Exam 1: NUR209/ NUR 209 (2026/ 2027 Update) Medical Surgical
Nursing II| Review with Questions and Verified Answers| 100%
Correct| Grade A – Fortis
Medical-surgical practice exam
A male client with diabetes mellitus calls the clinic to report left calf pain after walking
around the block. Which additional information should the PN report to the healthcare
provider?
Muscle cramps occur at night when sleeping.
Muscles are deconditioned from lack of regular exercise.
Shooting pain occurs down the back of one leg when walking.
The pain is immediately relieved when he sits down.
The pain is immediately relieved when he sits down.
Rationale
Atherosclerosis secondary to diabetes mellitus increases the client's risk for peripheral arterial
disease, which is manifested by pain precipitated by walking. The pain is immediately relieved
when the clients sits down to rest(intermittent claudication) (D) and should be reported. (A, B,
and C) occur from different problems.
,The practical nurse (PN) is reviewing preoperative instructions with a male client who is
having surgery today. What question should the PN ask the client to best evaluate his
understanding of the surgery?
Do you understand why you are having surgery?
Have you undergone this type of surgery in the past?
What do you know about the surgery you are having?
What symptoms brought you to the hospital for surgery?
What do you know about the surgery you are having?
Rationale
Although it is the surgeon's responsibility to explain the surgery to the client, it is a nursing
responsibility to determine whether the client understands what he has been told about his
surgery. Asking open-ended questions is an important step in eliciting what the client
understands (C). (A and B) are closed end questions and will elicit one word responses. (D) asks
the client to explain the admission related to his need for surgery, but not his understanding about
the procedure.
Which finding is most important for the practical nurse (PN) to explore further for a client
who had a total abdominal hysterectomy and bilateral oophorectomy yesterday?
Right calf is 24 cm and the left calf is 21 cm.
No bowel sounds or gurgles auscultated in the abdomen.
No urine output 3 hours after the catheter is removed.
,Dried blood 3 cm in size noted on the abdominal dressing.
Right calf is 24 cm and the left calf is 21 cm.
Rationale
A client with major abdominal surgery is at risk for the complication of deep vein
thrombosis (DVT) due to immobility, dehydration, and manipulation of major vessels.
Unilateral leg swelling (A) is a classic sign of a DVT. Not having bowel sounds one day
postoperatively (B) after a major abdominal surgery is an expected finding. (C) is not
unexpected 3 hours after removal of a urinary catheter, and the PN should encourage the
client to void 6 to 8 hours after the removal of a catheter before taking more aggressive
actions. A small amount of dried blood is an expected finding (D).
Which finding for a client who is 1-day postoperative for a partial thyroidectomy requires
immediate follow-up by the practical nurse (PN)?
Which finding for a client who is 1-day postoperative for a partial thyroidectomy requires
immediate follow-up by the practical nurse (PN)?
High pitched expiratory sound.
Throat pain rated "9."
Voice is hoarse.
Capillary refill is 4 seconds.
High pitched expiratory sound.
Rationale
, Stridor indicates airway obstruction, which is a postoperative complication after
thyroidectomy (A). (B, C, and D) should be addressed after preparing for interventions
related to airway obstruction.
The practical nurse (PN) is evaluating the self-care of a client who is recovering at home
after a laryngectomy. Which finding indicates to the PN that the client needs additional
information?
A cool mist humidifier is at the bedside.
The salt water solution is dated 3 days ago.
A Medic Alert bracelet is on the client's wrist.
The client's stoma is covered with a crocheted scarf.
The salt water solution is dated 3 days ago.
Rationale
Salt water solution (B) should be changed daily to prevent bacterial growth. (A, C, and D)
are within accepted parameters for care.
Which information should the practical nurse (PN) offer a female client who is at risk for
recurrent urinary tract infection (UTI)? (Select all that apply.)
Select all that apply
Use vinegar solution douche regularly.
Avoid wearing tight-fitting jeans.
Limit caffeine and alcohol.
Nursing II| Review with Questions and Verified Answers| 100%
Correct| Grade A – Fortis
Medical-surgical practice exam
A male client with diabetes mellitus calls the clinic to report left calf pain after walking
around the block. Which additional information should the PN report to the healthcare
provider?
Muscle cramps occur at night when sleeping.
Muscles are deconditioned from lack of regular exercise.
Shooting pain occurs down the back of one leg when walking.
The pain is immediately relieved when he sits down.
The pain is immediately relieved when he sits down.
Rationale
Atherosclerosis secondary to diabetes mellitus increases the client's risk for peripheral arterial
disease, which is manifested by pain precipitated by walking. The pain is immediately relieved
when the clients sits down to rest(intermittent claudication) (D) and should be reported. (A, B,
and C) occur from different problems.
,The practical nurse (PN) is reviewing preoperative instructions with a male client who is
having surgery today. What question should the PN ask the client to best evaluate his
understanding of the surgery?
Do you understand why you are having surgery?
Have you undergone this type of surgery in the past?
What do you know about the surgery you are having?
What symptoms brought you to the hospital for surgery?
What do you know about the surgery you are having?
Rationale
Although it is the surgeon's responsibility to explain the surgery to the client, it is a nursing
responsibility to determine whether the client understands what he has been told about his
surgery. Asking open-ended questions is an important step in eliciting what the client
understands (C). (A and B) are closed end questions and will elicit one word responses. (D) asks
the client to explain the admission related to his need for surgery, but not his understanding about
the procedure.
Which finding is most important for the practical nurse (PN) to explore further for a client
who had a total abdominal hysterectomy and bilateral oophorectomy yesterday?
Right calf is 24 cm and the left calf is 21 cm.
No bowel sounds or gurgles auscultated in the abdomen.
No urine output 3 hours after the catheter is removed.
,Dried blood 3 cm in size noted on the abdominal dressing.
Right calf is 24 cm and the left calf is 21 cm.
Rationale
A client with major abdominal surgery is at risk for the complication of deep vein
thrombosis (DVT) due to immobility, dehydration, and manipulation of major vessels.
Unilateral leg swelling (A) is a classic sign of a DVT. Not having bowel sounds one day
postoperatively (B) after a major abdominal surgery is an expected finding. (C) is not
unexpected 3 hours after removal of a urinary catheter, and the PN should encourage the
client to void 6 to 8 hours after the removal of a catheter before taking more aggressive
actions. A small amount of dried blood is an expected finding (D).
Which finding for a client who is 1-day postoperative for a partial thyroidectomy requires
immediate follow-up by the practical nurse (PN)?
Which finding for a client who is 1-day postoperative for a partial thyroidectomy requires
immediate follow-up by the practical nurse (PN)?
High pitched expiratory sound.
Throat pain rated "9."
Voice is hoarse.
Capillary refill is 4 seconds.
High pitched expiratory sound.
Rationale
, Stridor indicates airway obstruction, which is a postoperative complication after
thyroidectomy (A). (B, C, and D) should be addressed after preparing for interventions
related to airway obstruction.
The practical nurse (PN) is evaluating the self-care of a client who is recovering at home
after a laryngectomy. Which finding indicates to the PN that the client needs additional
information?
A cool mist humidifier is at the bedside.
The salt water solution is dated 3 days ago.
A Medic Alert bracelet is on the client's wrist.
The client's stoma is covered with a crocheted scarf.
The salt water solution is dated 3 days ago.
Rationale
Salt water solution (B) should be changed daily to prevent bacterial growth. (A, C, and D)
are within accepted parameters for care.
Which information should the practical nurse (PN) offer a female client who is at risk for
recurrent urinary tract infection (UTI)? (Select all that apply.)
Select all that apply
Use vinegar solution douche regularly.
Avoid wearing tight-fitting jeans.
Limit caffeine and alcohol.
