Medical-Surgical Nursing Examination 2
Med surg2 exam 2 2025 actual testbank
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cc. Medical-Surgical Nursing Board Exam
you are the nurse caring for a 60 year old female patient who is post-op laparoscopic
cholecystectomy. Which of the following dietary recommendations would be most important
to include in your discharge teaching?
A.
"Use caution when eating high fiber foods."
B.
"It is best to eat three balanced meals a day."
C.
"Check gastric residuals before your next enteral bolus feeding."
D.
"You will need to avoid high fat foods from now on."
D- you will need to avoid high fat foods from now on
A patient admitted with ascites and peripheral edema from cirrhosis is experiencing shortness
of breath. Which of the following could help to decrease the patient's shortness of breath?
Select all that apply.
A. Encouraging a high sodium diet.
B. Undergoing a paracentesis
C. Elevating the head of the bed
Medical-Surgical Nursing Board Exam 2025
,D. Increasing the rate of the IV fluids
E. Administering diuretics
B. Undergoing a paracentesis
C. Elevating the head of the bed
E. Administering diuretics
A patient newly diagnosed with Acute Viral Hepatitis C asks the nurse how this virus was
contracted. Which of the following could have led to the contraction of Acute Viral Hepatitis C?
Select all that apply.
A. Abusing intravenous drugs
B. Drinking contaminated water
C. Eating undercooked foods
D. Engaging in unprotected sex
A. Abusing intravenous drugs
D. Engaging in unprotected sex
A patient with cirrhosis has esophageal varices. The patient has developed a mild cough. Which
intervention would be most appropriate for this patient?
A. Keep the patient NPO.
B. Maintain strict bedrest
C. Administer a cough suppressant.
D. Consult infectious disease (ID) for an antibiotic.
C. Administer a cough suppressant.
Which of the following best describes the etiology of ascites in a patient with cirrhosis?
A. Decreased albumin
B. Increased PT
C. Increased AST
D. Decreased aldosterone
A. Decreased albumin
Medical-Surgical Nursing Board Exam 2025
,Which of the following should be included when caring for a patient in fulminant hepatic
failure with hepatic encephalitis? Select all that apply
A. Perform neuro checks every 4 hours.
B. Keep the patient in bed in the supine position.
C. Place the patient on fall precautions.
D. Encourage intake of high protein foods.
E. Administer Lactulose to the patient TID.
A. Perform neuro checks every 4 hours.
C. Place the patient on fall precautions.
E. Administer Lactulose to the patient TID.
When caring for a patient who is post-op total pancreatectomy, the nurse knows that the
patient needs further reinforcement and nutritional education when the patient states...
A. "I will monitor my blood sugar levels and keep a log to show my doctor at every visit."
B. "I am excited to be able to eat the vegetables that I am currently growing in my garden at
home."
C. "I can't wait to go home and get back to normal, and especially have a beer with dinner."
D. "I should take pancreatic enzymes with every meal & snack for the real of my life."
C. "I can't wait to go home and get back to normal, and especially have a beer with dinner."
A patient returned to the medical surgical unit 2 hours after a percutaneous renal biopsy of the
left kidney. Which finding would alert the nurse that this patient is experiencing a potential
complication?
A. Complaints of headache & mild nausea
B. Pruritis along the left flank dressing
C. Expanding hematoma on the left flank
D. Left flank pain and tenderness
C. Expanding hematoma on the left flank
A patient's urine was sent to the lab for urinalysis and reveal protein in the urine. Based on this
finding, what area of the urinary system could be damaged?
A. Glomerulus
B. Medulla
Medical-Surgical Nursing Board Exam 2025
, C. Distal convoluting tubule
D. Renal Pelvis
A. Glomerulus
Which of the following patients has the lowest risk for developing cholelithiasis or
cholecystitis?
A. A 45 year old female who has given birth to four children.
B. A 60 year old male whose mother who had a cholecystectomy due to cholecystitis,
C. A 32 year old male with a past surgical history of an appendectomy.
D. A 52 year old female with a BMI of 38 and a history of diabetes.
C. A 32 year old male with a past surgical history of an appendectomy.
Which of the following would indicate to the nurse that a 65 year old female patient is
experiencing signs and symptoms of cholecystitis?
A. Positive Murphy's Sign
B. Positive McBurney's Sign
C. Positive Obturator Sign
D. Postive Psoas Sign
A. Positive Murphy's Sign
Which intervention for a cirrhosis patient would most commonly cause the complication of
bacterial peritonitis?
A. TIPS procedure
B. Paracentesis
C. Diuretic administration
D. Balloon tamponade
B. Paracentesis
A nurse caring for a patient with acute pancreatitis notices a bluish ecchymotic area on the
patient's left flank. What is the nurse's priority in caring for this patient?
Medical-Surgical Nursing Board Exam 2025
Med surg2 exam 2 2025 actual testbank
copy
cc. Medical-Surgical Nursing Board Exam
you are the nurse caring for a 60 year old female patient who is post-op laparoscopic
cholecystectomy. Which of the following dietary recommendations would be most important
to include in your discharge teaching?
A.
"Use caution when eating high fiber foods."
B.
"It is best to eat three balanced meals a day."
C.
"Check gastric residuals before your next enteral bolus feeding."
D.
"You will need to avoid high fat foods from now on."
D- you will need to avoid high fat foods from now on
A patient admitted with ascites and peripheral edema from cirrhosis is experiencing shortness
of breath. Which of the following could help to decrease the patient's shortness of breath?
Select all that apply.
A. Encouraging a high sodium diet.
B. Undergoing a paracentesis
C. Elevating the head of the bed
Medical-Surgical Nursing Board Exam 2025
,D. Increasing the rate of the IV fluids
E. Administering diuretics
B. Undergoing a paracentesis
C. Elevating the head of the bed
E. Administering diuretics
A patient newly diagnosed with Acute Viral Hepatitis C asks the nurse how this virus was
contracted. Which of the following could have led to the contraction of Acute Viral Hepatitis C?
Select all that apply.
A. Abusing intravenous drugs
B. Drinking contaminated water
C. Eating undercooked foods
D. Engaging in unprotected sex
A. Abusing intravenous drugs
D. Engaging in unprotected sex
A patient with cirrhosis has esophageal varices. The patient has developed a mild cough. Which
intervention would be most appropriate for this patient?
A. Keep the patient NPO.
B. Maintain strict bedrest
C. Administer a cough suppressant.
D. Consult infectious disease (ID) for an antibiotic.
C. Administer a cough suppressant.
Which of the following best describes the etiology of ascites in a patient with cirrhosis?
A. Decreased albumin
B. Increased PT
C. Increased AST
D. Decreased aldosterone
A. Decreased albumin
Medical-Surgical Nursing Board Exam 2025
,Which of the following should be included when caring for a patient in fulminant hepatic
failure with hepatic encephalitis? Select all that apply
A. Perform neuro checks every 4 hours.
B. Keep the patient in bed in the supine position.
C. Place the patient on fall precautions.
D. Encourage intake of high protein foods.
E. Administer Lactulose to the patient TID.
A. Perform neuro checks every 4 hours.
C. Place the patient on fall precautions.
E. Administer Lactulose to the patient TID.
When caring for a patient who is post-op total pancreatectomy, the nurse knows that the
patient needs further reinforcement and nutritional education when the patient states...
A. "I will monitor my blood sugar levels and keep a log to show my doctor at every visit."
B. "I am excited to be able to eat the vegetables that I am currently growing in my garden at
home."
C. "I can't wait to go home and get back to normal, and especially have a beer with dinner."
D. "I should take pancreatic enzymes with every meal & snack for the real of my life."
C. "I can't wait to go home and get back to normal, and especially have a beer with dinner."
A patient returned to the medical surgical unit 2 hours after a percutaneous renal biopsy of the
left kidney. Which finding would alert the nurse that this patient is experiencing a potential
complication?
A. Complaints of headache & mild nausea
B. Pruritis along the left flank dressing
C. Expanding hematoma on the left flank
D. Left flank pain and tenderness
C. Expanding hematoma on the left flank
A patient's urine was sent to the lab for urinalysis and reveal protein in the urine. Based on this
finding, what area of the urinary system could be damaged?
A. Glomerulus
B. Medulla
Medical-Surgical Nursing Board Exam 2025
, C. Distal convoluting tubule
D. Renal Pelvis
A. Glomerulus
Which of the following patients has the lowest risk for developing cholelithiasis or
cholecystitis?
A. A 45 year old female who has given birth to four children.
B. A 60 year old male whose mother who had a cholecystectomy due to cholecystitis,
C. A 32 year old male with a past surgical history of an appendectomy.
D. A 52 year old female with a BMI of 38 and a history of diabetes.
C. A 32 year old male with a past surgical history of an appendectomy.
Which of the following would indicate to the nurse that a 65 year old female patient is
experiencing signs and symptoms of cholecystitis?
A. Positive Murphy's Sign
B. Positive McBurney's Sign
C. Positive Obturator Sign
D. Postive Psoas Sign
A. Positive Murphy's Sign
Which intervention for a cirrhosis patient would most commonly cause the complication of
bacterial peritonitis?
A. TIPS procedure
B. Paracentesis
C. Diuretic administration
D. Balloon tamponade
B. Paracentesis
A nurse caring for a patient with acute pancreatitis notices a bluish ecchymotic area on the
patient's left flank. What is the nurse's priority in caring for this patient?
Medical-Surgical Nursing Board Exam 2025
