MED SURG 2 EXAM #2 QUESTIONS AND
CORRECT VERIFIED ANSWERS
WhenA2caringA2forA2aA2patientA2withA2AcuteA2ViralA2HepatitisA2B,A2theA2nurseA2shouldA2imp
lementA2whichA2ofA2theA2followingA2precautions?A2-A2Ans--StandardA2percautions
YouA2areA2theA2nurseA2caringA2forA2aA260A2yearA2oldA2femaleA2patientA2whoA2isA2post-
opA2laparoscopicA2cholecystectomy.A2WhichA2ofA2theA2followingA2dietaryA2recommendatio
nsA2wouldA2beA2mostA2importantA2toA2includeA2inA2yourA2dischargeA2teaching?
A.
"UseA2cautionA2whenA2eatingA2highA2fiberA2foods."
B.
"ItA2isA2bestA2toA2eatA2threeA2balancedA2mealsA2aA2day."
C.
"CheckA2gastricA2residualsA2beforeA2yourA2nextA2enteralA2bolusA2feeding."
D.
"YouA2willA2needA2toA2avoidA2highA2fatA2foodsA2fromA2nowA2on."A2-A2Ans--D-
A2youA2willA2needA2toA2avoidA2highA2fatA2foodsA2fromA2nowA2on
AA2patientA2admittedA2withA2ascitesA2andA2peripheralA2edemaA2fromA2cirrhosisA2isA2experi
encingA2shortnessA2ofA2breath.A2WhichA2ofA2theA2followingA2couldA2helpA2toA2decreaseA2th
eA2patient'sA2shortnessA2ofA2breath?A2SelectA2allA2thatA2apply.
A.A2EncouragingA2aA2highA2sodiumA2diet.
B.A2UndergoingA2aA2paracentesis
C.A2ElevatingA2theA2headA2ofA2theA2bed
D.A2IncreasingA2theA2rateA2ofA2theA2IVA2fluids
E.A2AdministeringA2diureticsA2-A2Ans--B.A2UndergoingA2aA2paracentesis
C.A2ElevatingA2theA2headA2ofA2theA2bed
E.A2AdministeringA2diuretics
AA2patientA2newlyA2diagnosedA2withA2AcuteA2ViralA2HepatitisA2CA2asksA2theA2nurseA2howA2
thisA2virusA2wasA2contracted.A2WhichA2ofA2theA2followingA2couldA2haveA2ledA2toA2theA2contr
actionA2ofA2AcuteA2ViralA2HepatitisA2C?A2SelectA2allA2thatA2apply.
A.A2AbusingA2intravenousA2drugs
B.A2DrinkingA2contaminatedA2water
C.A2EatingA2undercookedA2foods
D.A2EngagingA2inA2unprotectedA2sexA2-A2Ans--A.A2AbusingA2intravenousA2drugs
D.A2EngagingA2inA2unprotectedA2sex
AA2patientA2withA2cirrhosisA2hasA2esophagealA2varices.A2TheA2patientA2hasA2developedA2a
A2mildA2cough.A2WhichA2interventionA2wouldA2beA2mostA2appropriateA2forA2thisA2patient?
A.A2KeepA2theA2patientA2NPO.
B.A2MaintainA2strictA2bedrest
C.A2AdministerA2aA2coughA2suppressant.
,D.A2ConsultA2infectiousA2diseaseA2(ID)A2forA2anA2antibiotic.A2-A2Ans--
C.A2AdministerA2aA2coughA2suppressant.
WhichA2ofA2theA2followingA2bestA2describesA2theA2etiologyA2ofA2ascitesA2inA2aA2patientA2wit
hA2cirrhosis?
A.A2DecreasedA2albumin
B.A2IncreasedA2PT
C.A2IncreasedA2AST
D.A2DecreasedA2aldosteroneA2-A2Ans--A.A2DecreasedA2albumin
WhichA2ofA2theA2followingA2shouldA2beA2includedA2whenA2caringA2forA2aA2patientA2inA2fulmi
nantA2hepaticA2failureA2withA2hepaticA2encephalitis?A2SelectA2allA2thatA2apply
A.A2PerformA2neuroA2checksA2everyA24A2hours.
B.A2KeepA2theA2patientA2inA2bedA2inA2theA2supineA2position.
C.A2PlaceA2theA2patientA2onA2fallA2precautions.
D.A2EncourageA2intakeA2ofA2highA2proteinA2foods.
E.A2AdministerA2LactuloseA2toA2theA2patientA2TID.A2-A2Ans--
A.A2PerformA2neuroA2checksA2everyA24A2hours.
C.A2PlaceA2theA2patientA2onA2fallA2precautions.
E.A2AdministerA2LactuloseA2toA2theA2patientA2TID.
WhenA2caringA2forA2aA2patientA2whoA2isA2post-
opA2totalA2pancreatectomy,A2theA2nurseA2knowsA2thatA2theA2patientA2needsA2furtherA2reinf
orcementA2andA2nutritionalA2educationA2whenA2theA2patientA2states...
A.A2"IA2willA2monitorA2myA2bloodA2sugarA2levelsA2andA2keepA2aA2logA2toA2showA2myA2doctor
A2atA2everyA2visit."
B.A2"IA2amA2excitedA2toA2beA2ableA2toA2eatA2theA2vegetablesA2thatA2IA2amA2currentlyA2growi
ngA2inA2myA2gardenA2atA2home."
C.A2"IA2can'tA2waitA2toA2goA2homeA2andA2getA2backA2toA2normal,A2andA2especiallyA2haveA2a
A2beerA2withA2dinner."
D.A2"IA2shouldA2takeA2pancreaticA2enzymesA2withA2everyA2mealA2&A2snackA2forA2theA2realA2
ofA2myA2life."A2-A2Ans--
C.A2"IA2can'tA2waitA2toA2goA2homeA2andA2getA2backA2toA2normal,A2andA2especiallyA2haveA2a
A2beerA2withA2dinner."
AA2patientA2returnedA2toA2theA2medicalA2surgicalA2unitA22A2hoursA2afterA2aA2percutaneousA
2renalA2biopsyA2ofA2theA2leftA2kidney.A2WhichA2findingA2wouldA2alertA2theA2nurseA2thatA2this
A2patientA2isA2experiencingA2aA2potentialA2complication?
A.A2ComplaintsA2ofA2headacheA2&A2mildA2nausea
B.A2PruritisA2alongA2theA2leftA2flankA2dressing
C.A2ExpandingA2hematomaA2onA2theA2leftA2flank
D.A2LeftA2flankA2painA2andA2tendernessA2-A2Ans--
C.A2ExpandingA2hematomaA2onA2theA2leftA2flank
, AA2patient'sA2urineA2wasA2sentA2toA2theA2labA2forA2urinalysisA2andA2revealA2proteinA2inA2the
A2urine.A2BasedA2onA2thisA2finding,A2whatA2areaA2ofA2theA2urinaryA2systemA2couldA2beA2da
maged?
A.A2Glomerulus
B.A2Medulla
C.A2DistalA2convolutingA2tubule
D.A2RenalA2PelvisA2-A2Ans--A.A2Glomerulus
WhichA2ofA2theA2followingA2patientsA2hasA2theA2lowestA2riskA2forA2developingA2cholelithiasi
sA2orA2cholecystitis?
A.A2AA245A2yearA2oldA2femaleA2whoA2hasA2givenA2birthA2toA2fourA2children.
B.A2AA260A2yearA2oldA2maleA2whoseA2motherA2whoA2hadA2aA2cholecystectomyA2dueA2toA2c
holecystitis,
C.A2AA232A2yearA2oldA2maleA2withA2aA2pastA2surgicalA2historyA2ofA2anA2appendectomy.
D.A2AA252A2yearA2oldA2femaleA2withA2aA2BMIA2ofA238A2andA2aA2historyA2ofA2diabetes.A2-
A2Ans--
C.A2AA232A2yearA2oldA2maleA2withA2aA2pastA2surgicalA2historyA2ofA2anA2appendectomy.
WhichA2ofA2theA2followingA2wouldA2indicateA2toA2theA2nurseA2thatA2aA265A2yearA2oldA2femal
eA2patientA2isA2experiencingA2signsA2andA2symptomsA2ofA2cholecystitis?
A.A2PositiveA2Murphy'sA2Sign
B.A2PositiveA2McBurney'sA2Sign
C.A2PositiveA2ObturatorA2Sign
D.A2PostiveA2PsoasA2SignA2-A2Ans--A.A2PositiveA2Murphy'sA2Sign
WhichA2interventionA2forA2aA2cirrhosisA2patientA2wouldA2mostA2commonlyA2causeA2theA2co
mplicationA2ofA2bacterialA2peritonitis?
A.A2TIPSA2procedure
B.A2Paracentesis
C.A2DiureticA2administration
D.A2BalloonA2tamponadeA2-A2Ans--B.A2Paracentesis
AA2nurseA2caringA2forA2aA2patientA2withA2acuteA2pancreatitisA2noticesA2aA2bluishA2ecchymo
ticA2areaA2onA2theA2patient'sA2leftA2flank.A2WhatA2isA2theA2nurse'sA2priorityA2inA2caringA2forA2
thisA2patient?
A.A2PlaceA2theA2patientA2inA2aA2supineA2positionA2forA2comfort.
B.A2ApplyA2aA25A2toA210lbA2weightA2toA2theA2rightA2upperA2quadrant.
C.A2NotifyA2theA2providerA2andA2checkA2theA2patient'sA2vitalA2signs.
D.A2AdministerA2morphineA2sulfateA210mgA2SLA2everyA26A2hours.A2-A2Ans--
C.A2NotifyA2theA2providerA2andA2checkA2theA2patient'sA2vitalA2signs.
WhichA2ofA2theA2followingA2isA2consideredA2aA2normalA2functionA2ofA2theA2liver?
A.A2ProductionA2ofA2RBCs
B.A2StorageA2ofA2bile
C.A2SecretionA2ofA2WBCs
D.A2ProteinA2synthesisA2-A2Ans--D.A2ProteinA2synthesis
CORRECT VERIFIED ANSWERS
WhenA2caringA2forA2aA2patientA2withA2AcuteA2ViralA2HepatitisA2B,A2theA2nurseA2shouldA2imp
lementA2whichA2ofA2theA2followingA2precautions?A2-A2Ans--StandardA2percautions
YouA2areA2theA2nurseA2caringA2forA2aA260A2yearA2oldA2femaleA2patientA2whoA2isA2post-
opA2laparoscopicA2cholecystectomy.A2WhichA2ofA2theA2followingA2dietaryA2recommendatio
nsA2wouldA2beA2mostA2importantA2toA2includeA2inA2yourA2dischargeA2teaching?
A.
"UseA2cautionA2whenA2eatingA2highA2fiberA2foods."
B.
"ItA2isA2bestA2toA2eatA2threeA2balancedA2mealsA2aA2day."
C.
"CheckA2gastricA2residualsA2beforeA2yourA2nextA2enteralA2bolusA2feeding."
D.
"YouA2willA2needA2toA2avoidA2highA2fatA2foodsA2fromA2nowA2on."A2-A2Ans--D-
A2youA2willA2needA2toA2avoidA2highA2fatA2foodsA2fromA2nowA2on
AA2patientA2admittedA2withA2ascitesA2andA2peripheralA2edemaA2fromA2cirrhosisA2isA2experi
encingA2shortnessA2ofA2breath.A2WhichA2ofA2theA2followingA2couldA2helpA2toA2decreaseA2th
eA2patient'sA2shortnessA2ofA2breath?A2SelectA2allA2thatA2apply.
A.A2EncouragingA2aA2highA2sodiumA2diet.
B.A2UndergoingA2aA2paracentesis
C.A2ElevatingA2theA2headA2ofA2theA2bed
D.A2IncreasingA2theA2rateA2ofA2theA2IVA2fluids
E.A2AdministeringA2diureticsA2-A2Ans--B.A2UndergoingA2aA2paracentesis
C.A2ElevatingA2theA2headA2ofA2theA2bed
E.A2AdministeringA2diuretics
AA2patientA2newlyA2diagnosedA2withA2AcuteA2ViralA2HepatitisA2CA2asksA2theA2nurseA2howA2
thisA2virusA2wasA2contracted.A2WhichA2ofA2theA2followingA2couldA2haveA2ledA2toA2theA2contr
actionA2ofA2AcuteA2ViralA2HepatitisA2C?A2SelectA2allA2thatA2apply.
A.A2AbusingA2intravenousA2drugs
B.A2DrinkingA2contaminatedA2water
C.A2EatingA2undercookedA2foods
D.A2EngagingA2inA2unprotectedA2sexA2-A2Ans--A.A2AbusingA2intravenousA2drugs
D.A2EngagingA2inA2unprotectedA2sex
AA2patientA2withA2cirrhosisA2hasA2esophagealA2varices.A2TheA2patientA2hasA2developedA2a
A2mildA2cough.A2WhichA2interventionA2wouldA2beA2mostA2appropriateA2forA2thisA2patient?
A.A2KeepA2theA2patientA2NPO.
B.A2MaintainA2strictA2bedrest
C.A2AdministerA2aA2coughA2suppressant.
,D.A2ConsultA2infectiousA2diseaseA2(ID)A2forA2anA2antibiotic.A2-A2Ans--
C.A2AdministerA2aA2coughA2suppressant.
WhichA2ofA2theA2followingA2bestA2describesA2theA2etiologyA2ofA2ascitesA2inA2aA2patientA2wit
hA2cirrhosis?
A.A2DecreasedA2albumin
B.A2IncreasedA2PT
C.A2IncreasedA2AST
D.A2DecreasedA2aldosteroneA2-A2Ans--A.A2DecreasedA2albumin
WhichA2ofA2theA2followingA2shouldA2beA2includedA2whenA2caringA2forA2aA2patientA2inA2fulmi
nantA2hepaticA2failureA2withA2hepaticA2encephalitis?A2SelectA2allA2thatA2apply
A.A2PerformA2neuroA2checksA2everyA24A2hours.
B.A2KeepA2theA2patientA2inA2bedA2inA2theA2supineA2position.
C.A2PlaceA2theA2patientA2onA2fallA2precautions.
D.A2EncourageA2intakeA2ofA2highA2proteinA2foods.
E.A2AdministerA2LactuloseA2toA2theA2patientA2TID.A2-A2Ans--
A.A2PerformA2neuroA2checksA2everyA24A2hours.
C.A2PlaceA2theA2patientA2onA2fallA2precautions.
E.A2AdministerA2LactuloseA2toA2theA2patientA2TID.
WhenA2caringA2forA2aA2patientA2whoA2isA2post-
opA2totalA2pancreatectomy,A2theA2nurseA2knowsA2thatA2theA2patientA2needsA2furtherA2reinf
orcementA2andA2nutritionalA2educationA2whenA2theA2patientA2states...
A.A2"IA2willA2monitorA2myA2bloodA2sugarA2levelsA2andA2keepA2aA2logA2toA2showA2myA2doctor
A2atA2everyA2visit."
B.A2"IA2amA2excitedA2toA2beA2ableA2toA2eatA2theA2vegetablesA2thatA2IA2amA2currentlyA2growi
ngA2inA2myA2gardenA2atA2home."
C.A2"IA2can'tA2waitA2toA2goA2homeA2andA2getA2backA2toA2normal,A2andA2especiallyA2haveA2a
A2beerA2withA2dinner."
D.A2"IA2shouldA2takeA2pancreaticA2enzymesA2withA2everyA2mealA2&A2snackA2forA2theA2realA2
ofA2myA2life."A2-A2Ans--
C.A2"IA2can'tA2waitA2toA2goA2homeA2andA2getA2backA2toA2normal,A2andA2especiallyA2haveA2a
A2beerA2withA2dinner."
AA2patientA2returnedA2toA2theA2medicalA2surgicalA2unitA22A2hoursA2afterA2aA2percutaneousA
2renalA2biopsyA2ofA2theA2leftA2kidney.A2WhichA2findingA2wouldA2alertA2theA2nurseA2thatA2this
A2patientA2isA2experiencingA2aA2potentialA2complication?
A.A2ComplaintsA2ofA2headacheA2&A2mildA2nausea
B.A2PruritisA2alongA2theA2leftA2flankA2dressing
C.A2ExpandingA2hematomaA2onA2theA2leftA2flank
D.A2LeftA2flankA2painA2andA2tendernessA2-A2Ans--
C.A2ExpandingA2hematomaA2onA2theA2leftA2flank
, AA2patient'sA2urineA2wasA2sentA2toA2theA2labA2forA2urinalysisA2andA2revealA2proteinA2inA2the
A2urine.A2BasedA2onA2thisA2finding,A2whatA2areaA2ofA2theA2urinaryA2systemA2couldA2beA2da
maged?
A.A2Glomerulus
B.A2Medulla
C.A2DistalA2convolutingA2tubule
D.A2RenalA2PelvisA2-A2Ans--A.A2Glomerulus
WhichA2ofA2theA2followingA2patientsA2hasA2theA2lowestA2riskA2forA2developingA2cholelithiasi
sA2orA2cholecystitis?
A.A2AA245A2yearA2oldA2femaleA2whoA2hasA2givenA2birthA2toA2fourA2children.
B.A2AA260A2yearA2oldA2maleA2whoseA2motherA2whoA2hadA2aA2cholecystectomyA2dueA2toA2c
holecystitis,
C.A2AA232A2yearA2oldA2maleA2withA2aA2pastA2surgicalA2historyA2ofA2anA2appendectomy.
D.A2AA252A2yearA2oldA2femaleA2withA2aA2BMIA2ofA238A2andA2aA2historyA2ofA2diabetes.A2-
A2Ans--
C.A2AA232A2yearA2oldA2maleA2withA2aA2pastA2surgicalA2historyA2ofA2anA2appendectomy.
WhichA2ofA2theA2followingA2wouldA2indicateA2toA2theA2nurseA2thatA2aA265A2yearA2oldA2femal
eA2patientA2isA2experiencingA2signsA2andA2symptomsA2ofA2cholecystitis?
A.A2PositiveA2Murphy'sA2Sign
B.A2PositiveA2McBurney'sA2Sign
C.A2PositiveA2ObturatorA2Sign
D.A2PostiveA2PsoasA2SignA2-A2Ans--A.A2PositiveA2Murphy'sA2Sign
WhichA2interventionA2forA2aA2cirrhosisA2patientA2wouldA2mostA2commonlyA2causeA2theA2co
mplicationA2ofA2bacterialA2peritonitis?
A.A2TIPSA2procedure
B.A2Paracentesis
C.A2DiureticA2administration
D.A2BalloonA2tamponadeA2-A2Ans--B.A2Paracentesis
AA2nurseA2caringA2forA2aA2patientA2withA2acuteA2pancreatitisA2noticesA2aA2bluishA2ecchymo
ticA2areaA2onA2theA2patient'sA2leftA2flank.A2WhatA2isA2theA2nurse'sA2priorityA2inA2caringA2forA2
thisA2patient?
A.A2PlaceA2theA2patientA2inA2aA2supineA2positionA2forA2comfort.
B.A2ApplyA2aA25A2toA210lbA2weightA2toA2theA2rightA2upperA2quadrant.
C.A2NotifyA2theA2providerA2andA2checkA2theA2patient'sA2vitalA2signs.
D.A2AdministerA2morphineA2sulfateA210mgA2SLA2everyA26A2hours.A2-A2Ans--
C.A2NotifyA2theA2providerA2andA2checkA2theA2patient'sA2vitalA2signs.
WhichA2ofA2theA2followingA2isA2consideredA2aA2normalA2functionA2ofA2theA2liver?
A.A2ProductionA2ofA2RBCs
B.A2StorageA2ofA2bile
C.A2SecretionA2ofA2WBCs
D.A2ProteinA2synthesisA2-A2Ans--D.A2ProteinA2synthesis