Medsurg 2
Medsurg 2 Final Exam Study Guide
Questions and Answers 2025
A patient who has been treated for breast cancer is undergoing routine laboratory work.
Which laboratory finding would cause the nurse to be most concerned about
metastasis? -Correct Answer ✔Elevated serum calcium
A patient on chemotherapy after surgery develops thrombocytopenia. Which
manifestation should the nurse report immediately to the physician? -Correct Answer
✔Tarry stools
The nurse is caring for a client receiving tamoxifen. Which of the following instructions is
most important for the nurse to give the client? -Correct Answer ✔" You should not take
antacids within 2 hours after receiving this medication. "
The nurse is caring for a client receiving leuprolide. Which of the following interventions
should the nurse implement? -Correct Answer ✔Monitor prostate specific antigen (PSA)
results
The nurse is proving dietary teaching to help a patient reduce the risk of cancer. Which
foods should the nurse instruct the patient to avoid? (Select all that apply.) -Correct
Answer ✔Alcohol
Smoked meats
Charbroiled meat
The nurse is caring for a group of patients. Which patient should the nurse see first? -
Correct Answer ✔A patient with a white blood cell count of 2,000 cells/µL
The nurse is caring for a client with a feeding tube. Which interventions will implement
to avoid an obstruction? (Select all that apply.) -Correct Answer ✔Use the infusion to
maintain a constant flow
Replace tablets with liquid medications, If available
The nurse is caring for a client who recently underwent an esophagoscopy. Which
assessment finding will be most concerning to the nurse? -Correct Answer ✔dysphagia
A patient is being scheduled for a barium swallow test to rule out esophageal strictures
and gastric ulcer. Which pretesting information will the nurse provide for the patient? -
Correct Answer ✔Do not smoke on the morning of the testing.
The nurse is providing care for an older adult client. The client states, "I don't eat much
anymore and I have terrible problems with my bowels." Which information does the
Medsurg 2
, Medsurg 2
nurse share with the patient to explain the changes as related to age? (Select all that
apply.) -Correct Answer ✔-Decreased GI peristalsis contributes to constipation.
-Constipation requires an increased intake of fluids and roughage.
-Decreased sense of taste can cause a loss of desire to eat.
-Periodontal disease can interfere with eating and healthy nutrition.
The nurse is ready to begin tube feeding via an NG feeding tube for a patient who is
comatose. What action should the nurse take before starting the feeding? -Correct
Answer ✔Check the pH of the gastric aspirate
The nurse reviews the results of a patient's stool occult blood test, which tests positive.
Which additional data is unlikely to cause a false positive for the testing? -Correct
Answer ✔If the patient took oral laxatives in preparation for the test
The nurse is taking a medication history for a client with suspected peptic ulcer disease
(PUD). Which medication will the nurse question? -Correct Answer ✔Ibuprofen
The nurse is caring for a client with a hiatal hernia. Which clinical manifestation can the
nurse expect to find? -Correct Answer ✔gastroesophageal reflux
The nurse is contributing to the care plan of a patient admitted after a massive gastric
bleed. Which goals will the nurse consider during this process of planning care? (Select
all that apply.) -Correct Answer ✔-Recognize and treat hypovolemic shock.
-Reassess for indications of electrolyte imbalances.
-Implement measures to prevent or treat dehydration.
The nurse is teaching a client with gastroesophageal reflux disease (GERD) about
symptom control. Which client action will the nurse include in the teaching? -Correct
Answer ✔Maintain ideal body weight
The nurse is providing care for a patient who reports nausea following chemotherapy.
Which nursing intervention is unlikely effectively manage the patient's nausea? -Correct
Answer ✔Bring the patient a small, bland meal to ease any hunger.
The nurse is providing care for a patient who is experiencing nausea and vomiting.
Which pathological manifestation is unlikely to occur with prolonged vomiting? -Correct
Answer ✔anemia
A nurse educating a client on the antacid calcium carbonate (Mylanta) should warn the
client of which of the following adverse reactions? Select all that apply. -Correct Answer
✔Rebound hyperacidity
Headache
Confusion
Medsurg 2
Medsurg 2 Final Exam Study Guide
Questions and Answers 2025
A patient who has been treated for breast cancer is undergoing routine laboratory work.
Which laboratory finding would cause the nurse to be most concerned about
metastasis? -Correct Answer ✔Elevated serum calcium
A patient on chemotherapy after surgery develops thrombocytopenia. Which
manifestation should the nurse report immediately to the physician? -Correct Answer
✔Tarry stools
The nurse is caring for a client receiving tamoxifen. Which of the following instructions is
most important for the nurse to give the client? -Correct Answer ✔" You should not take
antacids within 2 hours after receiving this medication. "
The nurse is caring for a client receiving leuprolide. Which of the following interventions
should the nurse implement? -Correct Answer ✔Monitor prostate specific antigen (PSA)
results
The nurse is proving dietary teaching to help a patient reduce the risk of cancer. Which
foods should the nurse instruct the patient to avoid? (Select all that apply.) -Correct
Answer ✔Alcohol
Smoked meats
Charbroiled meat
The nurse is caring for a group of patients. Which patient should the nurse see first? -
Correct Answer ✔A patient with a white blood cell count of 2,000 cells/µL
The nurse is caring for a client with a feeding tube. Which interventions will implement
to avoid an obstruction? (Select all that apply.) -Correct Answer ✔Use the infusion to
maintain a constant flow
Replace tablets with liquid medications, If available
The nurse is caring for a client who recently underwent an esophagoscopy. Which
assessment finding will be most concerning to the nurse? -Correct Answer ✔dysphagia
A patient is being scheduled for a barium swallow test to rule out esophageal strictures
and gastric ulcer. Which pretesting information will the nurse provide for the patient? -
Correct Answer ✔Do not smoke on the morning of the testing.
The nurse is providing care for an older adult client. The client states, "I don't eat much
anymore and I have terrible problems with my bowels." Which information does the
Medsurg 2
, Medsurg 2
nurse share with the patient to explain the changes as related to age? (Select all that
apply.) -Correct Answer ✔-Decreased GI peristalsis contributes to constipation.
-Constipation requires an increased intake of fluids and roughage.
-Decreased sense of taste can cause a loss of desire to eat.
-Periodontal disease can interfere with eating and healthy nutrition.
The nurse is ready to begin tube feeding via an NG feeding tube for a patient who is
comatose. What action should the nurse take before starting the feeding? -Correct
Answer ✔Check the pH of the gastric aspirate
The nurse reviews the results of a patient's stool occult blood test, which tests positive.
Which additional data is unlikely to cause a false positive for the testing? -Correct
Answer ✔If the patient took oral laxatives in preparation for the test
The nurse is taking a medication history for a client with suspected peptic ulcer disease
(PUD). Which medication will the nurse question? -Correct Answer ✔Ibuprofen
The nurse is caring for a client with a hiatal hernia. Which clinical manifestation can the
nurse expect to find? -Correct Answer ✔gastroesophageal reflux
The nurse is contributing to the care plan of a patient admitted after a massive gastric
bleed. Which goals will the nurse consider during this process of planning care? (Select
all that apply.) -Correct Answer ✔-Recognize and treat hypovolemic shock.
-Reassess for indications of electrolyte imbalances.
-Implement measures to prevent or treat dehydration.
The nurse is teaching a client with gastroesophageal reflux disease (GERD) about
symptom control. Which client action will the nurse include in the teaching? -Correct
Answer ✔Maintain ideal body weight
The nurse is providing care for a patient who reports nausea following chemotherapy.
Which nursing intervention is unlikely effectively manage the patient's nausea? -Correct
Answer ✔Bring the patient a small, bland meal to ease any hunger.
The nurse is providing care for a patient who is experiencing nausea and vomiting.
Which pathological manifestation is unlikely to occur with prolonged vomiting? -Correct
Answer ✔anemia
A nurse educating a client on the antacid calcium carbonate (Mylanta) should warn the
client of which of the following adverse reactions? Select all that apply. -Correct Answer
✔Rebound hyperacidity
Headache
Confusion
Medsurg 2
