibitor before each meal will not be effective, as the problem is structural, not due to gastric acidity.Revision of the surgery is not normally necessary, as the body will eventually adjust to the new anatomy. Fluids should be avoided or limited during meals to improve dumping syndrome symptoms.

Question:

Which of the following is least likely to cause chronic pyelonephritis?

• Bacterial infections
• Drug toxicity
• Metabolic inflammation
• Autoimmune response

Answer: Bacterial infections

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