MED SURG III FINAL EXAM 2025/2026
MED SURG III FINAL EXAM / NSG233
FINAL EXAM 2025/2026 COMPLETE
VERIFIED QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES |GRADED A+||BRAND
NEW VERSION GUARANTEED PASS
Pdf Download
MED SURG III FINAL EXAM
After teaching a client newly diagnosed with epilepsy, the nurse assesses the
client's understanding. Which statement by the client indicates a need for
additional teaching?
a. "I will wear my medical alert bracelet at all times."
b. "While taking my epilepsy medications, I will not drink any alcoholic beverages."
c. "I will tell my doctor about my prescription and over-the-counter medications."
MED SURG III 1
, MED SURG III FINAL EXAM 2025/2026
d. "If I am nauseated, I will not take my epilepsy medication." - Answer ✓✓ANS: D
The nurse must emphasize that antiepileptic drugs must be taken even if the
client is nauseous. Discontinuing the medication can predispose the client to
seizure activity and status epilepticus. The client should not drink alcohol while
taking seizure medications. The client should wear a medical alert bracelet and
should make the doctor aware of all medications to prevent complications of
polypharmacy.
A nurse obtains a focused health history for a client who is suspected of having
bacterial meningitis. Which question should the nurse ask?
a. "Do you live in a crowded residence?"
b. "When was your last tetanus vaccination?"
c. "Have you had any viral infections recently?"
d. "Have you traveled out of the country in the last month?" - Answer ✓✓ANS: A
Meningococcal meningitis tends to occur in multiple outbreaks. It is most likely to
occur in areas of high-density population, such as college dormitories, prisons, and
military barracks. A tetanus vaccination would not place the client at increased
risk for meningitis or protect the client from meningitis. A viral infection would
not lead to bacterial meningitis but could lead to viral meningitis. Simply knowing
if the client traveled out of the country does not provide enough information. The
nurse should ask about travel to specific countries in which the disease is
common, for example, sub-Saharan Africa.
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?
a. "His masklike face makes it difficult to communicate, so I will use a white
board."
b. "He should not socialize outside of the house due to uncontrollable drooling."
c. "This disease is associated with anxiety causing increased perspiration."
MED SURG III 2
, MED SURG III FINAL EXAM 2025/2026
d. "He may have trouble chewing, so I will offer bite-sized portions." - Answer
✓✓ANS: D
Because chewing and swallowing can be problematic, small frequent meals and a
supplement are better for meeting the client's nutritional needs. A masklike face
and drooling are common in clients with Parkinson disease. The client should be
encouraged to continue to socialize and communicate as normally as possible. The
wife should understand that the client's masklike face can be misinterpreted and
additional time may be needed for the client to communicate with her or others.
Excessive perspiration is also common in clients with Parkinson disease and is
associated with the autonomic nervous system's response.
A nurse plans care for a client with Parkinson disease. Which intervention should
the nurse include in this client's plan of care?
a. Ambulate the client in the hallway twice a day.
b. Ensure a fluid intake of at least 3 liters per day.
c. Teach the client pursed-lip breathing techniques.
d. Keep the head of the bed at 30 degrees or greater - Answer ✓✓ANS: D
Elevation of the head of the bed will help prevent aspiration. The other options
will not prevent aspiration, which is the greatest respiratory complication of
Parkinson disease, nor do these interventions address any of the complications of
Parkinson disease. Ambulation in the hallway is usually implemented to prevent
venous thrombosis. Increased fluid intake flushes out toxins from the client's
blood. Pursed-lip breathing increases exhalation of carbon dioxide.
A nurse is teaching the daughter of a client who has Alzheimer's disease. The
daughter asks, "Will the medication my mother is taking improve her dementia?"
How should the nurse respond?
a. "It will allow your mother to live independently for several more years."
b. "It is used to halt the advancement of Alzheimer's disease but will not cure it."
c. "It will not improve her dementia but can help control emotional responses."
MED SURG III 3
, MED SURG III FINAL EXAM 2025/2026
d. "It is used to improve short-term memory but will not improve problem solving."
- Answer ✓✓ANS: C
Drug therapy is not effective for treating dementia or halting the advancement of
Alzheimer's disease. However, certain drugs may help suppress emotional
disturbances and psychiatric manifestations. Medication therapy may not allow the
client to safely live independently.
A nurse assesses a client with Alzheimer's disease who is recently admitted to the
hospital. Which psychosocial assessment should the nurse complete?
a. Assess religious and spiritual needs while in the hospital.
b. Identify the client's ability to perform self-care activities.
c. Evaluate the client's reaction to a change of environment.
d. Ask the client about relationships with family members. - Answer ✓✓ANS: C
As Alzheimer's disease progresses, the client experiences changes in emotional
and behavioral affect. The nurse should be alert to the client's reaction to a
change in environment, such as being hospitalized, because the client may exhibit
an exaggerated response, such as aggression, to the event. The other assessments
should be completed but are not as important as assessing the client's reaction to
environmental change.
A nurse witnesses a client with late-stage Alzheimer's disease eat breakfast.
Afterward the client states, "I am hungry and want breakfast." How should the
nurse respond?
a. "I see you are still hungry. I will get you some toast."
b. "You ate your breakfast 30 minutes ago."
c. "It appears you are confused this morning."
d. "Your family will be here soon. Let's get you dressed." - Answer ✓✓ANS: A
Use of validation therapy with clients who have Alzheimer's disease involves
acknowledgment of the client's feelings and concerns. This technique has proved
more effective in later stages of the disease, when using reality orientation only
MED SURG III 4
MED SURG III FINAL EXAM / NSG233
FINAL EXAM 2025/2026 COMPLETE
VERIFIED QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES |GRADED A+||BRAND
NEW VERSION GUARANTEED PASS
Pdf Download
MED SURG III FINAL EXAM
After teaching a client newly diagnosed with epilepsy, the nurse assesses the
client's understanding. Which statement by the client indicates a need for
additional teaching?
a. "I will wear my medical alert bracelet at all times."
b. "While taking my epilepsy medications, I will not drink any alcoholic beverages."
c. "I will tell my doctor about my prescription and over-the-counter medications."
MED SURG III 1
, MED SURG III FINAL EXAM 2025/2026
d. "If I am nauseated, I will not take my epilepsy medication." - Answer ✓✓ANS: D
The nurse must emphasize that antiepileptic drugs must be taken even if the
client is nauseous. Discontinuing the medication can predispose the client to
seizure activity and status epilepticus. The client should not drink alcohol while
taking seizure medications. The client should wear a medical alert bracelet and
should make the doctor aware of all medications to prevent complications of
polypharmacy.
A nurse obtains a focused health history for a client who is suspected of having
bacterial meningitis. Which question should the nurse ask?
a. "Do you live in a crowded residence?"
b. "When was your last tetanus vaccination?"
c. "Have you had any viral infections recently?"
d. "Have you traveled out of the country in the last month?" - Answer ✓✓ANS: A
Meningococcal meningitis tends to occur in multiple outbreaks. It is most likely to
occur in areas of high-density population, such as college dormitories, prisons, and
military barracks. A tetanus vaccination would not place the client at increased
risk for meningitis or protect the client from meningitis. A viral infection would
not lead to bacterial meningitis but could lead to viral meningitis. Simply knowing
if the client traveled out of the country does not provide enough information. The
nurse should ask about travel to specific countries in which the disease is
common, for example, sub-Saharan Africa.
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?
a. "His masklike face makes it difficult to communicate, so I will use a white
board."
b. "He should not socialize outside of the house due to uncontrollable drooling."
c. "This disease is associated with anxiety causing increased perspiration."
MED SURG III 2
, MED SURG III FINAL EXAM 2025/2026
d. "He may have trouble chewing, so I will offer bite-sized portions." - Answer
✓✓ANS: D
Because chewing and swallowing can be problematic, small frequent meals and a
supplement are better for meeting the client's nutritional needs. A masklike face
and drooling are common in clients with Parkinson disease. The client should be
encouraged to continue to socialize and communicate as normally as possible. The
wife should understand that the client's masklike face can be misinterpreted and
additional time may be needed for the client to communicate with her or others.
Excessive perspiration is also common in clients with Parkinson disease and is
associated with the autonomic nervous system's response.
A nurse plans care for a client with Parkinson disease. Which intervention should
the nurse include in this client's plan of care?
a. Ambulate the client in the hallway twice a day.
b. Ensure a fluid intake of at least 3 liters per day.
c. Teach the client pursed-lip breathing techniques.
d. Keep the head of the bed at 30 degrees or greater - Answer ✓✓ANS: D
Elevation of the head of the bed will help prevent aspiration. The other options
will not prevent aspiration, which is the greatest respiratory complication of
Parkinson disease, nor do these interventions address any of the complications of
Parkinson disease. Ambulation in the hallway is usually implemented to prevent
venous thrombosis. Increased fluid intake flushes out toxins from the client's
blood. Pursed-lip breathing increases exhalation of carbon dioxide.
A nurse is teaching the daughter of a client who has Alzheimer's disease. The
daughter asks, "Will the medication my mother is taking improve her dementia?"
How should the nurse respond?
a. "It will allow your mother to live independently for several more years."
b. "It is used to halt the advancement of Alzheimer's disease but will not cure it."
c. "It will not improve her dementia but can help control emotional responses."
MED SURG III 3
, MED SURG III FINAL EXAM 2025/2026
d. "It is used to improve short-term memory but will not improve problem solving."
- Answer ✓✓ANS: C
Drug therapy is not effective for treating dementia or halting the advancement of
Alzheimer's disease. However, certain drugs may help suppress emotional
disturbances and psychiatric manifestations. Medication therapy may not allow the
client to safely live independently.
A nurse assesses a client with Alzheimer's disease who is recently admitted to the
hospital. Which psychosocial assessment should the nurse complete?
a. Assess religious and spiritual needs while in the hospital.
b. Identify the client's ability to perform self-care activities.
c. Evaluate the client's reaction to a change of environment.
d. Ask the client about relationships with family members. - Answer ✓✓ANS: C
As Alzheimer's disease progresses, the client experiences changes in emotional
and behavioral affect. The nurse should be alert to the client's reaction to a
change in environment, such as being hospitalized, because the client may exhibit
an exaggerated response, such as aggression, to the event. The other assessments
should be completed but are not as important as assessing the client's reaction to
environmental change.
A nurse witnesses a client with late-stage Alzheimer's disease eat breakfast.
Afterward the client states, "I am hungry and want breakfast." How should the
nurse respond?
a. "I see you are still hungry. I will get you some toast."
b. "You ate your breakfast 30 minutes ago."
c. "It appears you are confused this morning."
d. "Your family will be here soon. Let's get you dressed." - Answer ✓✓ANS: A
Use of validation therapy with clients who have Alzheimer's disease involves
acknowledgment of the client's feelings and concerns. This technique has proved
more effective in later stages of the disease, when using reality orientation only
MED SURG III 4
