1|Page
MEDSURG 2 FINAL EXAM NEWEST 2025 ACTUAL EXAM|
COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALREADY GRADED A+||
BRAND NEW!!
In which position does the nurse place the client immediately after a
rhytidectomy to promote venous return and prevent swelling?
A. Fowler's
B. Lithotomy
C. Lateral Sims'
D. Trendelenburg - Correct Answer - A. Fowler's
The nurse assesses the wound of a client burned as a result of stepping
into a bathtub filled with very hot water. Which assessment finding of
the burned areas on the tops of both feet does the nurse use as a basis to
document a probable full-thickness injury?
A. Most of the wounded area is red
B. The client reports that the area hurts when touched
C. The area does not blanch when firm pressure is applied
D. Thrombosed blood vessels are visible beneath the skin surface -
Correct Answer - D. Thrombosed blood vessels are visible beneath the
skin surface
Which assessment does the nurse perform first on the client just
admitted after an electrical injury with contact sites on the left hand and
left foot?
pg. 1
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A. Core body temperature
B. Electrocardiography
C. Depth of burn injury
D. Urine output - Correct Answer - B. Electrocardiography
The client who tripped while carrying an open kettle of hot water
received scald burns to the entire chest, the entire anterior section of the
right arm, the right half of the abdomen and the anterior portion of the
right leg from groin to the knee. At what percentage of total body
surface area does the nurse calculate the injury using the rule of nines?
A. 22% to 23%
B. 30% to 31%
C. 39% to 40%
D. 48% to 49% - Correct Answer - A. 22% to 23%
The client with burns to the head, neck and upper body from a house fire
starts drooling uncontrollably about 8 hours after the injury. What is the
nurse's best first action?
A. Ensure that the client remains NPO
B. Notify the Rapid Response Team
C. Slow the IV infusion rate
D. Raise the head of the bed - Correct Answer - B. Notify the Rapid
Response Team
pg. 2
,3|Page
The client with 45% burns has a hematocrit of 52% 10 hours after the
burn injury and 6 hours after fluid resuscitation was started. What is the
nurse's best action?
A. Assess the client's blood pressure and urine output
B. Notify the physician or Rapid Response Team
C. Document the report as the only action
D. Increase the IV infusion rate - Correct Answer - A. Assess the client's
blood pressure and urine output
A nurse is reviewing the common emergency management protocol for
clients during a cardiac emergency. Which of the following is an
appropriate action by the nurse?
A. Administer IV dobutamine (Dobutrex)
B. Administer IV dopamine (Intropin)
C. Administer IV epinephrine (Adrenaline)
D. Administer IV atropine (Atropair) - Correct Answer - C. Administer
IV epinephrine (Adrenaline)
A nurse is caring for a client who has a suspected viral skin lesion.
Which of the following laboratory findings should the nurse anticipate
reviewing to confirm this diagnosis?
A. Potassium hydroxide (KOH)
B. Culture and sensitivity
C. Tzanck smear report
D. Biopsy - Correct Answer - C. Tzanck smear report
pg. 3
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Which vital sign change in a client with hypovolemic shock indicates to
the nurse that the therapy is effective?
A. Urine output increases from 5 mL/hr to 25 mL/hr
B. Pulse pressure decrease from 35 mm Hg to 28 mm Hg
C. Respiratory rate increase from 22 breaths/min to 26 breaths/min
D. Core body temperature increase from 98.2 degrees F (36.8 degrees C)
to 98.8 degrees F (37.1 degrees C) - Correct Answer - A. Urine output
increases from 5 mL/hr to 25 mL/hr
A nurse in the emergency department is assessing a client who is
unresponsive. The client's partner states, "He was pulling weeds in the
yard and dropped to the ground." Which of the following techniques
should the nurse use to open the client's airway?
A. Head-tilt, chin lift
B. Modified jaw thrust
C. Hyperextension of the head
D. Flexion of the head - Correct Answer - A. Head-tilt, chin lift
A nurse working in a provider's office is assessing a client who has a
severe sunburn. Which of the following is the proper classification of
this burn?
A. Superficial
B. Superficial partial-thickness
C. Deep partial-thickness
D. Full-thickness - Correct Answer - A. Superficial
pg. 4
MEDSURG 2 FINAL EXAM NEWEST 2025 ACTUAL EXAM|
COMPLETE QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALREADY GRADED A+||
BRAND NEW!!
In which position does the nurse place the client immediately after a
rhytidectomy to promote venous return and prevent swelling?
A. Fowler's
B. Lithotomy
C. Lateral Sims'
D. Trendelenburg - Correct Answer - A. Fowler's
The nurse assesses the wound of a client burned as a result of stepping
into a bathtub filled with very hot water. Which assessment finding of
the burned areas on the tops of both feet does the nurse use as a basis to
document a probable full-thickness injury?
A. Most of the wounded area is red
B. The client reports that the area hurts when touched
C. The area does not blanch when firm pressure is applied
D. Thrombosed blood vessels are visible beneath the skin surface -
Correct Answer - D. Thrombosed blood vessels are visible beneath the
skin surface
Which assessment does the nurse perform first on the client just
admitted after an electrical injury with contact sites on the left hand and
left foot?
pg. 1
,2|Page
A. Core body temperature
B. Electrocardiography
C. Depth of burn injury
D. Urine output - Correct Answer - B. Electrocardiography
The client who tripped while carrying an open kettle of hot water
received scald burns to the entire chest, the entire anterior section of the
right arm, the right half of the abdomen and the anterior portion of the
right leg from groin to the knee. At what percentage of total body
surface area does the nurse calculate the injury using the rule of nines?
A. 22% to 23%
B. 30% to 31%
C. 39% to 40%
D. 48% to 49% - Correct Answer - A. 22% to 23%
The client with burns to the head, neck and upper body from a house fire
starts drooling uncontrollably about 8 hours after the injury. What is the
nurse's best first action?
A. Ensure that the client remains NPO
B. Notify the Rapid Response Team
C. Slow the IV infusion rate
D. Raise the head of the bed - Correct Answer - B. Notify the Rapid
Response Team
pg. 2
,3|Page
The client with 45% burns has a hematocrit of 52% 10 hours after the
burn injury and 6 hours after fluid resuscitation was started. What is the
nurse's best action?
A. Assess the client's blood pressure and urine output
B. Notify the physician or Rapid Response Team
C. Document the report as the only action
D. Increase the IV infusion rate - Correct Answer - A. Assess the client's
blood pressure and urine output
A nurse is reviewing the common emergency management protocol for
clients during a cardiac emergency. Which of the following is an
appropriate action by the nurse?
A. Administer IV dobutamine (Dobutrex)
B. Administer IV dopamine (Intropin)
C. Administer IV epinephrine (Adrenaline)
D. Administer IV atropine (Atropair) - Correct Answer - C. Administer
IV epinephrine (Adrenaline)
A nurse is caring for a client who has a suspected viral skin lesion.
Which of the following laboratory findings should the nurse anticipate
reviewing to confirm this diagnosis?
A. Potassium hydroxide (KOH)
B. Culture and sensitivity
C. Tzanck smear report
D. Biopsy - Correct Answer - C. Tzanck smear report
pg. 3
, 4|Page
Which vital sign change in a client with hypovolemic shock indicates to
the nurse that the therapy is effective?
A. Urine output increases from 5 mL/hr to 25 mL/hr
B. Pulse pressure decrease from 35 mm Hg to 28 mm Hg
C. Respiratory rate increase from 22 breaths/min to 26 breaths/min
D. Core body temperature increase from 98.2 degrees F (36.8 degrees C)
to 98.8 degrees F (37.1 degrees C) - Correct Answer - A. Urine output
increases from 5 mL/hr to 25 mL/hr
A nurse in the emergency department is assessing a client who is
unresponsive. The client's partner states, "He was pulling weeds in the
yard and dropped to the ground." Which of the following techniques
should the nurse use to open the client's airway?
A. Head-tilt, chin lift
B. Modified jaw thrust
C. Hyperextension of the head
D. Flexion of the head - Correct Answer - A. Head-tilt, chin lift
A nurse working in a provider's office is assessing a client who has a
severe sunburn. Which of the following is the proper classification of
this burn?
A. Superficial
B. Superficial partial-thickness
C. Deep partial-thickness
D. Full-thickness - Correct Answer - A. Superficial
pg. 4
