NUR257- Med surg 2 final exam(2026) Q
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uestions with 100% Correct Answers
] ] ] ]
A ]Patient ]was ]admitted ]for ]shortness ]of ]breath. ]The ]nurse ]connects ]the ]patient ]to ]the ]cardiac ]m
onitor. ]According ]to ]the ]strip ]below, ]which ]treatment ]is ]appropriate ]for ]the ]patient?
a. ]administer ]adenosine
b. ]administer ]a ]thiazide ]medication
c. ]administer ]an ]oral ]anticoagulant
d. ]administer ]a ]beta ]blocker ]- ]correct ]answer: ]c.
An ]acute ]myocardial ]infarction ]patient ]ambulated ]in ]the ]hospital ]hallway. ]When ]evaluating ]the ]p
atient ]response, ]which ]would ]indicate ]the ]exercise ]level ]should ]be ]decreased?
a. ]oxygen ]saturation ]changes ]from ]100% ]to ]98%
b. ]blood ]pressure ]changes ]from ]118/60 ]to ]126/26
c. ]respiratory ]rate ]changes ]from ]14 ]to ]20
d. ]heart ]rate ]changes ]from ]66-101 ]- ]correct ]answer: ]d.
The ]nurse ]is ]caring ]for ]70-year-old ]patient ]who ]the ]nurse ]suspects ]having ]difficulty ]hearing.
The ]nurse ]is ]providing ]discharge ]instructions. ]The ]patient ]is ]nodding ]as ]the ]charge ]nurse
discusses ]the ]orders. ]What ]action ]should ]the ]nurse ]take ]to ]assess ]whether ]or ]not ]the ]patient
heard ]and ]understood ]what ]she ]has ]said?
a. ]Ask ]the ]patient ]to ]repeat ]back ]what ]he ]was ]instructed ]to ]do
b. ]Ask ]the ]patient ]if ]he ]understood ]the ]instructions ]and ]ask ]him ]to ]sign ]the ]form
c. ]Ask ]another ]nurse ]to ]witness ]providing ]instructions ]to ]the ]patient
d. ]Call ]the ]wife ]and ]provide ]the ]instruction ]to ]her ]- ]correct ]answer: ]a.
,*Statement ]terminally ]ill ]pt ]to ]caregiver. ]- ]correct ]answer: ]"Stop ]taking ]chemo-
therapy ]medications."
*Marked ]edema. ]Which ]medication? ]- ]correct ]answer: ]
A ]nurse ]has ]committed ]a ]serious ]medication ]error ]and ]reported ]the ]error ]to ]the ]hospital's
adverse ]medication ]error ]hotline ]as ]well ]to ]the ]unit ]manager. ]The ]manager ]is ]a ]firm ]believer ]in
developing ]critical ]thinking ]skills. ]From ]this ]stand ]point ]what ]action ]by ]the ]manage ]would ]be ]the
best ]to ]nurture ]this ]ability ]in ]the ]nurse ]who ]made ]the ]error?
a. ]Let ]the ]nurse ]work ]with ]more ]experience ]nurses ]when ]giving ]medications
b. ]Have ]the ]nurse ]present ]and ]in-service ]related ]to ]the ]cause ]of ]the ]error
c. ]Send ]the ]nurse ]to ]refresher ]course ]on ]medication ]administration
d. ]In ]struct ]nurse ]to ]write ]a ]paper ]on ]how ]to ]avoid ]this ]type ]of ]error ]- ]correct ]answer: ]b.
The ]nurse ]is ]taking ]care ]of ]a ]patient ]just ]diagnosed ]with ]CHF. ]The ]patient ]is ]an ]attorney ]and ]has ]
brought ]his ]work ]with ]him ]to ]do ]at ]the ]hospital. ]He ]is ]constantly ]on ]the ]phone ]discussing ]work ]a
nd ]seems ]very ]hurried. ]The ]nurse ]assesses ]this ]to ]be ]what ]type ]of ]stress?
a.Acute ]stress
b. ]Epidodic ]stress
c. ]Chronic ]stress
d. ]Normal ]stress ]- ]correct ]answer: ]b.
Which ]of ]the ]following ]conditions ]puts ]a ]patient ]at ]risk ]for ]acute ]respiratory ]distress ]syndrome?
(select ]all)
,a. ]Drug ]reaction
b. ]Head ]injury
c. ]Pancreatitis
d. ]Sepsis
e. ]High ]altitudes ]- ]correct ]answer: ]a.
b.
c.
d.
The ]nurse ]is ]caring ]for ]a ]patient ]on ]a ]cardiac ]monitor ]and ]notes ]a ]peaked ]T ]wave. ]What ]lab ]will ]t
he ]nurse ]expect ]to ]find?
a. ]hypercalcemia
b. ]hyperkalemia
c. ]hypokalemia
d.hypocalcemia ]- ]correct ]answer: ]b.
The ]patient ]has ]just ]been ]diagnosed ]with ]an ]MI. ]The ]patient ]asks ]for ]information ]about ]the ]dise
ase ]and ]looks ]for ]any ]support ]groups. ]The ]nurse ]assesses ]this ]to ]be ]what ]type ]of ]coping ]strategy
?
a. ]problem ]focused
b. ]meaning ]focused
c. ]emotional ]focused
d. ]maladaptive ]focused ]- ]correct ]answer: ]a.
, The ]nurse ]is ]caring ]for ]a ]patient ]diagnosed ]with ]heart ]failure. ]The ]nurse ]is ]preparing ]to ]administ
er ]digoxin ]to ]the ]patient. ]The ]patient ]reports ]nausea, ]vomiting ]and ]a ]headache. ]The ]nurse ]notes ]
a ]respiratory ]rate ]of ]19 ]breaths ]per ]min ]and ]HR ]of ]58 ]BPM ]and ]blood ]pressure ]of ]120/78. ]What ]
will ]the ]nurse ]do?
a. ]hold ]the ]dose ]of ]digoxin ]and ]notify ]the ]provider ]of ]possible ]toxicity
b. ]request ]an ]order ]for ]an ]anti-emetic ]and ]analgesic
c. ]reassure ]the ]patient ]that ]these ]are ]common ]sighs ]and ]self ]limiting ]effects
d. ]administer ]the ]next ]dose ]as ]ordered ]since ]these ]are ]minor ]side ]effects ]- ]correct ]answer: ]a.
When ]planning ]the ]response ]to ]the ]potential ]use ]of ]smallpox ]as ]an ]agent ]of ]terrorism, ]the ]emer
gency ]department ](ED) ]nurse-manager ]will ]plan ]to ]obtain ]sufficient ]quantities ]of
a. ]vaccine
b. ]antibiotics
c. ]blood
d. ]atropine ]- ]correct ]answer: ]a.
What ]assessment ]finding ]would ]the ]nurse ]consider ]to ]be ]relative ]of ]hypovolemia?
a. ]fluid ]moving ]into ]the ]intracellular ]space
b. ]elevated ]systolic ]blood ]pressure ]
c. ]elevated ]mean ]arterial ]pressure
d. ]fluid ]moving ]into ]the ]extravascular ]space ]- ]correct ]answer: ]d.
The ]nurse ]is ]caring ]for ]a ]patient ]with ]burns. ]The ]total ]body ]surface ]area ]affected ]is ]63%. ]The ]nur
se ]must ]provide ]wound ]care ]for ]this ]patient. ]What ]interventions ]should ]the ]nurse ]include? ]
(Select ]All)
] ] ] ] ] ]
uestions with 100% Correct Answers
] ] ] ]
A ]Patient ]was ]admitted ]for ]shortness ]of ]breath. ]The ]nurse ]connects ]the ]patient ]to ]the ]cardiac ]m
onitor. ]According ]to ]the ]strip ]below, ]which ]treatment ]is ]appropriate ]for ]the ]patient?
a. ]administer ]adenosine
b. ]administer ]a ]thiazide ]medication
c. ]administer ]an ]oral ]anticoagulant
d. ]administer ]a ]beta ]blocker ]- ]correct ]answer: ]c.
An ]acute ]myocardial ]infarction ]patient ]ambulated ]in ]the ]hospital ]hallway. ]When ]evaluating ]the ]p
atient ]response, ]which ]would ]indicate ]the ]exercise ]level ]should ]be ]decreased?
a. ]oxygen ]saturation ]changes ]from ]100% ]to ]98%
b. ]blood ]pressure ]changes ]from ]118/60 ]to ]126/26
c. ]respiratory ]rate ]changes ]from ]14 ]to ]20
d. ]heart ]rate ]changes ]from ]66-101 ]- ]correct ]answer: ]d.
The ]nurse ]is ]caring ]for ]70-year-old ]patient ]who ]the ]nurse ]suspects ]having ]difficulty ]hearing.
The ]nurse ]is ]providing ]discharge ]instructions. ]The ]patient ]is ]nodding ]as ]the ]charge ]nurse
discusses ]the ]orders. ]What ]action ]should ]the ]nurse ]take ]to ]assess ]whether ]or ]not ]the ]patient
heard ]and ]understood ]what ]she ]has ]said?
a. ]Ask ]the ]patient ]to ]repeat ]back ]what ]he ]was ]instructed ]to ]do
b. ]Ask ]the ]patient ]if ]he ]understood ]the ]instructions ]and ]ask ]him ]to ]sign ]the ]form
c. ]Ask ]another ]nurse ]to ]witness ]providing ]instructions ]to ]the ]patient
d. ]Call ]the ]wife ]and ]provide ]the ]instruction ]to ]her ]- ]correct ]answer: ]a.
,*Statement ]terminally ]ill ]pt ]to ]caregiver. ]- ]correct ]answer: ]"Stop ]taking ]chemo-
therapy ]medications."
*Marked ]edema. ]Which ]medication? ]- ]correct ]answer: ]
A ]nurse ]has ]committed ]a ]serious ]medication ]error ]and ]reported ]the ]error ]to ]the ]hospital's
adverse ]medication ]error ]hotline ]as ]well ]to ]the ]unit ]manager. ]The ]manager ]is ]a ]firm ]believer ]in
developing ]critical ]thinking ]skills. ]From ]this ]stand ]point ]what ]action ]by ]the ]manage ]would ]be ]the
best ]to ]nurture ]this ]ability ]in ]the ]nurse ]who ]made ]the ]error?
a. ]Let ]the ]nurse ]work ]with ]more ]experience ]nurses ]when ]giving ]medications
b. ]Have ]the ]nurse ]present ]and ]in-service ]related ]to ]the ]cause ]of ]the ]error
c. ]Send ]the ]nurse ]to ]refresher ]course ]on ]medication ]administration
d. ]In ]struct ]nurse ]to ]write ]a ]paper ]on ]how ]to ]avoid ]this ]type ]of ]error ]- ]correct ]answer: ]b.
The ]nurse ]is ]taking ]care ]of ]a ]patient ]just ]diagnosed ]with ]CHF. ]The ]patient ]is ]an ]attorney ]and ]has ]
brought ]his ]work ]with ]him ]to ]do ]at ]the ]hospital. ]He ]is ]constantly ]on ]the ]phone ]discussing ]work ]a
nd ]seems ]very ]hurried. ]The ]nurse ]assesses ]this ]to ]be ]what ]type ]of ]stress?
a.Acute ]stress
b. ]Epidodic ]stress
c. ]Chronic ]stress
d. ]Normal ]stress ]- ]correct ]answer: ]b.
Which ]of ]the ]following ]conditions ]puts ]a ]patient ]at ]risk ]for ]acute ]respiratory ]distress ]syndrome?
(select ]all)
,a. ]Drug ]reaction
b. ]Head ]injury
c. ]Pancreatitis
d. ]Sepsis
e. ]High ]altitudes ]- ]correct ]answer: ]a.
b.
c.
d.
The ]nurse ]is ]caring ]for ]a ]patient ]on ]a ]cardiac ]monitor ]and ]notes ]a ]peaked ]T ]wave. ]What ]lab ]will ]t
he ]nurse ]expect ]to ]find?
a. ]hypercalcemia
b. ]hyperkalemia
c. ]hypokalemia
d.hypocalcemia ]- ]correct ]answer: ]b.
The ]patient ]has ]just ]been ]diagnosed ]with ]an ]MI. ]The ]patient ]asks ]for ]information ]about ]the ]dise
ase ]and ]looks ]for ]any ]support ]groups. ]The ]nurse ]assesses ]this ]to ]be ]what ]type ]of ]coping ]strategy
?
a. ]problem ]focused
b. ]meaning ]focused
c. ]emotional ]focused
d. ]maladaptive ]focused ]- ]correct ]answer: ]a.
, The ]nurse ]is ]caring ]for ]a ]patient ]diagnosed ]with ]heart ]failure. ]The ]nurse ]is ]preparing ]to ]administ
er ]digoxin ]to ]the ]patient. ]The ]patient ]reports ]nausea, ]vomiting ]and ]a ]headache. ]The ]nurse ]notes ]
a ]respiratory ]rate ]of ]19 ]breaths ]per ]min ]and ]HR ]of ]58 ]BPM ]and ]blood ]pressure ]of ]120/78. ]What ]
will ]the ]nurse ]do?
a. ]hold ]the ]dose ]of ]digoxin ]and ]notify ]the ]provider ]of ]possible ]toxicity
b. ]request ]an ]order ]for ]an ]anti-emetic ]and ]analgesic
c. ]reassure ]the ]patient ]that ]these ]are ]common ]sighs ]and ]self ]limiting ]effects
d. ]administer ]the ]next ]dose ]as ]ordered ]since ]these ]are ]minor ]side ]effects ]- ]correct ]answer: ]a.
When ]planning ]the ]response ]to ]the ]potential ]use ]of ]smallpox ]as ]an ]agent ]of ]terrorism, ]the ]emer
gency ]department ](ED) ]nurse-manager ]will ]plan ]to ]obtain ]sufficient ]quantities ]of
a. ]vaccine
b. ]antibiotics
c. ]blood
d. ]atropine ]- ]correct ]answer: ]a.
What ]assessment ]finding ]would ]the ]nurse ]consider ]to ]be ]relative ]of ]hypovolemia?
a. ]fluid ]moving ]into ]the ]intracellular ]space
b. ]elevated ]systolic ]blood ]pressure ]
c. ]elevated ]mean ]arterial ]pressure
d. ]fluid ]moving ]into ]the ]extravascular ]space ]- ]correct ]answer: ]d.
The ]nurse ]is ]caring ]for ]a ]patient ]with ]burns. ]The ]total ]body ]surface ]area ]affected ]is ]63%. ]The ]nur
se ]must ]provide ]wound ]care ]for ]this ]patient. ]What ]interventions ]should ]the ]nurse ]include? ]
(Select ]All)
