NSG 3800 Medical Surgical II Exam 3 Review of 300
Latest real exam questions and correct answers /
Galen NSG 3800 Adult Health 2 Exam 3 Prep 2026-
2027 (NSG 3800 Exam 3 med surge II)
Which information about dietary management should the nurse include when
teaching a patient with peptic ulcer disease (PUD)?
A. "Avoid foods that cause pain after you eat them."
B. "You should avoid eating any raw fruits and vegetables."
C. "High-protein foods are least likely to cause pain."
D. "You will need to remain on a bland diet."
A. "Avoid foods that cause pain after you eat them."
A young woman with Crohn's disease develops a fever and symptoms of a urinary
tract infection (UTI) with tan, fecal-smelling urine. What information will the
nurse add to this specific patient's teaching plan about UTls in order to
individualize the teaching for this patient?
A. Empty the bladder before and after sexual intercourse.
B. Bacteria in the perianal area can enter the urethra.
C. Drink adequate fluids to maintain normal hydration.
D. Fistulas can form between the bowel and bladder.
D. Fistulas can form between the bowel and bladder.
A young adult patient is admitted to the hospital for evaluation of right lower
quadrant abdominal pain with nausea and vomiting. Which action should the nurse
take?
A. Palpate the abdomen for rebound tenderness.
B. Suggest the patient lie on the side, flexing the right leg.
C. Encourage the patient to sip clear, noncarbonated liquids.
D. Assist the patient to cough and deep breathe.
1
,A. Palpate the abdomen for rebound tenderness.
What is a likely finding in the nurse's assessment of a patient who has a small
bowel obstruction?
A. Abdominal distention
B. Metabolic alkalosis
C. Referred back pain
D. Projectile vomiting
A. Abdominal distention
The nurse is assessing a patient who had a total gastrectomy 8 hours ago. What
information is most important to report to the health care provider?
A. Absent bowel sounds in all quadrants
B. Blood glucose level 54
C. Scant nasogastric (NG) tube drainage
D. Hemoglobin (Hgb) 10.8 g/dL
B. Blood glucose level 54
A 49-yr-old man has been admitted with hypotension and dehydration after 3 days
of nausea and vomiting. Which prescribed action will the nurse implement first?
A. Administer IV ondansetron (Zofran).
B. Insert a nasogastric (NG) tube.
C. Infuse normal saline at 250 ml/hr.
D. Provide oral care with moistened swabs.
C. Infuse normal saline at 250 ml/hr.
A patient returned from a laparoscopic Nissen fundoplication for hiatal hernia 4
hours ago. Which assessment finding is most important for the nurse to address
immediately?
A. The patient is experiencing intermittent waves of nausea.
B. The patient reports 7/10 (0 to 10 scale) surgical site pain.
C. The patient has no breath sounds in the left anterior chest.
D. The patient has hypoactive bowel sounds in all four quadrants.
2
,C. The patient has no breath sounds in the left anterior chest.
After change-of-shift report, which patient should the nurse assess first?
A. A 70 yr-old patient with a hiatal hernia who experiences frequent heartburn
B. A 53-yr-old patient who has dumping syndrome after a recent partial
gastrectomy
C. 60-yr-old patient with nausea and vomiting who is lethargic with dry mucosa
D. A 42-yr-old patient who has acute gastritis and abdominal pain
C. 60-yr-old patient with nausea and vomiting who is lethargic with dry mucosa
The nurse is teaching a client diagnosed with irritable bowel syndrome (IBS) about
managing the illness. Which of the following statements by the client indicates a
need for further teaching?
I will avoid taking loperamide as it may cause fecal urgency and diarrhea
3 multiple choice options
The nurse is caring for a client who has inflammatory bowel disease (IBD). Which
of the following diets is appropriate for the nurse to give the client.
Baked pork chop with green beans, and glass water
3 multiple choice options
The nurse is preparing to discharge a client after a gastrostomy tube insertion.
Which of the following indicates a correct understanding of homecare instructions?
The client washes the area with 2% chlorhexidine and allows the site to air dry
3 multiple choice options
The nurse is teaching a client diagnosed with stomatitis about home care. Which of
the following statements should the nurse include in the teaching about oral care
for this client?
Use topical anti-inflammatory/antibiotic as prescribed
3 multiple choice options
The nurse is caring for a client who has just returned from having an
esophagogastroduodenoscopy (EGD). Which of the following is a correct
statement for the nurse to make in teaching the client about the procedure?
3
, An endoscope passed down your esophagus to view your upper gastric wall and
stomach
3 multiple choice options
The nurse is caring for a non-ambulatory client with a history of aspiration
pneumonia who has been prescribed 300 mL of Ultracet every 4 hours for enteral
nutrition. Which of the following actions by the nurse is appropriate?
Administer 300mL per hour via enteral pump as a continuous feeding
2 multiple choice options
The nurse is assessing the following clients for risk factors of developing peptic
ulcer disease (PUD). Which client does the nurse recognize as being at greatest
risk for PUD?
The elderly client who is being treated for Helicobacter pylori infection
2 multiple choice options
The nurse is caring for a client who has Crohn's disease. The nurse should
immediately report
the presence of fecal matter in urine
2 multiple choice options
The nurse is caring for a client who is diagnosed nephrolithiasis and is reporting
pain moving through the abdomen to the genitals. Which of the following
interventions should the nurse perform first?
Administer prescribed opioid analgesic
2 multiple choice options
The nurse preceptor is orienting a newly hired nurse while caring for a client who
has polycystic kidney disease (PKD). Which of the following statements by the
newly hired nurse to the client requires follow up by the nurse preceptor?
Complications of this disease include abnormally low blood pressure
2 multiple choice options
4
Latest real exam questions and correct answers /
Galen NSG 3800 Adult Health 2 Exam 3 Prep 2026-
2027 (NSG 3800 Exam 3 med surge II)
Which information about dietary management should the nurse include when
teaching a patient with peptic ulcer disease (PUD)?
A. "Avoid foods that cause pain after you eat them."
B. "You should avoid eating any raw fruits and vegetables."
C. "High-protein foods are least likely to cause pain."
D. "You will need to remain on a bland diet."
A. "Avoid foods that cause pain after you eat them."
A young woman with Crohn's disease develops a fever and symptoms of a urinary
tract infection (UTI) with tan, fecal-smelling urine. What information will the
nurse add to this specific patient's teaching plan about UTls in order to
individualize the teaching for this patient?
A. Empty the bladder before and after sexual intercourse.
B. Bacteria in the perianal area can enter the urethra.
C. Drink adequate fluids to maintain normal hydration.
D. Fistulas can form between the bowel and bladder.
D. Fistulas can form between the bowel and bladder.
A young adult patient is admitted to the hospital for evaluation of right lower
quadrant abdominal pain with nausea and vomiting. Which action should the nurse
take?
A. Palpate the abdomen for rebound tenderness.
B. Suggest the patient lie on the side, flexing the right leg.
C. Encourage the patient to sip clear, noncarbonated liquids.
D. Assist the patient to cough and deep breathe.
1
,A. Palpate the abdomen for rebound tenderness.
What is a likely finding in the nurse's assessment of a patient who has a small
bowel obstruction?
A. Abdominal distention
B. Metabolic alkalosis
C. Referred back pain
D. Projectile vomiting
A. Abdominal distention
The nurse is assessing a patient who had a total gastrectomy 8 hours ago. What
information is most important to report to the health care provider?
A. Absent bowel sounds in all quadrants
B. Blood glucose level 54
C. Scant nasogastric (NG) tube drainage
D. Hemoglobin (Hgb) 10.8 g/dL
B. Blood glucose level 54
A 49-yr-old man has been admitted with hypotension and dehydration after 3 days
of nausea and vomiting. Which prescribed action will the nurse implement first?
A. Administer IV ondansetron (Zofran).
B. Insert a nasogastric (NG) tube.
C. Infuse normal saline at 250 ml/hr.
D. Provide oral care with moistened swabs.
C. Infuse normal saline at 250 ml/hr.
A patient returned from a laparoscopic Nissen fundoplication for hiatal hernia 4
hours ago. Which assessment finding is most important for the nurse to address
immediately?
A. The patient is experiencing intermittent waves of nausea.
B. The patient reports 7/10 (0 to 10 scale) surgical site pain.
C. The patient has no breath sounds in the left anterior chest.
D. The patient has hypoactive bowel sounds in all four quadrants.
2
,C. The patient has no breath sounds in the left anterior chest.
After change-of-shift report, which patient should the nurse assess first?
A. A 70 yr-old patient with a hiatal hernia who experiences frequent heartburn
B. A 53-yr-old patient who has dumping syndrome after a recent partial
gastrectomy
C. 60-yr-old patient with nausea and vomiting who is lethargic with dry mucosa
D. A 42-yr-old patient who has acute gastritis and abdominal pain
C. 60-yr-old patient with nausea and vomiting who is lethargic with dry mucosa
The nurse is teaching a client diagnosed with irritable bowel syndrome (IBS) about
managing the illness. Which of the following statements by the client indicates a
need for further teaching?
I will avoid taking loperamide as it may cause fecal urgency and diarrhea
3 multiple choice options
The nurse is caring for a client who has inflammatory bowel disease (IBD). Which
of the following diets is appropriate for the nurse to give the client.
Baked pork chop with green beans, and glass water
3 multiple choice options
The nurse is preparing to discharge a client after a gastrostomy tube insertion.
Which of the following indicates a correct understanding of homecare instructions?
The client washes the area with 2% chlorhexidine and allows the site to air dry
3 multiple choice options
The nurse is teaching a client diagnosed with stomatitis about home care. Which of
the following statements should the nurse include in the teaching about oral care
for this client?
Use topical anti-inflammatory/antibiotic as prescribed
3 multiple choice options
The nurse is caring for a client who has just returned from having an
esophagogastroduodenoscopy (EGD). Which of the following is a correct
statement for the nurse to make in teaching the client about the procedure?
3
, An endoscope passed down your esophagus to view your upper gastric wall and
stomach
3 multiple choice options
The nurse is caring for a non-ambulatory client with a history of aspiration
pneumonia who has been prescribed 300 mL of Ultracet every 4 hours for enteral
nutrition. Which of the following actions by the nurse is appropriate?
Administer 300mL per hour via enteral pump as a continuous feeding
2 multiple choice options
The nurse is assessing the following clients for risk factors of developing peptic
ulcer disease (PUD). Which client does the nurse recognize as being at greatest
risk for PUD?
The elderly client who is being treated for Helicobacter pylori infection
2 multiple choice options
The nurse is caring for a client who has Crohn's disease. The nurse should
immediately report
the presence of fecal matter in urine
2 multiple choice options
The nurse is caring for a client who is diagnosed nephrolithiasis and is reporting
pain moving through the abdomen to the genitals. Which of the following
interventions should the nurse perform first?
Administer prescribed opioid analgesic
2 multiple choice options
The nurse preceptor is orienting a newly hired nurse while caring for a client who
has polycystic kidney disease (PKD). Which of the following statements by the
newly hired nurse to the client requires follow up by the nurse preceptor?
Complications of this disease include abnormally low blood pressure
2 multiple choice options
4
