Med Surg II Exam Test Questions with 100% Verified answers
Pregnancy needs to be avoided for 1 to
A rubella titer result of a 1-day postpar- 3 months.
tum client is less than 1:8, and a rubel- 3. The vaccine is administered by the
la virus vaccine is prescribed to be ad- subcutaneous route.
ministered before discharge. The nurse 4. Exposure to immunosuppressed indi-
provides which information to the client viduals needs to be avoided. 5.A hyper-
about the vaccine? Select all that apply. sensitivity reaction can occur if the client
has an allergy to eggs.
The nurse is providing instructions to a
pregnant client with human immunode-
ficiency virus (HIV) infection regarding
care to the newborn after delivery. The "You will need to bottle-feed your new-
client asks the nurse about the feed- born."
ing options that are available. Which re-
sponse should the nurse make to the
client?
A stillborn baby was delivered in the
birthing suite a few hours ago. After the
delivery, the family remained together,
"What can I do for you?"
holding and touching the baby. Which
statement by the nurse would assist the
family in their period of grief?
The nurse in a maternity unit is providing
emotional support to a client and her
significant other who are preparing to be
discharged from the hospital after the "We want to attend a support group."
birth of a dead fetus. Which statement
made by the client indicates a compo-
nent of the normal grieving process?
The nurse evaluates the ability of a
hepatitis B-positive mother to provide
The mother washes and dries her hands
safe bottle-feeding to her newborn dur-
before and after self-care of the per-
ing postpartum hospitalization. Which
ineum and asks for a pair of gloves be-
maternal action best exemplifies the
fore feeding.
mother's knowledge of potential disease
transmission to the newborn?
, Med Surg II Exam Test Questions with 100% Verified answers
The nurse in the postpartum unit is car-
ing for a client who has just delivered
a newborn infant following a pregnancy
with placenta previa. The nurse reviews Hemorrhage
the plan of care and prepares to monitor
the client for which risk associated with
placenta previa?
The postpartum nurse is taking the vital
signs of a client who delivered a healthy
newborn 4 hours ago. The nurse notes Increase hydration by encouraging oral
that the client's temperature is 100.2°F fluids.
(37.8°C). What is the priority nursing ac-
tion?
The nurse is assessing a client who
is 6 hours postpartum after delivering
a full-term healthy newborn. The client Instruct the client to request help when
complains to the nurse of feelings of getting out of bed.
faintness and dizziness. Which nursing
action is most appropriate?
The postpartum nurse is providing in-
structions to a client after birth of
a healthy newborn. Which time frame 3 days postpartum
should the nurse relay to the client re-
garding the return of bowel function?
The nurse is planning care for a post-
partum client who had a vaginal delivery
2 hours ago. The client required an epi-
Client pain level
siotomy and has several hemorrhoids.
What is the priority nursing consideration
for this client?
"I should wear a bra that provides sup-
The nurse is providing postpartum in-
structions to a client who will be port."
2. "Drinking alcohol can affect my milk
breast-feeding her newborn. The nurse
determines that the client has under- supply."
3. "The use of caffeine can decrease my
stood the instructions if she makes which
milk supply."
statements? Select all that apply.
"I plan on having bottled water available
, Med Surg II Exam Test Questions with 100% Verified answers
in the refrigerator so I can get additional
fluids easily."
The nurse is teaching a postpartum
client about breast-feeding. Which in- The diet should include additional fluids.
struction should the nurse include?
The nurse is preparing to assess the
uterine fundus of a client in the immedi-
ate postpartum period. After locating the
Massage the fundus until it is firm.
fundus, the nurse notes that the uterus
feels soft and boggy. Which nursing in-
tervention is appropriate?
The nurse is caring for four 1-day post-
The client with lochia that is red and has
partum clients. Which client assessment
a foul-smelling odor
requires theneed for follow-up?
When performing a postpartum assess-
ment on a client, the nurse notes the
presence of clots in the lochia. The nurse
Notify the health care provider (HCP).
examines the clots and notes that they
are larger than 1 cm. Which nursing ac-
tion is most appropriate?
The nurse has provided discharge in-
structions to a client who delivered a
"I will begin abdominal exercises imme-
healthy newborn by cesarean delivery.
diately."
Which statement made by the client in-
dicates a need for further instruction?
After a precipitous delivery, the nurse
notes that the new mother is passive
and touches her newborn infant only Support the mother in her reaction to the
briefly with her fingertips. What should newborn infant.
the nurse do to help the woman process
the delivery?
The nurse is monitoring a client in the
immediate postpartum period for signs of An increase in the pulse rate from 88 to
hemorrhage. Which sign, if noted, would 102 beats/minute
be an early sign of excessive blood loss?
Pregnancy needs to be avoided for 1 to
A rubella titer result of a 1-day postpar- 3 months.
tum client is less than 1:8, and a rubel- 3. The vaccine is administered by the
la virus vaccine is prescribed to be ad- subcutaneous route.
ministered before discharge. The nurse 4. Exposure to immunosuppressed indi-
provides which information to the client viduals needs to be avoided. 5.A hyper-
about the vaccine? Select all that apply. sensitivity reaction can occur if the client
has an allergy to eggs.
The nurse is providing instructions to a
pregnant client with human immunode-
ficiency virus (HIV) infection regarding
care to the newborn after delivery. The "You will need to bottle-feed your new-
client asks the nurse about the feed- born."
ing options that are available. Which re-
sponse should the nurse make to the
client?
A stillborn baby was delivered in the
birthing suite a few hours ago. After the
delivery, the family remained together,
"What can I do for you?"
holding and touching the baby. Which
statement by the nurse would assist the
family in their period of grief?
The nurse in a maternity unit is providing
emotional support to a client and her
significant other who are preparing to be
discharged from the hospital after the "We want to attend a support group."
birth of a dead fetus. Which statement
made by the client indicates a compo-
nent of the normal grieving process?
The nurse evaluates the ability of a
hepatitis B-positive mother to provide
The mother washes and dries her hands
safe bottle-feeding to her newborn dur-
before and after self-care of the per-
ing postpartum hospitalization. Which
ineum and asks for a pair of gloves be-
maternal action best exemplifies the
fore feeding.
mother's knowledge of potential disease
transmission to the newborn?
, Med Surg II Exam Test Questions with 100% Verified answers
The nurse in the postpartum unit is car-
ing for a client who has just delivered
a newborn infant following a pregnancy
with placenta previa. The nurse reviews Hemorrhage
the plan of care and prepares to monitor
the client for which risk associated with
placenta previa?
The postpartum nurse is taking the vital
signs of a client who delivered a healthy
newborn 4 hours ago. The nurse notes Increase hydration by encouraging oral
that the client's temperature is 100.2°F fluids.
(37.8°C). What is the priority nursing ac-
tion?
The nurse is assessing a client who
is 6 hours postpartum after delivering
a full-term healthy newborn. The client Instruct the client to request help when
complains to the nurse of feelings of getting out of bed.
faintness and dizziness. Which nursing
action is most appropriate?
The postpartum nurse is providing in-
structions to a client after birth of
a healthy newborn. Which time frame 3 days postpartum
should the nurse relay to the client re-
garding the return of bowel function?
The nurse is planning care for a post-
partum client who had a vaginal delivery
2 hours ago. The client required an epi-
Client pain level
siotomy and has several hemorrhoids.
What is the priority nursing consideration
for this client?
"I should wear a bra that provides sup-
The nurse is providing postpartum in-
structions to a client who will be port."
2. "Drinking alcohol can affect my milk
breast-feeding her newborn. The nurse
determines that the client has under- supply."
3. "The use of caffeine can decrease my
stood the instructions if she makes which
milk supply."
statements? Select all that apply.
"I plan on having bottled water available
, Med Surg II Exam Test Questions with 100% Verified answers
in the refrigerator so I can get additional
fluids easily."
The nurse is teaching a postpartum
client about breast-feeding. Which in- The diet should include additional fluids.
struction should the nurse include?
The nurse is preparing to assess the
uterine fundus of a client in the immedi-
ate postpartum period. After locating the
Massage the fundus until it is firm.
fundus, the nurse notes that the uterus
feels soft and boggy. Which nursing in-
tervention is appropriate?
The nurse is caring for four 1-day post-
The client with lochia that is red and has
partum clients. Which client assessment
a foul-smelling odor
requires theneed for follow-up?
When performing a postpartum assess-
ment on a client, the nurse notes the
presence of clots in the lochia. The nurse
Notify the health care provider (HCP).
examines the clots and notes that they
are larger than 1 cm. Which nursing ac-
tion is most appropriate?
The nurse has provided discharge in-
structions to a client who delivered a
"I will begin abdominal exercises imme-
healthy newborn by cesarean delivery.
diately."
Which statement made by the client in-
dicates a need for further instruction?
After a precipitous delivery, the nurse
notes that the new mother is passive
and touches her newborn infant only Support the mother in her reaction to the
briefly with her fingertips. What should newborn infant.
the nurse do to help the woman process
the delivery?
The nurse is monitoring a client in the
immediate postpartum period for signs of An increase in the pulse rate from 88 to
hemorrhage. Which sign, if noted, would 102 beats/minute
be an early sign of excessive blood loss?
