Congratulations! The commitment to pursue certification reflects professionalism and a desire to demonstrate that you have obtained the knowledge required to be a skilled and competent medical-surgical nurse. This book is a good step toward that process. Medical-Surgical Certificiation Examination: Pearls of Wisdom has been designed to help you improve your performance on the Certified Medical-Surgical Nurse examination as well as help you identify some weak areas in your nursing knowledge. The format of this book is different than most of the common preparation review books in that you are not asked to select the best answer. Instead, the answer is provided for you. We have found.