1|Page
PN MEDICAL SURGICAL EXAM 2 LATEST 2025
ACTUAL EXAM| COMPLETE 180 QUESTIONS
AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+|
PN MEDICAL SURGICAL EXAM PREP|| BRAND
NEW!!
A nurse is caring for a client who is receiving chemotherapy. The client
mentions that they have a loss of appetite because of sores in their mouth
and that food no longer tastes good. which of the following suggestions
to the client should the nurse make? - Correct Answer - Eat several,
small-portioned meals daily.
Rationale:
Clients who have difficulty eating because of pain or anorexia can
usually tolerate small amounts of food at one time. Eating several small
meals daily can increase the client's caloric intake.
A nurse is preparing to administer phytonadione 7 mg subcutaneously to
a client who has an INR of 4. Available is phytonadione 10 mg/mL. How
many mL should the nurse administer? - Correct Answer - 0.7mL
Rationale:
7mg/x = 10mg/1mL
= x =7/10
x = 0.7 mL
pg. 1
,2|Page
A nurse is assisting with the discharge planning for a client who is
postoperative following a total hip arthroplasty. Which of the following
instructions should the nurse include in the discharge plan? - Correct
Answer - Obtain a raised toilet seat.
Rationale:
The nurse should instruct the client to use a raised toilet seat to avoid
flexing the hip more than 90°, which increases the risk for dislocation.
A nurse is reinforcing teaching with a client who is scheduled for a
guaiac fecal Blood test. Which of the following instructions should the
nurse include in the teaching? - Correct Answer - Avoid eating red meat
for 3 days prior to the test.
Rationale:
The nurse should instruct the client to avoid eating red meat for 3 days
prior to the guaiac fecal occult blood test because this can lead to a false
positive result.
A nurse is reviewing the laboratory results of a client who has chronic
kidney failure and is receiving epoetin alfa. The nurse should identify
which of the following laboratory values indicated the treatment is
effective? - Correct Answer - Hgb 11 g/dL
Rationale:
Epoetin alfa stimulates the production of erythropoietin and red blood
cells, resulting in increased hemoglobin levels. Therefore, a hemoglobin
level of 11 g/dL indicates the epoetin alfa treatment is effective.
pg. 2
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A nurse is examining a client's IV site and notes a red line up their arm.
The client reports a throbbing, burning pain at the IV site. The nurse
should identify that the client's manifestations indicate which of the
following complications of IV therapy? - Correct Answer -
Thrombophlebitis
Rationale:
The nurse should identify pain, warmth, and a red streak up the arm as
indications of thrombophlebitis.
swelling and cool skin at the IV site as indications of infiltration.
swelling and bruising as indications of a hematoma that can develop by
not holding enough pressure after discontinuing the IV.
cramping at or above the insertion site and numbness as indications of
venous spasms.
A nurse is assisting with the care of a client who had a cardiac
catheterization via the right femoral artery. Which of the following
actions should the nurse take to prevent post procedure complications?
(Select all) - Correct Answer - -Monitor insertion site for bleeding
-Maintain the pressure dressing
-Check the client's peripheral pulses
Rationale:
Monitor the insertion site for bleeding is correct. The nurse should
monitor the client's insertion site for manifestations of hemorrhaging.
Position the affected extremity at a 45º angle is incorrect. The nurse
should keep the client flat with the affected extremity extended, not
flexed. Restrict the client's fluid intake is incorrect. The nurse should
pg. 3
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encourage fluid intake for the client following the cardiac catheterization
to assist with evacuating the contrast medium from the client's system.
Maintain the pressure dressing is correct. The nurse should maintain the
client's pressure dressing to prevent hemorrhaging and allow for the
cannulation site to heal. Check the client's peripheral pulses is correct.
The nurse should assess the client's peripheral pulses to help identify
signs of arterial occlusion.
A nurse observes a client who is lying in bed and experiencing a tonic-
clonic seizure. Which of the following actions should the nurse take? -
Correct Answer - Loosen clothing around the client's neck.
Rationale:
The nurse should loosen clothing around the client's neck to maintain an
open airway and prevent aspiration.
The nurse should leave the bed rails up to prevent the client from falling
out of bed, which can cause injury.
The nurse should not apply restraints that can place the client at risk for
a fracture injury.
The nurse should place the client in a lateral position to allow for the
drainage of oral secretions and to maintain an open airway.
A nurse is preparing to remove a client's NG tube. Which of the
following interventions should the nurse take to decrease the risk for
aspiration? - Correct Answer - Pinch the NG tube.
Rationale:
pg. 4
PN MEDICAL SURGICAL EXAM 2 LATEST 2025
ACTUAL EXAM| COMPLETE 180 QUESTIONS
AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY GRADED A+|
PN MEDICAL SURGICAL EXAM PREP|| BRAND
NEW!!
A nurse is caring for a client who is receiving chemotherapy. The client
mentions that they have a loss of appetite because of sores in their mouth
and that food no longer tastes good. which of the following suggestions
to the client should the nurse make? - Correct Answer - Eat several,
small-portioned meals daily.
Rationale:
Clients who have difficulty eating because of pain or anorexia can
usually tolerate small amounts of food at one time. Eating several small
meals daily can increase the client's caloric intake.
A nurse is preparing to administer phytonadione 7 mg subcutaneously to
a client who has an INR of 4. Available is phytonadione 10 mg/mL. How
many mL should the nurse administer? - Correct Answer - 0.7mL
Rationale:
7mg/x = 10mg/1mL
= x =7/10
x = 0.7 mL
pg. 1
,2|Page
A nurse is assisting with the discharge planning for a client who is
postoperative following a total hip arthroplasty. Which of the following
instructions should the nurse include in the discharge plan? - Correct
Answer - Obtain a raised toilet seat.
Rationale:
The nurse should instruct the client to use a raised toilet seat to avoid
flexing the hip more than 90°, which increases the risk for dislocation.
A nurse is reinforcing teaching with a client who is scheduled for a
guaiac fecal Blood test. Which of the following instructions should the
nurse include in the teaching? - Correct Answer - Avoid eating red meat
for 3 days prior to the test.
Rationale:
The nurse should instruct the client to avoid eating red meat for 3 days
prior to the guaiac fecal occult blood test because this can lead to a false
positive result.
A nurse is reviewing the laboratory results of a client who has chronic
kidney failure and is receiving epoetin alfa. The nurse should identify
which of the following laboratory values indicated the treatment is
effective? - Correct Answer - Hgb 11 g/dL
Rationale:
Epoetin alfa stimulates the production of erythropoietin and red blood
cells, resulting in increased hemoglobin levels. Therefore, a hemoglobin
level of 11 g/dL indicates the epoetin alfa treatment is effective.
pg. 2
,3|Page
A nurse is examining a client's IV site and notes a red line up their arm.
The client reports a throbbing, burning pain at the IV site. The nurse
should identify that the client's manifestations indicate which of the
following complications of IV therapy? - Correct Answer -
Thrombophlebitis
Rationale:
The nurse should identify pain, warmth, and a red streak up the arm as
indications of thrombophlebitis.
swelling and cool skin at the IV site as indications of infiltration.
swelling and bruising as indications of a hematoma that can develop by
not holding enough pressure after discontinuing the IV.
cramping at or above the insertion site and numbness as indications of
venous spasms.
A nurse is assisting with the care of a client who had a cardiac
catheterization via the right femoral artery. Which of the following
actions should the nurse take to prevent post procedure complications?
(Select all) - Correct Answer - -Monitor insertion site for bleeding
-Maintain the pressure dressing
-Check the client's peripheral pulses
Rationale:
Monitor the insertion site for bleeding is correct. The nurse should
monitor the client's insertion site for manifestations of hemorrhaging.
Position the affected extremity at a 45º angle is incorrect. The nurse
should keep the client flat with the affected extremity extended, not
flexed. Restrict the client's fluid intake is incorrect. The nurse should
pg. 3
, 4|Page
encourage fluid intake for the client following the cardiac catheterization
to assist with evacuating the contrast medium from the client's system.
Maintain the pressure dressing is correct. The nurse should maintain the
client's pressure dressing to prevent hemorrhaging and allow for the
cannulation site to heal. Check the client's peripheral pulses is correct.
The nurse should assess the client's peripheral pulses to help identify
signs of arterial occlusion.
A nurse observes a client who is lying in bed and experiencing a tonic-
clonic seizure. Which of the following actions should the nurse take? -
Correct Answer - Loosen clothing around the client's neck.
Rationale:
The nurse should loosen clothing around the client's neck to maintain an
open airway and prevent aspiration.
The nurse should leave the bed rails up to prevent the client from falling
out of bed, which can cause injury.
The nurse should not apply restraints that can place the client at risk for
a fracture injury.
The nurse should place the client in a lateral position to allow for the
drainage of oral secretions and to maintain an open airway.
A nurse is preparing to remove a client's NG tube. Which of the
following interventions should the nurse take to decrease the risk for
aspiration? - Correct Answer - Pinch the NG tube.
Rationale:
pg. 4
