NUR 201 Med-Surg Final Exam 2026 | Most Tested Questions &
Verified Answers | Latest Update | Graded A+
1. Describe the implications of SIADH on fluid balance in the body.
SIADH causes increased urine output and dehydration.
SIADH leads to water retention and dilutional hyponatremia due to
excessive ADH.
SIADH has no significant impact on fluid balance.
SIADH results in low blood pressure and high sodium levels.
2. If a patient is only consuming 1 liter of fluid daily, what nursing intervention
would you recommend to reduce their risk of bladder infections?
Suggest the patient take cranberry supplements instead of increasing
fluid intake.
Advise the patient to reduce their fluid intake to avoid frequent
urination.
Encourage the patient to increase their fluid intake to at least 2 liters
daily.
Instruct the patient to limit fluid intake to 1 liter to prevent bladder
strain.
3. The nurse is caring for a client with an internal radiation implant. When caring
for the client, the nurse should observe which principle?
Remove the dosimeter film badge when entering the room
Individuals younger than 16 years old may be allowed to go in the
room as long as they are 6 feet away from the client
Limit the time with client to 1 hour per shift
, Do not allow pregnant women into the clients room
4. What is a key instruction for patients regarding the timing of corticosteroid
medication intake?
Take the medication only when symptoms occur.
Take the medication at bedtime.
Take the medication with food.
Take the medication in the morning.
5. If a patient experiences a significant drop in cardiac output due to heart
failure, what impact might this have on kidney function?
No impact on kidney function due to compensatory mechanisms.
Increased kidney filtration and improved waste elimination.
Reduced kidney perfusion and potential renal impairment.
Enhanced fluid retention and decreased urine output.
6. Describe the importance of monitoring for complications after a
prostatectomy.
Monitoring for complications is crucial to ensure early detection of
issues such as infection or bleeding.
Patients should not be monitored after discharge.
Complications can only be detected through imaging studies.
Monitoring is unnecessary as complications are rare.
7. Which client teaching instruction should be included for a client receiving
corticosteroids?
"Discontinue the medication gradually by tapering the dose."
, "Stop taking the medication if moon face or buffalo hump occur."
"Avoid going out in the sun without using a sunblock."
"Take the medication on an empty stomach."
8. Describe the role of glucocorticoids in the management of patients post-
adrenalectomy.
Glucocorticoids help in pain management during recovery.
Glucocorticoids are used to treat infections that may arise after
surgery.
Glucocorticoids are administered to compensate for the loss of
adrenal hormones and maintain homeostasis.
Glucocorticoids are given to enhance the healing of surgical wounds.
9. If a patient has no other problems and has taken Dilantin for years, what
supplement should they take:
Folic acid
Calicum
Fe
B12
10. Serum tumor markers that may be elevated on diagnosis of cancer of the
testicle and used to monitor the response to therapy include:
tumor necrosis factor and C-reactive protein
alpha fetoprotein and human chorionic gonadotropin
prostate-specific antigen and prostate acid phosphatase
carcinoembryonic antigens and antinuclear antibodies
, 11. Why might a patient with Guillain-Barre syndrome require mechanical
ventilation?
Because it is a standard procedure for all neurological disorders.
Because the syndrome causes excessive urination.
Because the syndrome can lead to respiratory muscle weakness.
Because the patient will need to be sedated during treatment.
12. What is the most prevalent form of hyperthyroidism?
Cushing's syndrome
Hashimoto's thyroiditis
Thyroid cancer
Graves' disease
13. It is a priority to perform and evaluate which assessment before the nurse
administers terazosin to a patient who has been diagnosed with BPH?
temperature
BP
respirations
bladder distention
14. Describe the importance of radiation safety protocols in the care of patients
with internal radiation implants.
Radiation safety protocols are only necessary during the initial
treatment phase.
Radiation safety protocols are crucial to protect both the patient
and healthcare staff from unnecessary exposure to radiation.
Verified Answers | Latest Update | Graded A+
1. Describe the implications of SIADH on fluid balance in the body.
SIADH causes increased urine output and dehydration.
SIADH leads to water retention and dilutional hyponatremia due to
excessive ADH.
SIADH has no significant impact on fluid balance.
SIADH results in low blood pressure and high sodium levels.
2. If a patient is only consuming 1 liter of fluid daily, what nursing intervention
would you recommend to reduce their risk of bladder infections?
Suggest the patient take cranberry supplements instead of increasing
fluid intake.
Advise the patient to reduce their fluid intake to avoid frequent
urination.
Encourage the patient to increase their fluid intake to at least 2 liters
daily.
Instruct the patient to limit fluid intake to 1 liter to prevent bladder
strain.
3. The nurse is caring for a client with an internal radiation implant. When caring
for the client, the nurse should observe which principle?
Remove the dosimeter film badge when entering the room
Individuals younger than 16 years old may be allowed to go in the
room as long as they are 6 feet away from the client
Limit the time with client to 1 hour per shift
, Do not allow pregnant women into the clients room
4. What is a key instruction for patients regarding the timing of corticosteroid
medication intake?
Take the medication only when symptoms occur.
Take the medication at bedtime.
Take the medication with food.
Take the medication in the morning.
5. If a patient experiences a significant drop in cardiac output due to heart
failure, what impact might this have on kidney function?
No impact on kidney function due to compensatory mechanisms.
Increased kidney filtration and improved waste elimination.
Reduced kidney perfusion and potential renal impairment.
Enhanced fluid retention and decreased urine output.
6. Describe the importance of monitoring for complications after a
prostatectomy.
Monitoring for complications is crucial to ensure early detection of
issues such as infection or bleeding.
Patients should not be monitored after discharge.
Complications can only be detected through imaging studies.
Monitoring is unnecessary as complications are rare.
7. Which client teaching instruction should be included for a client receiving
corticosteroids?
"Discontinue the medication gradually by tapering the dose."
, "Stop taking the medication if moon face or buffalo hump occur."
"Avoid going out in the sun without using a sunblock."
"Take the medication on an empty stomach."
8. Describe the role of glucocorticoids in the management of patients post-
adrenalectomy.
Glucocorticoids help in pain management during recovery.
Glucocorticoids are used to treat infections that may arise after
surgery.
Glucocorticoids are administered to compensate for the loss of
adrenal hormones and maintain homeostasis.
Glucocorticoids are given to enhance the healing of surgical wounds.
9. If a patient has no other problems and has taken Dilantin for years, what
supplement should they take:
Folic acid
Calicum
Fe
B12
10. Serum tumor markers that may be elevated on diagnosis of cancer of the
testicle and used to monitor the response to therapy include:
tumor necrosis factor and C-reactive protein
alpha fetoprotein and human chorionic gonadotropin
prostate-specific antigen and prostate acid phosphatase
carcinoembryonic antigens and antinuclear antibodies
, 11. Why might a patient with Guillain-Barre syndrome require mechanical
ventilation?
Because it is a standard procedure for all neurological disorders.
Because the syndrome causes excessive urination.
Because the syndrome can lead to respiratory muscle weakness.
Because the patient will need to be sedated during treatment.
12. What is the most prevalent form of hyperthyroidism?
Cushing's syndrome
Hashimoto's thyroiditis
Thyroid cancer
Graves' disease
13. It is a priority to perform and evaluate which assessment before the nurse
administers terazosin to a patient who has been diagnosed with BPH?
temperature
BP
respirations
bladder distention
14. Describe the importance of radiation safety protocols in the care of patients
with internal radiation implants.
Radiation safety protocols are only necessary during the initial
treatment phase.
Radiation safety protocols are crucial to protect both the patient
and healthcare staff from unnecessary exposure to radiation.
