Kaplan Medical-Surgical Nursing II (Med Surg 2) –
Kaplan Nursing | Academic Year 2025–2026
the nurse enters the room of a client being evaluated for a stroke. the client states "I was seeing
double for a minute, but it went away." which action does the nurse take first?
a. obtain the client's visual acuity
b. ask the client to state name and current location
c. administer metoprolol 5 mg IV
d. determine if the client is experiencing any pain
b. ask the client to state name and current location
a 20-year-old client was involved in a skiing accident. upon arriving to the ED, a FAST exam indicated
the need for an emergency laparotomy. following the laparotomy, the clients' vital signs are: T 97, HR
132, RR 32, and Bp 88/40. urine output is 15 mL/hr. which type of shock is the client experiencing?
hypovolemic shock
following a laparotomy, a clients' vital signs are: T 97, HR 132, RR 32, and Bp 88/40. urine output is 15
mL/hr. the nurse suspects shock and administers a fluid bolus. what assessment findings indicate the
client's condition is improving?
a. heart rate 100 beats/minute
b. central venous pressure less than 2
c. urine output 50 mL/hr
d. BP 108/72
a. heart rate 100 beats/minute
c. urine output 50 mL/hr
d. BP 108/72
the nurse cares for an adult client arriving in the ED after a bee sting. the client is restless, and reports
shortness of breath and difficulty swallowing. VS are: BP 100/46, apical pulse 130 beats/minute, and
respirations 24 with audible wheezes. what interventions are immediately indicated?
administer oxygen at 15L by non-rebreather mask, administer epinephrine 0.3 mg IM, administer 500
mL 0.9% sodium chloride bolus
containing vitamin D3. What information is correct for the nurse to give the
client about vitamin D3?
, 1. Vitamin D3 comes mainly from plant sources and fortified foods.
2. Vitamin D3 is also known as cholecalciferol and is purchased as an over the counter medication.
3. There is an increased risk of skin cancer for clients taking vitamin D3.
4. Vitamin D3 is a fat soluble vitamin which promotes hepatic formation of active prothrombin.
Vitamin D3 is also known as cholecalciferol and is purchased as an over the counter medication
The home health care nurse visits a client diagnosed with diverticulitis. The client is prescribed a clear
liquid diet, and the nurse instructs the family about the appropriate foods.
The nurse intervenes if the client's family makes which statement?
1. "My grandparent can have a daily glass of prune juice."
2. "My spouse really likes apple juice."
3. "My parent drinks cranberry juice in the evening."
4. "My grandparent can eat a cherry ice pop with me
My grandparent can have a daily glass of prune juice."
The nurse provides discharge teaching to a client who has undergone a laparoscopic cholecystectomy.
The nurse determines additional teaching is needed if the client makes
which statement?
1. "I need to limit any lifting to no more than 10 pounds for the first few days."
2. "I should have small meals, but there are really no restrictions on my diet."
3. "If I develop shoulder pain, I should walk around."
4. "I should just allow the adhesive strips on my wounds to fall off on their own."
"I need to limit any lifting to no more than 10 pounds for the first few days."
A client has a gastroscopy performed and a gastric aspirate is taken for analysis. The nurse
understands the purpose of a gastric aspirate includes which reason?
1. Assess acid secretion and bacterial activity in the stomach.
2. Inhibit acid secretion in the stomach.
3. Assess the mucus-producing capacity of the stomach.
4. Introduce gastric-irritating substances.
Assess acid secretion and bacterial activity in the stomach.
Following a hemicolectomy, the client tolerated a clear diet, then progressed to a full liquid diet. The
client develops abdominal pain and vomiting after consuming the full liquid
Kaplan Nursing | Academic Year 2025–2026
the nurse enters the room of a client being evaluated for a stroke. the client states "I was seeing
double for a minute, but it went away." which action does the nurse take first?
a. obtain the client's visual acuity
b. ask the client to state name and current location
c. administer metoprolol 5 mg IV
d. determine if the client is experiencing any pain
b. ask the client to state name and current location
a 20-year-old client was involved in a skiing accident. upon arriving to the ED, a FAST exam indicated
the need for an emergency laparotomy. following the laparotomy, the clients' vital signs are: T 97, HR
132, RR 32, and Bp 88/40. urine output is 15 mL/hr. which type of shock is the client experiencing?
hypovolemic shock
following a laparotomy, a clients' vital signs are: T 97, HR 132, RR 32, and Bp 88/40. urine output is 15
mL/hr. the nurse suspects shock and administers a fluid bolus. what assessment findings indicate the
client's condition is improving?
a. heart rate 100 beats/minute
b. central venous pressure less than 2
c. urine output 50 mL/hr
d. BP 108/72
a. heart rate 100 beats/minute
c. urine output 50 mL/hr
d. BP 108/72
the nurse cares for an adult client arriving in the ED after a bee sting. the client is restless, and reports
shortness of breath and difficulty swallowing. VS are: BP 100/46, apical pulse 130 beats/minute, and
respirations 24 with audible wheezes. what interventions are immediately indicated?
administer oxygen at 15L by non-rebreather mask, administer epinephrine 0.3 mg IM, administer 500
mL 0.9% sodium chloride bolus
containing vitamin D3. What information is correct for the nurse to give the
client about vitamin D3?
, 1. Vitamin D3 comes mainly from plant sources and fortified foods.
2. Vitamin D3 is also known as cholecalciferol and is purchased as an over the counter medication.
3. There is an increased risk of skin cancer for clients taking vitamin D3.
4. Vitamin D3 is a fat soluble vitamin which promotes hepatic formation of active prothrombin.
Vitamin D3 is also known as cholecalciferol and is purchased as an over the counter medication
The home health care nurse visits a client diagnosed with diverticulitis. The client is prescribed a clear
liquid diet, and the nurse instructs the family about the appropriate foods.
The nurse intervenes if the client's family makes which statement?
1. "My grandparent can have a daily glass of prune juice."
2. "My spouse really likes apple juice."
3. "My parent drinks cranberry juice in the evening."
4. "My grandparent can eat a cherry ice pop with me
My grandparent can have a daily glass of prune juice."
The nurse provides discharge teaching to a client who has undergone a laparoscopic cholecystectomy.
The nurse determines additional teaching is needed if the client makes
which statement?
1. "I need to limit any lifting to no more than 10 pounds for the first few days."
2. "I should have small meals, but there are really no restrictions on my diet."
3. "If I develop shoulder pain, I should walk around."
4. "I should just allow the adhesive strips on my wounds to fall off on their own."
"I need to limit any lifting to no more than 10 pounds for the first few days."
A client has a gastroscopy performed and a gastric aspirate is taken for analysis. The nurse
understands the purpose of a gastric aspirate includes which reason?
1. Assess acid secretion and bacterial activity in the stomach.
2. Inhibit acid secretion in the stomach.
3. Assess the mucus-producing capacity of the stomach.
4. Introduce gastric-irritating substances.
Assess acid secretion and bacterial activity in the stomach.
Following a hemicolectomy, the client tolerated a clear diet, then progressed to a full liquid diet. The
client develops abdominal pain and vomiting after consuming the full liquid
