Licensed Personnel Medical Surgical Test

This test has 25 questions. You must answer 75% of the questions correctly to pass. Please complete the test in one sitting. Do not use the back/forward/reload buttons on your browser while taking the test.






Mr. James Jones, a 36-year old business executive is admitted with a diagnosis of duodenal ulcer.

1. If Mr. Jones' ulcer perforates, which one of the following signs/symptoms is the patient MOST LIKELY to demonstrate?

Mr. James Jones, a 36-year old business executive is admitted with a diagnosis of duodenal ulcer.

2. Mr. Jones has been scheduled for a subtotal gastrectomy. When Mr. Jones returns from surgery, he is ordered to have gastric suction. During the first 12 to 24 hours postoperatively, the nurse can expect that the color of his stomach contents will be

Mr. James Jones, a 36-year old business executive is admitted with a diagnosis of duodenal ulcer.

3. Nursing orders include irrigating Mr. Jones' gastric tube at regular intervals. Of the following fluids that could be used for irrigating purposes, the one of choice is:

Mr. James Jones, a 36-year old business executive is admitted with a diagnosis of duodenal ulcer.

4. The amount of drainage observed on Mr. Jones' dressing was recorded by a different nurse at four different times. Which one of the following entries on Mr. Jones' record describes observations in the MOST USEFUL manner?

Mr. Evans is a 65-year old patient admitted to the hospital complaining of weight loss, diarrhea, and bloody stools. After diagnostic tests were done, an abdominal perineal resection and colostomy were performed.

5. On the second postoperative day, Mr. Evans is ordered to receive a unit of whole blood. When using a tandem setup for administering the blood, the intravenouse solution of choice with which to start the therapy is:

Mr. Evans is a 65-year old patient admitted to the hospital complaining of weight loss, diarrhea, and bloody stools. After diagnostic tests were done, an abdominal perineal resection and colostomy were performed.

6. Which of the following actions should the nurse take 'first' when Mr. Evans complains of a headache and tingling sensations in his fingers shortly after the blood transfusion is started?

Mr. Evans is a 65-year old patient admitted to the hospital complaining of weight loss, diarrhea, and bloody stools. After diagnostic tests were done, an abdominal perineal resection and colostomy were performed.

7. A colostomy irrigation is ordered for Mr. Evans on his 5th postoperative day. The PRIMARY purpose of this irrigation is to:

Mr. Evans is a 65-year old patient admitted to the hospital complaining of weight loss, diarrhea, and bloody stools. After diagnostic tests were done, an abdominal perineal resection and colostomy were performed.

8. Six months after surgery Mr. Evans was admitted to the hospital for chemotherapy. At 4 pm on the third day after chemotherapy is started, the nurse notes that Mr. Evans' temperature is 101F (38.3C). Which one of the following actions should the nurse take FIRST?

Mr. Evans is a 65-year old patient admitted to the hospital complaining of weight loss, diarrhea, and bloody stools. After diagnostic tests were done, an abdominal perineal resection and colostomy were performed.

9. Mr. Evans is placed on reverse (protective) isolation. Which one of the following statements BEST describes the primary purpose of reverse isolation?

Seventy-year-old Don Johansen has been brought to the hospital. An indirect inguinal hernia was diagnosed and a herniorraphy was scheduled.

10. The recovery room nurse observes Mr. Johansen for signs of postoperative shock. Of the following conditions, which one is the MOST COMMON cause of postoperative shock?

Seventy-year-old Don Johansen has been brought to the hospital. An indirect inguinal hernia was diagnosed and a herniorraphy was scheduled.

11. Mr. Johansen's scrotum is swollen and painful two days postoperatively. A nursing measure that promotes comfort for many patients experiencing this condition is:

Seventy-year-old Don Johansen has been brought to the hospital. An indirect inguinal hernia was diagnosed and a herniorraphy was scheduled.

12. Which one of the following types of drugs can the nurse anticipate the physician will MOST LIKELY order for Mr. Johansen to help prevent epididymitis?

Seventy-year-old Don Johansen has been brought to the hospital. An indirect inguinal hernia was diagnosed and a herniorraphy was scheduled.

13. The physician orders that Mr. Johansen receive 1 gm. of cephalothin sodium (Keflin) in 50 ml. of 5% dextrose in water every 6 hours. The drop factor of equipment the nurse uses is 10 drops per ml. At what rate should the antibiotic solution be given in order that Mr. Johansen will receive the entire amount in 30 minutes?

Seventy-four-year-old Mr. David Dawson was admitted to the hospital with a diagnosis of congestive heart failure and acute pulmonary edema. He is edematous, cyanotic, appeared distressed and complained of feeling nauseated.

14. In which one of the following positions in bed is Mr. Dawson likely to be MOST comfortable?

Seventy-four-year-old Mr. David Dawson was admitted to the hospital with a diagnosis of congestive heart failure and acute pulmonary edema. He is edematous, cyanotic, appeared distressed and complained of feeling nauseated.

15. The physician orders Mr. Dawson to have morphine sulfate subcutaneously shortly after admission. In this situation, the MOST LIKELY reason for giving the medication is to reduce:

Seventy-four-year-old Mr. David Dawson was admitted to the hospital with a diagnosis of congestive heart failure and acute pulmonary edema. He is edematous, cyanotic, appeared distressed and complained of feeling nauseated.

16. Digoxin had been ordered for Mr. Dawson because the drug helps to:

Mrs. Mary Martin is a 47-year old who has had a left nephrectomy.

17. When observing for signs of hemorrhage from the patient's operative site, the nurse should be certain to check Mrs. Martin's:

Mrs. Mary Martin is a 47-year old who has had a left nephrectomy.

18. If Mrs. Martin develops thrombophlebitis postoperatively, the nurse should be prepared to give care that will help prevent:

Patients with various urological disorders

19. When lubricating the catheter before inserting it, the nurse should take precautions to avoid:

Patients with various urological disorders

20. Ms. Baxter is diagnosed as having cystitis. It is generally believed that most cases of cystitis are the result of:

Patients with various urological disorders

21. Which of the following substances is NOT normally found in voided urine?

Mr. John Meyers is an alert 69-year-old man with diabetes mellitus. A referral is made to a community nursing agency. The nurse is to reinforce the teaching program in the hospital.

22. In relation to the care of his toenails, it is BEST for Mr. Meyers to AVOID:

Mr. John Meyers is an alert 69-year-old man with diabetes mellitus. A referral is made to a community nursing agency. The nurse is to reinforce the teaching program in the hospital.

23. Mr. Meyers says he enjoys meals that include pasta products, such as macaroni and spaghetti, and asks if he can eat them, even though he is overweight. Of the following responses, it would be best for the nurse to say:

Mr. John Meyers is an alert 69-year-old man with diabetes mellitus. A referral is made to a community nursing agency. The nurse is to reinforce the teaching program in the hospital.

24. When Mr. Meyers is 69 years old, the oral hypoglycemic agent is discontinued and isophane insulin suspension (NPH insulin) is prescribed for him. The patient takes his insulin every day at 8 am. At which of the following times of the day is Mr. Meyers MOST LIKELY to experience hypoglycemia due to hyperinsulism?
25. AIDS can be spread by: