Exam Final: NUR209/ NUR 209 (2026/ 2027
Update) Medical Surgical Nursing II| Review
with Questions and Verified Answers| 100%
Correct| Grade A – Fortis
A nurse is caring for a client who has chronic venous insufficiency and a
prescription for thigh high compression stockings. Which action should the nurse
take?
a. elevate legs for 10 min, 2-3 times a day while wearing stockings
b. apply the stockings in the morning upon awakening and before getting out of
bed
c. roll the stockings down to the knees to relieve discomfort on the legs
d. remove the stockings while out of bed for 1 hour, 4 times a day, to allow the legs
to rest - ANSWER B. Applying the stockings in the
morning upon waking up before getting out of bed reduces venous stasis and
assists in the venous return of blood to the heart.
A nurse is assessing a client who has PAD. Which of the following should the
nurse expect?
a. edema around ankles and feet
b. ulceration around the medial malleoli
c. scaling edema of the lower legs with stasis dermatitis
d. pallor on elevation of the limbs, and rubber when the limbs are dependent -
ANSWER D. In a client who has PAD, pallor is seen in the
extremities when the limbs are elevated, and rubor occurs when they are lowered
,A nurse is teaching a client who has a new diagnosis of severe peripheral arterial
disease. Which should the nurse include?
a. Wear tightly fitting insulated socks with shoes when going outside
b. elevate both legs above heart when resting
c. apply a heating pad to both legs for comfort
d. place both legs in dependent position while sleeping - ANSWER
D. Such as hanging off of the bed. This can alleviate swelling and discomfort of
the legs
A nurse is teaching a client who has a new prescription for clopidogrel. Select all
that the nurse should include.
a. avoid consumption of grapefruit
b. monitor black and tarry stools
c. take this when you have pain
d. schedule weekly PT test
e. Limit food sources containing vit. K while taking this - ANSWER
A, B
A nurse is caring for a client who has a DVT and has been taking heparin for a
week. Two days ago, the provider also prescribed warfarin. The client asks the
nurse about receiving both at the same time. What should the nurse say?
a. I will remind your provider that you are already receiving heparin
b. your lab findings indicate that 2 anticoagulants are needed
c. it takes 3-4 days for the therapeutic effects of warfarin, and then heparin can be
discontinued
d. only one of these medications are being given to treat your DVT -
ANSWER C. warfarin depresses synthesis of clotting factors
but does not have an effect on clotting factors that are present. It takes 3-4 days for
the clotting factors that are present to decay and for the therapeutic effects of
warfarin to occur.
,A nurse in an outpatient clinic is assessing a client who reports night sweats and
fatigue. He states he had a cough along with nausea and diarrhea. His temperature
is 38.1 C orally. The client is afraid he has HIV. Which action should the nurse
take? Select all that apply.
a. perform a physical assessment
b. determine when s/s began
c. teach the client about HIV transmission
d. draw blood for HIV testing
e. obtain a sexual history - ANSWER a, b, e
a nurse is caring for a client who is suspected of having HIV. The nurse should
identify that which of the following DX tests and lab values are used to confirm
HIV infection? Select all that apply.
a. western blot
b. Indirect immunofluorescence assay
c. CD4+ T-lymphocyte count
d. HIV RNA quantification test
e. CSF analysis - ANSWER a, b
a nurse is providing teaching for a client who has stage 3 HIV disease. Which of
the following statements by the client should indicate to the nurse an understanding
of the teaching?
a. I will wear gloves while changing the kitty litter
b. I will rinse raw fruits with water before eating them
c. I will wear a mask when around family members who are ill
d. I will cook vegetables before eating them - ANSWER D,
no raw fruits/veggies
, A nurse is assessing a client for HIV. Which are risk factors? Select all that apply.
a. perinatal exposure
b. pregnancy
c. monogamous sex partner
d. older woman adult
e. occupational exposure - ANSWER A, D, E
A nurse is providing teaching for a client who has stage 2 HIV and is having
difficulty maintaining a normal weight. Which of the following statements by the
client should indicate to the nurse an understanding of the teaching?
a. I will choose to diet high in fat to help gain weight
b. I will be sure to eat 3 large meals a day
c. I will drink up to 1 liter of fluid a day
d. I will add high-protein foods to my diet - ANSWER D.
high protein and high calorie is the best way to gain weight and maintain health
Which instruction should the nurse discuss with the client diagnosed with
Raynaud's phenomenon?
1.Explain exacerbations will not occur in the summer.
2. Use nicotine gum to help quit smoking.
3.Wear extra-warm clothing during cold exposure.
4.Avoid prolonged exposure to direct sunlight. - ANSWER
3. Raynaud's phenomenon is a form of intermittent arteriolar vasoconstriction that
results in coldness, pain, and pallor of fingertips or toes; therefore, the client
should keep warm to prevent vasoconstriction of the extremities.
Update) Medical Surgical Nursing II| Review
with Questions and Verified Answers| 100%
Correct| Grade A – Fortis
A nurse is caring for a client who has chronic venous insufficiency and a
prescription for thigh high compression stockings. Which action should the nurse
take?
a. elevate legs for 10 min, 2-3 times a day while wearing stockings
b. apply the stockings in the morning upon awakening and before getting out of
bed
c. roll the stockings down to the knees to relieve discomfort on the legs
d. remove the stockings while out of bed for 1 hour, 4 times a day, to allow the legs
to rest - ANSWER B. Applying the stockings in the
morning upon waking up before getting out of bed reduces venous stasis and
assists in the venous return of blood to the heart.
A nurse is assessing a client who has PAD. Which of the following should the
nurse expect?
a. edema around ankles and feet
b. ulceration around the medial malleoli
c. scaling edema of the lower legs with stasis dermatitis
d. pallor on elevation of the limbs, and rubber when the limbs are dependent -
ANSWER D. In a client who has PAD, pallor is seen in the
extremities when the limbs are elevated, and rubor occurs when they are lowered
,A nurse is teaching a client who has a new diagnosis of severe peripheral arterial
disease. Which should the nurse include?
a. Wear tightly fitting insulated socks with shoes when going outside
b. elevate both legs above heart when resting
c. apply a heating pad to both legs for comfort
d. place both legs in dependent position while sleeping - ANSWER
D. Such as hanging off of the bed. This can alleviate swelling and discomfort of
the legs
A nurse is teaching a client who has a new prescription for clopidogrel. Select all
that the nurse should include.
a. avoid consumption of grapefruit
b. monitor black and tarry stools
c. take this when you have pain
d. schedule weekly PT test
e. Limit food sources containing vit. K while taking this - ANSWER
A, B
A nurse is caring for a client who has a DVT and has been taking heparin for a
week. Two days ago, the provider also prescribed warfarin. The client asks the
nurse about receiving both at the same time. What should the nurse say?
a. I will remind your provider that you are already receiving heparin
b. your lab findings indicate that 2 anticoagulants are needed
c. it takes 3-4 days for the therapeutic effects of warfarin, and then heparin can be
discontinued
d. only one of these medications are being given to treat your DVT -
ANSWER C. warfarin depresses synthesis of clotting factors
but does not have an effect on clotting factors that are present. It takes 3-4 days for
the clotting factors that are present to decay and for the therapeutic effects of
warfarin to occur.
,A nurse in an outpatient clinic is assessing a client who reports night sweats and
fatigue. He states he had a cough along with nausea and diarrhea. His temperature
is 38.1 C orally. The client is afraid he has HIV. Which action should the nurse
take? Select all that apply.
a. perform a physical assessment
b. determine when s/s began
c. teach the client about HIV transmission
d. draw blood for HIV testing
e. obtain a sexual history - ANSWER a, b, e
a nurse is caring for a client who is suspected of having HIV. The nurse should
identify that which of the following DX tests and lab values are used to confirm
HIV infection? Select all that apply.
a. western blot
b. Indirect immunofluorescence assay
c. CD4+ T-lymphocyte count
d. HIV RNA quantification test
e. CSF analysis - ANSWER a, b
a nurse is providing teaching for a client who has stage 3 HIV disease. Which of
the following statements by the client should indicate to the nurse an understanding
of the teaching?
a. I will wear gloves while changing the kitty litter
b. I will rinse raw fruits with water before eating them
c. I will wear a mask when around family members who are ill
d. I will cook vegetables before eating them - ANSWER D,
no raw fruits/veggies
, A nurse is assessing a client for HIV. Which are risk factors? Select all that apply.
a. perinatal exposure
b. pregnancy
c. monogamous sex partner
d. older woman adult
e. occupational exposure - ANSWER A, D, E
A nurse is providing teaching for a client who has stage 2 HIV and is having
difficulty maintaining a normal weight. Which of the following statements by the
client should indicate to the nurse an understanding of the teaching?
a. I will choose to diet high in fat to help gain weight
b. I will be sure to eat 3 large meals a day
c. I will drink up to 1 liter of fluid a day
d. I will add high-protein foods to my diet - ANSWER D.
high protein and high calorie is the best way to gain weight and maintain health
Which instruction should the nurse discuss with the client diagnosed with
Raynaud's phenomenon?
1.Explain exacerbations will not occur in the summer.
2. Use nicotine gum to help quit smoking.
3.Wear extra-warm clothing during cold exposure.
4.Avoid prolonged exposure to direct sunlight. - ANSWER
3. Raynaud's phenomenon is a form of intermittent arteriolar vasoconstriction that
results in coldness, pain, and pallor of fingertips or toes; therefore, the client
should keep warm to prevent vasoconstriction of the extremities.
