A+ VERIFIED
NURSING · OBJECTIVE ASSESSMENT
NUR 209 Exam 2 Medical-Surgical
Nursing II Review — Complete
Official Exam
50 Questions Full Rationales Verified Answers
50 5 100%
QUESTIONS SECTIONS RATIONALES
Complete coverage Core exam domains Every answer explained
WHAT THIS COVERS
01 Endocrine and Metabolic Disorders
02 Renal and Urinary Disorders
03 Gastrointestinal Disorders
04 Oncologic and Hematologic Disorders
05 Emergency and Critical Care Nursing
ABOUT THIS ASSESSMENT
Build mastery in medical-surgical nursing II — from endocrine and
renal disorders to gastrointestinal, oncologic, hematologic, and
emergency/critical care nursing. This original study bank targets
application and analysis skills for NUR 209 Exam 2, with full
rationales for every answer. For review use only; not an
institutional proctored assessment.
PASSING SCORE LEVEL FORMAT
80% Intermediate Application / Analysis
STUVIA ACTUAL EXAM Page 1
, SECTION 1: Endocrine and Metabolic Disorders
Q1. A client with type 1 diabetes is admitted with nausea, vomiting, and Kussmaul respirations. Blood glucose is 428 mg/dL and
serum ketones are positive. The nurse prioritizes:
A. Restriction of all fluids until glucose normalizes.
B. Immediate administration of oral glucose tablets.
C. Fluid resuscitation and insulin therapy as ordered while monitoring electrolytes closely.
D. Only antiemetic therapy without addressing glucose.
Correct Answer: C
Rationale:
Diabetic ketoacidosis requires volume replacement and insulin to correct hyperglycemia and ketosis; potassium shifts must be monitored
carefully.
Q2. A client with newly diagnosed hypothyroidism reports fatigue, weight gain, and cold intolerance. The nurse anticipates that
therapy will most commonly include:
A. Restriction of all physical activity permanently.
B. High-dose iodine supplementation only.
C. Immediate surgical removal of the thyroid.
D. Daily levothyroxine with periodic TSH monitoring to guide dose adjustment.
Correct Answer: D
Rationale:
Levothyroxine is the standard replacement therapy; TSH is used to titrate the dose to a euthyroid state.
Q3. A client with hyperthyroidism is prepared for radioactive iodine therapy. The nurse teaches that after treatment the client
should:
A. Follow radiation safety precautions as instructed and expect possible delayed hypothyroidism.
B. Resume normal close contact with infants immediately without restrictions.
C. Discontinue all antithyroid medications without follow-up.
D. Expect no change in thyroid function after therapy.
Correct Answer: A
Rationale:
Radioactive iodine ablates thyroid tissue; clients need radiation precautions for a period and long-term monitoring for hypothyroidism.
Q4. A client with Cushing syndrome has a moon face, truncal obesity, and elevated cortisol. Nursing care prioritizes:
A. Encouraging unrestricted sodium intake.
B. Infection prevention, skin care, and monitoring for hyperglycemia and hypertension.
C. Avoiding any discussion of body image.
D. Immediate high-dose glucocorticoid administration.
Correct Answer: B
Rationale:
Excess cortisol increases infection risk, impairs skin integrity, and causes metabolic and cardiovascular effects that require supportive
care.
STUVIA ACTUAL EXAM · Page 2
NURSING · OBJECTIVE ASSESSMENT
NUR 209 Exam 2 Medical-Surgical
Nursing II Review — Complete
Official Exam
50 Questions Full Rationales Verified Answers
50 5 100%
QUESTIONS SECTIONS RATIONALES
Complete coverage Core exam domains Every answer explained
WHAT THIS COVERS
01 Endocrine and Metabolic Disorders
02 Renal and Urinary Disorders
03 Gastrointestinal Disorders
04 Oncologic and Hematologic Disorders
05 Emergency and Critical Care Nursing
ABOUT THIS ASSESSMENT
Build mastery in medical-surgical nursing II — from endocrine and
renal disorders to gastrointestinal, oncologic, hematologic, and
emergency/critical care nursing. This original study bank targets
application and analysis skills for NUR 209 Exam 2, with full
rationales for every answer. For review use only; not an
institutional proctored assessment.
PASSING SCORE LEVEL FORMAT
80% Intermediate Application / Analysis
STUVIA ACTUAL EXAM Page 1
, SECTION 1: Endocrine and Metabolic Disorders
Q1. A client with type 1 diabetes is admitted with nausea, vomiting, and Kussmaul respirations. Blood glucose is 428 mg/dL and
serum ketones are positive. The nurse prioritizes:
A. Restriction of all fluids until glucose normalizes.
B. Immediate administration of oral glucose tablets.
C. Fluid resuscitation and insulin therapy as ordered while monitoring electrolytes closely.
D. Only antiemetic therapy without addressing glucose.
Correct Answer: C
Rationale:
Diabetic ketoacidosis requires volume replacement and insulin to correct hyperglycemia and ketosis; potassium shifts must be monitored
carefully.
Q2. A client with newly diagnosed hypothyroidism reports fatigue, weight gain, and cold intolerance. The nurse anticipates that
therapy will most commonly include:
A. Restriction of all physical activity permanently.
B. High-dose iodine supplementation only.
C. Immediate surgical removal of the thyroid.
D. Daily levothyroxine with periodic TSH monitoring to guide dose adjustment.
Correct Answer: D
Rationale:
Levothyroxine is the standard replacement therapy; TSH is used to titrate the dose to a euthyroid state.
Q3. A client with hyperthyroidism is prepared for radioactive iodine therapy. The nurse teaches that after treatment the client
should:
A. Follow radiation safety precautions as instructed and expect possible delayed hypothyroidism.
B. Resume normal close contact with infants immediately without restrictions.
C. Discontinue all antithyroid medications without follow-up.
D. Expect no change in thyroid function after therapy.
Correct Answer: A
Rationale:
Radioactive iodine ablates thyroid tissue; clients need radiation precautions for a period and long-term monitoring for hypothyroidism.
Q4. A client with Cushing syndrome has a moon face, truncal obesity, and elevated cortisol. Nursing care prioritizes:
A. Encouraging unrestricted sodium intake.
B. Infection prevention, skin care, and monitoring for hyperglycemia and hypertension.
C. Avoiding any discussion of body image.
D. Immediate high-dose glucocorticoid administration.
Correct Answer: B
Rationale:
Excess cortisol increases infection risk, impairs skin integrity, and causes metabolic and cardiovascular effects that require supportive
care.
STUVIA ACTUAL EXAM · Page 2
