Exam 2: NUR209/ NUR 209 (2026/ 2027
Update) Medical Surgical Nursing II| Review
with Questions and Verified Answers| 100%
Correct| Grade A – Fortis
Which method is best to use when confirming initial placement of a blindly
inserted small-bore NG feeding tube?
a. x-ray.
b. air insufflation.
c. observing patient for coughing.
d. pH measurement of gastric aspirate. - ANSWER a.
x-ray.
A patient is receiving peripheral parenteral nutrition. The parenteral nutrition
solution is completed before the new solution arrives on the unit. The nurse gives
a. 20% intralipids.
b. 5% dextrose solution.
c. 0.45% normal saline solution.
d. 5% lactated Ringer's solution. - ANSWER b. 5%
dextrose solution.
A patient with anorexia nervosa shows signs of malnutrition. During initial
refeeding, the nurse carefully assesses the patient for
,a. hyperkalemia.
b. hypoglycemia.
c. hypercalcemia.
d. hypophosphatemia. - ANSWER d.
hypophosphatemia.
A patient was admitted with a fractured hip after being found on the floor of her
home. She was extremely malnourished and started on parenteral nutrition (PN) 3
days ago. Which assessment finding would be of most concern to the nurse?
Blood glucose level of 125 mg/dL
Serum phosphate level of 1.9 mg/dL
White blood cell count of 10,500/µL
Serum potassium level of 4.6 mEq/L - ANSWER
Serum phosphate level of 1.9 mg/dL
A patient is admitted with anorexia nervosa and a serum potassium level of 2.4
mEq/L. What complication is most important for the nurse to observe for in this
patient?
Muscle weakness
Cardiac dysrhythmias
Increased urine output
Anemia and leukopenia - ANSWER Cardiac
dysrhythmias
, A patient who has sustained severe burns in a motor vehicle accident is starting
parenteral nutrition (PN). Which principle should guide the nurse's administration
of PN?
Administration of PN requires clean technique.
Central PN requires rapid dilution in a large volume of blood.
Peripheral PN delivery is preferred over the use of a central line.
Only water-soluble medications may be added to the PN by the nurse. -
ANSWER Central PN requires rapid dilution in a large
volume of blood.
Which focused assessments would have priority in the care of a patient recently
started on parenteral nutrition (PN)?
Skin integrity and skin turgor
Electrolyte levels and daily weights
Auscultation of lung and bowel sounds
Peripheral edema and level of consciousness - ANSWER
Electrolyte levels and daily weights
The patient has parenteral nutrition (PN) infusing with amino acids and dextrose.
During shift change, the nurse reports the tubing, bag, and dressing were changed
20 hours ago. What care should the incoming nurse plan to deliver (select all that
apply.)?
Giving the patient insulin if needed
Ensuring that the next bag has been ordered
Checking amount of solution left in the bag
Assessing the insertion site and change the tubing
Verifying the accuracy of the new solution and ingredients - ANSWER
Ensuring that the next bag has been ordered
Update) Medical Surgical Nursing II| Review
with Questions and Verified Answers| 100%
Correct| Grade A – Fortis
Which method is best to use when confirming initial placement of a blindly
inserted small-bore NG feeding tube?
a. x-ray.
b. air insufflation.
c. observing patient for coughing.
d. pH measurement of gastric aspirate. - ANSWER a.
x-ray.
A patient is receiving peripheral parenteral nutrition. The parenteral nutrition
solution is completed before the new solution arrives on the unit. The nurse gives
a. 20% intralipids.
b. 5% dextrose solution.
c. 0.45% normal saline solution.
d. 5% lactated Ringer's solution. - ANSWER b. 5%
dextrose solution.
A patient with anorexia nervosa shows signs of malnutrition. During initial
refeeding, the nurse carefully assesses the patient for
,a. hyperkalemia.
b. hypoglycemia.
c. hypercalcemia.
d. hypophosphatemia. - ANSWER d.
hypophosphatemia.
A patient was admitted with a fractured hip after being found on the floor of her
home. She was extremely malnourished and started on parenteral nutrition (PN) 3
days ago. Which assessment finding would be of most concern to the nurse?
Blood glucose level of 125 mg/dL
Serum phosphate level of 1.9 mg/dL
White blood cell count of 10,500/µL
Serum potassium level of 4.6 mEq/L - ANSWER
Serum phosphate level of 1.9 mg/dL
A patient is admitted with anorexia nervosa and a serum potassium level of 2.4
mEq/L. What complication is most important for the nurse to observe for in this
patient?
Muscle weakness
Cardiac dysrhythmias
Increased urine output
Anemia and leukopenia - ANSWER Cardiac
dysrhythmias
, A patient who has sustained severe burns in a motor vehicle accident is starting
parenteral nutrition (PN). Which principle should guide the nurse's administration
of PN?
Administration of PN requires clean technique.
Central PN requires rapid dilution in a large volume of blood.
Peripheral PN delivery is preferred over the use of a central line.
Only water-soluble medications may be added to the PN by the nurse. -
ANSWER Central PN requires rapid dilution in a large
volume of blood.
Which focused assessments would have priority in the care of a patient recently
started on parenteral nutrition (PN)?
Skin integrity and skin turgor
Electrolyte levels and daily weights
Auscultation of lung and bowel sounds
Peripheral edema and level of consciousness - ANSWER
Electrolyte levels and daily weights
The patient has parenteral nutrition (PN) infusing with amino acids and dextrose.
During shift change, the nurse reports the tubing, bag, and dressing were changed
20 hours ago. What care should the incoming nurse plan to deliver (select all that
apply.)?
Giving the patient insulin if needed
Ensuring that the next bag has been ordered
Checking amount of solution left in the bag
Assessing the insertion site and change the tubing
Verifying the accuracy of the new solution and ingredients - ANSWER
Ensuring that the next bag has been ordered
