Med Surg 2 - Exam 2 Nclex Questions And Correct Verified Answers

MED SURG 2 - EXAM 2 NCLEX QUESTIONS
AND CORRECT VERIFIED ANSWERS
WhichA2methodA2isA2bestA2toA2useA2whenA2confirmingA2initialA2placementA2ofA2aA2blindlyA2i
nsertedA2small-boreA2NGA2feedingA2tube?

a.A2x-ray.
b.A2airA2insufflation.
c.A2observingA2patientA2forA2coughing.
d.A2pHA2measurementA2ofA2gastricA2aspirate.A2-A2Ans--a.A2x-ray.

AA2patientA2isA2receivingA2peripheralA2parenteralA2nutrition.A2TheA2parenteralA2nutritionA2s
olutionA2isA2completedA2beforeA2theA2newA2solutionA2arrivesA2onA2theA2unit.A2TheA2nurseA2
gives

a.A220%A2intralipids.
b.A25%A2dextroseA2solution.
c.A20.45%A2normalA2salineA2solution.
d.A25%A2lactatedA2Ringer'sA2solution.A2-A2Ans--b.A25%A2dextroseA2solution.

AA2patientA2withA2anorexiaA2nervosaA2showsA2signsA2ofA2malnutrition.A2DuringA2initialA2ref
eeding,A2theA2nurseA2carefullyA2assessesA2theA2patientA2for

a.A2hyperkalemia.
b.A2hypoglycemia.
c.A2hypercalcemia.
d.A2hypophosphatemia.A2-A2Ans--d.A2hypophosphatemia.

AA2patientA2wasA2admittedA2withA2aA2fracturedA2hipA2afterA2beingA2foundA2onA2theA2floorA2o
fA2herA2home.A2SheA2wasA2extremelyA2malnourishedA2andA2startedA2onA2parenteralA2nutrit
ionA2(PN)A23A2daysA2ago.A2WhichA2assessmentA2findingA2wouldA2beA2ofA2mostA2concernA2t
oA2theA2nurse?

A2BloodA2glucoseA2levelA2ofA2125A2mg/dL
A2SerumA2phosphateA2levelA2ofA21.9A2mg/dLA2
A2WhiteA2bloodA2cellA2countA2ofA210,500/µL
A2SerumA2potassiumA2levelA2ofA24.6A2mEq/LA2-A2Ans--
SerumA2phosphateA2levelA2ofA21.9A2mg/dL

AA2patientA2isA2admittedA2withA2anorexiaA2nervosaA2andA2aA2serumA2potassiumA2levelA2ofA
22.4A2mEq/
L.A2WhatA2complicationA2isA2mostA2importantA2forA2theA2nurseA2toA2observeA2forA2inA2thisA2
patient?

A2 MuscleA2weakness

,A2CardiacA2dysrhythmiasA2
A2IncreasedA2urineA2output
A2AnemiaA2andA2leukopeniaA2-A2Ans--CardiacA2dysrhythmias


AA2patientA2whoA2hasA2sustainedA2severeA2burnsA2inA2aA2motorA2vehicleA2accidentA2isA2sta
rtingA2parenteralA2nutritionA2(PN).A2WhichA2principleA2shouldA2guideA2theA2nurse'sA2admini
strationA2ofA2PN?

A2AdministrationA2ofA2PNA2requiresA2cleanA2technique.
A2CentralA2PNA2requiresA2rapidA2dilutionA2inA2aA2largeA2volumeA2ofA2blood.A2
A2PeripheralA2PNA2deliveryA2isA2preferredA2overA2theA2useA2ofA2aA2centralA2line.A2
A2OnlyA2water-solubleA2medicationsA2mayA2beA2addedA2toA2theA2PNA2byA2theA2nurse.A2-
A2Ans--CentralA2PNA2requiresA2rapidA2dilutionA2inA2aA2largeA2volumeA2ofA2blood.


WhichA2focusedA2assessmentsA2wouldA2haveA2priorityA2inA2theA2careA2ofA2aA2patientA2rece
ntlyA2startedA2onA2parenteralA2nutritionA2(PN)?

A2SkinA2integrityA2andA2skinA2turgor
A2ElectrolyteA2levelsA2andA2dailyA2weightsA2
A2AuscultationA2ofA2lungA2andA2bowelA2soundsA2
A2PeripheralA2edemaA2andA2levelA2ofA2consciousnessA2-A2Ans--
ElectrolyteA2levelsA2andA2dailyA2weights

TheA2patientA2hasA2parenteralA2nutritionA2(PN)A2infusingA2withA2aminoA2acidsA2andA2dextr
ose.A2DuringA2shiftA2change,A2theA2nurseA2reportsA2theA2tubing,A2bag,A2andA2dressingA2we
reA2changedA220A2hoursA2ago.A2WhatA2careA2shouldA2theA2incomingA2nurseA2planA2toA2deli
verA2(selectA2allA2thatA2apply.)?

A2GivingA2theA2patientA2insulinA2ifA2neededA2
A2EnsuringA2thatA2theA2nextA2bagA2hasA2beenA2orderedA2
A2CheckingA2amountA2ofA2solutionA2leftA2inA2theA2bagA2
A2AssessingA2theA2insertionA2siteA2andA2changeA2theA2tubingA2
A2VerifyingA2theA2accuracyA2ofA2theA2newA2solutionA2andA2ingredientsA2-A2Ans--
EnsuringA2thatA2theA2nextA2bagA2hasA2beenA2orderedA2

CheckingA2amountA2ofA2solutionA2leftA2inA2theA2bagA2

VerifyingA2theA2accuracyA2ofA2theA2newA2solutionA2andA2ingredients

AA235-year-
oldA2femaleA2patientA2isA2admittedA2toA2theA2emergencyA2departmentA2withA2acuteA2abdo
minalA2pain.A2WhichA2medicalA2diagnosesA2shouldA2youA2considerA2asA2possibleA2causes
A2ofA2herA2painA2(selectA2allA2thatA2apply)?


a.A2Gastroenteritis
b.A2EctopicA2pregnancy

, c.A2GastrointestinalA2bleeding
d.A2IrritableA2bowelA2syndrome
e.A2InflammatoryA2bowelA2diseaseA2-A2Ans--a.A2Gastroenteritis
b.A2EctopicA2pregnancy
c.A2GastrointestinalA2bleeding
d.A2IrritableA2bowelA2syndrome
e.A2InflammatoryA2bowelA2disease

AssessmentA2findingsA2suggestiveA2ofA2peritonitisA2includeA2(selectA2allA2thatA2apply)

a.A2reboundA2tenderness.
b.A2aA2soft,A2distendedA2abdomen.
c.A2dull,A2intermittentA2abdominalA2pain.
d.A2shallowA2respirationsA2withA2bradypnea.
e.A2observingA2thatA2theA2patientA2isA2lyingA2still.A2-A2Ans--a.A2reboundA2tenderness.
e.A2observingA2thatA2theA2patientA2isA2lyingA2still.

TheA2nurseA2performsA2aA2detailedA2assessmentA2ofA2theA2abdomenA2ofA2aA2patientA2with
A2aA2possibleA2bowelA2obstruction,A2knowingA2thatA2manifestationsA2ofA2anA2obstructionA2i
nA2theA2largeA2intestineA2areA2(selectA2allA2thatA2apply)

a.A2persistentA2abdominalA2pain.
b.A2markedA2abdominalA2distention.
c.A2diarrheaA2thatA2isA2looseA2orA2liquid.
d.A2colicky,A2severe,A2intermittentA2pain.
e.A2profuseA2vomitingA2thatA2relievesA2abdominalA2pain.A2-A2Ans--
a.A2persistentA2abdominalA2pain.
b.A2markedA2abdominalA2distention.

InA2contrastA2toA2diverticulitis,A2theA2patientA2withA2diverticulosis

a.A2hasA2rectalA2bleeding.
b.A2oftenA2hasA2noA2symptoms.
c.A2hasA2localizedA2crampingA2pain.
d.A2frequentlyA2developsA2peritonitis.A2-A2Ans--b.A2oftenA2hasA2noA2symptoms.

TheA2nurseA2isA2caringA2forA2aA2patientA2admittedA2withA2aA2suspectedA2bowelA2obstructio
n.A2TheA2nurseA2auscultatingA2theA2abdomenA2listensA2forA2whichA2typeA2ofA2bowelA2soun
dsA2thatA2areA2consistentA2withA2theA2patient'sA2clinicalA2picture?

A2Low-pitchedA2andA2rumblingA2aboveA2theA2areaA2ofA2obstruction
A2High-pitchedA2andA2hypoactiveA2belowA2theA2areaA2ofA2obstruction
A2Low-pitchedA2andA2hyperactiveA2belowA2theA2areaA2ofA2obstruction
A2High-pitchedA2andA2hyperactiveA2aboveA2theA2areaA2ofA2obstructionA2-A2Ans--High-
pitchedA2andA2hyperactiveA2aboveA2theA2areaA2ofA2obstruction