NUR 209/NUR209 EXAM 2 V1 | MEDICAL
SURGICAL NURSING II QUESTIONS
WITH CORRECT ANSWERS (LATEST
), (A+ GUARANTEE).
1. A patient with stage 4 chronic kidney disease (CKD) has a serum potassium level of 6.8
mEq/L. Which medication should the nurse expect to administer first to protect the heart
from life-threatening arrhythmias?
A. Sodium Polystyrene Sulfonate
B. Calcium Gluconate
C. Regular Insulin and D50W
D. Furosemide
Answer: B
Conceptual Explanation: Calcium gluconate does not lower potassium but is administered
first to stabilize the myocardial cell membrane and prevent life-threatening dysrhythmias
caused by hyperkalemia.
,2. The nurse is caring for a patient post-thyroidectomy. The patient reports numbness and
tingling around the mouth and fingertips. Which assessment finding should the nurse
anticipate?
A. Bradycardia
B. Hyporeflexia
C. Negative Chvostek’s sign
D. Positive Trousseau’s sign
Answer: D
Conceptual Explanation: Numbness and tingling (paresthesia) are early signs of
hypocalcemia, which can occur if the parathyroid glands are accidentally removed or
damaged during a thyroidectomy. A positive Trousseau’s sign is a classic indicator of
neuromuscular irritability due to low calcium.
3. A patient with a history of cirrhosis is admitted with hepatic encephalopathy. The nurse
notes the patient has flapping tremors of the hands. What is the priority nursing
intervention?
A. Administering Neomycin as ordered
B. Monitoring serum ammonia levels
C. Assessing for airway patency
D. Administering Lactulose and monitoring bowel movements
, Answer: D
Conceptual Explanation: Lactulose is the primary treatment for hepatic encephalopathy
as it promotes the excretion of ammonia through the stool. The flapping tremor (asterixis)
is a sign of high ammonia levels.
4. Which clinical manifestation should the nurse expect to find in a patient diagnosed with
Diabetes Insipidus (DI)?
A. High urine output with low specific gravity
B. Serum sodium level of 128 mEq/L
C. Urine specific gravity of 1.035
D. Increased urine osmolality
Answer: A
Conceptual Explanation: DI is characterized by a deficiency of ADH, leading to massive
polyuria and very dilute urine (specific gravity < 1.005).
5. A patient who suffered a C6 spinal cord injury 2 weeks ago reports a sudden, severe
headache and has a blood pressure of 210/110 mmHg. What is the nurse’s first action?
A. Administer an antihypertensive medication
B. Elevate the head of the bed to 45 or 90 degrees
C. Perform a bladder scan
D. Notify the healthcare provider immediately
SURGICAL NURSING II QUESTIONS
WITH CORRECT ANSWERS (LATEST
), (A+ GUARANTEE).
1. A patient with stage 4 chronic kidney disease (CKD) has a serum potassium level of 6.8
mEq/L. Which medication should the nurse expect to administer first to protect the heart
from life-threatening arrhythmias?
A. Sodium Polystyrene Sulfonate
B. Calcium Gluconate
C. Regular Insulin and D50W
D. Furosemide
Answer: B
Conceptual Explanation: Calcium gluconate does not lower potassium but is administered
first to stabilize the myocardial cell membrane and prevent life-threatening dysrhythmias
caused by hyperkalemia.
,2. The nurse is caring for a patient post-thyroidectomy. The patient reports numbness and
tingling around the mouth and fingertips. Which assessment finding should the nurse
anticipate?
A. Bradycardia
B. Hyporeflexia
C. Negative Chvostek’s sign
D. Positive Trousseau’s sign
Answer: D
Conceptual Explanation: Numbness and tingling (paresthesia) are early signs of
hypocalcemia, which can occur if the parathyroid glands are accidentally removed or
damaged during a thyroidectomy. A positive Trousseau’s sign is a classic indicator of
neuromuscular irritability due to low calcium.
3. A patient with a history of cirrhosis is admitted with hepatic encephalopathy. The nurse
notes the patient has flapping tremors of the hands. What is the priority nursing
intervention?
A. Administering Neomycin as ordered
B. Monitoring serum ammonia levels
C. Assessing for airway patency
D. Administering Lactulose and monitoring bowel movements
, Answer: D
Conceptual Explanation: Lactulose is the primary treatment for hepatic encephalopathy
as it promotes the excretion of ammonia through the stool. The flapping tremor (asterixis)
is a sign of high ammonia levels.
4. Which clinical manifestation should the nurse expect to find in a patient diagnosed with
Diabetes Insipidus (DI)?
A. High urine output with low specific gravity
B. Serum sodium level of 128 mEq/L
C. Urine specific gravity of 1.035
D. Increased urine osmolality
Answer: A
Conceptual Explanation: DI is characterized by a deficiency of ADH, leading to massive
polyuria and very dilute urine (specific gravity < 1.005).
5. A patient who suffered a C6 spinal cord injury 2 weeks ago reports a sudden, severe
headache and has a blood pressure of 210/110 mmHg. What is the nurse’s first action?
A. Administer an antihypertensive medication
B. Elevate the head of the bed to 45 or 90 degrees
C. Perform a bladder scan
D. Notify the healthcare provider immediately
