med surg 2 final exam (test
bank) ACTUAL exam:
QUESTION AND ANSWERS
UPDATED 2026
The nurse is preparing for a home visit to a patient after surgery for a compound
fracture. Which specific care does the nurse anticipate for this patient? - ANSWER-
Changing wound dressings
A patient experiences a fracture of the lower leg and undergoes a closed
reduction and placement of a fiberglass cast. The patient is 65 years old and has a
medical 30-year history of diabetes mellitus. Which condition does the nurse
recognize as a possible complication for this patient? - ANSWER-Delay or absence
of healing
An older adult patient is postoperative for a total hip joint replacement. Which
nursing care is inappropriate for this patient on the day of surgery? - ANSWER-
Medicated with oral pain medications
,The nurse is providing care for a patient who is scheduled for joint replacement
the next day. Which patient care goals are appropriate at this time? - ANSWER-
Manage preoperative pain.
The nurse is providing care for a patient following an open reduction of a
compound fracture. Which neurologic finding does the nurse report immediately
to the HCP or registered nurse (RN)? - ANSWER-There exists numbness and
tingling sensations
A patient with gout has been instructed on the prescribed medication allopurinol
(Zyloprim). Which patient statement indicates understanding of the action of this
medication? - ANSWER-"It blocks formation of uric acid."
The nurse is contributing to the plan of care for a patient who has an upper
extremity amputation. Which factor does the nurse keep in mind about this type
of amputation being more debilitating than a lower extremity amputation? -
ANSWER-The upper extremity is more specialized.
A patient who has a displaced midshaft fracture of the left femur is in balanced
suspension skeletal traction with 35 pounds of weight. The patient reports calf
pain with right foot dorsiflexion. Which action does the nurse take? - ANSWER-
Notify the RN.
The home-care nurse is attending to a patient with osteomyelitis in a lower
extremity from a traumatic bone fracture. The patient has an open wound that is
infected. Which observation prompts the nurse to provide additional information
to the patient and family? - ANSWER-Clean technique is used when the dressing is
changed.
, The nurse is providing care for a patient being treated after a complicated femur
fracture. The nurse has noticed drowsiness, tachycardia, and a low-grade fever.
Which additional manifestation alerts the nurse to the possibility of a fat emboli? -
ANSWER-Presence of a petechial rash on chest and neck
The nurse is assisting with the preparation of materials for a health fair aimed at
promoting health in women. Which reason does the nurse recognize as a probable
cause of an increase in the incidence of osteoporosis? - ANSWER-The ages of
adults have increased.
The nurse is providing care for a patient who experienced a closed reduction to a
fracture of the ulna. Which manifestation does the nurse recognize as an early
symptom of acute compartment syndrome? - ANSWER-Pallor with extremity
warmth
The nurse is providing care for a patient after an above-the-knee amputation
because of ischemia related to diabetes mellitus complications. Which nursing
care is essential for promoting ambulation? - ANSWER-Lying on the abdomen as
prescribed
A patient is being prepared for a prosthesis following surgery for an amputation.
Which information will the nurse provide to the client regarding the use of a
prosthesis? - ANSWER-Skin inspection is performed each time the sock is
removed.
The nurse is providing care for a patient with external fixation for a fracture
involving severe bone damage. Which is the most important focus for the nurse
bank) ACTUAL exam:
QUESTION AND ANSWERS
UPDATED 2026
The nurse is preparing for a home visit to a patient after surgery for a compound
fracture. Which specific care does the nurse anticipate for this patient? - ANSWER-
Changing wound dressings
A patient experiences a fracture of the lower leg and undergoes a closed
reduction and placement of a fiberglass cast. The patient is 65 years old and has a
medical 30-year history of diabetes mellitus. Which condition does the nurse
recognize as a possible complication for this patient? - ANSWER-Delay or absence
of healing
An older adult patient is postoperative for a total hip joint replacement. Which
nursing care is inappropriate for this patient on the day of surgery? - ANSWER-
Medicated with oral pain medications
,The nurse is providing care for a patient who is scheduled for joint replacement
the next day. Which patient care goals are appropriate at this time? - ANSWER-
Manage preoperative pain.
The nurse is providing care for a patient following an open reduction of a
compound fracture. Which neurologic finding does the nurse report immediately
to the HCP or registered nurse (RN)? - ANSWER-There exists numbness and
tingling sensations
A patient with gout has been instructed on the prescribed medication allopurinol
(Zyloprim). Which patient statement indicates understanding of the action of this
medication? - ANSWER-"It blocks formation of uric acid."
The nurse is contributing to the plan of care for a patient who has an upper
extremity amputation. Which factor does the nurse keep in mind about this type
of amputation being more debilitating than a lower extremity amputation? -
ANSWER-The upper extremity is more specialized.
A patient who has a displaced midshaft fracture of the left femur is in balanced
suspension skeletal traction with 35 pounds of weight. The patient reports calf
pain with right foot dorsiflexion. Which action does the nurse take? - ANSWER-
Notify the RN.
The home-care nurse is attending to a patient with osteomyelitis in a lower
extremity from a traumatic bone fracture. The patient has an open wound that is
infected. Which observation prompts the nurse to provide additional information
to the patient and family? - ANSWER-Clean technique is used when the dressing is
changed.
, The nurse is providing care for a patient being treated after a complicated femur
fracture. The nurse has noticed drowsiness, tachycardia, and a low-grade fever.
Which additional manifestation alerts the nurse to the possibility of a fat emboli? -
ANSWER-Presence of a petechial rash on chest and neck
The nurse is assisting with the preparation of materials for a health fair aimed at
promoting health in women. Which reason does the nurse recognize as a probable
cause of an increase in the incidence of osteoporosis? - ANSWER-The ages of
adults have increased.
The nurse is providing care for a patient who experienced a closed reduction to a
fracture of the ulna. Which manifestation does the nurse recognize as an early
symptom of acute compartment syndrome? - ANSWER-Pallor with extremity
warmth
The nurse is providing care for a patient after an above-the-knee amputation
because of ischemia related to diabetes mellitus complications. Which nursing
care is essential for promoting ambulation? - ANSWER-Lying on the abdomen as
prescribed
A patient is being prepared for a prosthesis following surgery for an amputation.
Which information will the nurse provide to the client regarding the use of a
prosthesis? - ANSWER-Skin inspection is performed each time the sock is
removed.
The nurse is providing care for a patient with external fixation for a fracture
involving severe bone damage. Which is the most important focus for the nurse
