lOMoARcPSD|26582732
Rcpsd|26ME
MEDICAL SURGERY EXAM 2
2025 WITH CORRECT ANSWERS
Question 1
After teaching the wife of a client who has Parkinson disease, the nurse assesses the wife’s
understanding. Which statement by the client’s wife indicates she correctly understands
changes associated with this disease?
Answer a.
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S: “This disease is associated with anxiety causing increased perspiration.”
B.
“He should not socialize outside of the house due to
uncontrollable drooling.” C.
“He may have trouble chewing, so I will offer bite-sized portions.”
D.
“His masklike face makes it difficult to communicate, so I will use a white
board.”
Question 2
A client with fibromyalgia is in the hospital for an unrelated issue. The client reports that
sleep, which is always difficult, is even harder now.
What actions by the nurse are most appropriate? ( Select all that apply. )
Answer a.
S: Assess the client’s usual bedtime routine. B.
Offer a massage or warm shower at night.
C.
Allow the client uninterrupted rest time. D.
Limit environmental noise as much as possible.
E.
Request an order for a strong sleeping pill.
Question 3
Seventy-two hours after cardiac surgery, a young child has a temperature of 37.7 C (101 F).
The nurse should:
Answer a.
S:Keep the child warm with blankets.
B.
Report findings to physician.
C.
Apply a hypothermia blanket. D.
Record the temperature on nurses’ notes.
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Question 4
A client has been diagnosed with fibromyalgia syndrome but does not want to take the
prescribed medications. What nonpharmacologic measures can the nurse suggest to help
manage this condition? (Select all that apply.)
Answer a.
S: Supplements
B. Tai
chi c.
Acupuncture
D.
Stretching
E.
Vigorous aerobics
Question 5
The nurse assessing a premature newborn infant auscultates a continuous machinery-like
murmur. This finding is associated with which congenital heart defect?
Answer a. S: Pulmonary
stenosis
B.
Coarctation of the aorta
C.
Ventricular septal
defect d.
Patent ductus arteriosus
Question 6
You have an order to infuse ondansetron (Zofran) 4 mg diluted in 5 ml 0.9% sodium chloride
solution over 5 minutes using a syringe pump. What will the rate be?
Question 7
A nurse is caring for four clients in the neurologic intensive care unit. After receiving the
hand-off report, which client should the nurse see first?
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Rcpsd|26ME
MEDICAL SURGERY EXAM 2
2025 WITH CORRECT ANSWERS
Question 1
After teaching the wife of a client who has Parkinson disease, the nurse assesses the wife’s
understanding. Which statement by the client’s wife indicates she correctly understands
changes associated with this disease?
Answer a.
Downloaded by NELSON KIIRU ()
, lOMoARcPSD|26582732
S: “This disease is associated with anxiety causing increased perspiration.”
B.
“He should not socialize outside of the house due to
uncontrollable drooling.” C.
“He may have trouble chewing, so I will offer bite-sized portions.”
D.
“His masklike face makes it difficult to communicate, so I will use a white
board.”
Question 2
A client with fibromyalgia is in the hospital for an unrelated issue. The client reports that
sleep, which is always difficult, is even harder now.
What actions by the nurse are most appropriate? ( Select all that apply. )
Answer a.
S: Assess the client’s usual bedtime routine. B.
Offer a massage or warm shower at night.
C.
Allow the client uninterrupted rest time. D.
Limit environmental noise as much as possible.
E.
Request an order for a strong sleeping pill.
Question 3
Seventy-two hours after cardiac surgery, a young child has a temperature of 37.7 C (101 F).
The nurse should:
Answer a.
S:Keep the child warm with blankets.
B.
Report findings to physician.
C.
Apply a hypothermia blanket. D.
Record the temperature on nurses’ notes.
Downloaded by NELSON KIIRU ()
, lOMoARcPSD|26582732
Question 4
A client has been diagnosed with fibromyalgia syndrome but does not want to take the
prescribed medications. What nonpharmacologic measures can the nurse suggest to help
manage this condition? (Select all that apply.)
Answer a.
S: Supplements
B. Tai
chi c.
Acupuncture
D.
Stretching
E.
Vigorous aerobics
Question 5
The nurse assessing a premature newborn infant auscultates a continuous machinery-like
murmur. This finding is associated with which congenital heart defect?
Answer a. S: Pulmonary
stenosis
B.
Coarctation of the aorta
C.
Ventricular septal
defect d.
Patent ductus arteriosus
Question 6
You have an order to infuse ondansetron (Zofran) 4 mg diluted in 5 ml 0.9% sodium chloride
solution over 5 minutes using a syringe pump. What will the rate be?
Question 7
A nurse is caring for four clients in the neurologic intensive care unit. After receiving the
hand-off report, which client should the nurse see first?
Downloaded by NELSON KIIRU ()
