MED SURG III FINAL EXAM NSG233 FINAL
EXAM 2026-2027 QUESTIONS WITH
CORRECT DETAILED ANSWERS WITH
RATIONALES
A |client |has |been |admitted |to |the |hospital |for |Gastroenteritis |and |dehydration.
|The |nurse |determines |that |the |client |has |received |adequate |volume
|replacement |if |the |blood |urea |nitrogen |(BUN) |level |drop |to |which |value?
A. |3mg/dL
B. |15mg/dL
C. |29 |mg/dL
D. |35mg/dL
B. |15mg/dL
1
,Rationale:
The |normal |BUN |level |is |10 |to |20 |mg/dL. |Values |of |29mg/dL |and |35mg/dL |reflect
|continued |dehydration. |A |value |of |3mg/dL |reflects |a |lower |than |normal |value,
|which |may |occur |with |fluid |volume |overload, |among |other |conditions.
The |nurse |is |teaching |a |client |who |has |iron |deficiency |anemia |about |foods |she
|should |include |in |their |diet. |The |nurse |determines |that |the |client |understands
|the |dietary |modifications |if |which |items |are |selected |from |the |menu?
A. |Nuts |and |milk
B. |Coffee |and |tea
C. |Cooked |rolled |oats |and |fish
D. |Oranges |and |dark |green |leafy |vegetables
D. |Oranges |and |dark |green |leafy |vegetables.
| Rationale:
Dark |green |leafy |vegetables |are |a |good |source |of |iron, |and |oranges |are |a |good
|source |of |Vitamin |C, |which |enhances |iron |absorption. |All |other |options |are |not
|high |enough |in |iron |and |Vitamin |C.
The |nurse |instructs |a |client |with |Chronic |Kidney |Disease |(CKD) |who |is |receiving
|hemodialysis |about |dietary |modifications. |The |nurse |determines |the |client
|understand |these |dietary |modifications |if |the |client |selects |which |item |from |the
|dietary |menu?
A. |Cream |of |wheat, |blueberries, |coffee
B. |Sausage |and |eggs, |banana, |orange |juice
C. |Bacon, |cantaloupe |melon, |tomato |juice
D. |Cured |pork, |grits, |strawberries, |orange |juice
A. |Cream |of |wheat, |blueberries, |coffee
| Rationale:
The |diet |for |a |client |which |Chronic |Kidney |Disease |who |is |receiving |hemodiaylsis
|should |include |controlled |amounts |of |sodium, |phosphorus, |calcium, |potassium,
|and |fluids. |The |food |items |in |the |remaining |options |are |high |in |sodium,
|phosphorus, |and/or |potassium
The |nurse |is |caring |for |a |client |with |Cirrhosis |of |the |liver. |To |minimize |the
|effects |of |the |disorder, |the |nurse |teaches |about |foods |that |are |high |in
|Thiamine. |The |nurse |understanding |of |the |dietary |measures |to |follow |if |the
MED |SURG |III 2
,| client |states |an
MED |SURG |III 3
, intention |to |increase |the |intake |of |which |food?
A. |Milk
B. |Chicken
C. |Broccoli
D. |Legumes
D. |Legume
| Rationale:
The |client |with |cirrhosis |needs |to |consume |foods |high |in |Thiamine. |Legumes |are
|especially |rich |in |Thiamine. |Other |good |food |sources |include |nuts, |whole |grain
|cereals, |and |pork.
The |nurse |is |providing |instructions |to |a |client |and |the |family |regarding |home
|care |after |right |eye |cataract |removal. |Which |statement |by |the |client |would
|indicate |an |understanding |of |the |instructions?
A. |"I |should |sleep |on |my |left |side."
B. |"I |should |sleep |on |my |right |side."
C. |"I |should |sleep |with |my |head |flat."
D. |"I |should |not |wear |my |glasses |at |any |time."
A. |"I |should |sleep |on |my |left |side."
| Rationale:
After |cataract |surgery, |the |client |should |not |sleep |on |the |side |of |the |body |that
|was |operated |on |to |prevent |edema |formation |and |intraocular |pressure. |The
|client |should |be |placed |in |a |semi-fowler's |position |to |assist |in |minimizing |edema
|and |intraocular |pressure. |During |the |day, |the |client |may |wear |glasses |or |a
|protective |shield; |at |night, |the |protective |shield |alone |is |sufficient.
A |2-year |old |child |is |treated |in |the |ER |for |a |burn |to |the |chest |and |abdomen. |The
|child |sustained |the |burn |by |grabbing |a |cup |of |hot |coffee |that |was |left |on |the
|kitchen |counter. |The |nurse |reviews |safety |principles |with |the |parents |before
|discharge. |Which |statement |by |the |parents |indicated |an |understanding |of
|measures |to |provide |safety |in |the |home?
A. |"We |will |be |sure |not |to |leave |hot |liquids |unattended."
B. |"I |guess |our |children |need |to |understand |what |the |words |hot |means."
MED |SURG |III 4
EXAM 2026-2027 QUESTIONS WITH
CORRECT DETAILED ANSWERS WITH
RATIONALES
A |client |has |been |admitted |to |the |hospital |for |Gastroenteritis |and |dehydration.
|The |nurse |determines |that |the |client |has |received |adequate |volume
|replacement |if |the |blood |urea |nitrogen |(BUN) |level |drop |to |which |value?
A. |3mg/dL
B. |15mg/dL
C. |29 |mg/dL
D. |35mg/dL
B. |15mg/dL
1
,Rationale:
The |normal |BUN |level |is |10 |to |20 |mg/dL. |Values |of |29mg/dL |and |35mg/dL |reflect
|continued |dehydration. |A |value |of |3mg/dL |reflects |a |lower |than |normal |value,
|which |may |occur |with |fluid |volume |overload, |among |other |conditions.
The |nurse |is |teaching |a |client |who |has |iron |deficiency |anemia |about |foods |she
|should |include |in |their |diet. |The |nurse |determines |that |the |client |understands
|the |dietary |modifications |if |which |items |are |selected |from |the |menu?
A. |Nuts |and |milk
B. |Coffee |and |tea
C. |Cooked |rolled |oats |and |fish
D. |Oranges |and |dark |green |leafy |vegetables
D. |Oranges |and |dark |green |leafy |vegetables.
| Rationale:
Dark |green |leafy |vegetables |are |a |good |source |of |iron, |and |oranges |are |a |good
|source |of |Vitamin |C, |which |enhances |iron |absorption. |All |other |options |are |not
|high |enough |in |iron |and |Vitamin |C.
The |nurse |instructs |a |client |with |Chronic |Kidney |Disease |(CKD) |who |is |receiving
|hemodialysis |about |dietary |modifications. |The |nurse |determines |the |client
|understand |these |dietary |modifications |if |the |client |selects |which |item |from |the
|dietary |menu?
A. |Cream |of |wheat, |blueberries, |coffee
B. |Sausage |and |eggs, |banana, |orange |juice
C. |Bacon, |cantaloupe |melon, |tomato |juice
D. |Cured |pork, |grits, |strawberries, |orange |juice
A. |Cream |of |wheat, |blueberries, |coffee
| Rationale:
The |diet |for |a |client |which |Chronic |Kidney |Disease |who |is |receiving |hemodiaylsis
|should |include |controlled |amounts |of |sodium, |phosphorus, |calcium, |potassium,
|and |fluids. |The |food |items |in |the |remaining |options |are |high |in |sodium,
|phosphorus, |and/or |potassium
The |nurse |is |caring |for |a |client |with |Cirrhosis |of |the |liver. |To |minimize |the
|effects |of |the |disorder, |the |nurse |teaches |about |foods |that |are |high |in
|Thiamine. |The |nurse |understanding |of |the |dietary |measures |to |follow |if |the
MED |SURG |III 2
,| client |states |an
MED |SURG |III 3
, intention |to |increase |the |intake |of |which |food?
A. |Milk
B. |Chicken
C. |Broccoli
D. |Legumes
D. |Legume
| Rationale:
The |client |with |cirrhosis |needs |to |consume |foods |high |in |Thiamine. |Legumes |are
|especially |rich |in |Thiamine. |Other |good |food |sources |include |nuts, |whole |grain
|cereals, |and |pork.
The |nurse |is |providing |instructions |to |a |client |and |the |family |regarding |home
|care |after |right |eye |cataract |removal. |Which |statement |by |the |client |would
|indicate |an |understanding |of |the |instructions?
A. |"I |should |sleep |on |my |left |side."
B. |"I |should |sleep |on |my |right |side."
C. |"I |should |sleep |with |my |head |flat."
D. |"I |should |not |wear |my |glasses |at |any |time."
A. |"I |should |sleep |on |my |left |side."
| Rationale:
After |cataract |surgery, |the |client |should |not |sleep |on |the |side |of |the |body |that
|was |operated |on |to |prevent |edema |formation |and |intraocular |pressure. |The
|client |should |be |placed |in |a |semi-fowler's |position |to |assist |in |minimizing |edema
|and |intraocular |pressure. |During |the |day, |the |client |may |wear |glasses |or |a
|protective |shield; |at |night, |the |protective |shield |alone |is |sufficient.
A |2-year |old |child |is |treated |in |the |ER |for |a |burn |to |the |chest |and |abdomen. |The
|child |sustained |the |burn |by |grabbing |a |cup |of |hot |coffee |that |was |left |on |the
|kitchen |counter. |The |nurse |reviews |safety |principles |with |the |parents |before
|discharge. |Which |statement |by |the |parents |indicated |an |understanding |of
|measures |to |provide |safety |in |the |home?
A. |"We |will |be |sure |not |to |leave |hot |liquids |unattended."
B. |"I |guess |our |children |need |to |understand |what |the |words |hot |means."
MED |SURG |III 4
