MEDSURG Certification Exam V3

MEDSURG Certification Exam V3 (Latest Update 2025 / 2026) Questions and Answers | Grade A | 100% Correct (Verified Solutions)

Question:

The nurse is assessing the urine of a patient with a urinary tract infection.Which of the following characteristic of the patient's urine should the nurse assess in each specimen?

• Specific gravity
• Viscosity
• Clarity
• Glucose

Answer: Clarity

Rationale: Urine that is cloudy indicates purulent drainage that is associated

with an infection.Viscosity is subjective and not measurable. Specific gravity gives information related to the fluid balance. Urinary glucose levels are not affected by urinary tract infections. 1 / 4

Question:

Which of the following is the most appropriate nursing diagnosis for a patient with a strained ankle?

• Impaired physical mobility
• Risk for deficient fluid volume
• Disturbed body image
• Impaired skin integrity

Answer: Impaired physical mobility

Rationale: Ankle strains result in pain and damage to the muscle body and

tendon (from overstretching, misuse, or overexertion), as well as altered physical mobility.

Although the traumatic event that caused the strain may disrupt the skin, the manifestations of a strain don't include disruption of skin integrity. Risk for deficient fluid volume is an appropriate nursing diagnosis for a process that results in the loss of a large volume of fluid or blood (not for a strain).Disruptions in body image can occur if the client's perception of self is altered because of the strain, but this is unlikely.

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Question:

You are assisting in the assessment of a patient for rebound tenderness. You

know that:

• In a healthy patient, a skilled practitioner will be able to palpate the spleen
• Palpation of the abdomen should be done after auscultation & before

percussion

• Rebound tenderness is present when the sudden removal of the palpating

hand after deep palpation results in acute pain

• Rebound tenderness is atypical with peritoneal irritation

Answer: Rebound tenderness is present when the sudden removal of the

palpating hand after deep palpation results in acute pain

Rationale: Palpation should be done at the end of the abdominal

examination, following inspection, auscultation, and percussion. Rebound tenderness is typical, not atypical, with peritoneal irritation or pain. It is abnormal to be able to palpate the gallbladder, spleen, or pancreas. Normally, the liver edge, parts of the colon, abdominal aorta, and possibly the right kidney can be palpated with deep palpation.

Clarification: Deep palpation should only be performed by mid-level

providers or physicians (APRNs, PAs, MDs, etc.).

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Question:

All of the following are risk factors for developing lung cancer except:

• History of seasonal allergies
• Exposure to coal products or radioactive substances, such as uranium
• Smoking
• Exposure to radon or asbestos

Answer: History of seasonal allergies

Rationale: Lung cancer is the most common cancer worldwide. Smokers are

ten times more likely to develop lung cancer than non-smokers, and exposure to second-hand smoke, radon, asbestos, coal products or radioactive substances also put an individual at risk. Chronic lung conditions may pose an increased risk for lung cancer as well.Seasonal allergies do not increase a person's risk for lung cancer.

Question:

Which of the following thyroid surgery involves removal of more than just the thyroid?

• Thyroid lobectomy & removal of the isthmus
• Total thyroidectomy
• Radical thyroidectomy
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