NU 185 Exam 2 Medical Surgical Nursing II Bundled
Exams 2026 2027 UPDATE Actual Questi, Exams of
Nursing
1. Which of the following clients would be the most suitable roommate for a client with
myasthenia gravis?
A. A client with a new diagnosis of bacterial pneumonia
B. A client who has just returned from a thyroidectomy with a fresh neck dressing
C. A client with an active upper respiratory infection
D. A client with hypothyroidism
Answer: D
Rationale: The most suitable roommate for the client with myasthenia gravis is the client with
hypothyroidism because he is quiet.
2. A client's arterial blood gas results show a pH of 7.50, PaO2 of 99 mm Hg, PaCO2 of 29
mm Hg, and HCO3 of 22 mEq/L. Which action should the nurse take first?
A. Administer oxygen via nasal cannula at 2 L/min.
B. Encourage the client to slow his breathing rate.
C. Prepare to administer intravenous sodium bicarbonate.
D. Place the client in a high-Fowler's position and encourage deep breathing.
Answer: B
Rationale: The arterial blood gases (ABGs) indicate respiratory alkalosis, which is commonly
caused by hyperventilation. Encouraging the client to slow down his breathing rate may help
him return to normal breathing and may correct this abnormality.
3. Outgoing calls can be made through the Voice Mailbox menu if the appropriate option is
enabled.
A. Only after the mailbox password has been reset by the administrator
B. False
C. Only if the system is in night service mode
D. True
Answer: D
Rationale: The statement is true: many voicemail systems allow outgoing calls to be placed
directly from the Voice Mailbox menu when the system administrator has enabled that feature.
This option is typically used to return calls without exiting the mailbox.
Page 1
,4. During a cooling system pressure test, the gauge pressure rises sharply when the engine
is started. What is the most likely cause of this condition?
A. A stuck-open thermostat
B. An externally leaking water pump seal
C. A cracked cylinder head
D. A faulty radiator pressure cap
Answer: C
Rationale: A sharp pressure rise when the engine starts indicates combustion gases are entering
the cooling system, which occurs with a cracked cylinder head or failed head gasket. A faulty
pressure cap, stuck-open thermostat, or external water pump leak would not cause a rapid
pressure spike from combustion.
5. Which nursing intervention is the priority when preparing a client for pulmonary
function testing (PFT)?
A. Ensure the client has not smoked for 6 hours before the test.
B. Administer a short-acting bronchodilator immediately before the test.
C. Instruct the client to withhold all food and fluids for 12 hours before the test.
D. Obtain a baseline arterial blood gas (ABG) immediately before the test.
Answer: A
Rationale: If the client has been smoking, this may alter parts of the PFT (diffusing capacity
[DlCO]), yielding inaccurate results.
6. Which of the following best describes the role of a phone's provisioning template in
3CX?
A. It provides all the necessary information a phone requires to connect to 3CX.
B. It provides the phone with the firmware update required to connect to 3CX.
C. It provides the phone with the SIP credentials required to register with the PBX.
D. It provides the phone with the network configuration required to reach the 3CX server.
Answer: A
Rationale: A provisioning template supplies the full set of configuration details a phone needs to
connect to 3CX, not just one subset such as firmware, SIP credentials, or network settings. The
other options describe only individual components of provisioning rather than the complete
information set.
7. The nurse is monitoring a client admitted to the hospital with a diagnosis of appendicitis
who is scheduled for surgery in 2 hours. The client begins to complain of increased
abdominal pain and begins to vomit. On assessment, the nurse notes that the abdomen is
distended and bowel sounds are diminished. Which is the most appropriate nursing
intervention?
A. Administer the prescribed antiemetic and reassess the client in 30 minutes.
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, B. Encourage the client to ambulate to promote passage of flatus.
C. Place the client in a supine position and apply a warm compress to the abdomen.
D. Notify the health care provider (HCP).
Answer: D
Rationale: On the basis of the signs and symptoms presented in the question, the nurse should
suspect peritonitis and notify the HCP. Administering pain medication is not an appropriate
intervention. Heat should never be applied to the abdomen of a client with suspected
appendicitis because of the risk of rupture. Scheduling surgical time is not within the scope of
nursing practice, although the HCP probably would perform the surgery earlier than the
prescheduled time.
8. Which muscle relaxant is prescribed?
A. Cyclobenzaprine 5 mg at bedtime
B. Baclofen 10 mg three times daily
C. Methocarbamol 500 mg every 6 hours as needed
D. Tizanidine 4 mg at bedtime
Answer: A
Rationale: Cyclobenzaprine is a centrally acting skeletal muscle relaxant commonly prescribed
for muscle spasm, and the prescribed regimen is 5 mg at bedtime. The other options are also
muscle relaxants but do not match the prescribed medication and dosing in this scenario.
9. Which medication is prescribed for pain management?
A. Ibuprofen 200 mg once daily
B. Morphine sulfate 2 mg IV every 4 hours as needed
C. Acetaminophen 650 mg every 6 hours as needed
D. Naproxen 500 mg twice daily
Answer: D
Rationale: Naproxen is a nonsteroidal anti-inflammatory drug (NSAID) prescribed for pain
management, and the ordered regimen is 500 mg twice daily. The distractors are either
incorrect drugs, incorrect doses, or incorrect routes/frequencies for the prescribed pain
management regimen.
10. The nurse is caring for a client scheduled for removal of a pituitary tumor via the
transsphenoidal approach. The nurse should be particularly alert to which of the
following?
A. Nasal congestion
B. Abdominal distention
C. Headache
D. Visual disturbances
Answer: A
Page 3
Exams 2026 2027 UPDATE Actual Questi, Exams of
Nursing
1. Which of the following clients would be the most suitable roommate for a client with
myasthenia gravis?
A. A client with a new diagnosis of bacterial pneumonia
B. A client who has just returned from a thyroidectomy with a fresh neck dressing
C. A client with an active upper respiratory infection
D. A client with hypothyroidism
Answer: D
Rationale: The most suitable roommate for the client with myasthenia gravis is the client with
hypothyroidism because he is quiet.
2. A client's arterial blood gas results show a pH of 7.50, PaO2 of 99 mm Hg, PaCO2 of 29
mm Hg, and HCO3 of 22 mEq/L. Which action should the nurse take first?
A. Administer oxygen via nasal cannula at 2 L/min.
B. Encourage the client to slow his breathing rate.
C. Prepare to administer intravenous sodium bicarbonate.
D. Place the client in a high-Fowler's position and encourage deep breathing.
Answer: B
Rationale: The arterial blood gases (ABGs) indicate respiratory alkalosis, which is commonly
caused by hyperventilation. Encouraging the client to slow down his breathing rate may help
him return to normal breathing and may correct this abnormality.
3. Outgoing calls can be made through the Voice Mailbox menu if the appropriate option is
enabled.
A. Only after the mailbox password has been reset by the administrator
B. False
C. Only if the system is in night service mode
D. True
Answer: D
Rationale: The statement is true: many voicemail systems allow outgoing calls to be placed
directly from the Voice Mailbox menu when the system administrator has enabled that feature.
This option is typically used to return calls without exiting the mailbox.
Page 1
,4. During a cooling system pressure test, the gauge pressure rises sharply when the engine
is started. What is the most likely cause of this condition?
A. A stuck-open thermostat
B. An externally leaking water pump seal
C. A cracked cylinder head
D. A faulty radiator pressure cap
Answer: C
Rationale: A sharp pressure rise when the engine starts indicates combustion gases are entering
the cooling system, which occurs with a cracked cylinder head or failed head gasket. A faulty
pressure cap, stuck-open thermostat, or external water pump leak would not cause a rapid
pressure spike from combustion.
5. Which nursing intervention is the priority when preparing a client for pulmonary
function testing (PFT)?
A. Ensure the client has not smoked for 6 hours before the test.
B. Administer a short-acting bronchodilator immediately before the test.
C. Instruct the client to withhold all food and fluids for 12 hours before the test.
D. Obtain a baseline arterial blood gas (ABG) immediately before the test.
Answer: A
Rationale: If the client has been smoking, this may alter parts of the PFT (diffusing capacity
[DlCO]), yielding inaccurate results.
6. Which of the following best describes the role of a phone's provisioning template in
3CX?
A. It provides all the necessary information a phone requires to connect to 3CX.
B. It provides the phone with the firmware update required to connect to 3CX.
C. It provides the phone with the SIP credentials required to register with the PBX.
D. It provides the phone with the network configuration required to reach the 3CX server.
Answer: A
Rationale: A provisioning template supplies the full set of configuration details a phone needs to
connect to 3CX, not just one subset such as firmware, SIP credentials, or network settings. The
other options describe only individual components of provisioning rather than the complete
information set.
7. The nurse is monitoring a client admitted to the hospital with a diagnosis of appendicitis
who is scheduled for surgery in 2 hours. The client begins to complain of increased
abdominal pain and begins to vomit. On assessment, the nurse notes that the abdomen is
distended and bowel sounds are diminished. Which is the most appropriate nursing
intervention?
A. Administer the prescribed antiemetic and reassess the client in 30 minutes.
Page 2
, B. Encourage the client to ambulate to promote passage of flatus.
C. Place the client in a supine position and apply a warm compress to the abdomen.
D. Notify the health care provider (HCP).
Answer: D
Rationale: On the basis of the signs and symptoms presented in the question, the nurse should
suspect peritonitis and notify the HCP. Administering pain medication is not an appropriate
intervention. Heat should never be applied to the abdomen of a client with suspected
appendicitis because of the risk of rupture. Scheduling surgical time is not within the scope of
nursing practice, although the HCP probably would perform the surgery earlier than the
prescheduled time.
8. Which muscle relaxant is prescribed?
A. Cyclobenzaprine 5 mg at bedtime
B. Baclofen 10 mg three times daily
C. Methocarbamol 500 mg every 6 hours as needed
D. Tizanidine 4 mg at bedtime
Answer: A
Rationale: Cyclobenzaprine is a centrally acting skeletal muscle relaxant commonly prescribed
for muscle spasm, and the prescribed regimen is 5 mg at bedtime. The other options are also
muscle relaxants but do not match the prescribed medication and dosing in this scenario.
9. Which medication is prescribed for pain management?
A. Ibuprofen 200 mg once daily
B. Morphine sulfate 2 mg IV every 4 hours as needed
C. Acetaminophen 650 mg every 6 hours as needed
D. Naproxen 500 mg twice daily
Answer: D
Rationale: Naproxen is a nonsteroidal anti-inflammatory drug (NSAID) prescribed for pain
management, and the ordered regimen is 500 mg twice daily. The distractors are either
incorrect drugs, incorrect doses, or incorrect routes/frequencies for the prescribed pain
management regimen.
10. The nurse is caring for a client scheduled for removal of a pituitary tumor via the
transsphenoidal approach. The nurse should be particularly alert to which of the
following?
A. Nasal congestion
B. Abdominal distention
C. Headache
D. Visual disturbances
Answer: A
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