Med Surge Exam 2
Med Surge Exam 2
Study online at https://quizlet.com/_gk3w90
1. The nurse is reinforcing discharge instructions with "You will need to wear a
a client who has active pulmonary tuberculosis (TB). mask when going out in
Which of the following infection control guidelines public."
should the nurse include?
2. The nurse is talking to a group of older adult clients A decrease in lung elastic-
about respiratory system changes that occur with ag- ity.
ing. Which of the following respiratory changes is ex-
pected in the aging process?
3. The nurse is caring for a client who has pleurisy and "Splint your chest wall with
has a persistent cough and reports severe pain while a pillow when you cough."
coughing. Which of the following instructions should
the nurse provide to the client to help reduce discom-
fort?
4. The nurse is caring for a client who reports a runny Ask the client to describe
nose and facial pain. Which of the following actions is their sinus drainage color
appropriate for the nurse to take? and odor.
5. The nurse is caring for a client who had a tonsillectomy Notify the primary health
for recurrent tonsillitis 4 hours ago. The nurse notes care provider (PCHP) im-
that the client is frequently swallowing and clearing mediately
their throat. Which of the following actions is appro-
priate for the nurse to take?
6. The nurse is caring for a client who appears to be hav- The client has a sudden
ing an asthma attack. Which of the following findings absence of wheezing.
observed by the nurse requires immediate interven-
tion?
7. he nurse is contributing to a plan of care for a 1345
client who has chronic obstructive pulmonary disease
1/8
9/18/2026, 12:56:21 PM
, Med Surge Exam 2
Med Surge Exam 2
Study online at https://quizlet.com/_gk3w90
(COPD). The nurse should recommend which interven-
tions from the box below in the plan?
8. The nurse has obtained vital signs (VS) at 1200 hours Administer oxygen as pre-
for an older adult client who has pneumonia and is scribed.
experiencing increased restlessness and confusion.
Which of the following nursing interventions is a pri-
ority for the nurse to take?
9. The nurse is caring for a client who is suspected to Sudden hypoxia.
have a pulmonary embolus (PE). The nurse knows that
which of the following is a clinical manifestation of PE?
10. The nurse is caring for a client who has chronic ob- Apply oxygen 2 L via nasal
structive pulmonary disease (COPD) and is experienc- cannula.
ing dyspnea and cyanosis and has an SaO ₂ of 84%.
Which of the following actions should the nurse take?
11. The nurse is caring for a client who has pneumonia and Pain when breathing.
is demonstrating severe dyspnea. The client's SaO₂ is
89%, pulse (P) is 112, and respirations (R) are 26. Which
of the following findings indicates that the client has
likely developed pleurisy as a result of the pneumonia?
12. The nurse is caring for a client who is scheduled for Withdrawing fluid from
a thoracentesis. Which of the following information the pleural space.
should the nurse reinforce with the client as the pri-
mary purpose for this procedure?
13. The nurse is caring for a client who has a positive "You have been infected
purified protein derivative (Mantoux/tuberculin skin with tuberculosis."
test). Which of the following responses by the nurse is
appropriate?
2/8
9/18/2026, 12:56:21 PM
Med Surge Exam 2
Study online at https://quizlet.com/_gk3w90
1. The nurse is reinforcing discharge instructions with "You will need to wear a
a client who has active pulmonary tuberculosis (TB). mask when going out in
Which of the following infection control guidelines public."
should the nurse include?
2. The nurse is talking to a group of older adult clients A decrease in lung elastic-
about respiratory system changes that occur with ag- ity.
ing. Which of the following respiratory changes is ex-
pected in the aging process?
3. The nurse is caring for a client who has pleurisy and "Splint your chest wall with
has a persistent cough and reports severe pain while a pillow when you cough."
coughing. Which of the following instructions should
the nurse provide to the client to help reduce discom-
fort?
4. The nurse is caring for a client who reports a runny Ask the client to describe
nose and facial pain. Which of the following actions is their sinus drainage color
appropriate for the nurse to take? and odor.
5. The nurse is caring for a client who had a tonsillectomy Notify the primary health
for recurrent tonsillitis 4 hours ago. The nurse notes care provider (PCHP) im-
that the client is frequently swallowing and clearing mediately
their throat. Which of the following actions is appro-
priate for the nurse to take?
6. The nurse is caring for a client who appears to be hav- The client has a sudden
ing an asthma attack. Which of the following findings absence of wheezing.
observed by the nurse requires immediate interven-
tion?
7. he nurse is contributing to a plan of care for a 1345
client who has chronic obstructive pulmonary disease
1/8
9/18/2026, 12:56:21 PM
, Med Surge Exam 2
Med Surge Exam 2
Study online at https://quizlet.com/_gk3w90
(COPD). The nurse should recommend which interven-
tions from the box below in the plan?
8. The nurse has obtained vital signs (VS) at 1200 hours Administer oxygen as pre-
for an older adult client who has pneumonia and is scribed.
experiencing increased restlessness and confusion.
Which of the following nursing interventions is a pri-
ority for the nurse to take?
9. The nurse is caring for a client who is suspected to Sudden hypoxia.
have a pulmonary embolus (PE). The nurse knows that
which of the following is a clinical manifestation of PE?
10. The nurse is caring for a client who has chronic ob- Apply oxygen 2 L via nasal
structive pulmonary disease (COPD) and is experienc- cannula.
ing dyspnea and cyanosis and has an SaO ₂ of 84%.
Which of the following actions should the nurse take?
11. The nurse is caring for a client who has pneumonia and Pain when breathing.
is demonstrating severe dyspnea. The client's SaO₂ is
89%, pulse (P) is 112, and respirations (R) are 26. Which
of the following findings indicates that the client has
likely developed pleurisy as a result of the pneumonia?
12. The nurse is caring for a client who is scheduled for Withdrawing fluid from
a thoracentesis. Which of the following information the pleural space.
should the nurse reinforce with the client as the pri-
mary purpose for this procedure?
13. The nurse is caring for a client who has a positive "You have been infected
purified protein derivative (Mantoux/tuberculin skin with tuberculosis."
test). Which of the following responses by the nurse is
appropriate?
2/8
9/18/2026, 12:56:21 PM
