Medical-Surgical Nursing 2 2026 – Comprehensive Practice Questions, Answers & Detailed Rationales

MEDICAL SURGICAL NURSING 2: ALL PRACTICE QUESTIONS
(COMPREHENSIVE EXAM PRACTICE QUESTIONS AND
RATIONALES)


Thexnursexisxdevelopingxaxplanxofxcarexforxax65-year-
oldxpatient,xfocusingxonxpreventivexhealthxcare.xWhilexplanningxthisxcare,xthexnursex
understandsxthatxthexagingxprocessxisxmostxaffectedxbyxwhichxfactor?

A.xHobbiesxandxinterests
B.xFinancialxissues
C.xAgexatxretirement
D.xImmobility
ANSWER:xD

Rationale:xImmobilityxdrivesxmusclexandxbonexloss,xcardiacxandxrespiratoryxdecline,
xandxskinxbreakdown,xmakingxitxthexbiggestxphysiologicxdriverxofxagingxdecline.xHo

bbiesxandxinterestsxaffectxpsychosocialxwellbeing,xnotxthexphysicalxagingxprocess.xFi
nancialxissuesxaffectxaccessxtoxresourcesxandxcare,xnotxphysiology.xAgexatxretiremen
txisxjustxaxlife-stagexmarkerxwithxnoxdirectxphysiologicxeffect.
Whatxdisorderxmayxcauseximmobilityxinxthexolderxadult?

A.xStroke
B.xCarpelxtunnel
C.xMinorxburns
D.xMultiplexpersonalities
ANSWER:xA

Rationale:xStrokexcanxcausexhemiparesis,xhemiplegia,xorxsignificantxmotorxandxbala
ncexdeficits,xdirectlyxleadingxtoxprolongedximmobilityxinxolderxadults.xCarpalxtunnel
xsyndromexaffectsxwristxandxhandxfunctionxbutxdoesxnotxtypicallyxcausexoverallximm

obility.xMinorxburnsxarexlocalizedxandxgenerallyxdoxnotximpairxmobilityxsignificantl
y.xMultiplexpersonalitiesxisxaxpsychiatricxconditionxwithxnoxdirectxphysicalxmobilityx
impact.

,Axfemalexpatientxwithxsystemicxlupusxerythematosusx(SLE)xcomplainsxofxphotosens
itivity.xThexLPN/LVNxshouldxinstructxthexpatientxonxwhichxself-carexmeasure?

A.xIncludexfoodsxhighxinxbetacarotenexinxherxdiet.
B.xUsexaxtanningxbedxoncexperxweekxtoxhelpxwithxrashes.
C.xWearxsunblockxwheneverxshexisxoutdoors.
D.xManagexjointxpainxwithxprescribedxmedications.
ANSWER:xC

Rationale:xPhotosensitivityxinxSLExmeansxUVxexposurexcanxtriggerxorxworsenxskinx
rashesxandxdiseasexflares,xsoxsunblockxandxsunxprotectivexmeasuresxarexthexkeyxself-
carexinstruction.xBetacarotenexhasxnoxestablishedxrolexinxmanagingxphotosensitivity.
xTanningxbedsxdirectlyxworsenxphotosensitivityxandxcanxtriggerxflares.xManagingxjoi

ntxpainxwithxmedicationxisximportantxgeneralxSLExcarexbutxdoesxnotxaddressxthexpho
tosensitivityxcomplaintxspecifically.
Thexpatientxpresentsxtoxthexclinicxafterxfallingxfromxherxbikexandxisxdiagnosedxwithxa
xGradexIIxanklexsprain.xThexnursexshouldxmakexwhichxstatementsxtoxthexpatientxrega

rdingxthextreatmentxofxherxsprainedxankle?x(Selectxallxthatxapply.)

A.xRestxyourxanklexasxmuchxasxpossible.
B.xPlacexanxicexpackxonxyourxanklexforx30xminutesxeveryx4xhours.
C.xBeginxwalkingxonxyourxinjuredxanklexafterx24xhours,xandxincreasexyourxambulati
onxasxtolerated.
D.xYouxshouldxwrapxyourxanklexwithxanxelasticxbandage.
E.xPropxyourxanklexonxpillowsxwhilexresting.
F.xTakexstimulantxlaxativesxwithxyourxnarcoticxpainxmedication.
ANSWER:xA,xB,xD,xE,xF

Rationale:xRICExtherapyxisxthexstandardxforxanklexsprains,xrest,xicexforxswellingxcon
trol,xcompressionxwithxanxelasticxbandage,xandxelevationxtoxreducexedemaxallxapply.
xStimulantxlaxativesxarexappropriatexteachingxsincexnarcoticxpainxmedicationsxcom

monlyxcausexconstipation.xOptionxCxisxincorrectxbecausexaxGradexIIxsprainxinvolvesx
partialxligamentxtearingxwithxinstability,xsoxearlyxfullxambulationxwithinx24xhoursxris
ksxre-injury.

,Thexpatientxpresentsxtoxthexclinicxwithxaxcompoundxfracturexofxthexrightxleg.xThexnur
sexanticipatesxthexadministrationxofxwhichxclassesxofxmedications?x(Selectxallxthatxa
pply.)

A.xHepatitisxBxvaccine
B.xAspirin
C.xCorticosteroids
D.xTetanusxbooster
E.xIVxantibiotics
ANSWER:xD,xE

Rationale:xAxcompoundxfracturexbreaksxthexskin,xcreatingxaxdirectxportalxforxbacteri
alxcontamination,xsoxtetanusxprophylaxisxandxIVxantibioticsxarexstandardxanticipated
xtreatmentxtoxpreventxtetanusxandxwoundxinfectionxorxosteomyelitis.xHepatitisxBxvac

cinexisxnotxindicatedxforxfracturexmanagement.xAspirinxisxnotxthexanticipatedxmedica
tionxclassxherexandxcanxincreasexbleedingxriskxinxtrauma.xCorticosteroidsxarexnotxpar
txofxstandardxopenxfracturexmanagementxandxcanximpairxwoundxandxbonexhealing.
Thexnursexisxpreparingxtoxcarexforxaxpatientxwhoxrequiresxskeletalxtraction.xThexnurs
exknowsxwhichxstatementxisxtruexregardingxskeletalxtraction?

A.xItxusesxaxseriesxofxremovablexpins,xropes,xandxweightsxtoxrealignxbones.
B.xItxrequiresxnursesxtoxfrequentlyxassessxandxmodifyxthexamountxofxweightxapplied.
C.xItxisxusedxforxonlyxfracturesxofxthexlowerxextremityxbones.
D.xItxhasxaxhighxriskxofxinfection.
ANSWER:xD

Rationale:xSkeletalxtractionxinvolvesxpinsxorxwiresxinsertedxdirectlyxintoxthexbone,xcr
eatingxanxopenxpathwayxforxpathogens,xsoxpinxsitexinfectionxandxosteomyelitisxarexsi
gnificantxrisks.xOptionxAxisxincorrectxbecausexpinsxarexsurgicallyxinserted,xnotxsimpl
yxremovable.xOptionxBxisxincorrectxbecausexweightsxarexprescribedxandxshouldxneve
rxbexadjustedxbyxthexnursexwithoutxaxprovider'sxorder.xOptionxCxisxincorrectxbecausex
skeletalxtractionxcanxbexusedxforxfracturesxofxthexupperxextremities,xcervicalxspine,xa
ndxotherxsites.
Whichxnursingxactionxisxmostxappropriatexforxmonitoringxaxpatientxwithxaxcastedxlo
werxextremityxforxinfection?

, A.xAssessxvitalxsignsxeveryxhourxwhilexthexpatientxisxawake.
B.xRemovexthexcastxweeklyxtoxcheckxthexwoundxforxsignsxofxinfection.
C.xAssessxtemperaturextrendsxandxsniffxaroundxthexcastxforxsignsxofxfoulxodor.
D.xRemovexthexcastxbi-weeklyxtoxcheckxthexwoundxforxsignsxofxinfection.
ANSWER:xC

Rationale:xAxfoulxodorxfromxthexcastxcombinedxwithxrisingxtemperaturextrendsxisxaxc
lassicxearlyxsignxofxinfectionxdevelopingxunderneathxaxcast.xRemovingxthexcastxwee
klyxorxbi-
weeklyxisxinappropriatexandxnotxstandardxpractice,xcastsxarexonlyxremovedxbyxaxprov
iderxwhenxclinicallyxindicated.xHourlyxvitalxsignsxisxexcessivexandxnotxthextargeted,x
appropriatexmonitoringxapproach.
Thexnursexisxcaringxforxaxclientxwhoxisxatxriskxforxcontracturexafterxorthopedicxsurger
y.xWhichxofxthexfollowingxwouldxbexanxappropriatexpositionxtoxplacexthexclientxin?

A.xOrthopneic
B.xLateral
C.xDangling
D.xDorsalxrecumbent
ANSWER:xD

Rationale:xDorsalxrecumbentxpositioningxkeepsxthexextremitiesxinxproperxanatomica
lxalignment,xhelpingxpreventxflexionxcontractures.xOrthopneicxpositioningxisxusedxto
xeasexbreathing,xnotxcontracturexprevention.xLateralxpositioningxcanxpromotexhipxan

dxkneexflexionxifxnotxcarefullyxmanaged,xincreasingxcontracturexrisk.xDanglingxisxaxt
ransitionalxpositionxusedxbeforexambulation,xnotxaxsustainedxpositionxforxcontracture
xprevention.


Thexnursexisxcaringxforxaxclientxwhoxneedsxtoxbexturned.xWhatxisxthextermxforxturnin
gxallxofxthexclientxatxonextime?

A.xProning
B.xLog-rolling
C.xAmbulating
D.xDangling