Medical-Surgical Nursing Exam Sample QuestionsThese sample questions apply to all exams taken on or after October 25, 2014. Show
The following sample questions are similar to those on the Medical-Surgical Nursing Examination but do not represent the full range of content or levels of difficulty. The answers to the sample questions are provided after the last question. Please note: Taking these or any sample question(s) is not a requirement to sit for an actual certification examination. Completion of these or any other sample question(s) does not imply eligibility for certification or successful performance on any certification examination. To respond to the sample questions, first enter your first and last names in the boxes below (this information will not be recorded; it is strictly for purposes of identifying your results). Then click the button corresponding to the best answer for each question. When you are finished, click the "Evaluate" button at the bottom of the page. A new browser window will open, displaying your results, which you may print, if you wish. This practice exam is not timed, and you may take it as many times as you wish. Good luck! Bronchoscopy is an invasive procedure that permits the direct examination of the larynx, trachea, and bronchi using either a flexible fiberoptic bronchoscope or a rigid metal bronchoscope (see gallery below). It is performed by a trained
practitioner (pulmonologist or thoracic surgeons). A non-invasive approach called virtual bronchoscopy includes a series of computed tomography (CT) scans to visualize the tracheobronchial tree. While a flexible fiberoptic bronchoscope is used more often and provides a wider view, the rigid metal bronchoscope, on the other hand, is a method of choice for foreign body removal, endobronchial lesion excision, and massive hemoptysis control. A bronchial brush, forceps, and needle may be passed through the bronchoscope to get samples for cytological determination. The nurses responsibility during a bronchoscopy includes maintaining a viable airway and closely monitoring the patients respiratory status. Another role of the nurse during the bronchoscopy is to relieve patient anxiety by providing information on what to expect and what to avoid.
IndicationBronchoscopy may be performed in patients for diagnostic and/or therapeutic purposes: Diagnostic Bronchoscopy
Therapeutic Bronchoscopy
ContraindicationAs with any procedures, there are times when it is not safe to proceed with bronchoscopy. Nurses should know that the contraindications for bronchoscopy are:
Interfering factors
ProcedureBronchoscopy may utilize fluoroscopic guidance for evaluation of distal lesions for a tracheobronchial biopsy involving alveolar areas. However, a routine bronchoscopy procedure is as follows:
Nursing ResponsibilitiesThe following are the nursing interventions and nursing care considerations for a patient undergoing bronchoscopy: Before the procedureThe following are the nursing interventions before bronchoscopy:
During the procedureThe following are the nursing interventions during bronchoscopy:
After the procedureThe nurse should be aware of these post-procedure nursing interventions after bronchoscopy:
Normal ResultsThe following are the expected normal results of bronchoscopy:
Abnormal ResultsThe abnormal results following a bronchoscopy.
Possible ComplicationsBronchoscopy is usually safe; however, there are risks involved, which includes:
GalleryImages related to bronchoscopy: ReferencesAdditional resources and references for this guide:
 Paul Martin is a registered nurse with a bachelor of science in nursing since 2007. Having worked as a medical-surgical nurse for five years, he handled different kinds of patients and learned how to provide individualized care to them. Now, his experiences working in the hospital is carried over to his writings to help aspiring students achieve their goals. He is currently working as a nursing instructor and have a particular interest in nursing management, emergency care, critical care, infection control, and public health. As a writer at Nurseslabs, his goal is to impart his clinical knowledge and skills to students and nurses helping them become the best version of themselves and ultimately make an impact in uplifting the nursing profession. When providing care for a client following a bronchoscopy which assessment finding should the nurse immediately report to the healthcare provider?What symptoms should I report to the doctor after bronchoscopy?. Bleeding that lasts longer that 24 hours or if it increases (report amounts greater that blood-streaked mucus).. Fever (temperature over 100F) that lasts more than 24 hours.. Shortness of breath or chest pain.. Coughing-up large amounts of blood.. Which of the following are classified as reasons for performing a bronchoscopy select all that apply?Reasons for doing bronchoscopy include:. Diagnosis of a lung problem.. Identification of a lung infection.. Biopsy of tissue from the lung.. Removal of mucus, a foreign body, or other obstruction in the airways or lungs, such as a tumor.. Placement of a small tube to hold open an airway (stent). Which action will the nurse include in the plan for care for a client after a bronchoscopy examination?The nurse should be aware of these post-procedure nursing interventions after bronchoscopy: Assess bleeding episodes. Observe the patient's sputum and report for any excessive bleeding. Explain that a minimal amount of blood streak is expected and normal for few hours after the procedure.
Which of the following findings should the nurse recognize as an indication of a tension pneumothorax?Tension pneumothorax is classically characterized by hypotension and hypoxia. On examination, breath sounds are absent on the affected hemothorax and the trachea deviates away from the affected side. The thorax may also be hyperresonant; jugular venous distention and tachycardia may be present.
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A nurse is caring for a client following a bronchoscopy. which of the following findings
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