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Med Surge 201 Final Study Guide 2026 – Med Surge 201 – Complete Final Exam Questions and Answers

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This study guide covers key Medical-Surgical Nursing concepts for the Med Surge 201 final exam in a question-and-answer format. It includes endocrine, liver, gastrointestinal, pancreatic, urinary, and renal disorders, along with nursing interventions, medications, laboratory values, postoperative care, and NCLEX-style review content. The material is organized to reinforce high-yield exam topics and provides concise explanations for many answers. It serves as a comprehensive review resource for final exam preparation. Keywords Graves disease Hyperthyroidism Hypothyroidism Thyroidectomy Thyroid storm Levothyroxine Liver cirrhosis Hepatitis Hepatic encephalopathy Esophageal varices Ascites Pancreatitis Cholecystectomy Gallstones Paracentesis ERCP Kidney disease Acute kidney injury Chronic kidney disease Glomerulonephritis Hemodialysis Peritoneal dialysis Electrolyte imbalance Renal failure Nursing interventions Laboratory values Pharmacology Exam questions Practice answers

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Med surge 201 Final study
guide 2026 Exam Questions
and Answers | Already Graded
A+



A patient with Graves' disease is admitted to the emergency department

with thyroid storm. Which of these prescribed medications should the

nurse administer first? - ANSWER ✔✔propranolol (Inderal)




bg-adrenergic blockers work rapidly to decrease the cardiovascular

manifestations of thyroid storm. The other medications take days to

weeks to have an impact on thyroid function

,A patient with hyperthyroidism is treated with radioactive iodine (RAI) at

a clinic. Before the patient is discharged, the nurse instructs the patient -

ANSWER ✔✔symptoms of hypothyroidism may occur as the RAI

therapy takes effect.




There is a high incidence of postradiation hypothyroidism after RAI, and

the patient should be monitored for symptoms of hypothyroidism. RAI

has a delayed response, with the maximum effect not seen for 2 to 3

months, and the patient will continue to take antithyroid medications

during this time. The therapeutic dose of radioactive iodine is low

enough that no radiation safety precautions are needed.

What should a patient avoid after having radioiodine treatment? (select

all that apply) - ANSWER ✔✔children, travel, sharing a toilet, kissing




Should try to stay at least 3 feet away from people. Therefore, not a

good idea to travel for long trips in car or airplane with others. Helpful to

drink a lot of fluids to help flush the RAI out of the system.

A patient who returned from a thyroidectomy notices a trach tray in the

room. She asks the nurse if she will need a trach. What is the best

,response by the nurse? - ANSWER ✔✔"If you have swelling in your

neck that makes it difficult to breathe, you may need a trach."

What S&S would cause the nurse to think the levothyroxine dose is too

high? - ANSWER ✔✔Pulse rate 110


Complaints of chest pain

Patient is agitated

Which intervention would be helpful for a person experiencing

hyperparathyroidism? - ANSWER ✔✔Drink at least 3L of fluid each

day

Which medication would be helpful for a person with a decreased T3 and

T4? - ANSWER ✔✔Levothyroxine


Which S&S could indicate bleeding after a thyroidectomy? -

ANSWER ✔✔Frequent swallowing


Wetness behind patient neck

tachycardia

Which sign is characteristic of a person experiencing thyroid storm? -

ANSWER ✔✔Dehydration




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, The nurse tells you in report that a 1-day post-op thyroidectomy patient

received IV calcium gluconate. What assessment will take priority based

on this information? - ANSWER ✔✔Respiratory


s/s of hyperthyroidism - ANSWER ✔✔increased appetite


eyelid retraction

weight loss

diarrhea

protrusion of eyelids

intolerance to heat

irritability and agitation


s/s of hypothyroidism - ANSWER ✔✔constipation


dry coarse hair and skin

forgetfullness

pallid puffy face

SOB with exhale

intolerance to cold

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