NSG233/ NSG 233 Exam 3:
(Latest 2025/ 2026 Update) Med Surg III
Exam| Questions and Verified Answers|
100% Correct| Grade A – Herzing
Q: 78 year old pt has a thoracotomy with a chest tube placed is initially prescribed tramadol for
pain. Prior to starting the tramadol the nurse reviews pt chart. The pt has a history of
hypertension , osteoarthritis, and neuropathic pain from diabetes. The client is also prescribed an
antihypertensive , and SSRI, aspirin and metformin. Which of the elements of the pt history
would cause concern for the nurse
Answer:
Prescribed SSRI
Q: Nurse is caring for pt on mechanical ventilation who has previously been resting quietly. Pt
suddenly begins thrashing and become diaphoretic and tachy, with wide open eyes and look of
fear. What should nurse do first
Answer:
Assess respiratory status
Q: Nurse is preparing to assist w chest tube removal. which of the following actions will the
nurse perform ? SATA
Answer:
- pre medicate prior to the removal as ordered
-gather supplies needed including petroleum gauze dressing as per physician preference
-place pt in semi folwers
Q: Nurse is called to the pts room by UAP when client chest tube is accidentally disconnected
from drainage system. Which intervention by the nurse would be appropriate
,Answer:
Immerse the chest tube open end into sterile water
Q: Which of the following findings would indicate to the nurse that effective cough technique
has been taught to a thoracotomy patient successfully
Answer:
Clear lung sounds Auscultated after coughing exercises
Q: Pt diagnosed with portal hypertension and ascites is prescribed a 2 gram sodium diet. Which
or the following statements indicates understanding
Answer:
I will season my food with oregano or thyme
Q: A pt presents to ED with an enlarged abdomen , distended abdominal veins , straie,
shortness of breath and abdominal discomfort, and a sodium level of 126. The nurse recognizes
these symptoms to be consistent with ?
Answer:
Portal hypertension
Q: Nurse is assessing a newly admitted pt with cirrhosis and ascites. Which specific
interventions to be in this pt plan of care ? SATA
Answer:
- monitor daily weights
-monitor CBC
-monitor serum ammonia
-assess abdominal girth
-monitor complete metabolic panel ( CMP)
,Q: Nursing actions important to prevent a ventilated pt from developing pneumonia includes ?
SATA
Answer:
- decrease sedative dose periodically
-implement measures to prevent DVT
-begin peptic ulcer disease prophylaxis
Q: A pt is diagnosed with esophageal cancer is recovering from an esophageal resection and
has had an NG tube removed. Which nursing interventions would be important to prevent
complications ? SATA
Answer:
-watch cardiac monitor closely
-encourage use of incentive spirometer every hour
-assist pt to sit up in chair
-monitor pts temp every 4 hours
Q: What specific interventions should nurse perform on pt admitted with hepatic
encephalopathy
Answer:
Assess nuerological status
Q: The nurse is providing reviewing the chart of a 66 year old male client who has been
diagnosed with bladder cancer. The nurse notes the following data in the charts: family history of
bladder cancer, employment in a paint manufacturing company for 15 years and smokes 1 pack
of cigarettes a day. Which of the following modifiable risk factors would the nurse address when
educating the client on his position
Answer:
Tobacco use
, Q: Nurse is caring for a pt with cirrhosis and ascites which manifestation would indicate pt is
getting worse
Answer:
Increase in abdominal
Girth by 4 cm
Q: Hospitalized pt with terminal prostate cancer is cachexic and refuses to eat because of
anorexia. Which of the following should nurse implement ? SATA
Answer:
- allow or to talk about feelings related to eating
-encourage oral hygiene explaining rationale
-consult with dietician and family abt providing foods the pt will eat
-educate pt abt how important food is to well being
Q: The patient with ascites has not been compliant with a low sodium diet alone and the HCP
decides to add a diuretic to the treatment regimen. The provider prescribes acetazolamide to be
taken daily in addition to the diet restriction. What should the nurse's next action be?
Answer:
Question order because of possible side effects
Q: The nurse has identified the nursing diagnosis, "Disturbed Body Image" for a client with
bladder cancer who has just undergone an ileal conduit procedure. Which of the following goal
statements would be appropriate for the client? SATA
Answer:
-client will openly discuss feelings about procedure
-client will initiate the process of changing the pouch
-client will successful perform stoma care
(Latest 2025/ 2026 Update) Med Surg III
Exam| Questions and Verified Answers|
100% Correct| Grade A – Herzing
Q: 78 year old pt has a thoracotomy with a chest tube placed is initially prescribed tramadol for
pain. Prior to starting the tramadol the nurse reviews pt chart. The pt has a history of
hypertension , osteoarthritis, and neuropathic pain from diabetes. The client is also prescribed an
antihypertensive , and SSRI, aspirin and metformin. Which of the elements of the pt history
would cause concern for the nurse
Answer:
Prescribed SSRI
Q: Nurse is caring for pt on mechanical ventilation who has previously been resting quietly. Pt
suddenly begins thrashing and become diaphoretic and tachy, with wide open eyes and look of
fear. What should nurse do first
Answer:
Assess respiratory status
Q: Nurse is preparing to assist w chest tube removal. which of the following actions will the
nurse perform ? SATA
Answer:
- pre medicate prior to the removal as ordered
-gather supplies needed including petroleum gauze dressing as per physician preference
-place pt in semi folwers
Q: Nurse is called to the pts room by UAP when client chest tube is accidentally disconnected
from drainage system. Which intervention by the nurse would be appropriate
,Answer:
Immerse the chest tube open end into sterile water
Q: Which of the following findings would indicate to the nurse that effective cough technique
has been taught to a thoracotomy patient successfully
Answer:
Clear lung sounds Auscultated after coughing exercises
Q: Pt diagnosed with portal hypertension and ascites is prescribed a 2 gram sodium diet. Which
or the following statements indicates understanding
Answer:
I will season my food with oregano or thyme
Q: A pt presents to ED with an enlarged abdomen , distended abdominal veins , straie,
shortness of breath and abdominal discomfort, and a sodium level of 126. The nurse recognizes
these symptoms to be consistent with ?
Answer:
Portal hypertension
Q: Nurse is assessing a newly admitted pt with cirrhosis and ascites. Which specific
interventions to be in this pt plan of care ? SATA
Answer:
- monitor daily weights
-monitor CBC
-monitor serum ammonia
-assess abdominal girth
-monitor complete metabolic panel ( CMP)
,Q: Nursing actions important to prevent a ventilated pt from developing pneumonia includes ?
SATA
Answer:
- decrease sedative dose periodically
-implement measures to prevent DVT
-begin peptic ulcer disease prophylaxis
Q: A pt is diagnosed with esophageal cancer is recovering from an esophageal resection and
has had an NG tube removed. Which nursing interventions would be important to prevent
complications ? SATA
Answer:
-watch cardiac monitor closely
-encourage use of incentive spirometer every hour
-assist pt to sit up in chair
-monitor pts temp every 4 hours
Q: What specific interventions should nurse perform on pt admitted with hepatic
encephalopathy
Answer:
Assess nuerological status
Q: The nurse is providing reviewing the chart of a 66 year old male client who has been
diagnosed with bladder cancer. The nurse notes the following data in the charts: family history of
bladder cancer, employment in a paint manufacturing company for 15 years and smokes 1 pack
of cigarettes a day. Which of the following modifiable risk factors would the nurse address when
educating the client on his position
Answer:
Tobacco use
, Q: Nurse is caring for a pt with cirrhosis and ascites which manifestation would indicate pt is
getting worse
Answer:
Increase in abdominal
Girth by 4 cm
Q: Hospitalized pt with terminal prostate cancer is cachexic and refuses to eat because of
anorexia. Which of the following should nurse implement ? SATA
Answer:
- allow or to talk about feelings related to eating
-encourage oral hygiene explaining rationale
-consult with dietician and family abt providing foods the pt will eat
-educate pt abt how important food is to well being
Q: The patient with ascites has not been compliant with a low sodium diet alone and the HCP
decides to add a diuretic to the treatment regimen. The provider prescribes acetazolamide to be
taken daily in addition to the diet restriction. What should the nurse's next action be?
Answer:
Question order because of possible side effects
Q: The nurse has identified the nursing diagnosis, "Disturbed Body Image" for a client with
bladder cancer who has just undergone an ileal conduit procedure. Which of the following goal
statements would be appropriate for the client? SATA
Answer:
-client will openly discuss feelings about procedure
-client will initiate the process of changing the pouch
-client will successful perform stoma care
