NUR 209 MEDICAL-SURGICAL NURSING II EXAM 1 AND
PRACTICE 2026/2027 - QUESTIONS AND ANSWERS 100%
VERIFIED COMPLETE VERIFIED ANSWERS - PASS
GUARANTEED - A+ GRADED
136 Questions with Answers and Detailed Rationales
100 PERCENT GUARANTEED PASS
INSTANT DOWNLOAD ANSWERS INCLUDED
IMPORTANCE OF THIS DOCUMENT
This comprehensive examination preparation guide has been meticulously developed to help you succeed in the
NUR 209 MEDICAL-SURGICAL NURSING II EXAM 1 AND PRACTICE 2026/2027 - QUESTIONS AND
ANSWERS 100% VERIFIED COMPLETE VERIFIED ANSWERS - PASS GUARANTEED - A+ GRADED. It
contains 136 carefully selected questions that reflect the most current exam content and testing strategies. Each
question is accompanied by a correct answer and a detailed rationale that explains the underlying
pathophysiology, pharmacology, or clinical reasoning.
Self-Assessment – Test your knowledge and Exam Preparation – Familiarize yourself with the
identify areas requiring further question format and content
study areas
Concept Reinforcement – Deepen your Confidence Building – Develop test-taking
understanding through strategies and reduce
evidence-based exam anxiety
rationales
Time Management – Practice answering
questions under simulated
exam conditions
Review Summary 136 Questions
Foundations - Application - NUR 209 Medical-surgical Nursing II 1 AND 2026/2027 AND 100 Complete
PASS Guaranteed A Medical-surgical Nursing II Undergraduate YEAR 3 Pre-licensure BSN
All answers with rationales
,Table of Contents
Content Area Questions Key Topics
NUR 209 Medical-surgical 1-23 Acute, Receiving, Finding, Sepsis, Blood
Nursing II 1 AND 2026/2027
AND 100 Complete PASS
Guaranteed A
Medical-surgical Nursing II
Undergraduate YEAR 3
Pre-licensure BSN
Finding 24-46 Acute, Prescribed, Receiving, Chronic, Transfusion
Receiving 47-69 Finding, Acute, Heart, Failure, Indicates
Intervention 70-92 Acute, Receiving, Finding, Indicates, Pressure
Indicates 93-115 Intervention, Acute, Appropriate, Receiving, Finding
Failure 116-136 Acute, Finding, Intervention, Prescribed, Indicates
TOTAL 136 All questions include answers and detailed rationales
,Section A - NUR 209 Medical-surgical Nursing II 1 AND
2026/2027 AND 100 Complete PASS Guaranteed A
Medical-surgical Nursing II Undergraduate YEAR 3
Pre-licensure BSN
Q1.
A patient with acute decompensated heart failure is receiving IV furosemide. Which
assessment finding best indicates that the medication has achieved its intended
therapeutic effect?
A. Urine output of 40 mL/hr with decreased B. Serum potassium increase from 3.2 to
bibasilar crackles 3.8 mEq/L
C. Heart rate decrease from 112 to 88 D. Weight loss of 0.5 kg over 24 hours
beats/min
Correct: A - Urine output of 40 mL/hr with decreased bibasilar crackles
Rationale:Loop diuretics reduce preload by promoting diuresis, evidenced by adequate urine
output and clearing of pulmonary crackles from fluid overload. Potassium changes reflect a
side effect, not therapeutic effect; heart rate and minimal weight loss are less specific
indicators.
Q2.
A patient with COPD has an arterial blood gas showing pH 7.32, PaCO2 58 mm Hg, HCO3-
28 mEq/L. Which interpretation is most accurate?
A. Uncompensated respiratory acidosis B. Partially compensated respiratory
acidosis
C. Fully compensated metabolic alkalosis D. Uncompensated metabolic acidosis
Correct: B - Partially compensated respiratory acidosis
Rationale:Elevated PaCO2 with acid pH indicates respiratory acidosis; the elevated HCO3-
shows renal compensation is occurring but pH remains acidotic, so it is partially
compensated. Full compensation would normalize pH, and metabolic alkalosis would show
elevated pH.
Q3.
A patient with type 1 diabetes has a blood glucose of 412 mg/dL, pH 7.21, positive serum
ketones, and K+ 5.6 mEq/L. Which prescription should the nurse question?
A. 0.9% sodium chloride IV bolus B. Regular insulin IV infusion
Page 3
, Section A - NUR 209 Medical-surgical Nursing II 1 AND 2026/2027 AND 100 Complete PASS Guaranteed A Medical-surgical Nursing II
Undergraduate YEAR 3 Pre-licensure BSN
C. Sodium bicarbonate IV push D. Potassium chloride 20 mEq IV
Correct: D - Potassium chloride 20 mEq IV
Rationale:In DKA, total body potassium is depleted but serum K+ may be elevated due to
acidosis and insulin deficiency; adding potassium when K+ is 5.6 mEq/L risks hyperkalemic
cardiac dysrhythmias. Fluids, insulin, and cautious bicarbonate are standard DKA
management.
Q4.
A patient with acute kidney injury has a serum potassium of 6.8 mEq/L and peaked T
waves on ECG. Which intervention should the nurse anticipate as the priority?
A. Administer sodium polystyrene sulfonate B. Administer calcium gluconate IV
orally
C. Initiate hemodialysis D. Administer regular insulin with dextrose
IV
Correct: B - Administer calcium gluconate IV
Rationale:Calcium gluconate stabilizes myocardial membranes immediately in hyperkalemia
with ECG changes, making it the priority. Insulin/dextrose and polystyrene shift or remove
potassium but have delayed onset; dialysis is definitive but not immediate.
Q5.
A patient is receiving a blood transfusion and develops fever, chills, and flank pain 15
minutes into the infusion. Which action should the nurse take first?
A. Stop the transfusion and maintain IV B. Administer acetaminophen and continue
access with normal saline the transfusion
C. Slow the transfusion rate and reassess in D. Obtain a urine specimen and notify the
15 minutes provider
Correct: A - Stop the transfusion and maintain IV access with normal saline
Rationale:Fever, chills, and flank pain suggest an acute hemolytic transfusion reaction; the
priority is to stop the transfusion immediately and keep the IV line patent with normal saline.
Continuing or slowing the transfusion can worsen the reaction; specimen collection and
provider notification follow initial stabilization.
Q6.
A patient with increased intracranial pressure has the following prescriptions. Which
should the nurse implement first?
Page 4
PRACTICE 2026/2027 - QUESTIONS AND ANSWERS 100%
VERIFIED COMPLETE VERIFIED ANSWERS - PASS
GUARANTEED - A+ GRADED
136 Questions with Answers and Detailed Rationales
100 PERCENT GUARANTEED PASS
INSTANT DOWNLOAD ANSWERS INCLUDED
IMPORTANCE OF THIS DOCUMENT
This comprehensive examination preparation guide has been meticulously developed to help you succeed in the
NUR 209 MEDICAL-SURGICAL NURSING II EXAM 1 AND PRACTICE 2026/2027 - QUESTIONS AND
ANSWERS 100% VERIFIED COMPLETE VERIFIED ANSWERS - PASS GUARANTEED - A+ GRADED. It
contains 136 carefully selected questions that reflect the most current exam content and testing strategies. Each
question is accompanied by a correct answer and a detailed rationale that explains the underlying
pathophysiology, pharmacology, or clinical reasoning.
Self-Assessment – Test your knowledge and Exam Preparation – Familiarize yourself with the
identify areas requiring further question format and content
study areas
Concept Reinforcement – Deepen your Confidence Building – Develop test-taking
understanding through strategies and reduce
evidence-based exam anxiety
rationales
Time Management – Practice answering
questions under simulated
exam conditions
Review Summary 136 Questions
Foundations - Application - NUR 209 Medical-surgical Nursing II 1 AND 2026/2027 AND 100 Complete
PASS Guaranteed A Medical-surgical Nursing II Undergraduate YEAR 3 Pre-licensure BSN
All answers with rationales
,Table of Contents
Content Area Questions Key Topics
NUR 209 Medical-surgical 1-23 Acute, Receiving, Finding, Sepsis, Blood
Nursing II 1 AND 2026/2027
AND 100 Complete PASS
Guaranteed A
Medical-surgical Nursing II
Undergraduate YEAR 3
Pre-licensure BSN
Finding 24-46 Acute, Prescribed, Receiving, Chronic, Transfusion
Receiving 47-69 Finding, Acute, Heart, Failure, Indicates
Intervention 70-92 Acute, Receiving, Finding, Indicates, Pressure
Indicates 93-115 Intervention, Acute, Appropriate, Receiving, Finding
Failure 116-136 Acute, Finding, Intervention, Prescribed, Indicates
TOTAL 136 All questions include answers and detailed rationales
,Section A - NUR 209 Medical-surgical Nursing II 1 AND
2026/2027 AND 100 Complete PASS Guaranteed A
Medical-surgical Nursing II Undergraduate YEAR 3
Pre-licensure BSN
Q1.
A patient with acute decompensated heart failure is receiving IV furosemide. Which
assessment finding best indicates that the medication has achieved its intended
therapeutic effect?
A. Urine output of 40 mL/hr with decreased B. Serum potassium increase from 3.2 to
bibasilar crackles 3.8 mEq/L
C. Heart rate decrease from 112 to 88 D. Weight loss of 0.5 kg over 24 hours
beats/min
Correct: A - Urine output of 40 mL/hr with decreased bibasilar crackles
Rationale:Loop diuretics reduce preload by promoting diuresis, evidenced by adequate urine
output and clearing of pulmonary crackles from fluid overload. Potassium changes reflect a
side effect, not therapeutic effect; heart rate and minimal weight loss are less specific
indicators.
Q2.
A patient with COPD has an arterial blood gas showing pH 7.32, PaCO2 58 mm Hg, HCO3-
28 mEq/L. Which interpretation is most accurate?
A. Uncompensated respiratory acidosis B. Partially compensated respiratory
acidosis
C. Fully compensated metabolic alkalosis D. Uncompensated metabolic acidosis
Correct: B - Partially compensated respiratory acidosis
Rationale:Elevated PaCO2 with acid pH indicates respiratory acidosis; the elevated HCO3-
shows renal compensation is occurring but pH remains acidotic, so it is partially
compensated. Full compensation would normalize pH, and metabolic alkalosis would show
elevated pH.
Q3.
A patient with type 1 diabetes has a blood glucose of 412 mg/dL, pH 7.21, positive serum
ketones, and K+ 5.6 mEq/L. Which prescription should the nurse question?
A. 0.9% sodium chloride IV bolus B. Regular insulin IV infusion
Page 3
, Section A - NUR 209 Medical-surgical Nursing II 1 AND 2026/2027 AND 100 Complete PASS Guaranteed A Medical-surgical Nursing II
Undergraduate YEAR 3 Pre-licensure BSN
C. Sodium bicarbonate IV push D. Potassium chloride 20 mEq IV
Correct: D - Potassium chloride 20 mEq IV
Rationale:In DKA, total body potassium is depleted but serum K+ may be elevated due to
acidosis and insulin deficiency; adding potassium when K+ is 5.6 mEq/L risks hyperkalemic
cardiac dysrhythmias. Fluids, insulin, and cautious bicarbonate are standard DKA
management.
Q4.
A patient with acute kidney injury has a serum potassium of 6.8 mEq/L and peaked T
waves on ECG. Which intervention should the nurse anticipate as the priority?
A. Administer sodium polystyrene sulfonate B. Administer calcium gluconate IV
orally
C. Initiate hemodialysis D. Administer regular insulin with dextrose
IV
Correct: B - Administer calcium gluconate IV
Rationale:Calcium gluconate stabilizes myocardial membranes immediately in hyperkalemia
with ECG changes, making it the priority. Insulin/dextrose and polystyrene shift or remove
potassium but have delayed onset; dialysis is definitive but not immediate.
Q5.
A patient is receiving a blood transfusion and develops fever, chills, and flank pain 15
minutes into the infusion. Which action should the nurse take first?
A. Stop the transfusion and maintain IV B. Administer acetaminophen and continue
access with normal saline the transfusion
C. Slow the transfusion rate and reassess in D. Obtain a urine specimen and notify the
15 minutes provider
Correct: A - Stop the transfusion and maintain IV access with normal saline
Rationale:Fever, chills, and flank pain suggest an acute hemolytic transfusion reaction; the
priority is to stop the transfusion immediately and keep the IV line patent with normal saline.
Continuing or slowing the transfusion can worsen the reaction; specimen collection and
provider notification follow initial stabilization.
Q6.
A patient with increased intracranial pressure has the following prescriptions. Which
should the nurse implement first?
Page 4
