1|Page
NSG223 / NSG 223 Final Exam (Latest 2026
Update): Medical-Surgical Nursing II | Questions
and Verified Answers | 100% Correct | Grade A -
Herzing
1. A nurse instructs a client to close the eyes gently after administration
of eyedrops. Which rationale for this instruction should the nurse
explain to the client? - ANSWER -3 - Disperses the medication over the
eyeballs : Closing the eyes moves the medication over the conjunctiva
an eyeball and helps ensure an even distribution of medication
1. How often should docusate sodium 100 milligrams PO bid be given? -
ANSWER -
1. A nurse is preparing to reconstitute a medication in a multiple dose
vial. Which is the most essential step in the preparation of this
medication? - ANSWER -- 1 - instilling an accurate amount of dilutant
into the vial : The required amount of the dilutant must be followed
exactly in a multiple dose formulation to ensure accurate dosage
preparation. The diluted for a single dose formulation also must be
measured exactly so the medication is diluted enough not to injure
body tissues.
- ANSWER -- 4 - 90 degree angle of insertion : 1/2 inch length needle
inserted at 90 degree angle will ensure that the heparin is inserted into
the subcutaneous tissue.
pg. 1
,2|Page
1. A home care nurse observes the spouse of a client inserting a rectal
Suppository into the client. Which behavior indicates that the nurse
must provide further teaching about the Suppository administration? -
ANSWER -- 3 - insert the Suppository while the client bears down :
Bearing down increases intra- abdominal pressure which impedes the
insertion of the Suppository. The client should be instructed to relax
and breathe deeply and slowly while the Suppository is inserted.
1. A Primary Health care provider prescribes a medication that must be
administered via intramuscular route Which side should the nurse
eliminate from consideration because it has the highest potential for
injury when administering an intramuscular injection? - ANSWER -- 4 -
dorsogluteal : The dorsogluteal site has the highest risk for injury
because of the close proximity or the sciatic Nerve, blood vessel, and
bone.
1. Which information about the parenteral medication indicates that
the nurse should use a filtered needle when preparing the medication?
- ANSWER -- 2 - is supplied in an ampule : The top of an ampule must
be snapped off at its neck to access the fluid. A filtered needle prevents
glass particles from being drawn into the syringe.
1. What should the nurse use when administering a subcutaneous
injection? - ANSWER -- 2 - 25 gauge needle : Subcutaneous injection
should use a 25 to a 29 gauge needle, which minimizes tissue trauma.
The diameter of the needle is referred to as a gauge which ranges from
28 (small) to 14 (large).
pg. 2
, 3|Page
1. When the nurse brings a pill to a client, the client is unable to hold
the paper Cup with the medication. Which should the nurse do? -
ANSWER -- 1 - use the Cup to introduce the pill to the client's mouth :
The client needs assistance. Keeping medication in the Cup, rather than
touching it with the hands, maintains medical asepsis.
1. Which route is inappropriate for a topical medication? - ANSWER -1 -
intradermal : In intradermal injection is inserted below, not on top of,
the epidermis
1. A nurse holds a bottle with the label next to the palm of her hand
when pouring liquid medication. Which is the rationale for this action? -
ANSWER -- 1 - prevent soiling of the label by spilled liquid : Liquid
medication may drip down the side of the bottle and soil the label,
which may interfere with the ability to read the label accurately.
1. A Primary Health care provider prescribes a medicated powder to be
applied to a client's lower leg. Which is the most essential for the nurse
to do when applying the medicated powder? - ANSWER -- 4 - ensure
the skin of the surface is dry : Moisture harbors microorganisms, and
when mixed with the powder it will result in a paste like substance. The
site should be clean and dry to ensure effective action of the drug.
1. A nurse must administer a medication that is supplied in an ampule.
Which should the nurse do first to access the ampule? - ANSWER -- 1 -
break the constricted neck using a barrier : A barrier, such as
pg. 3
NSG223 / NSG 223 Final Exam (Latest 2026
Update): Medical-Surgical Nursing II | Questions
and Verified Answers | 100% Correct | Grade A -
Herzing
1. A nurse instructs a client to close the eyes gently after administration
of eyedrops. Which rationale for this instruction should the nurse
explain to the client? - ANSWER -3 - Disperses the medication over the
eyeballs : Closing the eyes moves the medication over the conjunctiva
an eyeball and helps ensure an even distribution of medication
1. How often should docusate sodium 100 milligrams PO bid be given? -
ANSWER -
1. A nurse is preparing to reconstitute a medication in a multiple dose
vial. Which is the most essential step in the preparation of this
medication? - ANSWER -- 1 - instilling an accurate amount of dilutant
into the vial : The required amount of the dilutant must be followed
exactly in a multiple dose formulation to ensure accurate dosage
preparation. The diluted for a single dose formulation also must be
measured exactly so the medication is diluted enough not to injure
body tissues.
- ANSWER -- 4 - 90 degree angle of insertion : 1/2 inch length needle
inserted at 90 degree angle will ensure that the heparin is inserted into
the subcutaneous tissue.
pg. 1
,2|Page
1. A home care nurse observes the spouse of a client inserting a rectal
Suppository into the client. Which behavior indicates that the nurse
must provide further teaching about the Suppository administration? -
ANSWER -- 3 - insert the Suppository while the client bears down :
Bearing down increases intra- abdominal pressure which impedes the
insertion of the Suppository. The client should be instructed to relax
and breathe deeply and slowly while the Suppository is inserted.
1. A Primary Health care provider prescribes a medication that must be
administered via intramuscular route Which side should the nurse
eliminate from consideration because it has the highest potential for
injury when administering an intramuscular injection? - ANSWER -- 4 -
dorsogluteal : The dorsogluteal site has the highest risk for injury
because of the close proximity or the sciatic Nerve, blood vessel, and
bone.
1. Which information about the parenteral medication indicates that
the nurse should use a filtered needle when preparing the medication?
- ANSWER -- 2 - is supplied in an ampule : The top of an ampule must
be snapped off at its neck to access the fluid. A filtered needle prevents
glass particles from being drawn into the syringe.
1. What should the nurse use when administering a subcutaneous
injection? - ANSWER -- 2 - 25 gauge needle : Subcutaneous injection
should use a 25 to a 29 gauge needle, which minimizes tissue trauma.
The diameter of the needle is referred to as a gauge which ranges from
28 (small) to 14 (large).
pg. 2
, 3|Page
1. When the nurse brings a pill to a client, the client is unable to hold
the paper Cup with the medication. Which should the nurse do? -
ANSWER -- 1 - use the Cup to introduce the pill to the client's mouth :
The client needs assistance. Keeping medication in the Cup, rather than
touching it with the hands, maintains medical asepsis.
1. Which route is inappropriate for a topical medication? - ANSWER -1 -
intradermal : In intradermal injection is inserted below, not on top of,
the epidermis
1. A nurse holds a bottle with the label next to the palm of her hand
when pouring liquid medication. Which is the rationale for this action? -
ANSWER -- 1 - prevent soiling of the label by spilled liquid : Liquid
medication may drip down the side of the bottle and soil the label,
which may interfere with the ability to read the label accurately.
1. A Primary Health care provider prescribes a medicated powder to be
applied to a client's lower leg. Which is the most essential for the nurse
to do when applying the medicated powder? - ANSWER -- 4 - ensure
the skin of the surface is dry : Moisture harbors microorganisms, and
when mixed with the powder it will result in a paste like substance. The
site should be clean and dry to ensure effective action of the drug.
1. A nurse must administer a medication that is supplied in an ampule.
Which should the nurse do first to access the ampule? - ANSWER -- 1 -
break the constricted neck using a barrier : A barrier, such as
pg. 3
