MEDSURG Certification Exam V4

MEDSURG Certification Exam V4 (Latest Update 2025 / 2026) Practice Questions with Verified Answers | Grade A | 100% Correct

Question:

A patient on the medical unit has been diagnosed with Clostridium difficile colitis. Which of the following precautions related to this diagnosis will be

nurse include in the patient's plan of care?:

• Airborne
• Droplet
• Standard
• Contact

Answer:

• Contact

Contact precautions are indicated for a patient with C. difficile infection.Standard precautions are implemented for all patients and are not specific to this diagnosis.

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Question:

The nurse is talking with a new graduate about the difference between gastric and duodenal ulcers. Which of the following would the nurse identify as characteristic of gastric ulcers?

• Peak occurrence is in persons ages 50-60.
• They often are associated with pancreatic disease.
• Pain typically occurs 2-4 hours after meals.
• Occurrence is greater in men.

Answer:

• Peak occurrence is in persons ages 50-60.

The peak occurrence for gastric ulcers is in persons ages 50-60; the peak for peptic ulcer disease is ages 35-45. Gastric ulcers are associated with incompetent pyloric sphincter and bile reflux; peptic ulcers are associated with other diseases, including COPD, pancreatic disease, and hyperparathyroidism. The pain of gastric ulcers typically occurs 1-2 hours after meals. The occurrence of duodenal ulcers is greater in men; more women have gastric ulcers.

Question:

The nurse enters the room as the client is beginning to have a tonic-clonic seizure. What action should the nurse implement first?

• Note the first thing the client does in the seizure 2 / 4

• Assess the size of the client's pupils
• Determine if the client is incontinent of urine or stool
• Provide the client with privacy during the seizure

Answer:

• Note the first thing the client does in the seizure

Question:

The patient with migraine headaches has a seizure. After the seizure, which action can you delegate to the nursing assistant?

• Document the seizure.
• Perform neurologic checks.
• Take the patient's vital signs.
• Restrain the patient for protection.

Answer:

• Take the patient's vital signs.

Question:

You are preparing to admit a patient with a seizure disorder. Which of the following actions can you delegate to the LPN/LVN?

• Complete admission assessment. 3 / 4

• Set up oxygen and suction equipment.
• Place a padded tongue blade at bedside.
• Pad the side rails before patient arrives.

Answer:

• Set up oxygen and suction equipment.

Question:

The client is being admitted to rule out a brain tumor. Which classic triad of symptoms supports a diagnosis of brain tumor?

• Nervousness, metastasis to the lungs, and seizures
• Headache, vomiting, and papilledema
• Hypotension, tachycardia, and tachypnea
• Abrupt loss of motor function, diarrhea, and changes in taste

Answer:

• Headache, vomiting, and papilledema

Question:

The client diagnosed with a brain tumor was admitted to the intensive care unit with decorticate posturing. Which indicates that the client's condition is becoming worse?

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