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Med Surg 2 - Exam 1 [ACTUAL EXAM] LATEST VERSION [QUESTIONS AND ANSWERS]
WITH PRACTICE EXAM DETAILED AND VERIFIED FOR GUARANTEED PASS- LATEST
UPDATE 2025 GRADED A (BRAND NEW!!)
Which care activity for a patient with a paralytic ileus is appropriate for the registered
nurse (RN) to delegate to unlicensed assistive personnel (UAP)?
A. auscultation for bowel sounds
B. nasogastric (NG) tube irrigation
C. applying petroleum jelly to the lips
D. assessment of the nares for irritation - ✔✔✔✔✔ C
Which information will the nurse include in teaching a patient who had a
proctocolectomy and ileostomy for ulcerative colitis?
A. restrict fluid intake to prevent constant liquid drainage from the stoma
B. use care when eating high-fiber foods to avoid obstruction of the ileum
C. irrigate the ileostomy daily to avoid having to wear a drainage appliance
D. change the pouch every day to prevent leakage of contents onto the skin - ✔✔✔✔✔
B
high fiber introduced gradually and should be chewed well to prevent obstruction
pts with ileostomies lose absorption of water in colon and need to take in more fluids
pouch should be drained frequently, but changed q5-7 days
A 74-yr-old male patient tells the nurse that growing old causes constipation so he has
been using a suppository for constipation every morning. Which action should the nurse
take first?
A. encourage the patient to increase oral fluid intake
B. assess the patient about risk factors for constipation
C. suggest that the patient increase intake of high-fiber foods
D. teach the patient that a daily bowel movement is unnecessary - ✔✔✔✔✔ B
assess
A patient is transferred from the recovery room to a surgical unit after a transverse
colostomy. The nurse observes the stoma to be deep pink with edema and a small
amount of sanguineous drainage. The nurse should
A. place ice packs around the stoma
, B. notify the surgeon about the stoma
C. monitor the stoma every 30 minutes
D. document stoma assessment findings - ✔✔✔✔✔ D
Which information will the nurse teach a patient with lactose intolerance?
A. ice cream is relatively low in lactose
B. live culture yogurt is usually tolerated
C. heating milk will break down the lactose
D. nonfat milk is a better choice than whole milk - ✔✔✔✔✔ B
A 71-yr-old patient had an abdominal-perineal resection for colon cancer. Which nursing
action is the most important to include in the plan of care for the day after surgery?
A. teach about a low-residue diet
B. monitor output from the stoma
C. assess the perineal drainage and incision
D. encourage acceptance of the colostomy stoma - ✔✔✔✔✔ C
day after surgery = assess
A young adult patient is admitted to the hospital for evaluation of right lower quadrant
abdominal pain with nausea and vomiting. Which action should the nurse take?
A. encourage the patient to sip clear liquids
B. assess the abdomen for rebound tenderness
C. assist the patient to cough and deep breathe
D. apply an ice pack to the right lower quadrant - ✔✔✔✔✔ D
appendicitis
ice pack will decrease inflammation
checking for rebound tenderness is uncomfortable and unnecessary
pt should be NPO in case surgery is needed
coughing will increase pain
Which information obtained by the nurse interviewing a 30-yr-old male patient is most
important to communicate to the health care provider?
A. the patient has a history of constipation
B. the patient has noticed blood in the stools
C. the patient had an appendectomy at age 27
D. the patient smokes a pack/day of cigarettes - ✔✔✔✔✔ B
possible colorectal cancer - requires further assessment
more urgent
Med Surg 2 - Exam 1 [ACTUAL EXAM] LATEST VERSION [QUESTIONS AND ANSWERS]
WITH PRACTICE EXAM DETAILED AND VERIFIED FOR GUARANTEED PASS- LATEST
UPDATE 2025 GRADED A (BRAND NEW!!)
Which care activity for a patient with a paralytic ileus is appropriate for the registered
nurse (RN) to delegate to unlicensed assistive personnel (UAP)?
A. auscultation for bowel sounds
B. nasogastric (NG) tube irrigation
C. applying petroleum jelly to the lips
D. assessment of the nares for irritation - ✔✔✔✔✔ C
Which information will the nurse include in teaching a patient who had a
proctocolectomy and ileostomy for ulcerative colitis?
A. restrict fluid intake to prevent constant liquid drainage from the stoma
B. use care when eating high-fiber foods to avoid obstruction of the ileum
C. irrigate the ileostomy daily to avoid having to wear a drainage appliance
D. change the pouch every day to prevent leakage of contents onto the skin - ✔✔✔✔✔
B
high fiber introduced gradually and should be chewed well to prevent obstruction
pts with ileostomies lose absorption of water in colon and need to take in more fluids
pouch should be drained frequently, but changed q5-7 days
A 74-yr-old male patient tells the nurse that growing old causes constipation so he has
been using a suppository for constipation every morning. Which action should the nurse
take first?
A. encourage the patient to increase oral fluid intake
B. assess the patient about risk factors for constipation
C. suggest that the patient increase intake of high-fiber foods
D. teach the patient that a daily bowel movement is unnecessary - ✔✔✔✔✔ B
assess
A patient is transferred from the recovery room to a surgical unit after a transverse
colostomy. The nurse observes the stoma to be deep pink with edema and a small
amount of sanguineous drainage. The nurse should
A. place ice packs around the stoma
, B. notify the surgeon about the stoma
C. monitor the stoma every 30 minutes
D. document stoma assessment findings - ✔✔✔✔✔ D
Which information will the nurse teach a patient with lactose intolerance?
A. ice cream is relatively low in lactose
B. live culture yogurt is usually tolerated
C. heating milk will break down the lactose
D. nonfat milk is a better choice than whole milk - ✔✔✔✔✔ B
A 71-yr-old patient had an abdominal-perineal resection for colon cancer. Which nursing
action is the most important to include in the plan of care for the day after surgery?
A. teach about a low-residue diet
B. monitor output from the stoma
C. assess the perineal drainage and incision
D. encourage acceptance of the colostomy stoma - ✔✔✔✔✔ C
day after surgery = assess
A young adult patient is admitted to the hospital for evaluation of right lower quadrant
abdominal pain with nausea and vomiting. Which action should the nurse take?
A. encourage the patient to sip clear liquids
B. assess the abdomen for rebound tenderness
C. assist the patient to cough and deep breathe
D. apply an ice pack to the right lower quadrant - ✔✔✔✔✔ D
appendicitis
ice pack will decrease inflammation
checking for rebound tenderness is uncomfortable and unnecessary
pt should be NPO in case surgery is needed
coughing will increase pain
Which information obtained by the nurse interviewing a 30-yr-old male patient is most
important to communicate to the health care provider?
A. the patient has a history of constipation
B. the patient has noticed blood in the stools
C. the patient had an appendectomy at age 27
D. the patient smokes a pack/day of cigarettes - ✔✔✔✔✔ B
possible colorectal cancer - requires further assessment
more urgent
