100 Item MEDICAL SURGICAL Nursing Examination
Correct Answers and Rationales
Question Pool
MEDICAL SURGICAL NURSING
DISCLAIMER: Care has been taken to verify that all answers and rationale below are
accurate. Please comment up if you noticed any errors or contradictions to maintain
accuracy and precision of the answers as not to mislead the readers.
SITUATION: Dervid, A registered nurse, witnessed an old woman hit by a motorcycle
while crossing a train railway. The old woman fell at the railway. Dervid Rushed at the
scene.
1. As a registered nurse, Dervid knew that the first thing that he will do at the scene is [3]
A. Stay with the person, Encourage her to remain still and Immobilize the leg
while While waiting for the ambulance.
B. Leave the person for a few moments to call for help.
C. Reduce the fracture manually.
D. Move the person to a safer place.
* The old woman is in the middle of a train railway. It is very unsafe to immobilize here
legs and remain still at the middle of a railway considering that a train might come
anytime while waiting for an ambulance. Safety is the utmost importance at this point.
If letter D is not among the choices and the situation is a little less dangerous, the
answer will be A. Remember that in all cases of emergencies, removing the victim from
the scene to a much safer place is a priority.
2. Dervid suspects a hip fracture when he noticed that the old woman’s leg is [4]
A. Lengthened, Abducted and Internally Rotated.
B. Shortened, Abducted and Externally Rotated.
C. Shortened, Adducted and Internally Rotated.
D. Shortened, Adducted and Externally Rotated.
* SADDER should be your keyword. A hip fracture will produce a SHORTENED,
ADDUCTED AND EXTERNALLY ROTATED extremity. Treatment will evolve in
casting the leg and putting it in an EXTENSION, NEUTRALLY POSITIONED and
SLIGHT INTERNAL ROTATION. In Hip prosthesis, The nurse should maintain the
client’s leg in FLEXION, EXTERNAL ROTATION and ABDUCTION to prevent the
dislocation of the prosthesis from the acetabulum. Take note of the difference because I
mistakenly answered the LATTER in casting a hip fracture thinking that it is similar to a
the leg positioning in hip dislocation. Just imagine a patient with a cast that has his leg
in
